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3D-printed PLA medical devices: physicochemical changes and biological response after sterilisation treatments

dc.contributor.authorPérez-Davila, Sara
dc.contributor.authorGonzález-Rodríguez, Laura
dc.contributor.authorLama, Raquel
dc.contributor.authorLópez-Álvarez, Miriam
dc.contributor.authorOliveira, Ana Leite
dc.contributor.authorSerra, Julia
dc.contributor.authorNovoa, Beatriz
dc.contributor.authorFigueras, Antonio
dc.contributor.authorGonzález, Pío
dc.date.accessioned2022-10-25T14:08:02Z
dc.date.available2022-10-25T14:08:02Z
dc.date.issued2022-10-01
dc.description.abstractPolylactic acid (PLA) has become one of the most commonly used polymers in medical devices given its biocompatible, biodegradable and bioabsorbable properties. In addition, due to PLA’s thermoplastic behaviour, these medical devices are now obtained using 3D printing technologies. Once obtained, the 3D-printed PLA devices undergo different sterilisation procedures, which are essential to prevent infections. This work was an in-depth study of the physicochemical changes caused by novel and conventional sterilisation techniques on 3D-printed PLA and their impact on the biological response in terms of toxicity. The 3D-printed PLA physicochemical (XPS, FTIR, DSC, XRD) and mechanical properties as well as the hydrophilic degree were evaluated after sterilisation using saturated steam (SS), low temperature steam with formaldehyde (LTSF), gamma irradiation (GR), hydrogen peroxide gas plasma (HPGP) and CO2 under critical conditions (SCCO). The biological response was tested in vitro (fibroblasts NCTC-929) and in vivo (embryos and larvae wild-type zebrafish Danio rerio). The results indicated that after GR sterilisation, PLA preserved the O:C ratio and the semi-crystalline structure. Significant changes in the polymer surface were found after HPGP, LTSF and SS sterilisations, with a decrease in the O:C ratio. Moreover, the FTIR, DSC and XRD analysis revealed PLA crystallisation after SS sterilisation, with a 52.9% increase in the crystallinity index. This structural change was also reflected in the mechanical properties and wettability. An increase in crystallinity was also observed after SCCO and LTSF sterilisations, although to a lesser extent. Despite these changes, the biological evaluation revealed that none of the techniques were shown to promote the release of toxic compounds or PLA modifications with toxicity effects. GR sterilisation was concluded as the least reactive technique with good perspectives in the biological response, not only at the level of toxicity but at all levels, since the 3D-printed PLA remained almost unaltered.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/polym14194117pt_PT
dc.identifier.eid85139954555
dc.identifier.issn2073-4360
dc.identifier.pmcPMC9572917
dc.identifier.pmid36236066
dc.identifier.urihttp://hdl.handle.net/10400.14/39172
dc.identifier.wos000867174800001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subject3D printingpt_PT
dc.subjectBiological responsept_PT
dc.subjectMedical devicespt_PT
dc.subjectPhysicochemical changespt_PT
dc.subjectPolylactic acid (PLA)pt_PT
dc.subjectSterilisationpt_PT
dc.subjectZebrafish modelpt_PT
dc.title3D-printed PLA medical devices: physicochemical changes and biological response after sterilisation treatmentspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue19pt_PT
oaire.citation.titlePolymerspt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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