Patent Application
20240042504
The invention relates to a method for producing a tubular semi-finished product for a structural scaffold of a medical implant, wherein the semi-finished product consists of a magnesium alloy and/or a zinc alloy, and to a corresponding device and a semi-finished product produced by the method. The structural scaffold will be referred to hereinafter as a scaffold. The invention also relates to an implant having a structural scaffold in the form of a tubular basic structure.
Bioresorbable scaffolds formed from a magnesium alloy are used in resorbable implants intended for vascular surgery, for example coronary or peripheral implants, for example for stents or in heart valve replacement. The scaffolds are produced by being cut out from a tubular semi-finished product, for example by laser. The scaffolds are often introduced minimally invasively into the body of the patient. For implantation of this kind, the scaffold has a state with a small diameter, in order to transport it, for example along the blood vessels of the patient, to the site of the treatment. There, such a scaffold is then transferred, for example by a balloon, into a state with a larger diameter (expanded, dilated) in order to perform the desired function in the body of the patient, for example a supporting function for a vessel.
Bioresorbable scaffolds formed from magnesium alloys, on account of their hexagonal lattice structure and their limited number of glide planes, have fundamental disadvantages in plastic forming processes, such as dilation. In the past it has therefore been attempted to provide improvements in respect of tubular semi-finished products for the scaffold by way of alloying and process-related measures. In that case, tests leading to an optimised grain size and the most homogeneous distribution possible of intermetallic phases played a key role. This was usually achieved—with a predefined alloy composition—by the optimisation of thermomechanical forming processes.
Semi-finished tubes can be produced in different ways. Known methods, such as tube drawing, rod drawing or also extrusion bring about a preferred orientation of the grains in the microstructure. This anisotropic microstructure or grain structure significantly influences the mechanical properties of the implant scaffolds produced from the semi-finished products. The semi-finished tubes have advantageous mechanical properties in the direction of their longitudinal axis. This circumstance, however, which is favourable for the tube properties, cannot be utilised to the fullest extent in a scaffold manufactured from these tubes, since this scaffold must also withstand stress moments during the dilation process which do not coincide with the deformation direction.
For example, in the known multi-stage tube drawing process with interstage annealing, the limited formability at room temperature caused by the hexagonal, very close-packed magnesium lattice is taken into consideration. For this reason, only small degrees of forming can be achieved per drawing step at room temperature. The deformation capability is improved by intermediate annealing steps, and the semi-finished product in the form of an internally bored blank is deformed until the desired end dimension is achieved. The recurrent deformation capability requires a fully recrystallised microstructure. If this is not achieved after intermediate annealing steps, destruction of the semi-finished product or irreversible crack formation cannot be ruled out. Due to the numerous forming steps and the necessary intermediate annealing steps, this method is very disadvantageous from an economical viewpoint as well.
A single-stage warm extrusion by forward or backward hollow extrusion is also prior art. In such an extrusion process, a bored blank is pressed through a heated die. The thermal influences acting during this process are decisive for the characteristics of the mechanical properties. A high forming temperature causes a complete recrystallisation in the microstructure and thus approximately isotropic material properties. However, in the known method, grain growth occurs, which can reduce the tensile strength and elongation at break. Alternatively, with a low forming temperature the grain growth is prevented or hindered. Due to the low temperature, however, the microstructure is only partly dynamically recrystallised, resulting in a strong texture, which results in highly anisotropic material properties.
A method and device of the invention improve the dilatability of an implant scaffold produced from the semi-finished product.
A preferred method according to the invention has the following steps:
In one exemplary embodiment, the die for extruding the tubular semi-finished product is part of an extrusion device which, besides the die, also includes a ram.
A preferred device according to the invention (tube drawing device) includes a clamping device, wherein the device is designed in such a way that it generates a tensile stress and/or a torsional stress in the material of the semi-finished product, wherein the tensile force generated for this purpose by the device and/or the torsion moment generated by the tube drawing device is transferable by the clamping device to the material of the semi-finished product exiting from the die or the heating device, wherein the clamping device is fixable on a predefined portion of the tubular semi-finished product.
The material of the tubular semi-finished product includes a magnesium alloy, for example WE43, magnesium-zinc-aluminium, magnesium-aluminium, or magnesium-zinc-calcium. Here, preferably ultra-pure magnesium alloys are used, such as magnesium-zinc-aluminium with 0-4% by weight Zn and 2-10% by weight Al or with 1.5-7% by weight Zn and 0.5-3.5% by weight Al, such as magnesium-aluminium with 5-10% by weight Al, in particular 5.5-7% by weight, particularly preferably 6.25% aluminium, such as magnesium-zinc-calcium with 3-7% by weight Zn and 0.001-0.5% by weight Ca or 0-3% by weight Zn and 0-0.6% by weight Ca. Such ultra-pure magnesium alloys expediently contain, besides the stated alloy elements, less than 0.006% by weight of other elements (impurities such as Fe, Cu, Co, Si etc. or rare earths).
