Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5361_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Aim and Scope
- •Preface
- •Acknowledgments
- •Contents
- •Contributors
- •About the Editors
- •1.1 Introduction
- •1.2.1 Friction
- •1.2.1.3 Friction Under Lubricated Conditions
- •1.7.1 Joint Tribology
- •1.7.2 Skin Tribology
- •1.7.3 Oral Tribology
- •1.8 Summary
- •References
- •2.1 Introduction
- •2.3.1 Fluid Pressurization/Fluid-Film Lubrication
- •2.3.2 Boundary Lubrication
- •2.3.3 Hydrodynamic Lubrication
- •2.3.4 Squeeze-Film Lubrication
- •2.3.5 Synovial Fluid
- •2.3.6 Hydration Lubrication
- •2.5.2 Scaffolds
- •2.5.3 Synthetic Polymer
- •2.5.4 Polyacrylamide
- •2.5.5 PEG Hydrogel
- •2.5.6 PVA Hydrogel
- •2.5.7 Double Network Hydrogel
- •2.5.8 Triple Network Hydrogel
- •2.6.1 Polyacrylamide
- •2.6.2 PEG Hydrogel
- •2.6.3 PVA Hydrogel
- •2.6.4 Double Network Hydrogel
- •2.6.5 Triple Network Hydrogel
- •2.7.1 Mechanical Properties
- •2.7.2 Structural Properties
- •2.8 Conclusion
- •References
- •3.1 Introduction
- •3.3.1 Label-Based Biosensors
- •3.3.2 Label-Free Biosensors
- •3.4 Different Nanobiosensing Techniques
- •3.4.1 Optical Sensing
- •3.4.2 Electrochemical/Electrical Sensing
- •3.4.3 Magnetic Sensing
- •3.4.4 Mass-Based Sensing
- •3.6.2 Neurodegenerative Diseases
- •3.6.3 Infectious Diseases
- •3.6.4 Metabolic Diseases
- •References
- •4.1 Introduction
- •4.2.1 Surface Functionalization
- •4.2.2 Bioconjugation
- •4.3 Synthesis Approach
- •4.3.1 Hydrothermal Method
- •4.3.2 Chemical Vapor Deposition (CVD)
- •4.3.3 Wet Chemical Method
- •4.4 Plasmonic Black Bodies (PBBs)
- •4.4.1 Gold NP (AuNPs)-Based PBB
- •4.4.2 Silver NPs (Ag NPs)-Based PBB
- •4.4.3 Platinum NPs (Pt NPs)-Based PBB
- •4.5 Biomimetic NP
- •4.6 Upconverting NP (UCNP)
- •4.6.1 Synthesis
- •4.7 Inorganic NP
- •4.7.1 Synthesis
- •4.8 Photothermal Therapy (PTT)
- •4.9 Conclusion
- •References
- •5.1 Introduction
- •5.2 Human Skin
- •5.10 Future Scope
- •5.11 Conclusion
- •References
- •6.1 Introduction
- •6.1.1 Class 1
- •6.1.2 Class 2
- •6.1.3 Class 3
- •6.4.1.1 Surface Patterning
- •6.4.1.2 Direct-Write Patterning
- •6.4.1.5 Dip-Pen Nanotechnology
- •6.4.1.7 Composing Using Beams
- •6.4.1.8 Direct Write Photolithography (DWP)
- •6.4.1.9 Light-Beam Lithography Electron
- •6.4.1.10 Focused Ion Beam Lithography
- •6.4.2 Fabrication Techniques
- •6.4.2.4 Non-invasive Glucose Monitoring Devices Technique
- •6.4.2.6 Cost-Effective Electrochemical Voltametric Sensors Techniques
- •6.4.2.7 Three-Dimensional (3D) Printing Techniques
- •6.4.2.8 UV-LED Stereolithography Printer Technique
- •6.4.2.9 4D Printing Techniques
- •6.4.2.10 Advanced Biomedical Techniques Involving Biorobots
- •References
- •7.1 Introduction
- •7.6 Mechanical Biocompatibility Challenges
- •7.7 Poor Bio-Printing Resolution
- •7.9 Limited Biomaterial Selection
- •7.11 Conclusion
- •8.2 Animal Tribology
- •8.2.1 Joint
- •8.2.3 Integumentary Change
- •References
- •8.1 Introduction
- •8.3.1 Nanotribology
- •8.4 Green Tribology
- •8.5 Conclusion
- •References
- •9.1 Introduction
- •9.2 Bio-Tribological Issues
- •9.3.2 Bone Fracture Fixation
- •9.3.4 Cardiovascular Devices
- •9.3.5 Minimal Invasive Surgical Devices
- •References
- •10.1 Introduction
- •10.2.2.1 Structural Integrity
- •10.2.2.2 Controlled Release Properties
- •10.2.2.3 Enhanced Drug Loading Capacity
- •10.2.2.4 Tailored Material Properties
- •10.2.3.1 Biocompatibility
- •10.2.3.3 Mechanical Properties
- •10.2.3.4 Drug Compatibility
- •10.2.3.5 Fabrication Compatibility
- •10.3.1 Matrix Material Properties
- •10.3.4 Biocompatibility Assessment
- •10.3.4.1 In Vitro Cell Culture Studies
- •10.3.4.2 Hemocompatibility Studies
- •10.3.4.3 In Vivo Animal Studies
- •10.3.4.4 Histological Analysis
- •10.3.4.5 Immune Response Evaluation
- •10.3.4.6 Biodegradation Assessment
- •10.4 Surface Engineering Considerations
- •10.4.2.1 Surface Coatings
- •10.4.2.2 Plasma Treatment
- •10.4.2.3 Surface Grafting
- •10.4.2.4 Dip Coating
- •10.4.2.5 Spray Coating System
- •10.4.2.6 Electrotreated Coating
- •10.4.2.9 Microfabrication Techniques
- •10.4.2.10 Surface Roughness Control
- •10.5.1.2 Mechanical Properties
- •10.5.1.3 Surface Characteristics
