TWI708621B - Bone implant material - Google Patents
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Abstract
一種骨植入物材料,包含硫酸鈣粉末及黏著劑粉末,且黏著劑粉末是選自於預糊化澱粉、麥芽糊精、阿拉伯膠、明膠、蟲膠、關華豆膠、三仙膠、甲基纖維素、羥甲基纖維素鈉、乙基纖維素、羥乙基纖維素、羥丙基纖維素或上述的任意組合。本發明骨植入物材料適合應用在3D列印技術製作骨植入物,且後續應用使用本發明骨植入物材料所製得的骨植入物具有良好的抗壓強度及降解時間。A bone implant material comprising calcium sulfate powder and adhesive powder, and the adhesive powder is selected from pregelatinized starch, maltodextrin, gum arabic, gelatin, shellac, Guanhua bean gum, and Sanxian gum , Methyl cellulose, sodium hydroxymethyl cellulose, ethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose or any combination of the above. The bone implant material of the present invention is suitable for use in 3D printing technology to make bone implants, and the bone implant made by using the bone implant material of the present invention in subsequent applications has good compressive strength and degradation time.
Description
本發明是有關於一種骨植入物的材料,特別是指一種適用於3D列印技術製作骨植入物的骨植入物材料。 The present invention relates to a bone implant material, in particular to a bone implant material suitable for the production of bone implants by 3D printing technology.
人體骨骼是高度血管化的骨組織(osseous tissue),為身體提供結構支撐,在日常生活中承受各式各樣的生理應力,維繫身體正常的活動。然而,由於外傷、發育缺陷、腫瘤切除、老化、骨質疏鬆、感染等因素,導致骨骼缺陷以及運動傷害的問題趨增,現今估計每年全球約有200萬病患需要進行骨植入物手術,預估到2030年骨植入物手術的數量將再增加50%。 Human bones are highly vascularized bone tissues (osseous tissue) that provide structural support for the body, bear various physiological stresses in daily life, and maintain normal body activities. However, due to factors such as trauma, developmental defects, tumor resection, aging, osteoporosis, infections, etc., the problems of bone defects and sports injuries are increasing. It is estimated that about 2 million patients worldwide need bone implant surgery each year. It is estimated that the number of bone implant operations will increase by another 50% by 2030.
創傷、年齡增長、病變或手術造成的硬骨組織缺損,復原速度往往較人體的其他組織緩慢,常需倚賴生醫材料移植或填補,才能夠修補喪失的骨組織。骨骼再生主要是透過鈣的吸收及沈積,骨細胞及各種其他細胞根據需要,重塑或癒合骨缺損部位。為降低骨植入物可能產生的排斥風險,若是患者狀況允許的骨缺損部位,臨床上大多趨向選擇植入可代謝的骨植入物,利用骨植入物在 代謝過程中,釋放骨細胞生長元素,誘導及協助自體新骨生長,最終達到骨癒合的目的,進而恢復骨骼的原始功能及外觀。 Hard bone tissue defects caused by trauma, aging, disease or surgery are often slower than other tissues in the body, and it is often necessary to rely on biomedical materials to transplant or fill in order to repair the lost bone tissue. Bone regeneration is mainly through the absorption and accumulation of calcium. Osteocytes and various other cells can reshape or heal bone defects as needed. In order to reduce the possible rejection risk of bone implants, if the patient’s condition permits bone defects, most clinically tend to choose to implant metabolizable bone implants. In the process of metabolism, bone cell growth elements are released to induce and assist the growth of autologous new bone, and finally achieve the purpose of bone healing, and then restore the original function and appearance of the bone.
