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of biodegradation of polymeric 7
medical devices
X. Han
Loughborough University, Loughborough, UK
7.1 Introduction
Biodegradable polymers have found great attractions in a board range of medical
applications: they were firstly used to made sutures successfully in 1970s,1 afterward
they drew great interests in fields of orthopaedic fixation devices, controlled drug
release and scaffolds in tissue engineering. Biodegradable polymers gradually replace
conventional biomaterials in many medical applications owing to their nature of
degradation. Degradation of biodegradable devices is, however, a complicated chem-
ical–physical process. It depends on the chemical structure of polymer, the shape
and size of the device and the degradation environment. Heterogeneous degradation
and size effect (thicker plates degrade faster than thin films) were demonstrated by
researchers2–4 which were believed to be results of auto-catalytic hydrolysis reac-
tions. Following the mathematical framework developed in Part One, this chapter is
to show that how the mathematical model can be implemented in commercial finite
element analysis (FEM) package COMSOL Multiphysics® and used for the design
of medical implant of any sophisticated shapes. Four cases are demonstrated in this
chapter. These include (a) a simple cube to demonstrate the three-dimensional effect
of device degradation, (b) a typical scaffold for tissue engineering, (c) a fixation screw
for orthopaedic surgery and (d) a coronary stent.
Nodes
Elements
Figure 7.1 Geometry discretisation: (a) original domain; (b) coarse mesh; (c) refined mesh.
refer to the book.5 As an alternative, generic steps of applying FEM to solve PDEs
numerically for biodegradation of bioresorbable polymers are described as follows:
a. Transforming PDEs into a variational format using δΠ = 0, where Π is obtained using the
variational principle (see Reference 6).
b. Geometry discretisation: A domain (Figure 7.1a) is divided into smaller regions as shown
in Figure 7.1b and Figure 7.1c. Each small triangular region is called an element. Different
types of elements can be used in the meshing procedure, for example segments of lines for
1D problems, triangles and squares for 2D problems, and tetrahedra for 3D problems. In
each element, there are some vertices, which are called nodes in FEM (see Figure 7.1b).
Triangular elements, as illustrated in Figure 7.1b, are the most used elements in 2D prob-
lems. The total number of nodes determines the final matrix size to be solved. Figures 7.1b
and 7.1c show two different sizes of meshing, representing a coarse meshing and a refined
meshing, respectively.
c. Discretisation of equations: Variables in PDEs at any given position inside an FEM
element can be described as functions of that at each node, and an example is shown in
Equation [7.1].
Rs = [ ]{Rse } [7.1]
in which Rs is the total number of chain scissions per unit volume defined in Section 3.2.1,
[N] is the matrix of shape functions and { s } is the nodal vector of Rs for element e . A
shape function can usually be selected as a polynomial; for example, a first order polyno-
mial (known as linear element) or a second order polynomial (quadratic element) is mostly
used in a FEM.
d. Equation assembling and boundary conditions: Substituting variables for element e,
such as Rs in Equation [7.1], into functional Π , Π for the e th element can be expressed as
Π e . Elemental stiffness matrix [K ]e and elemental forces vector {f } can, thus, be derived
(see Reference 2). Global stiffness matrix [K ] and force vector {f} are gained by assem-
bling elemental stiffness matrix [K ]e and forces vector {f } over all elements. A tricky issue
Finite element analysis of biodegradation of polymeric medical devices 115
when assembling is that neighbouring elements have shared nodes so that they need to be
added into one term. Generally speaking, if a system contains M nodes, the final global stiff-
ness matrix [K ] has a size of M × M while the size of vector {f} is M. There are two types of
boundary conditions used in FEM: (1) Dirichlet boundary condition (the first type boundary
condition); and (2) Neumann boundary condition (the second type boundary condition).