- •10.5.1.4 Release Kinetics Analysis
- •10.5.1.5 Biological Compatibility
- •10.5.1.7 Other Analyses
- •10.6 Advanced Fabrication Techniques
- •10.8 Conclusion
- •References
- •11.1 Introduction
- •11.2 Shape Memory Alloys (SMA)
- •11.3 Shape Memory Polymers
- •11.3.1 Heat
- •11.3.2 Light
- •11.3.3 Magnetic Field
- •11.4 Shape-Changing Hydrogels
- •11.5 Biomedical Applications
- •11.6 Conclusion
- •References
- •12.1 Introduction
- •12.3 Bioresorbable Orthopedic Implants
- •12.4.1 Polylactides
- •12.4.2 Poly (Ortho Esters)
- •12.4.3 Polyphosphoesters
- •12.4.4 Polyphosphazenes
- •12.4.5 Polycaprolactone
- •12.4.6 Polyurethanes
- •12.4.7 Polycarbonates
- •12.5.1 Compression Molding
- •12.5.2 Transfer Molding
- •12.5.3 Injection Molding
- •12.5.4 Extrusion
- •12.5.5 Blow Molding
- •12.5.6 Calendering Process
- •12.5.7 Fiber Spinning
- •12.5.8 Thermoforming
- •12.5.9 Polymer Foaming
- •12.7 Challenges
- •12.8 Conclusion
- •References
- •13.1 Introduction
- •13.3.1.1 Total Hip Replacement (THR)
- •13.3.2 Resurfacing Hip Replacement (RHR)
- •13.5.1 Adhesive Wear
- •13.5.2 Abrasive Wear
- •13.5.3 Fatigue Wear
- •13.5.4 Corrosion/Oxidative Wear
- •13.5.5 Surface Cracking
- •13.6.1 Metallic Implants
- •13.6.1.1 Stainless Steel
- •13.6.1.2 Co-Cr Alloys
- •13.6.1.3 Ti-Alloy
- •13.6.2 Ceramic Implants
- •13.6.3 Polymer Implants
- •13.6.4 Composite Implants
- •13.6.5.2 Surface Coatings
- •13.7.2.1 Hydrodynamic Lubrication
- •13.7.2.2 Boundary Lubrication
- •13.7.2.3 Elastohydrodynamic Lubrication
- •13.7.3 Biomimetic Lubrication Approaches
- •13.7.3.1 Replicating Natural Lubrication Mechanisms
- •13.7.4.1 Implant Wear
- •13.7.4.3 Synovial Fluid Degradation
- •13.8.1 Hydroxyapatite Coatings
- •13.8.1.1 Bone Integration
- •13.8.1.2 Implant Stability
- •13.8.1.4 Biocompatibility
- •13.8.2 Diamond-Like Carbon Coatings
- •13.8.3 Metal Nitride Coatings
- •13.8.4 Polymeric Coatings
- •13.8.5 Nanocomposite Coatings
- •13.9.1 Pin-on-Disk Testing
- •13.9.2 Hip Joint Simulators
- •13.9.3 Knee Joint Simulators
- •13.9.4 Tribo-Corrosion Testing
- •13.9.5 Wear Debris Analysis Techniques
- •13.9.5.1 Scanning Electron Microscopy (SEM)
- •13.9.5.2 Energy-Dispersive X-Ray Spectroscopy (EDS)
- •13.10.1.1 Tailored Geometries
- •13.10.1.2 Improved Wear Characteristics
- •13.10.1.3 Accelerated Innovation
- •13.10.2.1 Real-Time Wear Monitoring
- •13.10.2.2 Functionality Assessment
- •13.10.2.3 Implant Status Monitoring
- •13.10.2.4 Patient-Centric Healthcare
- •13.10.3.1 Advanced Biomaterials
- •13.10.3.4 Multidisciplinary Approaches
- •13.10.4.1 Wear Data Analysis
- •13.10.4.2 Predictive Wear Patterns
- •13.10.4.3 Early Intervention Strategies
- •13.10.4.4 Personalized Treatment Plans
- •13.11 Conclusion
- •References
- •14.1 Introduction
- •14.2.1 Powder Bed Fusion (PBF)
- •14.2.2 Directed Energy Deposition
- •14.3.1 Extrusion-Based AM
- •14.5 Biomanufacturing
- •14.5.1 Tissue Engineering
- •14.5.2 Organ-on-a-Chip Models
- •14.6 Conclusion
- •References
- •Index

9 Medical Devices Tribology
245
Fig. 9.3 (A) Vascular stents as MISDs demonstrate deployability through the balloon and its tribological interaction with the blood vessel wall. (a) Deployment of the catheter at the target site,
(b) Positioning of the stent along the constricted vessel, (c) Ination of balloon to restore the vessel
volume, (d) Deation and retraction into the catheter, (e) hemodynamic and friction forces acting
on the deployed stent; (f) magnied view of a single strut of the stent on a vessel. (B) Catheter
inserted into the vessel. (a) Guidewire being pushed, (b) Motion through the vessel, (c) catheter
advancing further through the action of different forces, (d) Tribological interaction between catheter and vessel. (Adapted from Wagner etal. [62])
computational or experimental models that accurately mimic in vivo behavior.
Service performance and lifespan can be enhanced by optimizing device materials
and structures and considering blood lubrication and anticoagulation. While current
research has advanced understanding of needle-tissue interaction, many unresolved
issues persist. A comprehensive analysis of inuencing factors is lacking, making it
challenging to simulate peristalsis and bending in the digestive tract accurately.