目前骨缺損治療常因體積、部位與受傷情況而有許多不同的狀況,故能夠隨需要調整形狀的骨植入物是重要關鍵。3D列印技術可依據醫療的斷層掃描資料,製作全客製化的骨植入物。美國材料及試驗協會ASTM將3D列印技術分成七大類型,其中「黏著劑噴塗成型技術(Binder Jetting)」,是根據噴墨印表機的概念,以3D列印軟體確認列印成型品每層的相對座標位置,利用3D列印機台的列印噴頭將黏著劑粉末逐層噴印於一層列印粉末床上,藉此固定粉末,經過層層堆疊加工程序,達到列印成型品的外觀形狀。 Currently, bone defect treatment often has many different conditions due to size, location, and injury. Therefore, a bone implant that can adjust the shape as needed is an important key. 3D printing technology can produce fully customized bone implants based on medical tomographic data. The American Society for Testing and Materials (ASTM) divides 3D printing technology into seven types. Among them, "Binder Jetting" is based on the concept of inkjet printers, and 3D printing software is used to confirm every printed product. The relative position of the layer, the printing nozzle of the 3D printing machine is used to spray the adhesive powder layer by layer on the printing powder bed to fix the powder. After the layer-by-layer processing procedure, the appearance of the printed product is achieved shape.
「黏著劑噴塗成型技術」所使用的材料種類廣泛,例如陶瓷、高分子、金屬、鑄砂或各類的複合材料等,其中最廣泛被使用的礦物型陶瓷粉末材料為硫酸鈣,且硫酸鈣也是一種可被人體吸收的骨科生醫陶瓷材料。然而,能夠適用於3D列印的硫酸鈣需具有平均粒徑均勻、流動性佳、不易受潮及不易團聚等特性,所以售價較高。且現有技術使用硫酸鈣所製得的3D列印成型品的硬度偏低,仍僅適用於消費性文創商品(如公仔)或公共藝術模型,而無法應用在骨植入物。由於上述種種原因,目前以3D列印技術製作的骨植入物尚不夠普及,因此仍有需要開發能讓3D列印成型品應用在骨植入物的新穎技術。 "Adhesive spray molding technology" uses a wide range of materials, such as ceramics, polymers, metals, cast sand or various composite materials, among which the most widely used mineral ceramic powder materials are calcium sulfate and calcium sulfate It is also an orthopedic biomedical ceramic material that can be absorbed by the human body. However, calcium sulfate suitable for 3D printing needs to have the characteristics of uniform average particle size, good fluidity, resistance to moisture and agglomeration, so the price is higher. In addition, the hardness of the 3D printed molded products made by using calcium sulfate in the prior art is low, which is still only suitable for consumer cultural and creative goods (such as dolls) or public art models, and cannot be applied to bone implants. Due to the above-mentioned reasons, the current bone implants made with 3D printing technology are not popular enough. Therefore, there is still a need to develop novel technologies that allow 3D printed products to be applied to bone implants.
因此,本發明的目的,即在提供一種適用於3D列印技術製作骨植入物的骨植入物材料。 Therefore, the purpose of the present invention is to provide a bone implant material suitable for 3D printing technology to make bone implants.
於是,本發明骨植入物材料,包含:硫酸鈣粉末;及黏著劑粉末,選自於預糊化澱粉、麥芽糊精、阿拉伯膠、明膠、蟲膠、關華豆膠、三仙膠、甲基纖維素、羥甲基纖維素鈉、乙基纖維素、羥乙基纖維素、羥丙基纖維素或上述的任意組合。 Therefore, the bone implant material of the present invention includes calcium sulfate powder; and adhesive powder, selected from pregelatinized starch, maltodextrin, gum arabic, gelatin, shellac, Guanhua bean gum, and Sanxian gum , Methyl cellulose, sodium hydroxymethyl cellulose, ethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose or any combination of the above.
本發明的功效在於:本發明骨植入物材料透過特定種類的黏著劑粉末,與該硫酸鈣粉末搭配,從而適合應用在以3D列印技術製作骨植入物。且在後續應用中,使用本發明骨植入物材料所製得的骨植入物具有良好的抗壓強度及降解時間。 The effect of the present invention is that the bone implant material of the present invention is matched with the calcium sulfate powder through a specific type of adhesive powder, so that it is suitable for use in the production of bone implants by 3D printing technology. And in subsequent applications, the bone implant made by using the bone implant material of the present invention has good compressive strength and degradation time.
