Novel Laser Based NiTi Shape Memory Alloy Processing Protocol for Medical Device Applications

The unique performance offerings of NiTi based shape memory alloys (SMAs), which includes the shape memory effect (SME), pseudoelasticity (PE) and biocompatibility have led to widespread acceptance of these alloys as valuable engineering materials. Over the past several decades the complex metallurgy behind the SME and PE properties has for the most part been uncovered and the design and engineering knowhow has been demonstrated; facilitating successful application of NiTi devices in numerous industries. Specifically, more mature applications in the medical industry including medical devices such as, catheters, guide wires, orthodontic arch wires, maxillofacial reconstruction implants, minimally invasive surgical tools, and arterial and gastrointestinal stents, have become common practice in modern medicine. Recently however, there has been a drive for more demanding functionality of SMAs for example to locally modify properties creating tuneable or gradient SME and PE performance. Unique processing protocols are therefore necessary to meet these demands and allow SMAs to reach their full potential in a wider range of applications. The current thesis successfully details the application of pulsed Nd:YAG laser processing along with post-processing techniques to locally tune both the SME and PE functional properties of monolithic binary NiTi wires and strip, while maintaining confidence in the retained corrosion performance and limited release of biologically harmful Ni ions. This extensive study contains three distinct parts which include: i) application of a laser induced vaporization protocol to locally embed multiple memories in a monolithic wire actuator; ii) uncovering the process, structure, and performance relationship of combined laser, cold working, and heat treatment processes; and iii) comprehensive characterization of surface characteristics and their relationship with corrosion performance and Ni ion release from laser processed material

A Study of the Electrical Flame Off Process During Thermosonic Wire Bonding with Novel Wire Materials

Thermosonic ball bonding is the most popular method used to create electrical interconnects between integrated circuits (ICs) and substrates in the microelectronics industry. Traditionally gold (Au) wire is used, however with industry demands for lower costs and higher performance, novel wire materials are being considered. Some of these wire materials include Cu, insulated, and coated wires. The most promising of which being Cu wire. Some of the main issues with these wire materials is their performance in the electrical flame off (EFO) step of the wire bonding process. In the EFO step a ball called the free air ball (FAB) is formed on the end of the wire. The quality of the FAB is essential for reliable and strong ball bonds. In Cu wire bonding the hardness of the FAB and oxidation are the main issues. A hard FAB requires larger bonding forces and US levels to make the bond which increases the likelihood of damage to the IC. Excessive oxidation acts as a contaminant at the bond interface and can also influence the shape of the FAB. Shielding gases are required to reduce oxidation and improve FAB quality. This thesis focuses on the EFO process and the influence of EFO parameters and shielding gases on Au and Cu FABs. The primary focus of this thesis is to provide a better understanding of the EFO process in order to expedite the introduction of novel wire materials into industry. Several different experiments are performed on an automated thermosonic wire bonder with 25 µm Au and Cu wires to investigate the EFO process during ball bonding. The effects of EFO parameters on the hardness and work hardening of FABs and the effects of shielding gas type and flow rates on the quality of the FABs are determined. The EFO discharge characteristics in different shielding gases is also studied to better understand how the composition of the atmosphere the FAB is formed in influences the energy input via the EFO electrical discharge. Using the online deformability method and Vickers microhardness testing it is found that the EFO current (IEFO) and EFO time (tEFO) have a large influence on the hardness and work hardening of Au and Cu FABs. A harder FAB produced with a large IEFO and low tEFO will work harden less during deformation. The bonded ball will be softer than that of a FAB produced with a lower IEFO and higher tEFO. The online deformability method is found to be twice as precise as the Vickers microhardness test. An online method for characterizing the quality of FABs is developed and used to identify shielding gas flow rates that produce defective FABs. The EFO process for an Au wire and two Cu wire materials is investigated in flow rates of 0.2-1.0 l/min of forming gas (5 % H2 + 95 % N2) and N2 gas. All three of the most common FAB defects are identified with this online method. It is found that good quality FABs cannot be produced above flow rates of 0.7 l/min and that H2 in the shielding gas adds a thermal component to the EFO process. It is recommended that the gas flow rate be optimized for each new wire type used. The EFO discharge power is measured to be 12 % higher in a N2 gas atmosphere than in a forming gas atmosphere. The lower ionization potential of the forming gas leads to a higher degree of ionization and therefore lower resistance across the discharge gap. It was found that the discharge power does not determine the energy transferred to the wire anode because the Au FAB produced in forming gas has a 6 % larger diameter than that of the FABs produced in N2 gas. Other factors that effect the voltage of the EFO discharge include the controlled EFO current, the discharge gap, and the wire anode material

