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1.
Article in English | MEDLINE | ID: mdl-39361113

ABSTRACT

Transcatheter aortic valve replacement (TAVR) has rapidly displaced surgical aortic valve replacement (SAVR). However, certain post-TAVR complications persist, with cardiac conduction abnormalities (CCA) being one of the major ones. The elevated pressure exerted by the TAVR stent onto the conduction fibers situated between the aortic annulus and the His bundle, in proximity to the atrioventricular (AV) node, may disrupt the cardiac conduction leading to the emergence of CCA. In this study, an in silico framework was developed to assess the CCA risk, incorporating the effect of a dynamic beating heart and preprocedural parameters such as implantation depth and preexisting cardiac asynchrony in the new onset of post-TAVR CCA. A self-expandable TAVR device deployment was simulated inside an electromechanically coupled beating heart model in five patient scenarios, including three implantation depths and two preexisting cardiac asynchronies: (i) a right bundle branch block (RBBB) and (ii) a left bundle branch block (LBBB). Subsequently, several biomechanical parameters were analyzed to assess the post-TAVR CCA risk. The results manifested a lower cumulative contact pressure on the conduction fibers following TAVR for aortic deployment (0.018 MPa) compared to nominal condition (0.29 MPa) and ventricular deployment (0.52 MPa). Notably, the preexisting RBBB demonstrated a higher cumulative contact pressure (0.34 MPa) compared to the nominal condition and preexisting LBBB (0.25 MPa). Deeper implantation and preexisting RBBB cause higher stresses and contact pressure on the conduction fibers leading to an increased risk of post-TAVR CCA. Conversely, implantation above the MS landmark and preexisting LBBB reduces the risk.

2.
J Mech Behav Biomed Mater ; 160: 106745, 2024 Sep 18.
Article in English | MEDLINE | ID: mdl-39317095

ABSTRACT

INTRODUCTION: Leptin is a pleiotropic hormone that regulates food intake and energy homeostasis with enigmatic effects on bone development. It is unclear if leptin promotes or inhibits bone growth. The aim of this study was to characterize the micro-architecture and mechanical competence of femur bones of leptin-deficient mice. MATERIALS AND METHODS: Right femur bones of 15-week old C57BL/6 (n = 9) and leptin-deficient (ob/ob, n = 9) mice were analyzed. Whole bones were scanned using micro-CT and morphometric parameters of the cortex and trabeculae were assessed. Elastic moduli were determined from microindentations in midshaft cross-sections. Mineral densities were determined using quantitative backscatter scanning electron microscopy. 3D models of the distal femur metaphysis, cleared from trabecular bone, were meshed and used for finite element simulations of axial loading to identify straining differences between ob/ob and C57BL/6 controls. RESULTS: Compared with C57BL/6 controls, ob/ob mice had significantly shorter bones. ob/ob mice showed significantly increased cancellous bone volume and trabecular thickness. qBEI quantified a ∼7% lower mineral density in ob/ob mice in the distal femur metaphysis. Indentation demonstrated a significantly reduced Young's modulus of 12.14 [9.67, 16.56 IQR] GPa for ob/ob mice compared to 23.12 [20.70, 26.57 IQR] GPa in C57BL/6 mice. FEA revealed greater deformation of cortical bone in ob/ob as compared to C57BL/6 mice. CONCLUSION: Leptin deficient ob/ob mice have a softer cortical bone in the distal femur metaphysis but an excessive amount of cancellous bone, possibly as a response to increased deformation of the bones during axial loading. Both FEA and direct X-ray and electron microscopy imaging suggest that the morphology and micro-architecture of ob/ob mice have inferior biomechanical properties suggestive of a reduced mechanical competence.

3.
J Pharm Bioallied Sci ; 16(Suppl 3): S2776-S2778, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39346146

ABSTRACT

Background: One emerging and important research method for biomechanical assessments in biological investigations is the finite element analysis (FEA). It is the best technique for simulating intricate structures and examining their mechanical characteristics. Aim: This study was conducted to compare the V-shaped design and square thread design regarding their influence on the stress and strain distribution using the finite element method. Methods and Materials: Forty dental implants with two different designs were used. These designs were V-shaped design and square design. Utilizing Creo 2.0, cortical bone, cancellous bone, and implants were modeled. FEM analysis was performed on forty model assemblies. Results: It was observed that mean load 1 values for squared thread design were lesser as compared to V-shaped thread design at coronal one-third middle one-third and apical one-third in the cancellous bone as well as implant surface. Conclusion: The design of implant is an important factor influencing the stress and strain distribution using the finite element method with a square design showing reduced concentration.