Alternatively or in combination, the material of the tubular semi-finished product includes a zinc alloy, in particular a zinc-magnesium-calcium alloy with 0.2 to 3% by weight Mg, in particular 0.5 to 1.5% by weight Mg, and 0 to 1.5% by weight Ca, in particular 0.01 to 0.5% by weight Ca, wherein the remainder is formed by zinc and unavoidable impurities.
A method according to the invention and the device according to the invention is based on the introduction of additional stresses (tensile and/or torsional stresses) into the tubular semi-finished product. This can be introduced into the tube directly after the tube extrusion process (performed for example at elevated temperatures) or later within the scope of an additional thermally assisted finishing step by the heating device. A metallographic microstructure thus results, which contains grains, of which the preferred orientation does not correspond to the direction of the tube axis and thus the deformation direction of the semi-finished product. The preferred orientation of many grains of the microstructure produced by the method according to the invention runs obliquely or transversely to the longitudinal axis of the tubular semi-finished product, so that a mixed grain orientation is created on the whole. The advantage of this mixed grain orientation then takes effect if scaffolds which are fabricated from these tubes are mechanically loaded and plastically deformed during the dilation process. The scaffold regions that have the greatest plastic expansion during the dilation process are identical to the points of origin of cracks which lead to a later failure of the scaffold. On account of the mixed grain orientation provided with natural torsional stresses, the crack propagation that occurs with ongoing plastic deformation of the scaffold is slowed, so that a scaffold produced from the semi-finished product produced in accordance with the invention fails later on average. Consequently, the dilatability or the plastic deformation capability of an implant scaffold produced from the semi-finished product is improved and larger dilation diameters can be used which are extremely desirable from the viewpoint of clinical safety and in addition significantly increase the safety of this class of medicinal product.
The method according to the invention, which is performed with the device according to the invention, additionally causes a grain refinement. This grain refinement, besides the formation of new grains, also includes the above-described effect in relation to the grain orientation, which in the event of a mechanical load of the scaffold produced from the semi-finished product, advantageously counteracts crack propagation. The solution according to the invention is tailored to the situation of plastic deformation, which is accompanied by crack propagation, wherein the grains of the semi-finished product according to the invention (and thus also of the scaffold produced therefrom) delay crack propagation on account of their orientation. Due to the applied tensile and/or torsional stress, a recrystallisation of amorphous regions of the microstructure is brought about, wherein the grain orientation of the growing grains is different and in particular runs obliquely or transversely to the is longitudinal axis of the tubular semi-finished product. This state is “frozen” in each grain once the recrystallisation is not reached.
A suitable temperature range for the material of the semi-finished product heated in the die and consisting of a magnesium alloy is between 200° C. and 450° C., in particular between 240° C. and 290° C. Alternatively, a suitable temperature range for the tempering of an extruded tubular semi-finished product consisting of a magnesium alloy for preparation for the effect of the tensile and/or torsional stress is between 180° C. and 270° C.
A suitable temperature range for the material of the semi-finished product heated in the die and consisting of a zinc alloy is between 140° C. and 310° C., in particular between 150° C. and 250° C. Alternatively, a suitable temperature range for the tempering of an extruded tubular semi-finished product consisting of a magnesium alloy for preparation for the effect of the tensile and/or torsional stress is between 250° C. and 450° C.
For generation of the tensile force, the tube drawing device has, for example, a slide (puller) which is movable on or in a guide and which has a clamping device fastened thereto, wherein the guide of the slide is arranged on a corresponding holding device or a corresponding stand. The guide can be formed, for example, as a dovetail guide. To move the slide in the guide, a stepper motor or a pneumatic drive is provided, for example. The movement of the slide generates the tensile force, which is transferred to the material of the semi-finished product via the clamping device connected to the slide. If the slide is driven pneumatically, for example, a force/distance diagram can be specified and implemented by the use of electronic proportional valves.
The clamping device can additionally be mounted rotatably and likewise provided with a drive, in particular a pneumatic drive, wherein the longitudinal axis of the rotation runs parallel to the longitudinal axis of the tubular semi-finished produced held by the clamping device. The clamping device transfers a torsion moment to the semi-finished product, wherein the torsional stress can be adjusted as a function of the tube length.
The clamping device in the starting state is preferably arranged a few tenths of a millimetre to 5 mm above the die and engages the semi-finished product with parallel grippers or also with a centric gripper. The distance of the gripper from the die increases over the tube length. The clamping diameter of the grippers can be adjusted, for example by a millimetre screw.
The above object is also achieved by a system including an above-mentioned device (tube drawing device) and
The temperature ranges for the die of the extrusion device or the heating device that are advantageous for a magnesium alloy or zinc alloy have already been stated above.
