The Application of a Multi-Material Flexible Chain Mail for the Design of an Artificial Spinal Disc to Reproduce Natural Nonlinear and Anisotropic Rotational Behavior

3D Print Addit Manuf. 2023 Dec 1;10(6):1238-1250. doi: 10.1089/3dp.2021.0299. Epub 2023 Dec 11.

Abstract

Inspired by the potential of architected materials for achieving biomimicking functionalities and the advancement of multi-material additive manufacturing to fabricate parts with complex structures and heterogeneous material distributions, this study investigates the feasibility of using a multi-material, flexible chain mail sheet for the design of an additively manufactured artificial spinal disc for reproducing patient-specific anisotropic and nonlinear rotational behaviors. The application of a chain mail-based structure is motivated by its similarities in behaviors compared with a natural disc's fiber network that likewise has negligible bending stiffness and shape-changing ability. The proposed approach for the chain mail sheet design includes an initial characterization of the uniaxial tensile responses of the chain mail unit cell defined as the basic building block of the chain mail sheet, modeling and response calculation, and material optimization. Results show that the additively manufactured chain mail sheet is not only able to exhibit a natural strain-stiffening rotational response but also is able to reproduce natural anisotropy of three natural disc specimens in the six most common rotational scenarios in daily life. This study shows the potential of additively manufactured mechanical-metamaterials-inspired structures for implant design to restore natural mechanics.

Keywords: artificial spinal disc; computational design and optimization; mechanical metamaterials; multi-material additive manufacturing; patient-specific implant.