The present invention relates to a method for producing an artificial bone, namely a bone substitute material, and in particular, to a method for producing an artificial bone having excellent osteoconductivity and osteoinductivity, and appropriate mechanical strength.
Titanium is highly resistant to corrosion in a living body and is highly biocompatible, and is therefore expected to be used an artificial bone material. An artificial bone material to be implanted in a living body is desired to be porous because of the necessity to form a living bone or bond to a surrounding living bone. It is conventionally known that a titanium porous body is obtained by pressure-molding a titanium powder, which is mixed with a pore-forming material if necessary, to obtain a molded body and then sintering the molded body (Patent Document 1). In recent years, there is also proposed a technique that a titanium powder is laser-sintered based on three-dimensional digital image data, and the sintered layer is stacked (Non-Patent Document 1).
On the other hand, as a measure of facilitating bonding between titanium and a living bone, such a technique is known that titanium is heated directly after being subjected to an alkaline treatment, or heated after dealkalization, to form a sodium titanate layer or an anatase layer on a surface of titanium (Patent Documents 2 and 3). Also known is a technique that an apatite layer is formed thereon by immersing it in a simulated body fluid subsequently as is necessary (Patent Documents 2 and 3).
Non-Patent Document 2: http://www.nedo.go.jp/informations/koubo/171014—1/171014—1.html, attached sheet 1
However, since the methods disclosed in Patent Document 1 and Non-Patent Document 1 fails to control the shape and distribution of pores, even if the appearance resembles a living bone, properties such as the modulus of elasticity and the mechanical strength are completely different, and therefore the person to which the artificial bone is applied will feel quite uncomfortable.
Therefore, it is an object of the present invention to provide an artificial bone having excellent osteoconductivity and osteoinductivity and resembling a living bone in terms of appearance and properties, and an artificial bone precursor for the artificial bone.
In this description, the phenomenon that a living bone enters pores of an artificial bone and bonds with the artificial bone when the artificial bone is implanted in a site where the living bone is present, is called “osteoconductivity”. On the other hand, the phenomenon that a living bone is formed in pores of an artificial bone when the artificial bone is implanted in a muscle is called “osteoinductivity”.
In order to solve the problems, a method for producing an artificial bone precursor of the present invention includes an extracting step, an image forming step and a modeling step as follows.
First, in digitalized three-dimensional image data of a living bone, as shown in
a) to
According to the method of the present invention, since laser irradiation is made following a shape obtained by extracting a part corresponding to a cancellous bone and/or a cortical bone of a living bone, the resulting formed artificial bone precursor resembles a living bone not only in appearance, but also in its interior structure which is a network structure resembling a living bone. The diameter of each part in an extracted shape is not completely the same with a corresponding part in a living bone, but is even, while a cancellous bone and a cortical bone of a living bone have various diameters and thicknesses. This is because when laser irradiation is made completely following a living bone, the network is interrupted and metal particles may be missed in a too thin part because the laser doze is insufficient, while heat is conducted and sinters a peripheral part where sintering is not required because the laser doe is excess in a too thick part.
In the case of a living bone, non-interconnecting pores surrounded by a number of cancellous bones or by a cancellous bone and a cortical bone are filled with bone marrow to function appropriately. In the case of an artificial bone, non-interconnecting pores surrounded by beams or by a beam and a wall do not have an inlet for a body fluid, so that they remain hollow after implanted into a living body. When a hollow part h which is likely to become a non-interconnecting pore as shown in
The powder material is typically at least one kind of metal selected from cobalt, tantalum, zirconium, niobium and titanium, and alloys thereof. It may also be a resin such as polylactic acid, polyethylene or polyethylene terephthalate, or a ceramic such as apatite, β-TCP, titanium oxide, bioglass or crystallized glass A-W. An intersection point between the beams may be in part or in whole drawn thicker than the aforementioned uniform diameter as shown in
When the powder is comprised of a metal, a laser sintered body may be heated at a temperature of 1000° C. or higher after the modeling step. This makes particles that are present on the surface of the beam or wall to securely bond to the surface, and neighboring particles to bond to form new micropores.