Additionally, the impact of liquids like mucus components or physiological
saline on interaction is often overlooked. Continued research is needed to explore
the combined effects of multiple factors. Even though bio-tribology research for
medical devices has made great strides, unresolved problems still need to be
addressed. Because these devices have special application requirements, safety is

246
N. Jain et al.
still paramount. Although bio-tribological activity is seen at interfaces, tribological
interactions and dynamical consequences are often entangled. The bio-system and
functions of the human body dictate the invivo loading and operating state of a
tribological pair. Systematic consideration is, therefore, particularly crucial. Since
the human body and its natural tissues are living things, seeing how naturally occurring living tissue and devices interact dynamically might be challenging.
The computational method is suggested to support studies and models of the
invivo behavior of medical devices. In the biomechanical environment, individual
patient variations including surgeon-specic and patient-specic characteristics like
height, gender, and bone quality—are very important, especially for joint replacement. Personalized tribological considerations are, therefore, crucial to the design
of medical devices. Although the creation of novel materials and surface changes is
a frequently investigated approach to improving tribological qualities, both contacting surfaces impact tribological behavior. Therefore, future methods to enhance tribological performance should concentrate on accurately modifying the
appropriateness of contacting surfaces.
Acknowledgement The author would like to acknowledge Fig.9.3 in this chapter, which has
been taken with permission from having license number 5723580601093 from the press.
References
1. Zhang, X.; Zhang, Y.; Jin, Z.A Review of the Bio-Tribology of Medical Devices. Friction
2022, 10 (1), 4–30. https://doi.org/10.1007/s40544- 021- 0512- 6.
2. Meng, Y.; Xu, J.; Jin, Z.; Prakash, B.; Hu, Y. A Review of Recent Advances in Tribology.
Friction 2020, 8 (2), 221–300. https://doi.org/10.1007/s40544- 020- 0367- 2.
3. Paxton, E. W.; Ake, C. F.; Inacio, M. C. S.; Khatod, M.; Marinac-Dabic, D.; Sedrakyan,
A.Evaluation of Total Hip Arthroplasty Devices Using a Total Joint Replacement Registry.
Pharmacoepidemiol Drug Saf 2012, 21 (S2), 53–59. https://doi.org/10.1002/pds.3228.
4. Nam, D.; Lawrie, C.M.; Salih, R.; Nahhas, C.R.; Barrack, R. L.; Nunley, R.M. Cemented
Versus Cementless Total Knee Arthroplasty of the Same Modern Design. Journal of Bone and
Joint Surgery 2019, 101 (13), 1185–1192. https://doi.org/10.2106/JBJS.18.01162.
5. Takakubo, Y.; Berce, A.; Trebše, R.; Tamaki, Y.; Milošev, I.; Al-Samadi, A.; Tiainen, V.-M.;
Orton; Konttinen, Y.T. Wear and Corrosion in the Loosening of Total Joint Replacements
(TJRs). In Bio-Tribocorrosion in Biomaterials and Medical Implants; Elsevier, 2013;
pp74–110. https://doi.org/10.1533/9780857098603.1.74.
6. Li, J.; Qin, L.; Yang, K.; Ma, Z.; Wang, Y.; Cheng, L.; Zhao, D.Materials Evolution of Bone
Plates for Internal Fixation of Bone Fractures: A Review. J Mater Sci Technol 2020, 36,
190–208. https://doi.org/10.1016/j.jmst.2019.07.024.
7. Al-Tamimi, A.A.; Hernandez, M. A.; Omar, A.; Morales-Aldana, D.F.; Peach, C.; Bartolo,
P.Mechanical, Biological and Tribological Behaviour of Fixation Plates 3D Printed by Electron
Beam and Selective Laser Melting. The International Journal of Advanced Manufacturing
Technology 2020, 109 (3–4), 673–688. https://doi.org/10.1007/s00170- 020- 05676- 1.
8. Lanza, A.; Ruggiero, A.; Sbordone, L.Tribology and Dentistry: A Commentary. Lubricants
2019, 7 (6), 52. https://doi.org/10.3390/lubricants7060052.

9 Medical Devices Tribology
9. Wang, Y.; Li, G.; Yang, L.; Luo, R.; Guo, G. Development of Innovative Biomaterials and
Devices for the Treatment of Cardiovascular Diseases. Advanced Materials 2022, 34 (46).
https://doi.org/10.1002/adma.202201971.
10. Fraser, A.G.; Daubert, J.-C.; Van de Werf, F.; Estes, N.A. M.; Smith, S.C.; Krucoff, M.W.;
Vardas, P.E.; Komajda, M.; Anker, S.; Auricchio, A.; Bailey, S.; Bonhoeffer, P.; Borggrefe, M.;
Brodin, L.-A.; Bruining, N.; Buser, P.; Butchart, E.; Calle Gordo, J.; Cleland, J.; Danchin, N.;
Daubert, J.; Degertekin, M.; Demade, I.; Denjoy, N.; Derumeaux, G.; Di Mario, C.; Dickstein,
K.; Dudek, D.; Estes, N.; Farb, A.; Flotats, A.; Fraser, A.; Gueret, P.; Israel, C.; James, S.;
Kautzner, J.; Komajda, M.; Krucoff, M.; Lombardi, M.; Marwick, T.; Mioulet, M.; O’Kelly,
S.; Perrone-Filardi, P.; Rosano, G.; Rosenhek, R.; Sabate, M.; Smith, S.; Swahn, E.; Tavazzi,
L.; Van de Werf, F.; van der Velde, E.; van Herwerden, L.; Vardas, P.; Voigt, J.-U.; Weaver,
D.; Wilmshurst, P.Clinical Evaluation of Cardiovascular Devices: Principles, Problems, and
Proposals for European Regulatory Reform: Report of a Policy Conference of the European
Society of Cardiology. Eur Heart J 2011, 32 (13), 1673–1686. https://doi.org/10.1093/
eurheartj/ehr171.
11. Sobolewski, P.; El Fray, M. Cardiac Catheterization: Consequences for the Endothelium
and Potential for Nanomedicine. WIREs Nanomedicine and Nanobiotechnology 2015, 7 (3),
458–473. https://doi.org/10.1002/wnan.1316.