本發明的其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中:圖1是本發明骨植入物材料的應用例1骨植入物用成型品的一立體圖;圖2是本發明骨植入物材料的應用例2骨植入物用成型品的一立體圖;圖3是本發明骨植入物材料的應用例3骨植入物用成型品的一 俯視圖;及圖4是本發明骨植入物材料的應用例3骨植入物用成型品的一側視圖。 The other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, in which: Fig. 1 is a perspective view of an application example 1 of the bone implant material of the present invention for a molded product for bone implants; 2 is an application example of the bone implant material of the present invention; 2 is a perspective view of a molded product for bone implants; Figure 3 is an application example of the bone implant material of the present invention 3 a molded product for bone implants Top view; and Figure 4 is a side view of a molded product for bone implants of Application Example 3 of the bone implant material of the present invention.
以下就本發明內容進行詳細說明: The content of the present invention will be described in detail below:
本文中,所述「骨植入物(bone implant)」的具體態樣例如但不限於關節植入物、脊柱植入物、顱頜面植入物、足踝植入物或創傷植入物(骨板、骨釘)等。 Herein, the specific aspect of the “bone implant” is, for example, but not limited to, joint implants, spinal implants, cranio-maxillofacial implants, ankle implants or trauma implants (Bone plate, bone nail) etc.
本發明骨植入物材料包含硫酸鈣粉末及黏著劑粉末。較佳地,在本發明的一些實施態樣中,該骨植入物材料還包含分散劑粉末。以下詳細說明該骨植入物材料的各個組分,以及該骨植入物材料的後續應用。 The bone implant material of the present invention includes calcium sulfate powder and adhesive powder. Preferably, in some embodiments of the present invention, the bone implant material further comprises dispersant powder. The components of the bone implant material and subsequent applications of the bone implant material are described in detail below.
在本發明的一些實施態樣中,該硫酸鈣粉末例如為半水硫酸鈣、無水硫酸鈣、二水硫酸鈣或上述的任意組合。較佳地,該硫酸鈣粉末的粒徑範圍分別為150μm以下。 In some embodiments of the present invention, the calcium sulfate powder is, for example, calcium sulfate hemihydrate, calcium sulfate anhydrous, calcium sulfate dihydrate, or any combination of the foregoing. Preferably, the particle size range of the calcium sulfate powder is 150 μm or less.
該黏著劑粉末有助於使得經由3D列印所製得的成型品具有良好的外觀形狀。該黏著劑粉末是選自於預糊化澱粉(pregelatinized starch)、麥芽糊精、阿拉伯膠、明膠、蟲膠、關華豆膠、三仙膠、甲基纖維素、羥甲基纖維素鈉、乙基纖維素、羥乙基纖維素、羥丙基纖維素或上述的任意組合。上述的黏著劑粉末 為水性的固體粉末,從而有利於3D列印的進行。且上述的黏著劑粉末為有機物,在後續應用時透過燒結即可被去除,從而使所製得的骨植入物符合生物相容性及無毒性的需求。較佳地,該黏著劑粉末的粒徑範圍為150μm以下。在本發明的一些實施態樣中,以該硫酸鈣粉末的總量為100重量份,該黏著劑粉末的含量範圍為0.1至50重量份,能夠使後續應用所製得的骨植入物具有更良好的形體結構以及更佳的機械性質。 The adhesive powder helps to make molded products made by 3D printing have a good appearance and shape. The adhesive powder is selected from pregelatinized starch, maltodextrin, acacia, gelatin, shellac, Guanhua bean gum, sanxian gum, methylcellulose, sodium hydroxymethylcellulose , Ethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose or any combination of the above. The above adhesive powder It is a water-based solid powder, which facilitates 3D printing. Moreover, the aforementioned adhesive powder is organic and can be removed by sintering during subsequent applications, so that the prepared bone implant meets the requirements of biocompatibility and non-toxicity. Preferably, the particle size range of the adhesive powder is 150 μm or less. In some embodiments of the present invention, the total amount of the calcium sulfate powder is 100 parts by weight, and the content of the adhesive powder ranges from 0.1 to 50 parts by weight, so that the bone implants prepared by subsequent applications have Better physical structure and better mechanical properties.
