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Effect of phospholipidic boundary lubrication in rigid and compliant hemiarthroplasty models.

Hemiarthroplasty may benefit from materials which produce lower friction and improved boundary lubrication protection during start-up conditions. The purpose of this study was to evaluate the effect of phospholipidic boundary lubrication in both rigid and compliant hemiarthroplasty. An in vitro model was designed to dissociate the relative contribution of implant material compliance and the presence of phospholipid to the overall friction of a hemiarthroplasty contact using bovine articular cartilage. Normal bovine articular cartilage was articulated against four flat materials using reciprocating motion: (a) borosilicate glass: (b) borosilicate glass coated with dipalmitoylphosphatidylcholine (DPPC); (c) polyurethane (PU) elastomer (Tecoflex SG93A, a medical-grade aliphatic thermoplastic PU, Thermedics Incorporated. Woburn, Massachusetts); and (d) surface-coated PU (Tecoflex SG93A substrate coated with lipid-attracting copolymer poly[methacryloyloxyethyl phosphorylcholine (MPC)-co-butyl methacrylate (BMA)]. Tests were conducted in physiologically simulated tribological conditions for a non-conformal point contact. Friction and lubrication analysis was performed using both static and kinetic coefficients of friction mu measured for each group as a function of time for a sliding distance of up to 60 m. Results showed that the inclusion of supplemental phospholipid, DPPC, on a rigid substrate significantly decreased mu in comparison with the control (cartilage-glass). Additionally, removal of phospholipid components from the articular cartilage surface produced a significantly greater start-up mu in comparison with normal cartilage at the test onset. The use of a material with a lower modulus resulted in lower mu for the entire duration of the test. Polyurethane elastomer coated with the lipid-attracting copolymer, poly(MPC-co-BMA), resulted in the lowest frictional response. As seen in this study, the improvement of low-modulus hemiarthroplasty may involve the optimization of chemical modification and incorporation of lipid-attracting MPC copolymers onto compliant materials. However, further tests are warranted to determine whether lipid-attracting MPC copolymers perform as well during long-time, in vivo wear studies.

1,2-Dipalmitoylphosphatidylcholine↗

Type of motion and lubricant in wear simulation of polyethylene acetabular cup.

The wear of ultra-high molecular weight polyethylene, the most commonly used bearing material in prosthetic joints, is often substantial, posing a significant clinical problem. For a long time, there has been a need for simple but still realistic wear test devices for prosthetic joint materials. The wear factors produced by earlier reciprocating and unidirectionally rotating wear test devices for polyethylene are typically two orders of magnitude too low, both in water and in serum lubrication. Wear is negligible even under multidirectional motion in water. A twelve-station, circularly translating pin-on-disc (CTPOD) device and a modification of the established biaxial rocking motion hip joint simulator were built. With these simple and inexpensive devices, and with the established three-axis hip joint simulator, realistic wear simulation was achieved. This was due to serum lubrication and to the fact that the direction of sliding constantly changed relative to the polyethylene specimen. The type and magnitude of load was found to be less important. The CTPOD tests showed that the subsurface brittle region, which results from gamma irradiation sterilization of polyethylene in air, has poor wear resistance. Phospholipid and soy protein lubrication resulted in unrealistic wear. The introduction of devices like CTPOD may boost wear studies, rendering them feasible without heavy investment.

1,2-Dipalmitoylphosphatidylcholine↗

Friction and lubrication in cushion form bearings for artificial hip joints.

Two hip joint prostheses were designed and constructed to be elastohydrodynamically equivalent producing approximately equal initial contact areas and theoretical film thicknesses. One was made from conventional UHMWPE (ultra-high molecular weight polyethylene) and the other was a cushion component which had a low modulus layer introduced into the joint space. Friction measurements were carried out on a pendulum simulator apparatus and the two joints were compared. In addition the experimental results were compared with theoretical values of friction predicted from elastohydrodynamic lubrication theory. Values for the friction factor at peak load and peak velocity in the cushion cup (0.003-0.009) were much lower than in the UHMWPE cup (0.017-0.042). The low friction values in the cushion cup are consistent with fluid film lubrication in the contact with the thin lubricating film being preserved by microelastohydrodynamic action.

Friction↗

Adsorption, lubrication, and wear of lubricin on model surfaces: polymer brush-like behavior of a glycoprotein.