The above object is also achieved correspondingly by a tubular semi-finished product for an implant scaffold produced by the above-mentioned method and by an implant scaffold produced by cutting from the tubular semi-finished product, for example by laser cutting. The cut-out scaffold can then be electropolished and coated as necessary.
The above object is likewise achieved by an implant for implantation in a bodily lumen, wherein the implant includes a tubular basic structure which contains a magnesium alloy and/or zinc alloy, wherein the magnesium and/or zinc alloy has a grain structure formed from uniform and equally distributed grains with a mixed grain orientation, wherein the tubular basic structure in a starting state has a plurality of bars which are oriented at least in part in the circumferential direction. The implant can be compressed by a plastic deformation and expanded by a later plastic deformation to up to 150% of the diameter in the starting state, without any of the bars oriented at least in part in the circumferential direction breaking.
A bar oriented at least in part in the circumferential direction is understood within the scope of the application to mean a bar that has an angle of <90°, in particular <500 with the circumferential direction. A bar that has an angle of 0° with the circumferential direction is oriented accordingly in the circumferential direction. A bar, often also referred to as a strut, is understood to mean an elongate structure that is straight or wound, in particular wound in an S shape. The orientation of a structure wound in this way corresponds to the centre of gravity vector.
An implant for implantation in a bodily lumen is in particular a stent for implantation in a blood vessel.
The starting state is understood to mean the implant as it is obtained after having been cut out from the tubular semi-finished product and after optional electropolishing and/or coating. The starting state of the implant is thus the state before the implant is compressed onto a catheter, in particular a balloon catheter, for insertion of the implant. The compression and thus fastening of the implant on the catheter is often also referred to as crimping.
A breakage of the bars is understood within the scope of the application to mean a crack that passes at least once through the entire cross section of the bars.
The grains in one embodiment have a mean grain size of at most 15 micrometres, preferably at most 10 micrometres.
The invention will be explained hereinafter on the basis of an exemplary embodiment and with reference to the figures. All features that are described and/or shown in the figures, individually or in any combination, form the subject matter of the invention, also independently of their compilation in the claims or the dependency references of the claims.
The system according to the invention shown in
The slide 17 is moved upwardly (see arrow 22) in the view of
Alternatively or additionally, the clamping device 19 held rotatably in the arm of the slide 17 is rotated by the rotary head 18 by a further pneumatic drive (not shown) about a longitudinal axis which runs parallel to the longitudinal axis 24 of the tubular semi-finished product 10 (for example coincides therewith). This is shown in
It should be emphasised at this juncture that, by the tube drawing device 13 according to the invention acting on the semi-finished product 10, a tensile stress or a torsional stress or both stresses can be generated in the material of the semi-finished product 10 exiting from the extrusion device 1. The tensile force or the torsion moment act here directly on the semi-finished product exiting from the extrusion device.
The clamping device 19, in the starting state, is arranged on the semi-finished product at a distance from the outlet opening 8, wherein the distance is at least 0.2 mm.
Alternatively, an extruded and initially cooled tubular semi-finished product can be tempered by a heating device in a temperature range between 180° C. and 270° C. and a tensile stress and/or torsional stress is then introduced into the heated material of the semi-finished product by the above-described pipe drawing device 13.
The tensile stress introduced into the material of the semi-finished product 10 lies in the range of from 20 N/mm2 to 100 N/mm2, preferably 40 N/mm2, and the introduced torsional stress lies in the range of 0-100% of the introduced tensile stress, preferably 50% of the tensile stress.
The semi-finished product 10 provided with a tensile stress and/or a torsional stress is then cooled in both embodiments.
The implant according to the invention, for example a stent, can be produced from the semi-finished product 10 in the known manner by laser cutting and subsequent electropolishing.
The material of the semi-finished product 10 and thus of the scaffold or the implant is in this embodiment a magnesium alloy, for example WE43, magnesium-zinc-aluminium, magnesium-aluminium or magnesium-zinc-calcium.
As has already been explained above, the introduced stresses cause a grain refinement, with the adjacent grains of the microstructure having a slightly different orientation. The grains are therefore no longer—as in the conventional methods—oriented only in the preferred direction along the longitudinal axis of the tubular semi-finished product (see
The improvement of the material properties is evident from the graph shown in
| Number | Date | Country | Kind |
|---|---|---|---|
| 21164643.5 | Mar 2021 | EP | regional |
This application is a 35 U.S.C. 371 US National Phase and claims priority under 35 U.S.C. § 119, 35 U.S.C. 365(b) and all applicable statutes and treaties from prior PCT Application PCT/EP2022/052951, which was filed Feb. 8, 2022, which application claimed priority from EP Application Number 21164643.5, which was filed Mar. 24, 2021.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2022/052951 | 2/8/2022 | WO |