4.
Materials (Basel) ; 17(17)2024 Aug 27.
Article in English | MEDLINE | ID: mdl-39274630

ABSTRACT

Additive manufacturing (AM) allows the creation of customized designs for various medical devices, such as implants, casts, and splints. Amongst other AM technologies, fused filament fabrication (FFF) facilitates the production of intricate geometries that are often unattainable through conventional methods like subtractive manufacturing. This study aimed to develop a methodology for substituting a pathological talus bone with a personalized one created using additive manufacturing. The process involved generating a numerical parametric solid model of the specific anatomical region using computed tomography (CT) scans of the corresponding healthy organ from the patient. The healthy talus served as a mirrored template to replace the defective one. Structural simulation of the model through finite element analysis (FEA) helped compare and select different materials to identify the most suitable one for the replacement bone. The implant was then produced using FFF technology. The developed procedure yielded commendable results. The models maintained high geometric accuracy, while significantly reducing the computational time. PEEK emerged as the optimal material for bone replacement among the considered options and several specimens of talus were successfully printed.

5.
Materials (Basel) ; 17(17)2024 Sep 06.
Article in English | MEDLINE | ID: mdl-39274786

ABSTRACT

The erosion process of a 4 µm monolayer CrN coating deposited on 316L stainless steel due to cavitation was investigated using finite element analysis (FEA). To estimate load parameters from cavitation pit geometry resulting from high impact velocity and high strain rate, the explicit dynamic solver was employed. Water microjet impacts at velocities of 100, 200 and 500 m/s were simulated to recreate different cavitation erosion intensities observed in the experiment. The resulting damage characteristics were compared to previous studies on uncoated 316L steel. The relationship between impact velocity and postimpact geometry was examined. Simulations revealed that only impact at 500 m/s can exceed the maximum yield stress of the substrate without penetrating the coating. Subsequent impacts on the same zone deepen the impact pit and penetrate the coating, leading to direct substrate degradation. The influence of impact velocity on the coating degradation process is discussed.

6.
Int J Numer Method Biomed Eng ; : e3870, 2024 Sep 25.
Article in English | MEDLINE | ID: mdl-39323240

ABSTRACT

Healing of tibia demonstrates a complex mechanobiological process as it is stimulated by the major factor of strains applied by body weight. The effect of screw heads and bodies as well as their pressure distribution is often overlooked. Hence, effective mechanical conditions of the healing process of tibia can be categorized into the material of the plate and screws, post-operation loadings, and screw type and pressure. In this paper, a mathematical biodegradation model was used to simulate the PGF/PLA plate-screw device over 8 weeks. The effect of different post-operation loading patterns was studied for both locking and non-locking screws. The aim was to reach the best configuration for the most achievable healing using FEA by computing the healing pattern, trend, and efficiency with the mechano-regulation theory based on deviatoric strain. The biodegradation process of the plate and screws resulted in 82% molecular weight loss and 1.05 GPa decrease in Young's modulus during 8 weeks. The healing efficiency of the cases ranged from 4.72% to 14.75% in the first week and 18.64% to 63.05% in the eighth week. Finally, an optimal case was achieved by considering the prevention of muscle erosion, bone density reduction, and nonunion, according to the obtained results.