該分散劑粉末能夠更進一步防止該骨植入物材料發生「粉末團聚」現象。較佳地,該分散劑粉末是選自於二氧化矽、矽酸鎂鋁或上述的任意組合。較佳地,該分散劑粉末的粒徑範圍為150μm以下。在本發明的一些實施態樣中,以該硫酸鈣粉末的總量為100重量份,該分散劑粉末的含量範圍為0.1至30重量份,能夠使後續應用所製得的骨植入物具有更佳的機械性質。 The dispersant powder can further prevent the "powder agglomeration" phenomenon of the bone implant material. Preferably, the dispersant powder is selected from silicon dioxide, magnesium aluminum silicate, or any combination of the above. Preferably, the particle size range of the dispersant powder is 150 μm or less. In some embodiments of the present invention, the total amount of the calcium sulfate powder is 100 parts by weight, and the content of the dispersant powder is in the range of 0.1 to 30 parts by weight, so that the bone implants prepared by subsequent applications have Better mechanical properties.
本發明骨植入物材料適合應用在以3D列印技術製作骨植入物,其中,該3D列印的具體類型例如但不限於黏著劑噴塗成型法(Binder Jetting)。在本發明骨植入物材料的後續應用的一些實施態樣中,包括以下步驟:將該骨植入物材料利用3D列印技術製作成骨植入物用成型品。 The bone implant material of the present invention is suitable for use in 3D printing technology to make bone implants, wherein the specific type of 3D printing is, for example, but not limited to, Binder Jetting. In some embodiments of subsequent applications of the bone implant material of the present invention, the following steps are included: using the bone implant material to produce a molded product for bone implants using 3D printing technology.
在本發明骨植入物材料的後續應用的另一些實施態樣中,包括以下步驟:將該骨植入物材料利用3D列印技術製作成骨 植入物用成型品,再將該骨植入物用成型品進行加熱並得到一半成品。接著將該半成品進行燒結得到一燒結品,最後在該燒結品上設置一層由醫藥級賦形劑(例如海藻酸鈉)所形成的保護層,製得一骨植入物。其中,該加熱的作用是進一步去除該骨植入物用成型品中的水分以及提高該骨植入物用成型品的固化程度,該加熱的溫度及時間沒有特別限制,可依據該骨植入物材料的用量及該骨植入物用成型品的體積及重量自由調整。該燒結的作用在於使該半成品中的有機物質被破壞及逸散,以及使得該半成品中的硫酸鈣粉末盡量轉變為無水硫酸鈣的型態,該燒結的方式沒有特別限制,可依據該骨植入材料的用量、該骨植入物用成型品的體積及重量,以及骨植入物的具體應用自由調整。 In other embodiments of the subsequent application of the bone implant material of the present invention, the following steps are included: using 3D printing technology to make the bone implant material into bone The molded product for implants is heated to obtain a semi-finished product. Then the semi-finished product is sintered to obtain a sintered product, and finally a protective layer formed by a pharmaceutical-grade excipient (such as sodium alginate) is placed on the sintered product to obtain a bone implant. Wherein, the function of the heating is to further remove the moisture in the molded product for bone implants and to improve the degree of solidification of the molded product for bone implants. The temperature and time of the heating are not particularly limited, and can be based on the bone implant The amount of material and the volume and weight of the molded product for bone implant can be adjusted freely. The function of the sintering is to destroy and dissipate the organic matter in the semi-finished product, and to transform the calcium sulfate powder in the semi-finished product into the form of anhydrous calcium sulfate as much as possible. The sintering method is not particularly limited, and can be based on the bone graft. The amount of input material, the volume and weight of the molded product for the bone implant, and the specific application of the bone implant can be adjusted freely.