The former specifies the value of the solution on boundaries while the latter specifies the
derivative of the solution on boundaries, which can be automatically satisfied through the
variational principle.
e. Solve the system of equations: A number of methods can be used in solving the global
variational both for steady state and transient problems.5 In this chapter, degradation pro-
cess is considered as a time dependent problem, so that Euler’s method or the Runge-Kutta
method can be utilised.
⎛ R ⎞ ⎤ ⎧⎪ ⎫⎪
β
dRs ⎡ ⎡ 1 ⎛ C ⎞⎤
n
in which Rs is the mole concentration of polymer chain scissions, Col is the mole
concentration of dissolvable small molecules, and Ce0 is the initial mole concen-
tration of ester bonds of the polymer chains. The reaction–diffusion equation for
Col is
116 Modelling Degradation of Bioresorbable Polymeric Medical Devices
β −1
dCol ⎛ R ⎞ dRs 3
∂ ⎛ ∂Col ⎞
= αβ ⎜ s ⎟ +∑ ⎜⎝ D ∂x ⎟⎠ [7.3]
dt ⎝ Ce 0 ⎠ dt i =1 ∂xi i
In Equations [7.2] and [7.3], k1 and k2 are rates for the non-catalytic hydrolysis and
auto-catalytic hydrolysis reactions, respectively, α and β are related to the production
rate of the small molecules by chain scission, m is the average degree of polymerisa-
tion of the small molecules, and n is the exponent for acid dissociation, which is usu-
ally taken as 0.5. D is the diffusion coefficient of the small molecules in a degrading
polymer, which is calculated by
D = Dpolymer + ( V V )( D D ) [7.4]
in which Vpore is the porosity of the polymer caused by the loss of the small molecules
given by
Vpore =
Rol (Col − Col 0 ) = α ⎛ Rs ⎞
β
Col Col 0
Ce 0 ⎜⎝ C ⎟⎠ − C [7.5]
e0 e0
Dpolymer and Dpore are diffusion coefficients of the small molecules in non-degraded
polymer and liquid-filled pores, respectively. Here Col 0 is the concentration of
residual monomers that may exist in the polymer. The average molecular weight is
calculated using
1 − α ( Rs Ce 0 )
β
Mn
=
( )
[7.6]
M n 0 1 + N dp0 ( Rs Ce 0 ) ( m )( Rs Ce 0 )
Independent variables
Independent variables in an FEM include space and time variables: x, y, z and t.
Dependent variables
Master Equation [7.2] and diffusion Equation [7.3] yield two dependent variables: Rs
and Col . Rest of the variables that can be expressed directly from these two dependent
variables and material properties are known as secondary variables.
Figure 7.2
3. In Add Physics, expand the Mathematics > PDE Interfaces node in the list of physics
interfaces and select General From PDE (g).
4. Click the Add Selected button ( ) underneath the list to add the selected PDE interface to
the model. The interface is now added to Selected physics.
5. Underneath Selected physics, you may define dependent variables in Dependent variables.
We keep the Field name unchanged but alter Number of dependent variables to 2. Readers
may name these two Dependent variables as Rs and Col as shown in Figure 7.3. Then click
Next button ( ) in the upper right corner of the Model Wizard window.
6. In Studies, click Time Dependent under the Preset Studies page and then click the Finish
button ( ) in the upper right corner of the Model Wizard window.
118 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.3
Figure 7.4
Finite element analysis of biodegradation of polymeric medical devices 119
button ( ) to load a text file ‘parameters.txt’, which contains values of all parameters,
see Figure 7.4. Alternatively, if the text is not available, readers may manually input
every parameter one by one in the boxes underneath, as shown in Figure 7.4. Values of
all the parameters shown in Figure 7.4 are fixed throughout the chapter.
Figure 7.5
Click Save to File button ( ), save the defined variables as text file ‘variables.txt’ for
future use.
1. Click Geometry1 in Model1(mod1), in Units page change Length Unit to ‘mm’. Right
click Geometry1, and select Block to insert a three-dimensional cube (see Figure 7.6).