7.
Front Bioeng Biotechnol ; 12: 1439262, 2024.
Article in English | MEDLINE | ID: mdl-39286343

ABSTRACT

Introduction: This investigation delves into the mechanical behaviour of titanium dental implants, a preferred choice for tooth replacement due to their superior reliability over alternative materials. The phenomenon of implant loosening, frequently induced by masticatory activities, underscores the significance of surface modification or texturing to bolster the interaction between the implant and bone tissue. This research comprehensively examines the effects of four distinct surface texturing techniques and five varied bone quality conditions on the biomechanical performance of these implants. Methods: The scope of this study is delineated by its focus on implants of diameters 4 mm and 6 mm, with lengths measuring 9 mm and 12 mm respectively. Furthermore, the analysis incorporates the evaluation of four different coatings-hydroxyapatite, HA3TO, HA3Sr, and HA1.5TO1.5Sr-to investigate their efficacy in enhancing the osseointegration process on textured surfaces of dental implants. Results: The experimental design entails the assessment of stress distribution within the implant and its coatings, alongside the strain exerted on the surrounding cancellous bone, under the conditions of an average vertical biting force. A comparative analysis between solid implants and those subjected to surface texturing techniques has been conducted. This comparison elucidates the advantageous microstrain profiles presented by certain textured surfaces, which are deemed more conducive to optimal osseointegration. Discussion: Notably, across all examined textures, the application of hydroxyapatite (HA) and a modified HA composition (HA1.5TO1.5Sr) demonstrates significant improvements in mechanical stability, particularly in scenarios involving weak and very weak bone conditions. This study's findings contribute to the ongoing advancement in dental implant technology, emphasizing the critical role of surface texturing and coating strategies in promoting implant longevity and integration within the biomechanical environment of the human oral cavity.

8.
Article in English | MEDLINE | ID: mdl-39286914

ABSTRACT

This study aimed to evaluate the material properties of four dental cements, analyze the stress distribution on the cement layer under various loading conditions, and perform failure analysis on the fractured specimens retrieved from mechanical tests. Microhardness indentation testing is used to measure material hardness microscopically with a diamond indenter. The hardness and elastic moduli of three self-adhesive resin cements (SARC), namely, DEN CEM (DENTEX, Changchun, China), Denali (Glidewell Laboratories, CA, USA), and Glidewell Experimental SARC (GES-Glidewell Laboratories, CA, USA), and a resin-modified glass ionomer (RMGI-Glidewell Laboratories, CA, USA) cement, were measured using microhardness indentation. These values were used in the subsequent Finite Element Analysis (FEA) to analyze the von Mises stress distribution on the cement layer of a 3D implant model constructed in SOLIDWORKS under different mechanical forces. Failure analysis was performed on the fractured specimens retrieved from prior mechanical tests. All the cements, except Denali, had elastic moduli comparable to dentin (8-15 GPa). RMGI with primer and GES cements exhibited the lowest von Mises stresses under tensile and compressive loads. Stress distribution under tensile and compressive loads correlated well with experimental tests, unlike oblique loads. Failure analysis revealed that damages on the abutment and screw vary significantly with loading direction. GES and RMGI cement with primer (Glidewell Laboratories, CA, USA) may be suitable options for cement-retained zirconia crowns on titanium abutments. Adding fillets to the screw thread crests can potentially reduce the extent of the damage under load.

9.
BMC Musculoskelet Disord ; 25(1): 664, 2024 Aug 24.
Article in English | MEDLINE | ID: mdl-39182026

ABSTRACT

OBJECTIVE: There is a dearth of comprehensive research on the stability of the spinal biomechanical structure when combining Oblique Lumbar Interbody Fusion (OLIF) with internal fixation methods. Hence, we have devised this experiment to meticulously examine and analyze the biomechanical changes that arise from combining OLIF surgery with different internal fixation techniques in patients diagnosed with degenerative lumbar spondylolisthesis. METHODS: Seven validated finite element models were reconstructed based on computed tomography scan images of the L3-L5 segment. These models included the intact model, a stand-alone (S-A) OLIF model, a lateral screw rod (LSR) OLIF model, a bilateral pedicle screw (BPS) OLIF model, an unilateral pedicle screw (UPS) OLIF model, a bilateral CBT (BCBT) OLIF model, and an unilateral CBT(UCBT) OLIF model. The range of motion (ROM), as well as stress levels in the cage, L4 lower endplate, L5 upper endplate, and fixation constructs were assessed across these different model configurations. RESULTS: S-A model had the highest average ROM of six motion modes, followed by LSR, UPS, UCBT, BPS and BCBT. The BCBT model had a relatively lower cage stress than the others. The maximum peak von Mises stress of the fixation constructs was found in the LSR model. The maximum peak von Mises stress of L4 lower endplate was found in the S-A model. The peak von Mises stress on the L4 lower endplate of the rest surgical models showed no significant difference. The maximum peak von Mises stress of the L5 upper endplate was found in the S-A model. The minimum peak von Mises stress of the L5 upper endplate was found in the BCBT model. No significant difference was found for the peak von Mises stress of the L5 upper endplate among LSR, BPS, UPS and UCBT models. CONCLUSION: Among the six different fixation techniques, BCBT exhibited superior biomechanical stability and minimal stress on the cage-endplate interface. It was followed by BPS, UCBT, UPS, and LSR in terms of effectiveness. Conversely, S-A OLIF demonstrated the least stability and resulted in increased stress on both the cage and endplates. Combining OLIF with BCBT fixation technique enhanced biomechanical stability compared to BPS and presented as a less invasive alternative treatment for patients with degenerative lumbar spondylolisthesis.