本發明將就以下實施例作進一步說明,但應瞭解的是,該實施例僅為例示說明之用,而不應被解釋為本發明實施之限制。 The present invention will be further described in the following examples, but it should be understood that the examples are only for illustrative purposes and should not be construed as limiting the implementation of the present invention.
[實施例1] [Example 1]
先將硫酸鈣、黏著劑(具體種類為阿拉伯膠)及分散劑(具體種類為二氧化矽)各自依序進行破碎、研磨及過篩後,篩選出粒徑為150μm以下的粉末。接著,取上述的硫酸鈣粉末100重量份、黏著劑粉末6重量份及分散劑粉末1重量份,以電動混拌機進行混拌30分鐘,得到骨植入物材料。 Calcium sulfate, adhesive (specific type is gum arabic) and dispersant (specific type is silica) are crushed, ground and sieved in sequence, and then powders with a particle size of 150 μm or less are screened out. Next, 100 parts by weight of the calcium sulfate powder, 6 parts by weight of the adhesive powder, and 1 part by weight of the dispersant powder were taken and mixed with an electric mixer for 30 minutes to obtain a bone implant material.
[應用例1至3] [Application Examples 1 to 3]
依據不同的骨植入物的模型圖,使用實施例1的骨植入物材料,將實施例1的骨植入物材料放入一個3D列印機台(廠商為研能科技股份有限公司,型號為M10)中,利用黏著劑噴塗成型法進行3D列印,製得應用例1至3的骨植入物用成型品。其中,應用例1的骨植入物用成型品是如圖1所示,應用例2的骨植入物用成型品是如圖2所示,應用例3的骨植入物用成型品是如圖3及圖4所示。 According to the model drawings of different bone implants, using the bone implant material of Example 1, put the bone implant material of Example 1 into a 3D printing machine (the manufacturer is Yanneng Technology Co., Ltd., In the model M10), the adhesive spray molding method is used for 3D printing, and the molded products for bone implants of application examples 1 to 3 are produced. Among them, the molded product for bone implants in Application Example 1 is shown in FIG. 1, the molded product for bone implants in Application Example 2 is shown in FIG. 2, and the molded product for bone implants in Application Example 3 is As shown in Figure 3 and Figure 4.
[應用例4] [Application example 4]
將實施例1的骨植入物材料放入一個3D列印機台(廠商為研能科技股份有限公司,型號為M10)中,利用黏著劑噴塗成型法並依據骨植入物的模型圖進行3D列印,得到一個骨植入物用成型品。接著,將該骨植入物用成型品進行加熱(溫度為50±3℃,時間為30至60分鐘),得到一個半成品(形狀為直徑1.5cm、高度3cm的實心圓柱體)。然後,將該半成品進行燒結(起始溫度為25℃,升溫速率為1℃/min,在升溫過程中每升溫100℃持溫30分鐘,升溫到最終溫度為1100℃並持溫60分鐘),得到一個燒結品。最後,在該燒結品的表面塗佈一層賦形劑(具體種類為海藻酸鈉)並靜置乾燥形成一保護層,製得一個骨植入物。 Put the bone implant material of Example 1 into a 3D printing machine (manufacturer is Yanneng Technology Co., Ltd., model M10), and use the adhesive spray molding method according to the bone implant model. 3D printing, get a molded product for bone implant. Next, the molded product for bone implants is heated (temperature of 50±3°C, time of 30 to 60 minutes) to obtain a semi-finished product (a solid cylinder with a diameter of 1.5 cm and a height of 3 cm). Then, the semi-finished product is sintered (the initial temperature is 25°C, the heating rate is 1°C/min, and the temperature is raised to 100°C for 30 minutes during the heating process, and the final temperature is 1100°C and the temperature is maintained for 60 minutes), Get a sintered product. Finally, a layer of excipient (specific type is sodium alginate) is coated on the surface of the sintered product and left to stand to dry to form a protective layer to prepare a bone implant.