Figure 7.6
2. In Block page, enter Width=Depth=Height=1 mm. Then click Build All button ( )
in the upper left corner of Block page. A 1×1×1 mm three-dimensional cube appears in the
Graphics window as shown in Figure 7.7.
120 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.7
⎧ ∂2 u ∂u
⎪ea ∂t 2 + da ∂t + ∇ ⋅ Γ = f in Ω
⎪
⎪ T
⎨ − n ⋅ Γ = G + ⎛ ∂R ⎞ μ on ∂Ω
[7.7]
⎪ ⎜⎝ ⎟⎠
∂u
⎪
⎪⎩ 0=R ∂Ω
⎡ ⎛ Rs ⎞ ⎤ ⎧⎪ ⎡ 1 ⎛ Col ⎞ ⎤ ⎫⎪
β n
dRs
1 Ce 0 ⎢1 − α ⎜ ⎥ ⎨k1 + k2 Ce 0 ⎢ ⎜
n
⎟⎥ ⎬ [7.8]
dt ⎢⎣ ⎝ Ce 0 ⎟⎠ ⎥ ⎪ ⎣ m ⎝ Ce 0 ⎠ ⎦ ⎭⎪
⎦⎩
β −1
dCol ⎛ R ⎞ dRs ⎛ ∂Col ∂Col ∂Col ⎞
1× + ( − β) ⎜ s ⎟ × + ∇ ⋅ ⎜ − Dx − Dy − Dz =0 [7.9]
dt ⎝ Ce 0 ⎠ dt ⎝ ∂x ∂y ∂z ⎟⎠
Finite element analysis of biodegradation of polymeric medical devices 121
The matrix versions of Equations [7.8] and [7.9] are written as:
⎡ 1 0 ⎤ ⎡ ∂Rs ⎤
⎢ ⎛ R ⎞
β −1
⎥ ⎢ ∂t ⎥ + ∇ ⋅ ⎡ Γ
⎢( αβ) ⎜ s ⎟ 1 ⎥ ⎢ ∂Col ⎥ ⎣ Rs Γ Col ⎤⎦
⎢⎣ ⎝ Ce 0 ⎠ ⎥⎦ ⎢⎣ ∂t ⎥⎦
[7.10]
⎡ ⎡ ⎛ ⎞ ⎤⎧
β
⎡ ⎛ ⎞ ⎤ ⎫⎤
n
By comparing Equation [7.10] with the first equation in Equations set [7.7],
expressions for each coefficient in Equation [7.7] can be derived:
⎡ ∂Col ⎤
⎢ − Dx ⎥
⎡ 1 0⎤ ⎢ ∂x ⎥
⎡0 ⎤
ea ⎡0 0⎤ da = ⎢ ⎛ R ⎞
β −1
⎥ , Γ = ⎢0 ⎥ , Γ = ⎢−D ∂Col ⎥
⎢( −αβ) ⎜ s ⎟ 1⎥ ⎢ y
⎣0 0⎦ ∂y ⎥⎥
Rs Col
⎝ Ce 0 ⎠ ⎢⎣0 ⎥⎦
⎢⎣ ⎥⎦ ⎢
⎢−D ∂Col ⎥
⎣ z ∂z ⎦
⎡ ⎡ ⎛ Rs ⎞ ⎤ ⎧⎪
β
⎡ 1 ⎛ Col ⎞ ⎤ ⎫⎪ ⎤
n
⎢Ce 0 ⎢1 − α ⎥ ⎨k1 k2 Ce 0 ⎢ ⎜
n
⎥ ⎬⎥
f =⎢ ⎢⎣ ⎝ Ce 0 ⎠ ⎥⎦ ⎪ ⎣ m ⎝ Ce 0 ⎟⎠ ⎦ ⎪ ⎥ [7.11]
⎢ ⎩ ⎭⎥
⎣ 0 ⎦
To enter coefficients into COMSOL®, expand General Form PDE (g) and click
General Form PDE1. In the General Form PDE page, expand Conservative Flux
and enter each component in Γ ⎡⎣Γ Rs Γ Col ⎤⎦ from Equation [7.11] into the box as
shown in Figure 7.8. In Figure 7.8. Colx, Coly and Colz represent the gradient of Col .