12. Takahashi, T.; Murayama, R.; Abe-Doi, M.; Miyahara-Kaneko, M.; Kanno, C.; Nakamura, M.;
Mizuno, M.; Komiyama, C.; Sanada, H.Preventing Peripheral Intravenous Catheter Failure
by Reducing Mechanical Irritation. Sci Rep 2020, 10 (1), 1550. https://doi.org/10.1038/
s41598- 019- 56873- 2.
13. Chen, Z.; Zhang, J.; Zhang, X.; Jin, Z.-M.Biomechanics and Tribology of Articial Knee
Joint; 2019; pp191–239. https://doi.org/10.1007/978- 981- 13- 6924- 7_7.
14. Shahemi, N.; Liza, S.; Abbas, A. A.; Merican, A. Long-Term Wear Failure Analysis of
Uhmwpe Acetabular Cup in Total Hip Replacement. J Mech Behav Biomed Mater 2018, 87,
1–9. https://doi.org/10.1016/j.jmbbm.2018.07.017.
15. Popoola, O.O.; Orozco Villasenor, D.A.; Fryman, J.C.; Mimnaugh, K.; Rufner, A.High Cycle
in Vitro Hip Wear of and in Vivo Biological Response to Vitamin E Blended Highly Crosslinked
Polyethylene. Biotribology 2018, 16, 10–16. https://doi.org/10.1016/j.biotri.2018.09.001.
16. Howard, D.P.; Wall, P. D. H.; Fernandez, M. A.; Parsons, H.; Howard, P. W. Ceramic-onCeramic Bearing Fractures in Total Hip Arthroplasty. Bone Joint J 2017, 99-B (8), 1012–1019.
https://doi.org/10.1302/0301- 620X.99B8.BJJ- 2017- 0019.R1.
17. Song, J.; Liao, Z.; Shi, H.; Xiang, D.; Liu, Y.; Liu, W.; Peng, Z.Fretting Wear Study of PEEKBased Composites for Bio-Implant Application. Tribol Lett 2017, 65 (4), 150. https://doi.
org/10.1007/s11249- 017- 0931- 8.
18. Costales, T. G.; Chapman, D. M.; Dalury, D. F. The Natural History of Radiolucencies
Following Uncemented Total Knee Arthroplasty at 9 Years. J Arthroplasty 2020, 35 (1),
127–131. https://doi.org/10.1016/j.arth.2019.08.032.
19. Bartolomeu, F.; Buciumeanu, M.; Pinto, E.; Alves, N.; Silva, F. S.; Carvalho, O.; Miranda,
G.Wear Behavior of Ti6Al4V Biomedical Alloys Processed by Selective Laser Melting, Hot
Pressing and Conventional Casting. Transactions of Nonferrous Metals Society of China 2017,
27 (4), 829–838. https://doi.org/10.1016/S1003- 6326(17)60060- 8.
20. Zhang, Y.; Addison, O.; Yu, F.; Troconis, B. C. R.; Scully, J. R.; Davenport, A.J. TimeDependent Enhanced Corrosion of Ti6Al4V in the Presence of H2O2 and Albumin. Sci Rep
2018, 8 (1), 3185. https://doi.org/10.1038/s41598- 018- 21332- x.
21. Wang, C.; Zhang, G.; Li, Z.; Zeng, X.; Xu, Y.; Zhao, S.; Hu, H.; Zhang, Y.; Ren, T.Tribological
Behavior of Ti-6Al-4V against Cortical Bone in Different Biolubricants. J Mech Behav Biomed
Mater 2019, 90, 460–471. https://doi.org/10.1016/j.jmbbm.2018.10.031.
22. Attabi, S.; Mokhtari, M.; Taibi, Y.; Abdel-Rahman, I.; Hafez, B.; Elmsellem, H.Electrochemical
and Tribological Behavior of Surface-Treated Titanium Alloy Ti–6Al–4V. J Bio Tribocorros
2019, 5 (1), 2. https://doi.org/10.1007/s40735- 018- 0193- 5.
247

248
23. Wang, G.; Wang, S.; Yang, X.; Yu, X.; Wen, D.; Chang, Z.; Zhang, M. Fretting Wear and
Mechanical Properties of Surface-Nanostructural Titanium Alloy Bone Plate. Surf Coat
Technol 2021, 405, 126512. https://doi.org/10.1016/j.surfcoat.2020.126512.
24. Carvalho, A.; Pinto, P.; Madeira, S.; Silva, F. S.; Carvalho, O.; Gomes, J. R. Tribological
Characterization of Dental Restorative Materials. Biotribology 2020, 23, 100140. https://doi.
org/10.1016/j.biotri.2020.100140.
25. Mörmann, W.H.; Stawarczyk, B.; Ender, A.; Sener, B.; Attin, T.; Mehl, A.Wear Characteristics
of Current Aesthetic Dental Restorative CAD/CAM Materials: Two-Body Wear, Gloss
Retention, Roughness and Martens Hardness. J Mech Behav Biomed Mater 2013, 20, 113–125.
https://doi.org/10.1016/j.jmbbm.2013.01.003.
26. Shenoy, A.; Shenoy, N.Dental Ceramics: An Update. Journal of Conservative Dentistry 2010,
13 (4), 195. https://doi.org/10.4103/0972- 0707.73379.
27. Pratap, B.; Gupta, R.K.; Shekhawat, D. S.; Yadav, A.; Chaabra, D.; Nag, M. Physical and
Mechanical Characterization of Nanoalumina Filled Resin Based Dental Composites. Mater
Today Proc 2020, 28, 2171–2173. https://doi.org/10.1016/j.matpr.2020.04.162.
28. Nedeljkovic, I.; Teughels, W.; De Munck, J.; Van Meerbeek, B.; Van Landuyt, K. L. Is
Secondary Caries with Composites a Material-Based Problem? Dental Materials 2015, 31
(11), e247–e277. https://doi.org/10.1016/j.dental.2015.09.001.
