Evidence map›Paper›PMID 35049719›Full record

ArticleBioengineering (Basel, Switzerland)2021

Predicting Corrosion Delamination Failure in Active Implantable Medical Devices: Analytical Model and Validation Strategy.

Adrian Onken, Helmut Schütte, Anika Wulff, Heidi Lenz-Strauch, Michaela Kreienmeyer, Sabine Hild, Thomas Stieglitz, Stefan Gassmann, Thomas Lenarz, Theodor Doll

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Adrian OnkenDepartment of Engineering, Jade University of Applied Sciences, 26382 Wilhelmshaven, Germany.
Helmut SchütteDepartment of Engineering, Jade University of Applied Sciences, 26382 Wilhelmshaven, Germany.
Anika WulffDepartment of Otolaryngology, Hannover Medical School MHH, 30625 Hannover, Germany.
Heidi Lenz-StrauchDepartment of Engineering, Jade University of Applied Sciences, 26382 Wilhelmshaven, Germany.
Michaela KreienmeyerDepartment of Otolaryngology, Hannover Medical School MHH, 30625 Hannover, Germany.
Sabine HildInstitute of Polymer Chemistry, Johannes Kepler University, 4010 Linz, Austria.ORCID 0000-0001-6099-1924
Thomas StieglitzDepartment of Microsystems Engineering-IMTEK, University of Freiburg, 79110 Freiburg, Germany.ORCID 0000-0002-7349-4254
Stefan GassmannDepartment of Engineering, Jade University of Applied Sciences, 26382 Wilhelmshaven, Germany.
Thomas LenarzDepartment of Otolaryngology, Hannover Medical School MHH, 30625 Hannover, Germany.ORCID 0000-0002-9307-5989
Theodor DollDepartment of Engineering, Jade University of Applied Sciences, 26382 Wilhelmshaven, Germany.

Funding

European Commission : 814654 - MDOT - H2020-NMBP-TO-IND-2018-2020
6 · The paper itself

Abstract

The ingress of body fluids or their constituents is one of the main causes of failure of active implantable medical devices (AIMDs). Progressive delamination takes its origin at the junctions where exposed electrodes and conductive pathways enter the implant interior. The description of this interface is considered challenging because electrochemically-diffusively coupled processes are involved. Furthermore, standard tests and specimens, with clearly defined 3-phase boundaries (body fluid-metal-polymer), are lacking. We focus on polymers as substrate and encapsulation and present a simple method to fabricate reliable test specimens with defined boundaries. By using silicone rubber as standard material in active implant encapsulation in combination with a metal surface, a corrosion-triggered delamination process was observed that can be universalised towards typical AIMD electrode materials. Copper was used instead of medical grade platinum since surface energies are comparable but corrosion occurs faster. The finding is that two processes are superimposed there: First, diffusion-limited chemical reactions at interfaces that undermine the layer adhesion. The second process is the influx of ions and body fluid components that leave the aqueous phase and migrate through the rubber to internal interfaces. The latter observation is new for active implants. Our mathematical description with a Stefan-model coupled to volume diffusion reproduces the experimental data in good agreement and lends itself to further generalisation.

Indexed as

AIMDbody fluidscorrosion-triggered delaminationmoving boundary diffusionPDMS

Identifiers

PMID35049719
PMCPMC8773110

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.