316L Stainless Steel/Hydroxyapatite Composite Materials for Biomedical Applications 316L Stainless Steel/Hydroxyapatite Composite Materials for Biomedical Applications

Hydroxyapatite (HAp) is known as one of the most important biomaterials used for ortho- pedic and dental applications due to chemical composition similar to that of bone and bioactive properties. However, due to its reduced resistance, HAp should be mixed with different components in order to create composite materials. A good example is austenitic stainless steel (AA 316L), as a class of metallic materials used for biomedical applications. The aim of this chapter is to show a series of our group studies for obtaining a hybrid metal-ceramic composite by powder metallurgy, the physicochemical, mechanical, and biological properties of these hybrid composites and the investigation of possible functional coating layers and adherent bioactive hydroxyapatite Ca 10 (PO 4 ) 6 (OH) 2 on the metal of 316L stainless steel, correlating our data with literature data. Hardness properties of the obtained compos ites are close to those of human bones. In biological systems, could be observed that after 6 months, the relevant metals (Fe, Mn, Cr, and Ni) concentration (ppb), that may be released from composite materials in simulated physiological fluids (SBF), is practically zero.


Introduction
A definition of "biomaterial," approved by a consensus of experts, is a nonviable material used in a device, which could interact with biological systems [1]. Except biological area, this definition covers a wide range of applications. Biocompatibility is a complex concept that considers all processes that occur in the interaction between biomaterial and a living organism. The human body is highly aggressive in terms of corrosion for proper metallic biomaterials used in the manufacture of implants. This is the reason of intensive selection of new and proper biomaterials [2].
In recent decades, several strategies have been developed to obtain biomaterials used for medical implants. The development of this field is necessary for obtaining materials with improved characteristics. Hydroxyapatite is one of the most important biomaterials used for orthopedic and dental applications due to its chemical composition like that of bone and bioactive properties [3,4]. Austenitic stainless steels are a class of metallic materials used for biomedical applications, too. Also, 316L stainless steel has a high corrosion resistance, good mechanical properties, and relatively low cost of obtaining and processing [5].
Experimental researches in this chapter will include the following groups of materials and methods: • Ceramics: hydroxyapatite.
In this chapter the following aspects will be discussed: (i) synthesis of HAp by wet precipitation; (ii) synthesis of hydroxyapatite by sol-gel method; (iii) chemical, mechanical, and microstructural characterization of 316L stainless steel and HAp (X-ray diffraction (XRD), dynamic light scattering (DLS), Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), atomic force microscopy (AFM), mechanical (the tensile behavior, Vickers hardness, surface roughness)); (iv) synthesis and characterization of 316L steel and hydroxyapatite composites by powder metallurgy, sol-gel, and functional coating layers between both components; and (v) study of the new biomaterials behavior in simulated physiological fluids, considering that the deposition of hydroxyapatite will prevent the release of metal ions in solutions of artificial plasma and saline.