Expand the Source Term, enter each component of vector f as shown in Figure 7.9.
In the Damping or Mass Coefficient, enter each component of matrix da as shown
in Figure 7.10 using the expressions from Equation [7.11].
Figure 7.8
122 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.9
Figure 7.10
Figure 7.11
Finite element analysis of biodegradation of polymeric medical devices 123
Figure 7.12
A-VIII Mesh
The Mesh features enable the discretisation of the geometry model into small units
of simple shapes, referred to as elements. In the Mesh page, from Sequence type
list, there are two mesh techniques, which are Physics-controlled mesh and User-
controlled mesh, respectively. In this FEM case, we choose Physics-controlled
mesh for simplicity. From Element size list, Coarser size is selected. Click Build All
( ) button in the left upper corner of Mesh page. Now we have a discretised (meshed)
model shown in Figure 7.13. In the Messages window, readers can find all kinds of
information regarding the current command. It displays the number of elements in the
current mesh, which is 2463 in this case, see Figure 7.14.
Figure 7.13
124 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.14
Figure 7.15
Figure 7.16
A-X Post-processing
The default distribution on slices at time 10 are displayed in the Graphics window.
In the Model Builder, right click Results>Data Sets, add a section plane by clicking
add Cut Plane ( ). In the Cut Plane page, enter the plane data as shown in
Figure 7.17. Click Plot button ( ) in the upper left corner of the Cut Plane page; a
section view which is highlight lighted in grey is displayed in the Graphics window,
see Figure 7.18. Right click Results node and add a 2D Plot Group. In the 2D Plot
Finite element analysis of biodegradation of polymeric medical devices 125
Figure 7.17
Figure 7.18
Group page, from Data set list select Cut Plane 1, and from the Time list, select 10.
Right click 2D Plot Group 2 ( ) and add a Surface ( ) node to it. Keep
the default settings, and then click Plot button ( ).Rs distribution on Cut Plane 1
is now displayed in the Graphics window as shown in Figure 7.19 (Plate II in the
colour section between pages 130 and 131). In order to plot an average M n over the
entire volume as a function of time, we need to define M n under Results>Derived
Values, and then click Integration>Volume Integration. In the Volume Integration
page, select the three-dimensional cube in the Graphics window and then click Add
to Selection button ( ) to add the cube into the selection list. In the Expression tab,
enter the expression of M n from Equation [7.6] as shown in Figure 7.20. Note that the
expression in Equation [7.6] needs to be divided by the whole volume of the domain
in order to get an averaged value. Click the Evaluate button ( ) to display all
integration values in the Results window under the Graphics window. Readers can
either copy these values to Clipboard for further analysis, or plot them directly in
COMSOL®. Click the Graph Plot button ( ) to plot these values as a function of
time and a plot is now displayed in the Graphics window shown in Figure 7.21.
126 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.19
Figure 7.20
Figure 7.21
are dependent on the numerical solver implemented. Given the fact that different
solvers may be used for different physical problems, it is not practical to provide a
convergence analysis scheme for each problem. A generic scheme is, however, given
here for readers to check the convergence of their own problem:
1. Select a mesh density d .
2. Select a time step Δt .
3. Solve the problem based on d and Δt , and obtain the solution, S .
4. Reduce Δt to Δt ′ and obtain another solution S ′.
5. Calculate ΔS S − S ′ and select a very small number ε.
6. If ΔS < ε, Δt Δt , S S and go to Step 7; else Δt = Δt Δt ′ , S = S ′ and go to Step 4;
(temporal convergence is achieved until this step).
7. Refine mesh by increasing d to d ′, and obtain another solution S ".
8. Calculate ΔS S − S ′′ and select a very small number ε ′.
9. If ΔS < ε ′, d d , S S and go to step 10; else d = d ′ , S = S ′′ and go to step 7; (spa-
tial convergence is achieved).