29. Yadav, S.; Gangwar, S. A Critical Evaluation of Tribological Interaction for Restorative
Materials in Dentistry. International Journal of Polymeric Materials and Polymeric
Biomaterials 2019, 68 (17), 1005–1019. https://doi.org/10.1080/00914037.2018.1525544.
30. Kumar, S. R.; Patnaik, A.; Bhat, I.K. The in Vitro Wear Behavior of Nanozirconia-Filled
Dental Composite in Food Slurry Condition. Proceedings of the Institution of Mechanical
Engineers, Part J: Journal of Engineering Tribology 2017, 231 (1), 23–40. https://doi.
org/10.1177/1350650116641329.
31. Chadda, H.; Satapathy, B.K.; Patnaik, A.; Ray, A.R. Mechanistic Interpretations of Fracture
Toughness and Correlations to Wear Behavior of Hydroxyapatite and Silica/Hydroxyapatite
Filled Bis-GMA/TEGDMA Micro/Hybrid Dental Restorative Composites. Compos B Eng
2017, 130, 132–146. https://doi.org/10.1016/j.compositesb.2017.07.069.
32. Xu, Z.; Yu, P.; Arola, D.D.; Min, J.; Gao, S.A Comparative Study on the Wear Behavior of a
Polymer Inltrated Ceramic Network (PICN) Material and Tooth Enamel. Dental Materials
2017, 33 (12), 1351–1361. https://doi.org/10.1016/j.dental.2017.08.190.
33. Yu, P.; Xu, Z.; Arola, D.D.; Min, J.; Zhao, P.; Gao, S.Effect of Acidic Agents on the Wear
Behavior of a Polymer Inltrated Ceramic Network (PICN) Material. J Mech Behav Biomed
Mater 2017, 74, 154–163. https://doi.org/10.1016/j.jmbbm.2017.06.001.
34. Armentia, M.; Abasolo, M.; Coria, I.; Albizuri, J.Fatigue Design of Dental Implant Assemblies:
A Nominal Stress Approach. Metals (Basel) 2020, 10 (6), 744. https://doi.org/10.3390/
met10060744.
35. Corne, P.; De March, P.; Cleymand, F.; Geringer, J.Fretting-Corrosion Behavior on Dental
Implant Connection in Human Saliva. J Mech Behav Biomed Mater 2019, 94, 86–92. https://
doi.org/10.1016/j.jmbbm.2019.02.025.
36. Lioubavina-Hack, N.; Lang, N. P.; Karring, T. Signicance of Primary Stability for
Osseointegration of Dental Implants. Clin Oral Implants Res 2006, 17 (3), 244–250. https://
doi.org/10.1111/j.1600- 0501.2005.01201.x.
37. Liu, X.; Niu, Y.; Xie, W.; Wei, D.; Du, Q.Comparative Investigations of in Vitro and in Vivo
Bioactivity of Titanium vs. Ti–24Nb–4Zr–8Sn Alloy before and after Sandblasting and Acid
Etching. RSC Adv 2020, 10 (40), 23582–23591. https://doi.org/10.1039/D0RA00280A.
38. Medvedev, A. E.; Molotnikov, A.; Lapovok, R.; Zeller, R.; Berner, S.; Habersetzer, P.;
Dalla Torre, F.Microstructure and Mechanical Properties of Ti–15Zr Alloy Used as Dental
Implant Material. J Mech Behav Biomed Mater 2016, 62, 384–398. https://doi.org/10.1016/j.
jmbbm.2016.05.008.
39. Bose, S.; Banerjee, D.; Shivaram, A.; Tarafder, S.; Bandyopadhyay, A.Calcium Phosphate
Coated 3D Printed Porous Titanium with Nanoscale Surface Modication for Orthopedic
N. Jain et al.

9 Medical Devices Tribology
and Dental Applications. Mater Des 2018, 151, 102–112. https://doi.org/10.1016/j.
matdes.2018.04.049.
40. Edelmann, A.R.; Patel, D.; Allen, R.K.; Gibson, C.J.; Best, A.M.; Bencharit, S.Retrospective
Analysis of Porous Tantalum Trabecular Metal–Enhanced Titanium Dental Implants. J
Prosthet Dent 2019, 121 (3), 404–410. https://doi.org/10.1016/j.prosdent.2018.04.022.
41. Prasad, A., Bhasney, S. M., Prasannavenkadesan, V., Sankar, M. R., & Katiyar, V. (2023).
Polylactic acid reinforced with nano-hydroxyapatite bioabsorbable cortical screws for bone
fracture treatment. Journal of Polymer Research, 30(5), 177.
42. Prasad, A., Bhasney, S. M., Prasannavenkadesan, V., Sankar, M. R., & Katiyar, V. (2023).
Nano-hydroxyapatite reinforced polylactic acid bioabsorbable cancellous screws for bone
fracture xations. Journal of Applied Polymer Science, 140(43), e54577.
43. Prasad, A. (2021). Bioabsorbable polymeric materials for biolms and other biomedical applications: Recent and future trends. Materials Today: Proceedings, 44, 2447–2453.
44. Prasad, A. (2021). State of art review on bioabsorbable polymeric scaffolds for bone tissue
engineering. Materials Today: Proceedings, 44, 1391–1400.
45. Prasad, A., Bhasney, S., Katiyar, V., & Sankar, M.R. (2017). Biowastes processed hydroxyapatite lled poly (lactic acid) bio-composite for open reduction internal xation of small
bones. Materials Today: Proceedings, 4(9), 10153–10157.
46. Chakraborty, G., Padmashree, R., & Prasad, A. (2023). Recent advancement of surface modication techniques of 2-D nanomaterials. Materials Science and Engineering: B, 297, 116817.
