This article discusses the physical metallurgy of cast cobalt alloys with an emphasis on the crystallography, compositions, phases and microstructure, and properties. Cobalt alloys are cast by several different foundry methods. The article describes the argon-oxygen decarburization and continuous casting process. It provides information on castability and quality of the casted alloys. The article details the postcasting treatment, including heat treatment, hot isostatic pressing, and coatings. It summarizes the applications of cast cobalt alloys.

Polymeric materials that possess similar solubility parameters can be joined using a variety of polymer joining techniques. This article describes commonly available fusion-welding techniques such as joining methods, key joining parameters, and the application areas of each joining method. The techniques are hot-tool, hot-gas, extrusion, focused infrared, laser, friction, vibration, spin, ultrasonic, and electromagnetic welding techniques (resistance, induction, dielectric, and microwave welding). The article concludes with a discussion on welding evaluation methods.

Microjoining methods are commonly used to fabricate medical components and devices. This article describes key challenges involved during microjoining of medical device components. The primary mechanisms used in microjoining for medical device applications include microresistance spot welding (MRSW) and laser welding. The article illustrates the fundamental principles involved in MRSW and laser welding. The article presents examples of various microjoining methods used in medical device applications, including pacemaker and nitinol microscopic forceps.

The structural efficiency of a composite structure is established by its joints and assembly. Adhesive bonding, mechanical fastening, and fusion bonding are three types of joining methods for polymer-matrix composites. This article provides information on surface treatment and the applications of adhesive bonding. It discusses the types of adhesives, namely, epoxy adhesives, epoxy-phenolic adhesives, condensation-reaction PI adhesives, addition-reaction PI adhesives, bismaleimide adhesives, and structural adhesives. The article provides information on fastener selection considerations, including corrosion compatibility, fastener materials and strength, head configurations, importance of clamp-up, interference fit fasteners, lightning strike protection, blind fastening, and sensitivity to hole quality. Types of fusion bonding are presented, namely, thermal welding, friction welding, electromagnetic welding, and polymer-coated material welding.

Although stainless steel is naturally passivated by exposure to air and other oxidizers, additional surface treatments are needed to prevent corrosion. Passivation, pickling, electropolishing, and mechanical cleaning are important surface treatments for the successful performance of stainless steel. This article describes the surface treatment of stainless steels including abrasive blast cleaning, acid pickling, salt bath descaling, passivation treatments, electropolishing, and the necessary coating processes involved. It also describes the surface treatment of heat-resistant alloys including metallic contaminant removal, tarnish removal, oxide and scale removal, finishing, and coating processes.

Surface modification is the alteration of the surface composition or structure using energy or particle beams. This article discusses two different surface modification methods. The first, ion implantation, is the introduction of ionized species into the substrate using kilovolt to megavolt ion accelerating potentials. The second method, laser processing, is high-power laser melting with or without mixing of materials precoated on the substrate, followed by rapid melt quenching. The article also describes the advantages and disadvantages of the surface modification approach to promote corrosion resistance.

This article focuses on the analysis of materials and mechanical- (or biomechanical-) based medical device failures. It reviews the failure analysis practices, including evidence receipt, cleaning, nondestructive examination, destructive examination, exemplars analysis, and device redesign. The article examines the common failure modes, such as overload, fatigue, corrosion, hydrogen embrittlement, and fretting, of medical devices. The failure analysis of orthopedic implants, such as permanent prostheses and internal fixation devices, is described. The article reviews the failure mechanisms in some of the more common medical device materials, namely, stainless steels, titanium alloys, cobalt-base alloys, and nitinol. It presents case histories with examples for failure analysis.

Biomaterials are the man-made metallic, ceramic, and polymeric materials used for intracorporeal applications in the human body. This article primarily focuses on metallic materials. It provides information on basic metallurgy, biocompatibility, chemistry, and the orthopedic and dental applications of metallic biomaterials. A table compares the mechanical properties of some common implant materials with those of bone. The article also provides information on coatings, ceramics, polymers, composites, cements, and adhesives, especially where they interact with metallic materials.