10. End
Using this scheme to analyse the mesh elements generated in this case using Coarser size
and the time step Δt , we found that they are both spatially and temporally converged.
0.7
0.6
0.5
0.4
0.2
Figure 7.22 Distribution of normalised average molecular weight over the cross-section of
the cube indicated by Figure 7.18 at (a) t = 3 weeks, (b) t = 5 weeks and (c) t = 7 weeks.
128 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Case B-I pore size = 650 μm Case B-II pore size = 100 μm Case B-III pore size = 650 μm
Porosity = 64.85% L = 0.6 mm Porosity = 64.85% L = 0.0923 mm Porosity = 89.59% L = 0.5 mm
Figure 7.23 Representative units of scaffolds of three different porosities.
Finite element analysis of biodegradation of polymeric medical devices 129
at the pore surface is set as Col = 0 . Other ‘surfaces’ of the representative unit are
actually local symmetry planes. It is assumed that the small molecules do not dif-
fuse across these planes.
B-III Mesh
In the Mesh page, select Physics-controlled mesh. From the Element size list,
Coarser size is selected. Readers can use the convergence analysis skills mastered
from Section 7.2.2, Step A-XI to check the convergence of the mesh. Click Build All
( ) button on the left upper corner of the Mesh page to activate the mesh.
130 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.24
Figure 7.25
Plate I (Chapter 1) A finite element model for a representative unit of a scaffold.
Plate II (Chapter 7) Screenshot from COMSOL®: RS distribution on Cut-plane 1 displayed
in the Graphics window.
0.8
(a) (b) (c)
0.7
0.6
0.5
0.4
0.2
Plate III (Chapter 7) Distribution of normalised average molecular weight over the cross-
section of the cube indicated by Fig. 7.5b at (a) t = 3 weeks, (b) t = 5 weeks and (c) t = 7
weeks.
Plate IV (Chapter 7) Screenshot from COMSOL®: Spatial distribution of M is shown at
week 10.
0.75
0.7
0.65
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Case C-I at t = 5 weeks Case C-II at t = 5 weeks
Plate VI (Chapter 7) Number average molecular weight distributions for two cases at week 5.
0.775
0.77
0.765
0.76
0.755
0.75
0.745
0.74
Cross section A-A: t = 5 weeks Cross section B-B: t = 5 weeks
Plate VII (Chapter 7) Number average molecular weight distributions for two sections at 5
weeks.
No deformation
within each
segment
Strain
Max
Min Max: 0.129
Min: 0.0750
Plate IX (Chapter 9) Figure adapted from the original publication with permission from the
publisher Elsevier and the author Wang2 via the Copyright Clearance Centre. A mathemat-
ical model for degradation of molecular weight was implemented in a FEA simulation for a
section of a biodegradable rod. The colour indicates normalised molecular weight part-way
through degradation. The molecular weight degraded more rapidly in the centre of the rod
than at the surface.
Crystal lamella
Applied
strain
Interlameller
amorphous region
Crystal lamella
O
H
O
(b)
O
Plate XI (Chapter 10) Repeat units representations (lumped units) in molecular models for
(a) PLA and (b) PGA.
(a)
5⇒2+3
(b)
5⇒4+1⇒4
Plate XII (Chapter 10) Schematic diagrams for (a) random chain scission and (b) end chain
scission implement methods.
Finite element analysis of biodegradation of polymeric medical devices 131
Figure 7.26
B-IV Calculation
Right click Study1>Compute to calculate the updated scaffold model. Default
display shown in the Graphics page is a sliced plot. Right click 3D Plot Group
1>Volume to add a volume display. Change the Expression in the Volume page to
the number-average molecular weight M n as shown in Figure 7.27. Spatial distribu-
tion of M n is shown in Figure 7.28 (Plate IV) at week 10. The coloured legend range
can be altered by expanding Range node in Volume page.