47. Prasad, A., Chakraborty, G., & Kumar, A. (2022). Bio-based environmentally benign polymeric resorbable materials for orthopedic xation applications. In Advanced Materials for
Biomedical Applications (pp.251–266). CRC Press.
48. Prasad, A. (2022). Biomaterial-based nanobers scaffolds in tissue engineering application.
In Functional Biomaterials: Drug Delivery and Biomedical Applications (pp. 245–264).
Singapore: Springer Singapore.
49. Sarkar, K., Dutta, K., Chatterjee, A., Sarkar, J., Das, D., Prasad, A., … De, S. (2023).
Nanotherapeutic potential of antibacterial folic acid-functionalized nanoceria for woundhealing applications. Nanomedicine, 18(2), 109–123.
50. Katiyar Vimal, Prasad Arbind, Sankar M.R., Bhasney S.M. (2022). Process for the preparation
of Polymer composite based Cancellous screw and Pins (Indian Patent No. 401811).
51. Katiyar Vimal, Prasad Arbind, Sankar M.R., (2022). Process for the preparation of resorbable
polymeric composite bone stable (Indian Patent No. 393675).
52. Katiyar Vimal, Prasad Arbind, Sankar M.R., (2023). Process for the preparation of Polymer
composite based Cancellous screw and Pins (Indian Patent No. 449153).
53. Katiyar Vimal, Prasad Arbind, Sankar M.R., (2024). Resorbable composite bone plate (Indian
Patent No. 500905).
54. Prasad, A., Datta, S., Kumar, A., & Gupta, M. (2023). Introduction to Next-Generation
Materials for Biomedical Applications. Advanced Materials and Manufacturing Techniques
for Biomedical Applications, 1–24.
55. Chakraborty, G., Pandey, V., Prasad, A., & Kumar, A. (2023). Introduction to Sustainable
Manufacturing for Industries 4.0. In Sustainable Smart Manufacturing Processes in Industry
4.0 (pp.1–17). CRC Press.
56. Paul, A. K., Borkotoky, S.S., & Prasad, A. (2023). Nanohydroxyapatite-Based Composite
Materials and Processing. Advanced Materials and Manufacturing Techniques for Biomedical
Applications, 157–183.
57. Prasad, A., Chakraborty, G., & Kumar, A. (2022). Bio-based environmentally benign polymeric resorbable materials for orthopedic xation applications (pp.251–266). Boca Raton,
FL, USA: CRC Press.
58. Zhang, H.; Deng, X.; Cianciulli, T.F.; Zhang, Z.; Chappard, D.; Lax, J.A.; Saccheri, M.C.;
Redruello, H. J.; Jordana, J. L.; Prezioso, H. A.; King, M.; Guidoin, R. Pivoting System
Fracture in a Bileaet Mechanical Valve: A Case Report. J Biomed Mater Res B Appl Biomater
2009, 90B (2), 952–961. https://doi.org/10.1002/jbm.b.31324.
249

250
59. Sundareswaran, K.S.; Reichenbach, S.H.; Masterson, K.B.; Butler, K.C.; Farrar, D.J. Low
Bearing Wear in Explanted HeartMate II Left Ventricular Assist Devices After Chronic Clinical
Support. ASAIO Journal 2013, 59 (1), 41–45. https://doi.org/10.1097/MAT.0b013e3182768cfb.
60. Moazami, N.; Fukamachi, K.; Kobayashi, M.; Smedira, N.G.; Hoercher, K.J.; Massiello, A.;
Lee, S.; Horvath, D.J.; Starling, R.C. Axial and Centrifugal Continuous-Flow Rotary Pumps:
A Translation from Pump Mechanics to Clinical Practice. The Journal of Heart and Lung
Transplantation 2013, 32 (1), 1–11. https://doi.org/10.1016/j.healun.2012.10.001.
61. da Silva, B.U.; da Fonseca, J.W. G.; Leal, E.B.; Cardoso, J.R.; Biscegli, J.F.; de Andrade,
A. J. P. Apical Aortic Blood Pump Preclinical Assessment for Long-term Use: Durability
Test and Stator Topology to Reduce Wear in the Bearing System. Artif Organs 2020, 44 (8),
779–784. https://doi.org/10.1111/aor.13587.
62. Wagner, R.M. F.; Maiti, R.; Carré, M.J.; Perrault, C.M.; Evans, P.C.; Lewis, R.Bio-Tribology
of Vascular Devices: A Review of Tissue/Device Friction Research. Biotribology 2021, 25,
100169. https://doi.org/10.1016/j.biotri.2021.100169.
63. Cornelissen, A.; Vogt, F.J. The Effects of Stenting on Coronary Endothelium from a Molecular
Biological View: Time for Improvement? J Cell Mol Med 2019, 23 (1), 39–46. https://doi.
org/10.1111/jcmm.13936.
64. Chen, T.; Lancaster, M.; Lin, D.S. Y.; Doyle, M.G.; Forbes, T.L.; Amon, C.H. Measurement
of Frictional Properties of Aortic Stent Grafts and Their Delivery Systems. J Med Device 2019,
13 (2). https://doi.org/10.1115/1.4043292.
65. Jelínek, F.; Arkenbout, E.A.; Henselmans, P.W. J.; Pessers, R.; Breedveld, P.Classication of
Joints Used in Steerable Instruments for Minimally Invasive Surgery—A Review of the State
of the Art. J Med Device 2015, 9 (1). https://doi.org/10.1115/1.4028649.
66. Toniato, A.; Bernante, P.; Rosse, G. P.; Piotto, A.; Pelizzo, M.R. Laparoscopic versus Open
Adrenalectomy: Outcome in 35 Consecutive Patients. Int J Surg Investig 2000, 1 (6), 503–507.
67. Wanninayake, I. B.; Althoefer, K.; Seneviratne, L. D. Novel Air-Float Tactile Array for
Stiffness Characterization in Soft Tissue Palpation. Procedia Eng 2012, 41, 281–288. https://
doi.org/10.1016/j.proeng.2012.07.174.
