ASTM F1717-2018 Standard Test Methods for Spinal Implant Constructs in a Vertebrectomy Model.pdf

1、Designation: F1717 18Standard Test Methods forSpinal Implant Constructs in a Vertebrectomy Model1This standard is issued under the fixed designation F1717; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision, the year of last revision.

2、A number in parentheses indicates the year of last reapproval. Asuperscript epsilon () indicates an editorial change since the last revision or reapproval.1. Scope1.1 These test methods cover the materials and methods forthe static and fatigue testing of spinal implant assemblies in avertebrectomy m

3、odel.The test materials for most combinationsof spinal implant components can be specific, depending on theintended spinal location and intended method of application tothe spine.1.2 These test methods are intended to provide a basis forthe mechanical comparison among past, present, and futurespinal

4、 implant assemblies. They allow comparison of spinalimplant constructs with different intended spinal locations andmethods of application to the spine. These test methods are notintended to define levels of performance, since sufficientknowledge is not available to predict the consequences of theuse

5、 of a particular device.1.3 These test methods set out guidelines for load types andmethods of applying loads. Methods for three static load typesand one fatigue test are defined for the comparative evaluationof spinal implant assemblies.1.4 These test methods establish guidelines for measuringdispl

6、acements, determining the yield load, and evaluating thestiffness and strength of the spinal implant assembly.1.5 Some spinal constructs may not be testable in all testconfigurations.1.6 The values stated in SI units are to be regarded asstandard. No other units of measurement are included in thisst

7、andard.1.7 This standard does not purport to address all of thesafety concerns, if any, associated with its use. It is theresponsibility of the user of this standard to establish appro-priate safety, health, and environmental practices and deter-mine the applicability of regulatory limitations prior

8、 to use.1.8 This international standard was developed in accor-dance with internationally recognized principles on standard-ization established in the Decision on Principles for theDevelopment of International Standards, Guides and Recom-mendations issued by the World Trade Organization TechnicalBar

9、riers to Trade (TBT) Committee.2. Referenced Documents2.1 ASTM Standards:2D638 Test Method for Tensile Properties of PlasticsE4 Practices for Force Verification of Testing MachinesE6 Terminology Relating to Methods of Mechanical TestingE177 Practice for Use of the Terms Precision and Bias inASTM Tes

10、t MethodsE691 Practice for Conducting an Interlaboratory Study toDetermine the Precision of a Test MethodE739 Practice for StatisticalAnalysis of Linear or LinearizedStress-Life (S-N) and Strain-Life (-N) Fatigue DataE1150 Definitions of Terms Relating to Fatigue (Withdrawn1996)3F1582 Terminology Re

11、lating to Spinal ImplantsF2077 Test Methods for Intervertebral Body Fusion Devices3. Terminology3.1 Definitions:3.1.1 For definitions of terms relating to these test methods,see Terminology E6, Terminology F1582, and DefinitionsE1150.3.2 Definitions of Terms Specific to This Standard:3.2.1 active le

12、ngth of the longitudinal elementthe straightline distance between the center of attachment of the superioranchor and the center of attachment of the inferior anchor.3.2.2 angular displacement at 2 % offset yield (degrees)the angular displacement of a construct measured via theactuator that produces

13、a permanent angular displacement in theX-Y plane equal to 0.020 times the torsional aspect ratio (seePoint A in Fig. 1).3.2.3 block moment armthe distance in the X direction inthe XY plane between the axis of the hinge pin and either (1)the center of the insertion point of an anchor (screws and1Thes

14、e test methods are under the jurisdiction of ASTM Committee F04 onMedical and Surgical Materials and Devices and are the direct responsibility ofSubcommittee F04.25 on Spinal Devices.Current edition approved June 1, 2018. Published August 2018. Originallyapproved in 1996. Last previous edition appro

15、ved in 2015 as F171715. DOI:10.1520/F1717-18.2For referenced ASTM standards, visit the ASTM website, www.astm.org, orcontact ASTM Customer Service at serviceastm.org. For Annual Book of ASTMStandards volume information, refer to the standards Document Summary page onthe ASTM website.3The last approv

16、ed version of this historical standard is referenced onwww.astm.org.Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United StatesThis international standard was developed in accordance with internationally recognized principles on standardization e

17、stablished in the Decision on Principles for theDevelopment of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.1bolts), (2) the furthest point of contact between the block andplate (anterior plates), or (3) the ce

18、nter point of attachment onthe roll pin farthest from the hinge pin (hooks and wires).3.2.4 compressive or tensile bending stiffness (N/mm)thecompressive or tensile bending yield force divided by elasticdisplacement (see the initial slope of line BC in Fig. 1).3.2.5 compressive or tensile bending ul