Preparation of hydroxyapatite by wet chemical precipitation method
This method is easy to achieve, at low temperature, with relatively high percentage of pure product and with not very expensive equipments [6,7].
Hydroxyapatite could be obtained by chemical precipitation method modified by Sung [8].  HPO 4 , and shaken at room temperature for about 1 h, a milky precipitate, somewhat gelatinous, has been obtained which in turn was stirred for 1 h for a perfect mixing [9,10]. The mixture thus obtained was sintered at 100°C for 24 h. After that the precipitate was washed and filtered on a glass filter. After filtration, sticky compacted product was dried in an oven at 80°C. Then, dry powder was crushed in a mortar and pestle and then calcinated in a crucible of alumina at three different temperatures: 800, 1000, and 1200°C for 1 h.
The best results have been obtained at a temperature of 1000°C, at the same molar concentrations and the same method of refluxing.
The powder synthesized chemically is consistent with diffraction reference ASTM pure HAp [11,12]. Identification of phases identified in the synthesized hydroxyapatite allow the network parameters calculation by setting 2θ. For this purpose, it has been taken into account the width of diffraction peaks at half height of them, the lines having hkl indices (200), (002), (102), (210),(310), and (004), in accordance with literature data [13,14].
The most intense peaks appear in 2θ between 20° and 60°. X-ray diffraction data by peak characteristic (002), (211), (112), and (300) showed a high degree of purity of hydroxyapatite (Figure 1). This is confirmed by X-ray diffraction that shows the results are obtained in good agreement with literature data [11,15], These data are completed with the FTIR data, the best results being obtained for powder calcined at 1000°C [16]. The ion stretching vibration around 3568 cm −1 confirms the presence of a hydroxyl group. It should be noted that the hydroxyapatite sample (HAp1) calcinated at 800°C contains water of crystallization and hydration, the HAp2 sample subjected to calcination at 1000°C has a decreased water content, and the HAp3 sample calcinated at 1200°C contained a higher water content than HAp1 due to high reactivity of the powder [17].  Likewise, the other stretching vibrations for carbonyl and phosphate groups were also observed as reported earlier [18,19]. The broad absorption band from 1050 cm −1 is an evidence for tricalcium phosphate as reaction product. Literature studies indicate that tricalcium phosphate is present over 850°C. Figure 2 showed the three FTIR curves performed on three types of hydroxyapatite, calcined at temperatures of 800, 1000, and1200°C, respectively. FTIR tests revealed the role of hydrogen and -OH group in the hydroxyapatite samples, and the only band that differentiate these three samples is the intense band from 1624.7 cm −1 .
Dynamic light scattering is a well-established, versatile, and noninvasive technique which can provide information about the size distribution of the particle populations in real time. DLS data provide information about the size distribution of the HAp crystals and their concentrations in aqueous solutions that is not available from other techniques [20]. It has also been extensively used to examine the sample homogeneity. The dynamic light scattering experiment shows that the particle size distribution is in the range of 50-70 nm, which is well supported by other techniques. Dynamic light scattering is used to monitor the size of the precipitating particles and to provide information about their concentration, including different associations in different orders, which generates large aggregates (Figure 3).
Structural characterization of hydroxyapatite powders calcinated at 1000°C was performed by scanning electron microscopy (SEM) and atomic force microscopy (AFM), too, for analyzing the morphology and particle size. In the SEM images some small crystallites of hydroxyapatite (<100 nm) and agglomerated particles are distinguished. Crystallites have uniform sizes with narrow particle size distribution.
The hydroxyapatite powder obtained by wet precipitation calcinated at 1000°C has been characterized by scanning electron microscopy. Figure 4 presents scanning electron microscopy of hydroxyapatite sample calcined at 1000°C with a magnification of 2000×, and in Figure 5, it presents the same sample but at a magnification of 1000×. We can distinguish microporosity (<10 μm), allowing diffusion of ions and fluid from macroporosity (100-600μm) and can promote cell colonization.
To investigate with the atomic force microscope, hydroxyapatite solutions were freshly prepared before each experiment, by suspending an appropriate amount of each sample in ethanol. Compared with existing literature data [20], hydroxyapatite has a y-plane orientation. In our experiments, it can be observed that the grain is oriented occurring after z-plane.
By atomic force microscopy investigations, it was found that hydroxyapatite from bulk phase, at higher calcination temperatures, is agglomerated in nanoparticle phase and then in nanocrystalline spherule forms. Crystal size distribution depends on the critical size of nuclei in saturation conditions rather than the crystal growth if clusters of small particles are observed in AFM images.
In conclusion, hydrothermal synthesis method applied to HAp leads to the hydroxyapatite powders with a nanocrystalline of high and good stoichiometry, with a relatively narrow distribution of crystal size. Also, at high calcination temperature and long-term (4 h) of treatment, well-crystallized products were obtained, with desired parameters [21].
AFM technique has been used for evaluation the distribution of high spherules, visible in HAp powder [21]. The AFM method revealed a rugged HAp surface with crystallites ranging from 70 to 100 nm in accordance with other spectral methods. It has been found that at higher calcinations of temperatures HAp is deagglomerated from the bulk phase and agglomerates  in the nanoparticle phase that results in the formation of nanocrystalline and then spherules.
The AFM 3D topography of hydroxyapaptite powder was recorded on an area of 5 × 5 μm 2 , Figure 5 (a,b).
The crystal size distribution depends on the critical dimensions of the nuclei under oversaturation conditions rather than on the crystal growth if particle agglomerations are observed.