68. Jin, Z.M.; Zheng, J.; Li, W.; Zhou, Z.R. Tribology of Medical Devices. Biosurf Biotribol
2016, 2 (4), 173–192. https://doi.org/10.1016/j.bsbt.2016.12.001.
69. Kim, J.-S.; Sung, I.-H.; Kim, Y.-T.; Kim, D.-E.; Jang, Y.-H.Analytical Model Development for
the Prediction of the Frictional Resistance of a Capsule Endoscope inside an Intestine. Proc
Inst Mech Eng H 2007, 221 (8), 837–845. https://doi.org/10.1243/09544119JEIM173.
70. Fletcher, D.R.; Hobbs, M.S. T.; Tan, P.; Valinsky, L.J.; Hockey, R.L.; Pikora, T.J.; Knuiman,
M.W.; Sheiner, H.J.; Edis, A.Complications of Cholecystectomy: Risks of the Laparoscopic
Approach and Protective Effects of Operative Cholangiography. Ann Surg 1999, 229 (4),
449–457. https://doi.org/10.1097/00000658- 199904000- 00001.
71. Pan, C.; Han, Y.; Lu, J.Structural Design of Vascular Stents: A Review. Micromachines (Basel)
2021, 12 (7), 770. https://doi.org/10.3390/mi12070770.
72. Slonim, S.M.; Dake, M.D.; Razavi, M.K.; Kee, S.T.; Samuels, S.L.; Rhee, J.S.; Semba,
C.P. Management of Misplaced or Migrated Endovascular Stents. Journal of Vascular and
Interventional Radiology 1999, 10 (7), 851–859. https://doi.org/10.1016/S1051- 0443(9
9)70127- 2.
N. Jain et al.

Chapter 10
Composites forDrug-Eluting Devices:
Emerging Biomedical Applications
AshishKumarGupta , AmitChoudhari , AbhishekKumar ,
AvinashKumar , AnamikaGupta , SakibFaisal ,
andAshwaniKumar
Abstract The utilization of drug-eluting devices has surged in the biomedical sec-
tor owing to their precise delivery of therapeutic agents to targeted areas within the
body. Composites, a combination of two or more components with distinct properties, offer an innovative avenue for developing highly effective drug-eluting devices.
This review aims to explore the potential of composites in drug delivery, focusing
on selection criteria, integration of therapeutic agents, release mechanisms, toxicity
evaluation, and advanced fabrication techniques. Composite materials, often pairing
a biocompatible matrix with therapeutic agents, provide structural support and controlled release properties, while the therapeutic agents deliver targeted treatment.
Selecting the right composite material is critical, considering factors like biocompatibility, degradability, mechanical properties, and drug compatibility. This will
also emphasize advanced fabrication techniques, particularly additive manufacturing, which is pivotal in biomedical applications. The exploration of composite
materials for drug delivery encompasses a comprehensive understanding of their
characteristics, selection criteria, and potential across various biomedical domains.
Surface engineering and characterization methods, including structural, chemical,
and mechanical analysis, will be discussed in detail. Moreover, the study will
explore advanced fabrication techniques like additive manufacturing, which is
essential for drug delivery, tissue engineering, and regenerative medicine applications. Challenges in composite-based drug delivery, such as biocompatibility, controlled release, and scalability, will be outlined alongside emerging trends.
Ultimately, the paper aims to provide readers with a foundational understanding of
composite material usage in drug delivery mechanisms and its potential in transfor-
A. K. Gupta (*)
School of Mechanical and Aerospace Engineering, Oklahoma State University,
Stillwater, OK, USA
e-mail: ashish.gupta10@okstate.edu
A. Choudhari
Department of Mechanical Engineering, Cleveland State University, Cleveland, OH, USA
e-mail: a.choudhari@vikes.csuohio.edu
A. Kumar et al. (eds.), Applications of Biotribology in Biomedical Systems,
https://doi.org/10.1007/978-3-031-58327-8_10
251© The Author(s), under exclusive license to Springer Nature Switzerland AG 2024

252
A. K. Gupta et al.
mative biomedical applications, steering them toward a comprehensive comprehension of this dynamic realm.
Keywords Nanocomposite · Drug-eluting devices · Drug delivery · Controlled
release · Biocompatibility · Biomedical applications
10.1 Introduction
In the eld of biomedicine, drug-eluting devices are now widely used to effectively
deliver medication to particular areas of the body with great accuracy [1, 2]. This
innovative approach addresses the challenge of targeted drug delivery, allowing for
the localized release of pharmaceuticals, bioactive molecules, and other therapeutic
agents [3, 4]. The concept revolves around integrating these therapeutic agents into
materials that form the basis of medical devices, creating a platform for controlled
and targeted treatment. Drug-eluting devices offer a paradigm shift from conventional systemic drug administration, providing a more focused and efcient means
of delivering therapeutic interventions [5, 6]. The importance of drug-eluting
devices in the biomedical eld is underscored by their potential to enhance treatment outcomes while minimizing the adverse effects of systemic drug delivery. By
enabling site-specic drug release, these devices improve the therapeutic efcacy of
pharmaceuticals and mitigate systemic side effects, leading to a more favorable
risk-benet prole for patients [7, 8]. This precision in drug delivery is crucial in
treating various medical conditions, such as cardiovascular diseases, cancer, and
inammatory disorders, where localized intervention is often preferred over systemic approaches [5, 9]. Moreover, drug-eluting devices offer a versatile platform
A. Kumar
J.Mike Walker ’66 Department of Mechanical Engineering, Texas A&M University,
College Station, TX, USA
Department of Mechanical Engineering, University of California, Merced, Merced, CA, USA
e-mail: akumar71@tamu.edu
A. Kumar
Department of Mechanical Engineering, Indian Institute of Information Technology Design &
Manufacturing (IIITDM), Kancheepuram, Chennai, Tamil Nadu, India
Department of Mechanical Engineering, Stanford University, Stanford, CA, USA
e-mail: avikr@iiitdm.ac.in
A. Gupta
Department of General Surgery, Ganesh Shankar Vidyarthi Memorial Medical College,
Kanpur, Uttar Pradesh, India
S. Faisal
South Dakota State University, Brookings, SD, USA
A. Kumar
Department of Mechanical Engineering, Technical Education Department Uttar Pradesh
(under Government of Uttar Pradesh), Kanpur, Uttar Pradesh, India

10 Composites forDrug-Eluting Devices: Emerging Biomedical Applications
253
for delivering diverse therapeutic agents, including pharmaceutical drugs, growth
factors, antibodies, and genetic materials. This exibility allows for tailored treatment strategies, catering to the specic needs of various medical conditions.