Corrosion performance of medical grade NiTi after laser processing

The final publication is available at Elsevier via http://dx.doi.org/10.1016/j.surfcoat.2017.05.092 © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/Laser processing of shape memory alloys (SMAs) has great potential to enable the multi-functionality required for complex applications. Achieving this improved functionality often requires laser processing of the SMA's with a high-energy pulse coupled with an observable decrease in the corrosion resistance, however there are discrepancies in the post-processing corrosion performance. The current study conducts a systematic investigation of Ni-44.2wt% Ti SMA with differing numbers of laser pulses and post-process surface treatments. The localized electrochemical characteristics were investigated by scanning electrochemical microscopy. X-ray photoelectron spectroscopy and Raman spectroscopy was used to determine surface composition and oxide crystallinity, while oxide stability was determined via potentiodynamic cyclic polarization. Results showed that fewer pulses were not significantly detrimental to the corrosion performance. However, increasing the number of pulses had a significant impact on oxide stability in the heat affected zone due to increased crystallinity. The post-process surface treatments restored corrosion performance to pre-processed capabilities; however, further optimization is required to achieve maximum corrosion resistance.Canada Foundation for Innovation (CFI)Natural Sciences and Engineering Research Council of Canada (NSERC

Resistance microwelding of crossed Pt-10Ir and 316 LVM stainless steel wires

Resistance microwelding of dissimilar materials such as Pt-10Ir and 316 low carbon vacuum melted stainless steel is becoming increasingly important for making electrical connections in medical devices. The joining of dissimilar materials increases flexibility in design while providing economic advantages, where more cost effective materials can be substituted for traditional materials. In this work, the performance of joints made using different electrode forces was studied by examining the surface morphology, cross-sections, joint break force and dynamic resistance measurements from resistance microwelding joints. Electrode sticking and excessive expulsion were observed with low electrode forces, whereas joints with undesirable cracks and notches were produced at higher electrode forces. Based on the analysis of single pulse welds, a new process variation using multiple pulses was developed, which improved the weld surface quality while obtaining a joint strength near 90% of the Pt-10Ir wire tensile strength

Caregiver Behavior Change for Child Survival and Development in Low- and Middle-Income Countries: An Examination of the Evidence

In June of 2012, representatives from more than 80 countries promulgated a Child Survival Call to Action, which called for reducing child mortality to 20 or fewer child deaths per 1,000 live births in every country by 2035. To address the problem of ending preventable child deaths, the U.S. Agency for International Development and the United Nations Children’s Fund convened, on June 3–4, 2013, an Evidence Summit on Enhancing Child Survival and Development in Lower- and Middle-Income Countries by Achieving Population-Level Behavior Change. Six evidence review teams were established on different topics related to child survival and healthy development to identify the relevant evidence-based interventions and to prepare reports. This article was developed by the evidence review team responsible for identifying the research literature on caregiver change for child survival and development. This article is organized into childhood developmental periods and cross-cutting issues that affect child survival and healthy early development across all these periods. On the basis of this review, the authors present evidence-based recommendations for programs focused on caregivers to increase child survival and promote healthy development. Last, promising directions for future research to change caregivers’ behaviors are given

Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics

In a controlled trial at three urban STD clinics, Lee Warner and colleagues find that showing an educational video in waiting rooms reduced new infections by approximately 10%

Risk Compensation Is Not Associated with Male Circumcision in Kisumu, Kenya: A Multi-Faceted Assessment of Men Enrolled in a Randomized Controlled Trial

Three randomized controlled trials (RCTs) have confirmed that male circumcision (MC) significantly reduces acquisition of HIV-1 infection among men. The objective of this study was to perform a comprehensive, prospective evaluation of risk compensation, comparing circumcised versus uncircumcised controls in a sample of RCT participants.Between March 2004 and September 2005, we systematically recruited men enrolled in a RCT of MC in Kenya. Detailed sexual histories were taken using a modified Timeline Followback approach at baseline, 6, and 12 months. Participants provided permission to obtain circumcision status and laboratory results from the RCT. We evaluated circumcised and uncircumcised men's sexual behavior using an 18-item risk propensity score and acquisition of incident infections of gonorrhea, chlamydia, and trichomoniasis. Of 1780 eligible RCT participants, 1319 enrolled (response rate = 74%). At the baseline RCT visit, men who enrolled in the sub-study reported the same sexual behaviors as men who did not. We found a significant reduction in sexual risk behavior among both circumcised and uncircumcised men from baseline to 6 (p<0.01) and 12 (p = 0.05) months post-enrollment. Longitudinal analyses indicated no statistically significant differences between sexual risk propensity scores or in incident infections of gonorrhea, chlamydia, and trichomoniasis between circumcised and uncircumcised men. These results are based on the most comprehensive analysis of risk compensation yet done.In the context of a RCT, circumcision did not result in increased HIV risk behavior. Continued monitoring and evaluation of risk compensation associated with circumcision is needed as evidence supporting its' efficacy is disseminated and MC is widely promoted for HIV prevention