The method for producing an artificial bone of the present invention is featured by heating the artificial bone precursor thus obtained, after an alkaline treatment when the aforementioned powder is comprised of a metal. This allows formation of a metallic acid salt having an apatite-forming ability on the surface. In order to form a layer of a metal oxide such as anatase on the surface, after an alkaline treatment, dealkalization may be conducted before heating, or heating may be conducted concurrently with dealkalization. Further, when the powder is able to bond with a bone as is the case of apatite, β-TCP, titanium oxide and the like, the artificial bone precursor itself becomes an artificial bone, whereas when the powder is a resin or another ceramic, the artificial bone precursor itself becomes an artificial bone by conducting laser sintering after mixing it with another powder bondable to bones.
According to the present invention, since an artificial bone having a structure resembling that of a living bone not only in appearance but also in interior is produced, cells and body fluids are easy to penetrate into the obtained artificial bone, and hence a living bone is easy to be formed there. Furthermore, since it is possible to fill a hollow part and make an intersection point of beams particularly thick, it is possible to realize mechanical strength suited for a person to which the artificial bone is applied.
a) to 1(c) are views showing digital images in each step of the production method of the present invention, in which (a) shows a former half of an extracting step, (b) shows a latter half of the same, and (c) shows an image forming step.
a) and 2(b) depict beams in digital image data, in which (a) is a radial cross section view, and (b) is a cross section view of one layer displayed on the monitor.
a) to 3(c) are views each showing another digital image in each step of the production method of the present invention, in which (a) shows a former half of an extracting step, (b) shows a latter half of the same, and (c) shows an image forming step.
A titanium powder having an oxygen content of 0.12% by weight and a maximum particle size of 45 μm produced by a gas atomizing method was prepared.
In parallel with this, a tomogram of a fourth lumbar vertebra of a healthy human being was imaged by using a three-dimensional microcomputer tomography apparatus under the conditions of a tube voltage of 50 kV, a tube current of 40 μA, and a slice thickness of 83.5 μm. DICOM (Digital Imaging and Communications in Medicine) data consisting of about 500 files thus obtained were converted into STL (Stereo Lithography Triangulation Language) format data by a three-dimensional image processing program (TRI/3D-BON available from RATOC), and parts corresponding to a cancellous bone and a cortical bone were extracted. By setting a center line of the extracted part, and drawing a beam and a wall having a diameter or thickness of 0.35 mm at a resolution of 83.5 μm/pixel along the center line, artificial bone image data were generated.
The above titanium powder was charged in a powder chamber of a rapid prototyping apparatus (EOSINT-M270 available from Electro Optical Systems GmbH), and a laser beam was differently set in the following manner for a contour part and a laminate face within the contour part at a thickness of 30 μm per one layer.
Contour part: laser spot diameter 100 μm
Laminate face: laser spot diameter 150 μm
A platform of the apparatus was supplied with the powder for one layer, and irradiated with a Yb fiber laser beam (X=1060 to 1100 nm) in an argon atmosphere based on the above artificial bone image data. The platform was descended by a thickness of one layer, and the powder to form the next layer was supplied, and irradiated with a laser beam in a similar manner. By repeating such powder supply and laser irradiation for a required number of times, an artificial bone precursor was produced. A SEM photograph of the obtained artificial bone precursor is shown in
The artificial bone precursor was immersed in an aqueous solution of 5M sodium hydroxide at 60° C. for 24 hours, and immersed in distilled water at 40° C. for 48 hours (replaced by fresh distilled water every 12 hours), and then heated at 600° C. for one hour, and thus an artificial bone was produced. X-ray diffraction demonstrated that only an anatase phase was formed as a crystal phase on the surface of the artificial bone.
The artificial bone was immersed in a simulated body fluid having substantially the same inorganic ion concentration with a human body fluid. An apatite phase was formed on the surface of the artificial bone after immersion for seven days.
Another artificial bone precursor was produced in the same conditions as First embodiment except that a titanium alloy Ti-6Al-4V powder was used in place of the titanium powder in First embodiment. A photograph of the obtained artificial bone precursor is shown in
Further another artificial bone precursor was produced in the same conditions as First embodiment except that another titanium alloy Ti-15Mo-5Zr-3Al powder was used in place of the titanium powder in First embodiment. A photograph of the obtained artificial bone precursor is shown in
Number | Date | Country | Kind |
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2006-110546 | Apr 2006 | JP | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/JP2007/000233 | 3/16/2007 | WO | 00 | 10/10/2008 |