Using a surface force apparatus, we have measured the normal and friction forces between layers of the human glycoprotein lubricin, the major boundary lubricant in articular joints, adsorbed from buffered saline solution on various hydrophilic and hydrophobic surfaces: i), negatively charged mica, ii), positively charged poly-lysine and aminothiol, and iii), hydrophobic alkanethiol monolayers. On all these surfaces lubricin forms dense adsorbed layers of thickness 60-100 nm. The normal force between two surfaces is always repulsive and resembles the steric entropic force measured between layers of end-grafted polymer brushes. This is the microscopic mechanism behind the antiadhesive properties showed by lubricin in clinical tests. For pressures up to approximately 6 atm, lubricin lubricates hydrophilic surfaces, in particular negatively charged mica (friction coefficient mu = 0.02-0.04), much better than hydrophobic surfaces (mu > 0.3). At higher pressures, the friction coefficient is higher (mu > 0.2) for all surfaces considered and the lubricin layers rearrange under shear. However, the glycoprotein still protects the underlying substrate from damage up to much higher pressures. These results support recent suggestions that boundary lubrication and wear protection in articular joints are due to the presence of a biological polyelectrolyte on the cartilage surfaces.

Aluminum Silicates↗

Coefficient of friction of ocular surface lubricants for laser in situ keratomileusis.

PURPOSE: The coefficient of friction was empirically derived for a series of commercially available ophthalmic lubricants having potential use during laser in situ keratomileusis (LASIK). METHODS: Measurements were obtained using a modified tensile testing machine. Solutions tested included the artificial tear supplements Polytears-free, Bion Tears, Genteal, Refresh, Cellufresh, Celluvisc, Theratears, and Viscotears gel; and balanced salt solution (BSS). RESULTS: Viscotears carbomer gel had a significantly lower mean coefficient of friction compared to other ophthalmic lubricants tested (P=.002) and the dry plate (P=.005). Addition of 0.1 ml of BSS to 0.025 ml of Celluvisc significantly reduced the coefficent of friction of Celluvisc (P=.01). Polytears, Bion Tears, Genteal, Refresh, Celluvisc, Theratears, and BSS had coefficients of friction significantly higher than that of the dry plate. CONCLUSION: A range of values were obtained for the coefficient of the ophthalmic lubricants tested. Viscotears gel (0.1 ml), and Celluvisc (0.025 ml) + BSS (0.1 ml) had coefficients of friction significantly lower than that of the dry plate.

Friction↗

The effect of lubricant eye drops on ocular wavefront aberrations.

PURPOSE: To study the effect of lubricant eye drop instillation on ocular wavefront aberrations. METHODS: The wavefront aberrations of the entire optical path of 30 eyes of 15 patients before and following instillation of lubricant eye drops (Bion Tears; Alcon Laboratories Inc, Ft Worth, Tex) were obtained over a 6-mm pupil using a Hartmann-Shack wavefront sensor (WaveScan; VISX Inc, Santa Clara, Calif). Additional computation of root-mean-square (RMS) errors of higher order aberrations from third to sixth order were done using Zernike Tool Software (VISX Inc). Main outcome measures include the mean changes of total higher order aberrations RMS, higher order aberrations, and point spread function (PSF) of the higher order aberrations. RESULTS: The mean changes of total higher order aberrations following instillation of lubricant eye drops on the right eyes were -0.07 microm (95% confidence interval [CI], -0.11 to -0.03) and -0.03 microm on the left eyes (95% CI, -0.07 to 0.01). Significant mean changes were noted for coma and trefoil aberrations with a magnitude of -0.08 microm (95% CI, -0.12 to -0.03) and -0.09 (95% CI, -0.13 to -0.05), respectively, as well as a mean change of the PSF of the higher order aberrations (-0.05 diopters, 95% CI, -0.08 to -0.02) on the right eyes. Although no significant changes in these parameters were demonstrated on the left eyes, a similar trend of changes was observed. CONCLUSIONS: Ocular wavefront aberrations may change following eye drop instillation as measured objectively by the WaveScan system. This effect should be taken into consideration in the assessment of patients for wavefront-guided laser vision correction procedures.

Adult↗

Effects of handpiece lubrication on resin-based composite bond strength to enamel.