Subject(s)
Finite Element Analysis , Lumbar Vertebrae , Range of Motion, Articular , Spinal Fusion , Spondylolisthesis , Humans , Spinal Fusion/methods , Spinal Fusion/instrumentation , Spondylolisthesis/surgery , Spondylolisthesis/diagnostic imaging , Spondylolisthesis/physiopathology , Lumbar Vertebrae/surgery , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/physiopathology , Biomechanical Phenomena/physiology , Pedicle Screws , Male , Tomography, X-Ray Computed , Middle Aged
10.
Polymers (Basel) ; 16(15)2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39125215

ABSTRACT

This article deals with stress wave decay performance, analysing the stress wave propagation generated by an impulsive unit load in a 2D representative unit cell (RUC) of a polymer composite with circular particles representing spherical particles, elliptical particles, and short fibres. The micro-scale numerical simulation uses explicit finite element analysis (FEA). The micro-response to an impulsive unit load creates a stress wave amplitude interacting with the material structure and tends to weaken and absorb energy. The stress wave damping is determined by the decaying amplitudes of Mises stress at the front of the stress wave. The stress wave damping is evaluated for different ratios of tensile modules and material densities of matrix and reinforcing material and other factors, such as percentage and particle size, applied to nine topologies of RUCs, and even the presence of an interfacial region is analysed. Moreover, the article visualises the phases of stress wave decay in various particle distributions, i.e., various topologies. Analysing the different topologies of the same particle volume (area) percentage, the study proved that the composite topology and resulting wave-particle and wave-wave interactions are other sources of material damping. The presence of even a small percentage, 3.5 area%, of reinforcing circular particles in the matrix brings a significant increase in stress wave damping up to about 40-43% (depending on the topology) compared to a homogeneous matrix with stress wave damping of 12.5% under the same conditions. Moreover, the topology with the same volume (area) percentage can increase particle stress wave damping by 15.3%.

11.
Int J Oral Maxillofac Implants ; 0(0): 1-26, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39093289

ABSTRACT

PURPOSE: This study was designed to evaluate the influence of utilizing Polyetheretherketone (PEEK) coping and three different dental restorative materials in the success of tooth and implant-supported fixed partial dentures (TISFPD) in the maxillary posterior region, under static loading by 3-Dimensional Finite Element Analysis (3D FEA). MATERIALS AND METHODS: Six 3D FEA models were designed assuming the extraction of maxillary first and second molars. Bone, implant, abutment, PEEK coping, second premolar, periodontal ligament (PDL) and six 3-unit TISFPD with different restorative materials [Porcelain-Fused-to-Metal (PFM), PEEK-Composite (PC), Monolithic Zirconia (MZ)] were modeled. Then, PEEK copings were modeled to be cemented onto the implants as a double-crown system for the first three groups (PFMPEEK, PCPEEK and MZPEEK) whereas, the next three groups (PFM, PC, MZ) excluded a PEEK coping in their designs. The prostheses were loaded twice, vertically and obliquely. From the determined points, 250 N for vertical loading (0o to the long axis) and 200 N for the oblique loading (30o to the long axis) were applied. Von Mises tension, maximum and minimum principal tension value criterias were analyzed. RESULTS: Regardless of the material used for suprastructure, the maximum average stress was reduced by using PEEK coping. Considering the maximum stress distribution, PC appeared to have the highest stresses on the cortical bone, implant and screw. Additionally, the von Mises stresses formed in the PDL for each model were lower when PEEK coping was included in the design of the TISFPD, reducing the risk of intrusion. CONCLUSIONS: The stress distribution was positively affected by the PEEK coping in TISFPD design, reducing bone resorption and failure. This elastic material used generated lower stresses in the bone and implant, while no significant effect was found on stresses around natural teeth.