19、timate load (N)themaximum compressive or tensile force in the X-Z plane appliedto a spinal implant assembly (see the force at Point E in Fig. 1).The ultimate load should be a function of the device and not ofthe load cell or testing machine.3.2.6 compressive or tensile bending yield load (N)thecompr

20、essive or tensile bending force in the X-Z plane neces-sary to produce a permanent deformation equal to 0.020 timesthe active length of the longitudinal element (see the force atPoint D in Fig. 1).3.2.7 coordinate system/axesthree orthogonal axes aredefined in Fig. 2 and Fig. 3. The anterior-posteri

21、or axis is Xwith positive being anterior. The medial-lateral axis is Y withleft being positive when viewed posteriorly. The superior-inferior axis is Z with superior being positive.3.2.8 displacement at 2 % offset yield (mm)the displace-ment of a construct measured via the actuator that produces ape

22、rmanent deformation equal to 0.020 times the active lengthof the longitudinal element (see Point A in Fig. 1).3.2.9 elastic angular displacement (degrees)the angulardisplacement at 2 % offset yield (see Point A in Fig. 1) minusthe 2 % offset angular displacement (see Point B in Fig. 1).(The distance

23、 between Point A and Point B in Fig. 1.)3.2.10 elastic displacement (mm)the displacement at 2 %offset yield (see Point A in Fig. 1) minus the 2 % offsetdisplacement (see Point B in Fig. 1). (The distance betweenPoint A and Point B in Fig. 1.)3.2.11 failurepermanent deformation resulting fromfracture

24、, plastic deformation, or loosening beyond the ultimatedisplacement or loosening that renders the spinal implantassembly ineffective or unable to adequately resist load.3.2.12 fatigue lifethe number of loading cycles, N,ofaspecified character that the spinal implant assembly sustainsbefore failure o

25、f a specified nature occurs (see DefinitionsE1150).3.2.13 insertion point of an anchorthe location where theanchor is attached to the test block. The insertion points shownin Figs. 2-15 are to be adhered to if possible. In situationswhere the design of the spinal implant assembly or themanufacturers

26、 surgical instructions for installation dictateotherwise, the attachment points may deviate from thesedimensions.3.2.14 intended method of applicationspinal implant as-semblies contain different types of anchors. Each type ofanchor has an intended method of application to the spine.3.2.15 intended s

27、pinal locationthe anatomic region of thespine intended for the application of the spinal implantassembly. Spinal implant assemblies are developed for specificspinal locations such as the anterior cervical spine or theposterior thoracolumbar, lumbar, and lumbosacral spine.3.2.16 hinge pinthe cylindri

28、cal rod connecting a test blockto a side support.Acervical construct is secured with a 9.6 mmdiameter pin and the thoracolumbar, lumbar, and lumbosacralconstruct uses a 12.7 mm diameter pin.3.2.17 longitudinal directionthe initial spatial orientationparallel to the longitudinal element of the spinal

29、 implantassembly. The longitudinal direction is generally in thesuperior-inferior direction and, therefore, generally parallel tothe z axis.3.2.18 maximum run-out loadthe maximum load that canbe applied to a spinal implant assembly where all of the testedconstructs have withstood 5 000 000 cycles wi

30、thout a failure.3.2.19 permanent deformationthe displacement (mm) orangular displacement (degree) of the spinal implant constructrelative to the initial unloaded condition as measured via theactuator after the applied load, moment, or torque has beenremoved.3.2.20 spinal implant assemblya complete s

31、pinal implantconfiguration as intended for surgical use. A spinal implantassembly will contain anchors, interconnections, and longitu-dinal elements and may contain transverse elements (see Fig. 4,Fig. 6, Fig. 8, Fig. 10, Fig. 12, and Fig. 14).3.2.21 spinal implant constructa complete spinal implant

32、assembly attached to the appropriate test blocks.FIG. 1 Typical Load Displacement Curve or Torque AngulationCurveF1717 1823.2.22 test blockthe component of the test apparatus formounting the spinal implant assembly.Aspecific design of testblock is required for each intended spinal location and inten

33、dedmethod of application. Fig. 5, Fig. 7, Fig. 9, Fig. 11, Fig. 13,and Fig. 15 describe the recommended designs for the testblocks; however, alternate designs can be used as long asequivalent performance is demonstrated.3.2.23 test block load pointthe location on the test blockat which the resultant

34、 load is transmitted from the testapparatus.3.2.24 tightening torquethe specified torque that is ap-plied to the various threaded fasteners of the spinal implantassembly.3.2.25 torsional aspect ratiothe active length of the lon-gitudinal element divided by the distance from the center ofrotation to