PURPOSE: To evaluate the effects of handpiece lubrication on the bond strengths of resin-based composite (RBC) to enamel using two different bonding systems. MATERIALS AND METHODS: Sixty extracted noncarious human maxillary incisors were imbedded in acrylic resin tray material with the facial surfaces exposed. 320 grit sandpaper was used to create a flat surface of enamel. The embedded teeth were randomly divided into two bonding systems groups: half used All-Bond 2 and half used OpiBond FL. Within these two groups the teeth were again randomly divided into three subgroups: Dry: 10 teeth prepared with a sterilized unlubricated handpiece; Lube & Run: 10 teeth prepared with a handpiece that was lubricated and run for 30 seconds prior to use; Lube: 10 teeth prepared with a handpiece that was lubricated and not run prior to its use. The enamel was prepared by lightly roughening with a medium grit diamond in the respective handpieces. The preparations were etched for 15 s with 32% phosphoric acid, rinsed with water for 5 s, and dried with compressed air for 5 s. Either bond system was applied and light-cured. A hybrid RBC was placed and light-cured for 60 s. The teeth were stored in water at 37 degrees C 1 week. Shear bond strengths were measured and the collected data subjected to an ANOVA followed by a Tukey's and Bonferroni t-test were performed. RESULTS: The Dry group and the Lube & Run group had stronger mean shear strengths than did the Lube group. The difference between the mean shear strengths for the Dry group and the Lube & Run group was not statistically significant (P < 0.05). A significant difference was found between the Dry group and the Lube group and between the Lube & Run group and the Lube group (P < 0.05). The mean shear strength for All-Bond 2 was higher than for OptiBond FL (P = 0.0054).

Analysis of Variance↗

The in vitro and in vivo effects of a surgical lubricant on the recovery of gonococci from the endocervical canal.

A surgical lubricant containing phenylmercuric borate, tested in vitro, was shown to alter the recovery of the gonococcus. In vivo studies of 150 patients, 60 (40%) of whom were infected with Neisseria gonorrhoeae, were performed to determine if examination with the surgical lubricant, as compared to tap water, altered the ability to recover N. gonorrhoeae from the cervix. Results indicated that although the surgical lubricant containing phenylmercuric borate was bacteriostatic in vitro, it did not alter the recovery of N. gonorrhoese from infected patients.

Adolescent↗

Determination of zinc (II) in lubricant oils by stripping chronopotentiometry.

A method for the determination of zinc (II) in lubricant oils by stripping chronopotentiometry is described. The only necessary sample pretreatment was the extraction of zinc (II) from the corresponding alkyl derivatives by hot concentrated hydrochloric acid in a suitable extractor. The metal ions were concentrated as the corresponding metals on a glassy carbon working electrode and then stripped by a suitable oxidant. Quantitative analysis was carried out by the method of standard additions; a good linearity was obtained in the range of concentrations examined. Recoveries of 94% were obtained from a lubricant oil spiked at different levels. The detection limit was 0.02 mg g(-1) and the coefficient of variation (mean of nine determinations) was 5.2%. Results obtained on commercial lubricant oils were not significantly different from those obtained by atomic absorption spectrometry.

Lubrication↗

Tribological behavior of artificial hip joint under the effects of magnetic field in dry and lubricated sliding.

In recent years, there is an increasing utilization and demand to use magnetic fields in bioengineering applications due to its beneficial effects. Although in the last decade more attention has been given by tribologists to the electromagnetic processes taking place between sliding surfaces, which influence the tribological behaviors, but no attention has been concern with the sliding surfaces of the artificial implant joints. Therefore, the present work aims to elucidate the tribological behavior of an artificial joint implant under the effect of magnetic fields. Experimental investigation was carried out on a specially designed and constructed hip simulator on which the variations in the coefficients of friction and wear rates of the sliding surfaces were evaluated under the influence of a medium strength magnetic field suitable to apply in the human body. A realistic Ti-alloy implanted stem was used with an inserted head made from surgical grade stainless steel. This head was allowed to rub against UHMWPE sockets. The utilized type of prosthesis was "The JRI Modular Muller Standard-Total Hip Design". The performed experimental tests were conducted under both dry and lubricated sliding conditions using physiological saline solution. The designed simulator allows the coefficients of friction and the wear rates to be evaluated under realistic physiological loading and motion cycles encountered during normal walking of the human body. Comparative results are presented between the artificial joint performance in the presence and absence of the applied magnetic field. The experimental results have indicated that the presence of a medium strength magnetic field of 270 Gauss strength between rubbing surfaces resulted in high beneficial reductions in friction and wear rate of UHMWPE sliding on stainless steel either under dry or saline lubricating conditions. Therefore recommendation was forward to subject artificial implants made of stainless steel/UHMWPE combination of material to such medium strength magnetic field in animal clinical trials aiming to prolong the implant life. Scanning investigation of rubbing surfaces has revealed that the transfer of polymer to the counterface plays a dominant role in dictating the frictional and wear behaviors under dry sliding condition. Smooth molecular profile of the polymer-transferred leads to progressive reductions in friction and wear while the lumpy polymer transfer, formed at the beginning of sliding, increases both friction coefficient and wear. Two action mechanisms dominate the sliding process; adhesive and abrasive mechanisms. The presence of saline lubricant retards the formation of the beneficial polymer transfer thus leading to faster abrasion of the polymeric counterface which explains the relatively rapid and progressive increases in friction and wear.