12.
Cureus ; 16(7): e64871, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39156460

ABSTRACT

AIMS: To evaluate and compare the distribution of stress patterns around a single implant-supported crown with various abutment designs using different abutment materials. SETTING AND DESIGN: This is an in vitro study to evaluate and compare stress distribution patterns. METHODS: The three-dimensional (3D) finite element models included four stock and four customized abutments made of Titanium, Zirconia, Fibre-Reinforced Composite, and Poly Ether-Ether Ketone (PEEK) attached to an end-osseous root form implant. The models were subjected to a 300 N vertical load at the central fossa and a 150 N oblique load at the centre of the lingual inclines of the buccal cusps of the mandibular molar crown designed on the model. STATISTICAL ANALYSIS USED:  The stress distribution within the implant and the surrounding supporting structures was evaluated using finite element analysis. RESULTS: In all the models, stresses on the implants were observed to be concentrated in the neck of the implants in the first few threads. Irrespective of the abutment design, PEEK abutment transferred greater stresses to implants and Zirconia abutment transferred lesser stresses to implants. In the implants, the customized abutment showed lesser stress values than the stock abutment during oblique loading. CONCLUSIONS: Stresses on implants and cortical bone can be reduced by using Zirconia as an abutment material compared to Titanium, Fibre-Reinforced Composite, and Poly Ether-Ether Ketone material. Customized abutments improve the load transfer between the prosthesis and the implant and the surrounding bone, lessen the micro-movement of the abutments, and distribute the stress more evenly across the implant's component parts.

13.
Sensors (Basel) ; 24(16)2024 Aug 20.
Article in English | MEDLINE | ID: mdl-39205062

ABSTRACT

This study investigates the manufacturing, testing, and analysis of ultra-thick laminated polymer matrix composite (PMC) beams with the aim of developing high-performance PMC leaf springs for automotive applications. An innovative aspect of this study is the integration of Fiber Bragg Grating (FBG) sensors and thermocouples (TCs) to monitor residual strain and exothermic reactions in composite structures during curing and post-curing manufacturing cycles. Additionally, the Calibration Coefficients (CCs) are calculated using Strain Gauge measurement results under static three-point bending tests. A major part of the study focuses on developing a properly correlated Finite Element (FE) model with large deflection (LD) effects using geometrical nonlinear analysis (GNA) to understand the deformation behavior of ultra thick composite beam (ComBeam) samples, advancing the understanding of large deformation behavior and filling critical research gaps in composite materials. This model will help assess the internal strain distribution, which is verified by correlating data from FBG sensors, Strain Gauges (SGs), and FE analysis. In addition, this research focuses on the application of FBG sensors in structural health monitoring (SHM) in fatigue tests under three-point bending with the support of load-deflection sensors: a new approach for composites at this scale. This study revealed that the fatigue performance of ComBeam samples drastically decreased with increasing displacement ranges, even at the same maximum level, underscoring the potential of FBG sensors to enhance SHM capabilities linked to smart maintenance.

14.
Sensors (Basel) ; 24(13)2024 Jun 21.
Article in English | MEDLINE | ID: mdl-39000828

ABSTRACT

To better address mechanical behavior, it is necessary to make use of modern tools through which it is possible to run predictions, simulate scenarios, and optimize decisions. sources integration. This will increase the capability of detecting material modifications that forerun damage and/or to forecast the stage in the future when very likely fatigue is initiating and propagating cracks. Early warning outcomes obtained by the synergetic implementation of NDE-based protocols for studying mechanical and fatigue and fracture behavior will enhance the preparedness toward economically sustainable future damage control scenarios. Specifically, these early warning outcomes will be developed in the form of retopologized models to be used coupled with FEA. This paper presents the first stage of calibration and the combination of a system of different sensors (photogrammetry, laser scanning and strain gages) for the creation of volumetric models suitable for the prediction of failure of FEA software. The test objects were two components of car suspension to which strain gauges were attached to measure its deformation under cyclic loading. The calibration of the methodology was carried out using models obtained from photogrammetry and experimental strain gauge measurements.

15.
Materials (Basel) ; 17(14)2024 Jul 18.
Article in English | MEDLINE | ID: mdl-39063837

ABSTRACT

Continuous fiber-reinforced composites are increasingly used in industry for their superior specific modulus and strength. The curing process-induced deformation (PID) has been a critical problem during manufacturing, which always exhibits dispersed values even if the curing process curve and structural parameters remain consistent. This work conducted probability prediction of PID for V-shape composite structures based on the FEM method and data mining. A sequential coupling thermal-chemical-mechanical coupling FE model is established in ABAQUS. The prediction accuracy of the included angle between two sides is verified by the experimental results. Material parameter uncertainties are considered for V-shape structures with different radii and thicknesses. Based on the dataset from the FE model, a decision tree is established and trained to analyze the sensitivity and to predict the probability distribution of PID. The results show that PID increases with the coefficients of thermal expansion in the in-plane perpendicular fiber direction and out-of-plane normal direction. The data-mining method is accurate enough for the PID prediction, and its efficiency provides an additional calculation option in engineering applications.