[性質評價] [Property Evaluation]
1.抗壓強度:利用萬能試驗儀(廠商為國科企業有限公司,型號為MTS810)並依據ASTM D695標準方法,量測應用例4 骨植入物的抗壓強度(單位:Mpa)。以提供骨植入手術操作時骨植入物所需的抗壓強度之目的而言,較佳地,骨植入物的抗壓強度為至少10Mpa。 1. Compressive strength: use a universal tester (manufacturer is Guoke Enterprise Co., Ltd., model MTS810) and in accordance with ASTM D695 standard method, measure application 4 The compressive strength of the bone implant (unit: Mpa). For the purpose of providing the compressive strength required by the bone implant during the operation of bone implantation, preferably, the compressive strength of the bone implant is at least 10Mpa.
2.降解時間:依據ISO 10993-14及ASTM F1635標準方法,量測應用例4骨植入物的降解時間(單位:天)。以使骨缺損部位重塑或癒合之目的而言,較佳地,骨植入物的降解時間為至少14天。 2. Degradation time: According to ISO 10993-14 and ASTM F1635 standard methods, measure the degradation time of the bone implant in Application Example 4 (unit: day). For the purpose of remodeling or healing the bone defect site, preferably, the degradation time of the bone implant is at least 14 days.
由圖1至4可知,透過3D列印技術,特別是黏著劑噴塗成型技術,使用實施例1骨植入物材料所製得的應用例1至3骨植入物用成型品具有良好的外觀。顯示實施例1骨植入物材料能夠被應用在3D列印技術,且能被製作成各種形態且外觀良好的骨植入物。 It can be seen from Figures 1 to 4 that through 3D printing technology, especially adhesive spray molding technology, the application examples 1 to 3 molded products for bone implants made by using the bone implant material of Example 1 have a good appearance . It is shown that the bone implant material of Example 1 can be applied to 3D printing technology, and can be made into bone implants with various shapes and good appearance.
由表1可知,使用實施例1骨植入物材料所製得的應用例4骨植入物具有良好的抗壓強度及降解時間。且所製得的應用例4骨植入物的抗壓強度高,足以提供骨植入手術操作時所需的抗壓強度;以及降解時間長,從而有利於使骨缺損部位重塑或癒合。 It can be seen from Table 1 that the bone implant of Application Example 4 prepared by using the bone implant material of Example 1 has good compressive strength and degradation time. In addition, the obtained application example 4 bone implant has high compressive strength, which is sufficient to provide the compressive strength required during the operation of the bone implantation; and the degradation time is long, which is beneficial to remodeling or healing the bone defect.
綜上所述,本發明骨植入物材料因包含特定種類的黏著 劑粉末,且較佳地還包含特定種類的分散劑粉末,與該硫酸鈣粉末搭配,從而適合應用在3D列印技術製作骨植入物,且在後續應用中,使用本發明骨植入物材料所製得的骨植入物具有良好的抗壓強度及降解時間,故確實能達成本發明的目的。 In summary, the bone implant material of the present invention contains specific types of adhesion Powder, and preferably also contains a specific type of dispersant powder, matched with the calcium sulfate powder, so as to be suitable for use in 3D printing technology to make bone implants, and in subsequent applications, use the bone implant of the present invention The bone implant made of the material has good compressive strength and degradation time, so it can indeed achieve the purpose of the invention.
惟以上所述者,僅為本發明的實施例而已,當不能以此限定本發明實施的範圍,凡是依本發明申請專利範圍及專利說明書內容所作的簡單的等效變化與修飾,皆仍屬本發明專利涵蓋的範圍內。 However, the above are only examples of the present invention. When the scope of implementation of the present invention cannot be limited by this, all simple equivalent changes and modifications made in accordance with the scope of the patent application of the present invention and the content of the patent specification still belong to Within the scope of the patent for the present invention.
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