Figure 7.27
132 Modelling Degradation of Bioresorbable Polymeric Medical Devices
Figure 7.28
0.8
0.75
0.70
0.65
0.8
0.6
0.4
0.2
0
0 2 4 6 8 10
Time (weeks)
can slowly shift from the degrading polymer device to the healing bone in a bone
remodelling process which ensures a complete healing of the bone. A study car-
ried out by Wang et al.11 suggest a close relationship between the number-average
molecular weight and the Young’s modulus of a degradable polymer. In order to
design a biodegradable screw with the required mechanical demand, finite element
analysis of degradation performance is carried out in this section. More specifically,
we focus on the screw design with a hollow cavity inside serving as a material
delivery channel. The dimensions of screws used in a specific orthopaedic surgery
are determined based on the bone-fixation requirements. Those parameters of a
screw include the major diameter, the minor diameter, the length, and the pitch
angle. Apart from those, the only parameter that is allowed to change is the hol-
low cavity diameter. Two screw examples with the same dimension but different
diameters of cavities are illustrated in Figure 7.31. The dimensions of these screws
are: major diameter, 6 mm; minor diameter, 4.75 mm; length, 10 mm; pitch, 2 mm;
angle, 60o; and the diameter of the hollow cavity for Case C-I is 3 mm, while that
of Case C-II is 4 mm.
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Case C-I at t = 5 weeks Case C-II at t = 5 weeks
Figure 7.32 Number average molecular weight distributions for two cases at week 5.
0.8
0.6
0.4
0.2
0
0 2 4 6 8 10
Time (weeks)
Diameter = 2 mm
1 2
Internal diameter = 1.5 mm
A A
3 B B 5
X Z
the junction, respectively. It is clear that the core of the junction degrades faster than
the average rate of the device. If the junction fails, the stent will collapse and lose its
ability to function as a complete stent. It is therefore important to design the junctions
carefully, so that premature failure can be avoided.
138 Modelling Degradation of Bioresorbable Polymeric Medical Devices
0.775
0.77
0.765
0.775
0.76
0.75
0.745
0.74
Cross-section A-A: t = 5 weeks Cross-section B-B: t = 5 weeks
Figure 7.36 Number average molecular weight distributions for two sections at 5 weeks.
0.9
0.8
0.7
0.6
0.5
0 2 4 6 8 10
Time (weeks)
Mn of a point at the centre of a collumn
Mn of a point at the centre of a junction
Figure 7.37 Normalised surface integrated Mns as function of time for two cut planes.
Finite element analysis of biodegradation of polymeric medical devices 139
7.6 Conclusions
The biodegradation behaviour of four biodegradable devices – Case A: a simple 3D
cube; Case B: scaffolds for bone tissue engineering; Case C: fixation screws; and
Case D: the stent – are simulated computationally using a set of PDEs derived from
Chapter 6. These PDEs are then solved by FEM. In this chapter, we mainly focus
on implementations of these PDEs into COMSOL Multiphysics® for finite element
analyses. Step-by-step implementation routes for the first two cases are provided.
Similar processes are applied to Case C and Case D with different geometries and
boundary conditions. Readers are recommended to practise their modelling skills,
learnt from Case A and Case B, on Case C and Case D. Using the Postprocessing
feature provided by COMSOL®, readers can analyse the degradation behaviours, such
as the number-average molecular weights, as functions of time, on the whole domain,
at a specific section plane, or even at a point. Through those analyses, we find that
the biodegradable device design has close relation with corresponding biodegrada-
tion rate. Different geometry parameters are identified from the four cases that are
important design features. To choose an appropriate geometry parameter for a certain
medical device with desired degradation rate, similar finite element analysis needs to
be carried out. Please note, this chapter did not provide the simulations on mechani-
cal behaviours of each medical device during biodegradation, and this can be a future
work for readers.
Acknowledgement
COMSOL Multiphysics® software was used in all the finite element calculations
presented in this chapter with a licence number 1035154.
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