16.
Polymers (Basel) ; 16(14)2024 Jul 11.
Article in English | MEDLINE | ID: mdl-39065295

ABSTRACT

Inflammation of the bile ducts and surrounding tissues can impede bile flow from the liver into the intestines. If this occurs, a plastic or self-expanding metal (SEM) stent is placed to restore bile drainage. United States (US) Food and Drug Administration (FDA)-approved plastic biliary stents are less expensive than SEMs but have limited patency and can occlude bile flow if placed spanning a duct juncture. Recently, we investigated the effects of variations to post-processing and autoclaving on a commercially available stereolithography (SLA) resin in an effort to produce a suitable material for use in a biliary stent, an FDA Class II medical device. We tested six variations from the manufacturer's recommended post-processing and found that tripling the isopropanol (IPA) wash time to 60 min and reducing the time and temperature of the UV cure to 10 min at 40 °C, followed by a 30 min gravity autoclave cycle, yielded a polymer that was flexible and non-cytotoxic. In turn, we designed and fabricated customizable, SLA 3D-printed polymeric biliary stents that permit bile flow at a duct juncture and can be deployed via catheter. Next, we generated an in silico stent 3-point bend test to predict displacements and peak stresses in the stent designs. We confirmed our simulation accuracy with experimental data from 3-point bend tests on SLA 3D-printed stents. Unfortunately, our 3-point bend test simulation indicates that, when bent to the degree needed for placement via catheter (~30°), the peak stress the stents are predicted to experience would exceed the yield stress of the polymer. Thus, the risk of permanent deformation or damage during placement via catheter to a stent printed and post-processed as we have described would be significant. Moving forward, we will test alternative resins and post-processing parameters that have increased elasticity but would still be compatible with use in a Class II medical device.

17.
J Biomech ; 172: 112227, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39004042

ABSTRACT

Considering the high strength and excellent biocompatibility of low-nickel stainless steel, this paper focused on optimizing the design of a vascular stent made from this material using finite element analysis (FEA) combined with the response surface methodology (RSM). The aim is to achieve the desired compressive resistance for the stent while maintaining a thin stent wall thickness. The parameters of the stent's support unit width (H), strut width (W), and thickness (T) were selected as input parameters, while the output parameters obtained from FEA included the compressive load, the equivalent plastic strain (PEEQ), axial shortening rate, radial recoil rate, and metal coverage rate. The mathematical models of input parameters and output parameters were established by using the Box Behnken design (BBD) of RSM. The model equations were solved under constrained conditions, and the optimal structural parameters, namely H, W, and T, were finally determined as 0.770 mm, 0.100 mm, and 0.075 mm respectively. In this situation, the compression load of the stent reached the target value of 0.38 N/mm; the PEEQ resulting from the stent expansion was small; the axial shortening, radial recoil, and metal coverage index were all minimized within the required range.


Subject(s)
Compressive Strength , Finite Element Analysis , Stainless Steel , Stents , Humans , Nickel , Stress, Mechanical , Prosthesis Design , Models, Cardiovascular , Materials Testing
18.
J Mech Behav Biomed Mater ; 157: 106650, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39018917

ABSTRACT

The assessment of stent fatigue in Transcatheter Aortic Valve Replacement (TAVR) systems is critical for the design of next-generation devices, both in vitro and in vivo. The mechanical properties of the bioprosthetic heart valves (BHVs) have a significant impact on the fatigue life of the metallic stent and thus must be taken into consideration when evaluating new TAVR device designs. This study aims to investigate the relationship between BHV anisotropic behaviour and the asymmetric deflections of the stent frame observed during in vitro testing. An explicit dynamics finite element model of the nitinol stent with attached bioprosthetic valve leaflets was developed to evaluate the deflections of the TAVR device under haemodynamic loading. Our results demonstrate that pericardium behaviour plays a dominant role in determining stent frame deflection. The anisotropic behaviour of the leaflets, resulting from collagen fibre orientation, affects the extent of deflection encountered by each commissure of the frame. This leads to asymmetric variation in frame deflection that can influence the overall fatigue life of the nitinol stent. This study highlights the importance of considering both the flexible nature of the metallic stent as well as the leaflet anisotropic behaviour in the design and fatigue assessment of TAVR systems.


