Comparison of frictional and mechanical properties of human skin and synthetic materials in dry and moist skin conditions Malgorzata Nachman & Steve Franklin 1 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Aim of study Investigation of a synthetic materials to simulate in-vivo friction behavior of human skin in dry and moist conditions 2 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Why a non-human test material is needed? Disadvantages of in vivo testing: Poor reproducibility: Person-to-person variability Involuntary human movement during testing Last too long or they are destructive Necessary regulations: increase the effort and lead-time of experiments 3 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Effect of skin hydration Disadvantages of currently available Skin Substitutes: SynTissue™ from SynDaver Labs : Decrease in friction with water content Fluid squeeze out of the porous structure and form a lubricating layer Silicone elastomers are hydrophobic and are not able to absorb water Designed to imitate the biological properties of skin with no regard for their mechanical or frictional similarity 4 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Human skin The combination of layers is: • anisotropic • a non-linear force-displacement relationship • viscoelastic The different mechanical properties of the individual skin layers influence and determine the deformation behavior and the global mechanical response of skin 5 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin The requirements for the synthetic skin model The artificial skin model should be built up with different layers: a very soft layer on the bottom and a stronger layer at the top The top layer • • • • • • • Viscoelastic Hydrophilic Absorbs and releases moisture Elastic modulus decrease with water content Friction should increase with water content very thin layer Surface texture The bottom layer • • • 6 Very soft Viscoelastic shouldn’t absorb water EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin The mechanical properties of the different layers in human skin measured from indentation experiments J. v. Kuilenburg et al., 2012 In vitro indentation to determine the mechanical properties of epidermis, M. Geerligs et al., 2012 Skin layer, tissue Stratum corneum dry wet Viable epidermis Dermis Hypodermis Thickness, mm 500 (3.5 – 1000) 0.025 (0.01 – 0.04) 30 (10-50) 1.5 0.095 (0.04 – 0.15) 0.02 (8-35 x 10-3) 1.4 (0.8 – 2) 2 x 10-3 0.8 The top layer simulating the epidermis (S.C + Viabe epidermis) The bottom layer simulating dermis and hypodermis • • Elastic modulus: 2 – 35 kPa • Thickness: 1.6 – 2.8 mm • 7 Elastic modulus, MPa Elastic modulus: dry > 1.5 MPa wet < 1.5 MPa Thickness: 50 - 200 µm EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Selection of the most promising material for the bottom layer The mechanical properties of the bottom layer should be similar to that of human skin Silicone rubber 3 ShA Polyurethane gel Technogel SynDaver skin Human skin A force-displacement curve on the human forearm was measured for indentation of a steel ball and then compared with the various synthetic materials 8 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Selection of the most promising material for the bottom layer The bottom layer simulating dermis and hypodermis W.C. Oliver, G.M. Pharr, Measurement of hardness and elastic modulus by instrumented indentation, 2003 9 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin • Elastic modulus: • Thickness: 2 – 35 kPa 1.6 – 2.8 mm Polyurethane gel system: part A - polyIsocyanate prepolymer extended with polyether polyol part B- Curing agent based on a blend of polyether polyols 6.1 10 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Selection of the most promising materials for the bottom layer W.C. Oliver, G.M. Pharr, Measurement of hardness and elastic modulus by instrumented indentation, 2003 11 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Selection of the most promising materials for the top layer Silicone elastomers Synthetic Skin Simulant Platform for the Investigation of Dermal Blistering Mechanics Positive replica of human right index finger Silicone elastomers are hydrophobic and are not able to absorb water; this could lead to effective surface lubrication and reduction of friction which does not occur with actual human skin 12 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Selection of the most promising materials for the top layer A new class of hydrophilic silicones has been developed at Philips that show a strong water uptake Patent application: Medical and non-medical devices made from hydrophilic rubber materials US 20140134416 A1 Dirk Burdinski, Joyce Van Zanten, Lucas Johannes Anna Maria Beckers, Cornelis Petrus Hendriks, Willem Franke Pasveer, Nicolaas Petrus Willard, Mareike Klee, Biju Kumar Sreedharan Nair, David Smith Water-absorbing elastomeric material US 20140113986 A1 Dirk Burdinski, Joyce Van Zanten, Lucas Johannes Anna Maria Beckers, Cornelis Petrus HENDRIKS, Willem Franke Pasveer, Nicholaas Petrus Willard, Mareike Klee, Biju Kumar Sreedharan Nair, David W. Smith 13 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Selection of the most promising materials for the top layer Hydrophilic silicones are based on standard silicones modified with strongly hydrophilic alpha-olefin sulfonate Alpha-olefin sulfonate Requirements for top layer • • • • • 14 Viscoelastic Hydrophilic Absorbs and releases moisture Elastic modulus decrease with water content Friction increase with water content EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Standard silicone rubber with hardness of 40 ShA modified with sodium alpha-olefin sulfonate Thickness 200 µm Elastomeric replica An elastomeric replica of human arm was pressed against the surface of the silicone sample. 15 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Water uptake in time The water capacity of the top layer was determined to be 120 % after 24h immersed in water and 25% after 24h in a climatic room 16 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin A new synthetic substitute of human skin 200 µm 200 µm 2.8 mm 2.8 mm 100 µm 17 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Friction and indentation test Carried out using a CETR-UMT Tribometer on human skin in vivo (volar forearm) and then compared with the synthetic skin under: “dry”: 23°C, 37% Rh and “moist” skin hydration conditions: Human skin - cleaned and wrapped in transparent plastic (kitchen) foil Synthetic skin - left for 24 hours in a humidity chamber 28°C, 80% Rh Hydration values were monitored using a Corneometer® 18 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Friction results Synthetic skin 19 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Human skin Indentation results 20 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Conclusions A new synthetic skin substitute has been developed Provide a good simulation of the friction behavior of human skin in dry and moist conditions The friction coefficient increases when conditions are changed from dry to wet This is the same with human skin! Provide a good simulation of the deformation behavior of human skin (Elastic Modulus in the same range, decrease in water content) 21 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin Acknowledgements This work was supported by EU Marie Curie Industry-Academia Partnerships and Pathways: UNITISS, Understanding Interactions of Human Tissue with Medical Devices, FP7-PEOPLE-2011-IAPP/286174. Author M.N. would like to acknowledge the Polish Ministry of Science and High Education for financial support for the research within the co-financed international project in the years 2012-2016. 22 EUROMAT 2015 September 22, 2015 Malgorzata Nachman & Steve Franklin
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