This article is an atlas of fractographs that helps in understanding the causes and mechanisms of fracture of austenitic stainless steels and in identifying and interpreting the morphology of fracture surfaces. The fractographs illustrate the following: fatigue-crack fracture, rock candy fracture, cleavage fracture, brittle fracture, high-cycle fatigue fracture, fatigue striations, hydrogen-embrittlement failure, creep crack propagation, fatigue crack nucleation, intergranular creep fracture, torsional overload fracture, stress-corrosion cracking, and grain-boundary damage of these steels. The austenitic stainless steel components include spring wires, preheater-reactor slurry transfer lines and gas lines of coal-liquefaction pilot plants, oil feed tubes and suction couch rolls of paper machines, cortical screws and compression hip screws of orthopedic implants, and Jewett nails.

This article reviews cleaning and finishing operations that have proven to be effective on titanium, its alloys, and semi-fabricated titanium products. It explains how to remove scale, tarnish films, grease, and other soils and how to achieve required finishes and/or improve wear and oxidation resistance through the use of polishing, buffing, and wire brushing operations. The article also covers a wide range of surface modification and coating processes, including ion implantation, diffusion, chemical and physical vapor deposition, plating, anodizing, and chemical conversion coatings as well as sprayed and sol-gel coatings and laser and electron-beam treatments.

Stainless steels are used for medical implants and surgical tools due to the excellent combination of properties, such as cost, strength, corrosion resistance, and ease of cleaning. This article describes the classifications of stainless steels, such as austenitic stainless steels, martensitic stainless steels, ferritic stainless steels, precipitation-hardening stainless steels, and duplex stainless steels. It contains a table that lists common medical device applications for stainless steels. The article discusses the physical metallurgy and physical and mechanical properties of stainless steels. Medical device considerations for stainless steels, such as fatigue strength, corrosion resistance, and passivation techniques, are reviewed. The article explains the process features of implant-grade stainless steels, including type 316L, type 316LVM, nitrogen-strengthened, ASTM F1314, ASTM F1586, ASTM F2229, and ASTM F2581 stainless steels.

Bearing in mind the three-legged stool approach of device design/manufacturing, patient factors, and surgical technique, this article aims to inform the failure analyst of the metallurgical and materials engineering aspects of a medical device failure investigation. It focuses on the device "failures" that include fracture, wear, and corrosion. The article first discusses failure modes of long-term orthopedic and cardiovascular implants. The article then focuses on short-term implants, typically bone screws and plates. Lastly, failure modes of surgical tools are discussed. The conclusion of this article presents several case studies illustrating the various failure modes discussed throughout.

This article focuses on the directed-energy deposition (DED) additive manufacturing (AM) technique of biomedical alloys. First, it provides an overview of the DED process. This is followed by a section describing the design and development of the multiphysics computational modeling of the layer-by-layer fusion-based DED process. A brief overview of the primary governing equations, boundary conditions, and numerical methods prescribed for modeling laser-based metal AM is then presented. Next, the article discusses fundamental concepts related to laser surface melting and laser-assisted bioceramic coatings/composites on implant surfaces, with particular examples related to biomedical magnesium and titanium alloys. It then provides a review of the processes involved in DED of biomedical stainless steels, Co-Cr-Mo alloys, and biomedical titanium alloys. Further, the article covers novel applications of DED for titanium-base biomedical implants. It concludes with a section on the forecast of DED in biomedical applications.

Surface treatments are used in a variety of ways to improve the material properties of a component. This article provides information on surface treatments that improve service performance so that the design engineer may consider surface-engineered components as an alternative to more costly materials. It describes solidification surface treatments such as hot dip coatings, weld overlays, and thermal spray coatings. The article discusses deposition surface treatments such as electrochemical plating, chemical vapor deposition, and physical vapor deposition processes. It explains surface hardening and diffusion coatings such as carburizing, nitriding, and carbonitriding. The article also tabulates typical characteristics of carburizing, nitriding, and carbonitriding diffusion treatments.

Metallic alloys that are typically used for medical purposes include stainless steels, Ti-6Al-4V, and Co-Cr-Mo. This article discusses the relative merits of each of these alloys. The utilization of stainless steels in the biomedical industry, especially in relation to the additive manufacturing (AM) process, is the main focus of this article. The characteristics of various stainless steels are described subsequently, and the categories that are of relevance to the biomedical industry are identified. The types of stainless steels covered are austenitic, ferritic, martensitic, duplex, and precipitation-hardened stainless steels. The article discusses the potential benefits of AM for biomedical devices. It describes the types of AM processes for stainless steels, namely binder jet, directed-energy deposition, and laser powder-bed fusion. The article reviews the AM of austenitic, martensitic, and PH stainless steels for biomedical applications. In addition, the challenges and obstacles to the clinical use of AM parts are covered.