Subject(s)
Bioprosthesis , Stents , Transcatheter Aortic Valve Replacement , Transcatheter Aortic Valve Replacement/instrumentation , Anisotropy , Finite Element Analysis , Heart Valve Prosthesis , Alloys/chemistry , Materials Testing , Mechanical Phenomena , Prosthesis Design , Aortic Valve/surgery
19.
Materials (Basel) ; 17(13)2024 Jun 25.
Article in English | MEDLINE | ID: mdl-38998183

ABSTRACT

Confined masonry (CM) construction is being increasingly adopted for its cost-effectiveness and simplicity, particularly in seismic zones. Despite its known benefits, limited research exists on how the stiffness of confining elements influences the in-plane behavior of CM. This study conducted a comprehensive parametric analysis using experimentally validated numerical models of single-wythe, squat CM wall panels under quasi-static reverse cyclic loading. Various cross-sections and reinforcement ratios were examined to assess the impact of the confining element stiffness on the deformation response, the cracking mechanism, and the hysteretic behavior. The key findings included the observation of symmetrical hysteresis in experimental CM panels under cyclic loading, with a peak lateral strength of 114.3 kN and 108.5 kN in push-and-pull load cycles against 1.7% and 1.3% drift indexes, respectively. A finite element (FE) model was developed based on a simplified micro-modeling approach, demonstrating a maximum discrepancy of 2.6% in the peak lateral load strength and 5.4% in the initial stiffness compared to the experimental results. The parametric study revealed significant improvements in the initial stiffness and seismic strength with increased depth and reinforcement in the confining elements. For instance, a 35% increase in the lateral strength was observed when the depth of the confining columns was augmented from 150 mm to 300 mm. Similarly, increasing the steel reinforcement percentage from 0.17% to 0.78% resulted in a 16.5% enhancement in the seismic strength. These findings highlight the critical role of the stiffness of confining elements in enhancing the seismic performance of CM walls. This study provides valuable design insights for optimizing CM construction in seismic-prone areas, particularly regarding the effects of confining element dimensions and reinforcement ratios on the structural resilience.

20.
Cureus ; 16(6): e62562, 2024 Jun.
Article in English | MEDLINE | ID: mdl-39027789

ABSTRACT

Introduction Endodontic implants, or didontic implants, offer a promising solution for stabilizing compromised teeth with a guarded prognosis and prolonging their clinical survival rate. Despite their potential benefits, they retired out of practice due to failures that arose from the lack of a biocompatible seal and engaging in dentin. Novel designs, based on evidence-based research with the help of bioceramics, present an opportunity to overcome these challenges and hence, enhance the clinical efficacy of endodontic implants. Thus the aim of this study is to design novel endodontic implants and evaluate their stress distribution in maxillary incisors using finite element analysis (FEA). Materials and methodology FEA is a biomechanical study to assess the stress distribution and extent of displacement to assess the clinical efficacy of novel endodontic implants in maxillary anterior teeth. Three 3D models (Model 1, Model 2, and Model 3) are designed to be meshed, and material elastic properties of the tooth and periapical tissues are applied. Boundary conditions were established, and a constant axial load value of 600 N was applied at a 45° angle. The FEA analysis was done under the loading conditions to assess the stress patterns for the three 3D models in comparison to the intact tooth on the ANSYS software (ANSYS Inc, Pennsylvania). Results FEA simulations revealed the distribution of stress within the tooth structure under functional occlusal forces, as Von Misses stresses were analyzed to assess the likelihood of material yielding and failure, which was comparable to that of an intact tooth. The maximum stress of deformation was as follows: intact: 1.7589e-5 MAX; Model 1: 3.3804e-6 MAX; Model 2: 2.638e-5 MAX; and Model 3: 2.1986e-5 MAX. The area of stress concentrations did not occur at the interface of the coronal or apical seal, which prevented catastrophic failures. Conclusion By leveraging advanced design principles and materials, these implants offer a promising alternative to traditional approaches, particularly in trauma cases with a poor prognosis for the survival of the teeth leading to loss of tooth. Further clinical studies are warranted to validate the efficacy and long-term success of these novel endodontic implants in diverse patient populations.

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