35、the insertion point of an anchor (for example: in Fig.2 1.70 for a 76-mm active length, X =40mmandY =402mm).A 5LD5Lx21y2!1/2(1)where:A = torsional aspect ratio,L = active length of longitudinal element,D = distance to insertion point,x = x distance to insertion point, andy = y distance to insertion

36、point.3.2.26 torsional stiffness (N-m/degree)the yield torque(N-m) divided by elastic angular displacement (degrees) (theinitial slope of line BC in Fig. 1).FIG. 2 Typical Bilateral Construct Containing Bone Screws, Rods, and Set ScrewsF1717 1833.2.27 torsional ultimate load (N-m)the maximum torquei

37、n the X-Y plane applied to a spinal implant assembly (thetorque at Point E in Fig. 1). The ultimate torque should be afunction of the device and not of the load cell or testingmachine.3.2.28 two percent (2 %) offset angular displacement(degrees)a permanent angular displacement in the X-Y planemeasur

38、ed via the actuator equal to 0.020 times the torsionalaspect ratio (for example: 1.95 for 1.70 0.02 180pi) (seePoint B in Fig. 1).3.2.29 two percent (2 %) offset displacement (mm)a per-manent deformation measured via the actuator equal to 0.020times the active length of the longitudinal element (for

39、 ex-ample: 1.52 mm for a 76 mm active length of the longitudinalelement or 0.70 mm for 35 mm) (see Point B in Fig. 1).3.2.30 ultimate displacement (mm)the displacement asso-ciated with the ultimate load, ultimate bending load or ultimatetorque (the displacement at Point F in Fig. 1).3.2.31 yield tor

40、que (N-m)the torque in the X-Y planerequired to produce a permanent displacement of 0.020 timesthe torsional aspect ratio (the torque at Point D in Fig. 1).3.2.32 zero displacement intercept (mm)the intersectionof the straight line section of the load displacement curve andthe zero load axis (the ze

41、ro displacement reference Point 0 inFig. 1).4. Summary of Test Methods4.1 Similar test methods are proposed for the mechanicalevaluation of cervical spinal implant assemblies (see Fig. 4,Fig. 6, and Fig. 8) and thoracolumbar, lumbar, and lumbosacralspinal implant assemblies (see Fig. 10, Fig. 12, an

42、d Fig. 14).4.2 Testing of the spinal implant assemblies will simulate avertebrectomy model via a large gap between two Ultra HighMolecular Weight Polyethylene (UHMWPE) test blocks. TheUHMWPE used to manufacture the test blocks should have aFIG. 3 A Bilateral Hook, Rod, Screw, and Transverse Element

43、ConstructF1717 184tensile breaking strength equal to 40 6 3 MPa (see Specifica-tion D638). The UHMWPE test blocks (see Fig. 5, Fig. 7, Fig.9, Fig. 11, Fig. 13, and Fig. 15) will eliminate the effects of thevariability of bone properties and morphometry. Alternatedesigns of test blocks may be used as

44、 long as equivalentperformance is demonstrated.4.3 Three static mechanical tests and one dynamic test willevaluate the spinal implant assemblies. The three static me-chanical tests are compression bending, tensile bending, andtorsion.The dynamic test is a compression bending fatigue test.It is the r

45、esponsibility of the user of this standard to determinewhich test(s) is (are) most appropriate for a particular spinalimplant assembly.4.4 A specific clinical indication generally requires a spe-cific spinal implant assembly. Spinal implant assemblies willbe evaluated with test configurations which

46、simulate theclinical requirements for the intended spinal location. Theintended spinal locations are both anterior (see Fig. 4) andposterior (see Fig. 6 and Fig. 8) surfaces of the cervical spineor both anterior (see Fig. 10) and posterior (see Fig. 12 and Fig.14) surfaces of the thoracolumbar, lumb

47、ar, and lumbosacralspine. The block moment arm (see 6.6) for a test configurationdepends on the intended spinal location. The cervical spineconfiguration (see Fig. 5, Fig. 7, and Fig. 9) specifies one blockmoment arm, while a larger block moment arm (see Fig. 11,Fig. 13, and Fig. 15) is specified fo

48、r the thoracolumbar, lumbar,and lumbosacral spine.4.5 The intended method of application of the spinal im-plant assembly may vary for specific anatomic regions andclinical indications. Spinal implant assemblies contain differenttypes of anchors. Each type of anchor has an intended methodof applicati

49、on to the spine. For example, one assembly mayinclude anterior vertebral body screws and rods (see Fig. 2),while another assembly may contain posterior sacral screws,hooks, rods, and transverse elements (see Fig. 3). The blockmoment arm of a test configuration will be independent of theintended method of application of a spinal implant assembly;FIG. 4 Cervical Unilateral Construct for PlatesF1717 185therefore, the test data for different intended methods ofapplication may be compared.5. Significance and Use5.1 Spinal implants are gener