Biocompatible Materials↗

The lubricative function of artificial joint material surfaces by confocal laser scanning microscopy. Comparison with natural synovial joint surface.

The purpose of this study was to observe and compare the effect of the behavior of different lubricating surfaces, including articular cartilage and several artificial joint materials, under the physiological loading by confocal laser scanning microscopy (CLSM) to clarify the mechanism of lubrication in natural joints and subsequently improve the quality of artificial joints. In our experiment, even with considerable loading, natural articular cartilage exhibited a synovial fluid area and an area of direct and solid contact. In the region between these two areas, a liquid crystal layer was observed. On the other hand, the materials used for artificial joints (metal and polyethylene, which are now in use, and polyvinyl alcohol-hydrogel polymer which is being developed), did not exhibit neither a clear fluid pool area nor the intermediary area with liquid crystal formation. These results suggest that natural articular cartilage surface has a particular characteristic which builds up a synovial pooling area and liquid crystal formation in the third area by interaction with macromolecules in synovial fluid under the loading condition. These characteristics give natural articular cartilage its excellent lubricative function. To improve the quality of artificial joints, the characteristics of the implant material surface and the synovial macromolecules must be considered.

Animals↗

Investigation of some materials as dry binders for direct compression in tablet manufacture. Part 5: Effects of lubricants and flow conditions.

The effect of talc, magnesium stearate, stearic acid, and Acrawax C, which are commonly used as lubricants, on the dry-binding efficiency of tragacanth, polyethylene glycol 4000, polyvinylpyrrolidone, and mannitol were investigated. The effect of Aerosil which is sometimes utilized as a flow conditioner for directly compressible powder blends was also studied. The type and concentration of lubricant or flow conditioner appeared to influence the binding efficiency of the binders investigated to various degrees. The results showed that the bonding characteristics of all the binders tested except mannitol were reduced by the addition of the lubricants and the flow conditioner.

Chemistry, Pharmaceutical↗

Release and lubricating properties of amniotic surfactants and the very hydrophobic surfaces of the amnion, chorion, and their interface.

Surface hydrophobicity of 17 fresh human chorioamniotic membranes was measured as the contact angle (theta) subtended when a drop of saline is placed upon any non-wettable surface. The contact angle averaged 75.5 +/- 4.2 degrees and 76.8 +/- 5.6 degrees on the epithelial surfaces of the amnion and chorion, respectively. The interface proved to be particularly hydrophobic, averaging 108.2 +/- 8.7 degrees on the amnionic side and 121.7 +/- 4.2 degrees on the chorionic side, especially when compared with 108 degrees for Teflon. High surface hydrophobicity implies good boundary (solid-to-solid) lubrication, good release from neighboring tissues, and water repellency, which is a possible factor enabling the chorioamniotic membrane to retain amniotic fluid. Good release (68 to 71%) and boundary lubrication (coefficient of kinetic friction = 0.24 +/- 0.072) were obtained from oriented monolayers of the phospholipid extracted from samples of human amniotic fluid obtained from term patients by amniocentesis. These results support the concept that the amnionic and chorionic membrane surfaces exhibit good release and boundary lubrication probably imparted by adsorbed surfactant.

Amnion↗

[Toxic substances from the use of coolant lubricants].

The results from gas-mass analysis of the mixture of products from evaporation and volatile products from thermo-oxidizing destruction, eliminated at using lubricating-condensing devices point out, that the evaluation of the toxico-chemical factor concerning only the lubricated aerosol contact is extremely insufficient. The presence of hydrocarbons of different homologs, oxygen and nitrogen derivatives of hydrocarbons has to be taken into consideration. For correct characterization of the conditions of work and risk for the workers of these productions, creating conditions for destructive processes with lubricating oils, is necessary a standardization of the leading components of the vapour-gas phase in the air of the working environment.