Integrating these therapeutic agents into the devices’ matrices is critical, as it determines the controlled release kinetics and overall effectiveness of the drug-eluting
system [10, 11]. The signicance of drug-eluting devices in biomedical applications
lies in their ability to address critical challenges associated with conventional drug
delivery methods, offering a precise and targeted approach to therapeutic interventions [12]. This heightened attention stems from the unique advantages that drugeluting devices bring to the eld of medicine, particularly in precision, efcacy, and
reduced systemic side effects [13].
One of the primary reasons drug-eluting devices have garnered attention is their
capacity to precisely deliver therapeutic agents to specic anatomical sites within
the body [14]. This precision is of paramount importance in conditions where the
pathological process is conned to a specic tissue or organ, such as in the case of
cardiovascular stents delivering antiproliferative agents to prevent restenosis [15].
These devices optimize drug concentrations at the target by delivering therapeutic
agents directly to the site of action, maximizing treatment effectiveness. This targeted delivery not only improves the overall therapeutic outcomes but also allows
for the use of lower drug doses, mitigating the risk of systemic toxicity and adverse
effects commonly associated with higher systemic drug concentrations [16].
Furthermore, the capacity of drug-eluting devices to minimize systemic side effects
contributes to an improved safety prole in comparison to traditional systemic drug
administration. This is particularly signicant in the context of chronic diseases or
conditions requiring prolonged treatment, where systemic exposure to drugs may
lead to complications. Drug-eluting devices thus offer a more patient-centric
approach by reducing the likelihood of adverse reactions and enhancing overall
treatment adherence [17, 18]. The precise and targeted delivery facilitated by drugeluting devices has profound implications across various medical domains, including cardiology, oncology, neurology, and orthopedics. As a result, the biomedical
community is increasingly recognizing the potential of these devices to revolutionize therapeutic strategies, providing more effective and patient-friendly solutions.
Ongoing research and technological advancements in this eld continue to rene
drug-eluting devices, pushing the boundaries of what can be achieved in terms of
precision, selectivity, and therapeutic impact [16, 19].
The main focus of this review revolves around exploring the promising application of composites as materials for drug-eluting devices in biomedical contexts [1].
Composites, dened as materials composed of two or more distinct components
with different properties, have garnered signicant attention for their potential to
enhance the performance and functionality of drug-eluting devices. Composites
offer a versatile platform for developing drug-eluting devices, combining the advantageous properties of different materials to create a synergistic effect [20, 21].
Integrating a biocompatible matrix material with therapeutic agents forms the basis
of these composites [22]. The matrix material provides structural integrity, controlled release properties, and biocompatibility, while the therapeutic agents

254
contribute to targeted treatment and improved patient outcomes [23]. This combination allows for a tailored approach to drug delivery, optimizing the characteristics of
both components to achieve enhanced functionality. Using composites in drugeluting devices opens avenues for addressing key challenges associated with traditional drug delivery systems. The inherent exibility of composites in terms of
material selection and design enables researchers to tailor devices for specic applications and medical conditions. Moreover, composites can be engineered to provide
sustained or controlled release of therapeutic agents, ensuring optimal drug concentrations at the target site over an extended period [1, 8].
The potential of composites to enhance the performance of drug-eluting devices
is exemplied by their ability to provide a controlled and tunable release of therapeutic agents [24]. This is essential in achieving precision in drug delivery, a critical
aspect for effective treatment outcomes. Composites also offer the advantage of
modulating the release kinetics, allowing for customized therapeutic strategies
based on the unique requirements of different medical conditions. Furthermore,
using composites in drug-eluting devices aligns with the growing trend of advanced
fabrication techniques, such as additive manufacturing [25]. This allows for creating intricate and customized device structures, facilitating the incorporation of
diverse materials into a single composite system. Combining composites with
cutting- edge fabrication techniques enhances the adaptability of drug-eluting
devices, catering to the evolving needs of biomedical applications [26].
Overall, this review paper sets the stage for the subsequent exploration of diverse
composites in drug delivery applications. It highlights the unique advantages of
composites in enhancing the performance and functionality of drug-eluting devices,
laying the groundwork for a comprehensive understanding of their potential across
various biomedical domains. It will also delve into specic aspects, including composite selection criteria, integration of therapeutic agents, release mechanisms, toxicity evaluation, biocompatibility assessment, surface engineering, and advanced
fabrication techniques, providing a holistic view of the dynamic realm of compositebased drug delivery devices.
A. K. Gupta et al.
10.2 Composite Materials forDrug Delivery
10.2.1 Characteristics ofComposites
In drug delivery, composites refer to materials composed of two or more distinct
components with different properties that are combined to create a synergistic and
functional material. The fundamental characteristic of composites lies in their ability to integrate the unique advantages of each constituent component, leading to a
material with enhanced properties not achievable by any single component alone.
These composite materials are designed to address specic challenges in drug delivery, offering tailored solutions to optimize therapeutic outcomes.
Соседние файлы в папке Библиотека им академика М.И. Перельмана