Air Pollutants, Occupational↗

Moisture chamber versus lubrication for the prevention of corneal epithelial breakdown.

BACKGROUND: Patients who are comatose or semicomatose are at risk of corneal dryness and ulceration. OBJECTIVE: To compare and evaluate the effectiveness of two treatments used for the prevention of corneal epithelial breakdown in critically ill patients. METHODS: A randomized clinical trial was used. The sample consisted of critically ill patients (age, 15-84 years) with a limited or absent blink reflex in a 14-bed general intensive care unit in a large metropolitan teaching hospital. Ninety-six eligible patients were studied; of these, 36 were excluded and data from the remaining 60 patients were analyzed. Patients were randomized to receive methylcellulose lubricating drops every 2 hours (n = 30) or to have their eyes covered with a polyethylene film to create a moisture chamber (n = 30). The patients' corneas were tested daily for epithelial breakdown using fluorescein drops. Patients were studied for a minimum of 48 hours and a maximum of 1 week. RESULTS: Eight of the 30 patients in the lubricating drop group had positive fluorescein staining, compared with one in the moisture chamber group. CONCLUSION: Our results suggest that a moisture chamber is more effective than lubricating drops in preventing corneal epithelial breakdown in critically ill patients with limited or absent blink reflex.

Adolescent↗

Effect of shear mixing on in vitro drug release of capsule formulations containing lubricants.

The influence of shear mixing on the in vitro dissolution properties of several experimental capsule formulations containing lubricants was investigated. The studies were carried out in 2.8-liter laboratory V-blender equipped with a high-speed intensifier bar, using nitrofurantoin and procainamide hydrochloride as active drugs, powdered lactose and starch as excipients, and magnesium stearate and magnesium lauryl sulfate as lubricants. These studies revealed a pronounced inhibitory effect on drug dissolution due to shear in powder mixtures containing magnesium stearate; even at the maximum lubricant level of only 2%, high mixing markedly altered the in vitro dissolution rate. In systems with magnesium lauryl sulfate, the shear effect was less pronounced (nitrofurantoin blends) or absent (procainamide hydrochloride blends). The poor dissolution characteristics noted with magnesium stearate--shear combinations seem to result from the formation of a hydrophobic film around the powder mass, preventing wetting and deaggregation.

Capsules↗

Controlled release of a model antibacterial drug from a novel self-lubricating silicone biomaterial.

There is considerable interest in developing medical devices that provide controlled delivery of biologically active agents, for example, to reduce the incidence of device-related infection. Silicone elastomers are one of the commonest biomaterials used in medical device production. However, they have a relatively high coefficient of friction and the resulting lack of lubricity can cause pain and tissue damage on device insertion and removal. Novel silicone cross-linking agents have recently been reported that produce inherently 'self-lubricating' silicone elastomers with very low coefficients of friction. In this study, the model antibacterial drug metronidazole has been incorporated into these self-lubricating silicone elastomers to produce a novel bioactive biomaterial. The in vitro release characteristics of the bioactive component were evaluated as a function of cross-linker composition and drug loading. Although conventional matrix-type release kinetics were observed for metronidazole from the silicone systems, it was also observed that increasing the concentration of the cross-linking agent responsible for the lubricious character (tetra(oleyloxy)silane) relative to that of the standard non-lubricious cross-linking agent (tetrapropoxysilane) produced an increase in the metronidazole flux rate by up to 65% for a specified drug loading. The results highlight the potential for developing lubricious silicone medical devices with enhanced drug release characteristics.

Anti-Bacterial Agents↗

Identification of polydimethylsiloxane lubricant traces from latex condoms in cases of sexual assault.

A polydimethylsiloxane (PDMS) liquid is used as a lubricant by many condom manufacturers. Because the use of condoms in sex crimes is likely to increase, a protocol was developed that could extract PDMS and the spermicide nonoxynol-9 from evidence items and separately identify them by Fourier transform infrared spectroscopy. Additionally, at least some discrimination was provided by microscopically identifying insoluble lubricants such as corn starch, lycopodium, silica, and talc which are added to some brands. Desorption chemical ionization mass spectrometry was used to compare the PDMS used by different manufacturers and to detect as little as 20 ng. The protocol was successfully used in two actual cases, one in which the assailant wore a lubricated condom, and a second in which he did not, but claimed to have done so.

Adolescent↗