Sol-gel method
The precursors used to prepare hydroxyapatite were calcium nitrate tetrahydrate Ca(NO 3 ) 2 4H 2 O and phosphorus pentoxide (P 2 O 5 ) (Chimreactiv, Romania). To a solution of 0.5 mol/l, phosphorus pentoxide (P 2 O 5 ) was dissolved in ethanol. Ca(NO 3 ) 2• 4H 2 O was also dissolved in absolute ethanol to form a solution of 1.67 mol/l mixing both solutions were constantly stirred with a magnetic stirrer, after which the mixture was placed in an oven at an 80°C temperature for 24 h to complete the reaction [22,23]. Dried gel was performed in an oven. The resulting product was a transparent gel. The samples were heat treated to transform the acid gel into a solid product with properties of biocompatibility and osteoconductivity Before depositing onto 316L stainless steel, the hydroxyapatite film has been characterized by X-ray diffraction, and the results were relevant in terms of purity and presence of this compound. After analyzing, the diffraction phases identified in hydroxyapatite obtained by sol-gel were hydroxyapatite (Ca) 10 (PO 4 ) 6 (OH) 2 and tricalcium phosphate Ca 3 (PO 4 ) 2 .
X-ray diffraction analysis reveals a high degree of crystallinity for HAp obtained by sol-gel. A broad reflection peak appears in the range of 31.8-32.51 2Ө, which represents the characteristic peak of apatitic phase (according to JCPDS card #9-432). Some characteristic peaks at, for instance, (211), (300), and (212) planes were shown for coatings annealed at higher temperatures 400-500°C. This suggests that the apatite coatings with structural evolution from amorphous to crystalline are able to produce depending on the temperatures.

Composite HAp:316L obtained by cold pressing
Three technological versions of biocomposites obtained by powder metallurgy have been prepared by cold pressing, by varying the bulk concentrations [17,18]. There have been five series of powder mixtures: • Hydroxyapatite:316L stainless steel = 80%:20%.
Quantitative measurement of the diameters of 316L powder particles was performed from SEM images. Figure 6 shows SEM micrography of 316L stainless steel powder, and the size of powder varies between 142 and 195 μm. Powders are spherical slightly dendritic. There is a considerable disparity in both powder sizes which could lead to segregation during compaction, thus providing a compact product heterogeneity. One of the most important problems in the compaction process and its efficiency is given by applied powder shape. Hydroxyapatite powder is spherical, while the steel powder is dendritic in good agreement with literature's report [24,25].

HAp:316L composite (80% HAp:20% 316L)
80% hydroxyapatite powder and 20% 316L stainless steel powder were mixed, were homogenized, and after which they were cold uniaxially pressed. The samples were sintered at 850 and 1000°C, held for 60 and 120 min. Sintering process took place in a protective atmosphere of H 2 with a cooling and heating at rate of 10°C/min (Figure 7).  Macroscopic characterization of all four samples indicates a high porosity, exfoliation, and friability. Without lubricant for pressing, to avoid contamination with toxic material, a poor compaction of materials and a high porosity of the tablet are observed.

HAp:316L composite (50% HAp:50% 316L)
The material obtained by mixing powder of 50% 316L and 50% HAp was cut along the atomic planes. Material destruction was caused by different granulations of the two sorts of particles (too small for hydroxyapatite fraction <45 μm), the manual mixing and different densities (ρ HAp = 1.5 g/cm 3 ; ρ 316L = 3.0 g/cm 3 ), of the two materials.

HAp:316L composite (70% 316L:30%HAp)
The preparation procedure of these composites was similar to the previous work on the same parameters. Fractions chosen for powder mixtures 70:30 were >160 μm for stainless steel 316L and >45 μm for hydroxyapatite. Three composite samples with cylinder shape have been obtained.
A relatively uniform distribution of stainless steel powder can be explained by mixing two types of powders performed manually. The metal particles looks as white formations, round, slightly dendritic, meanwhile the hydroxyapatite particles become dark coloured.
EDAX analysis of the composite with 70% 316L and 30% HAp is shown in Figure 9; the presence of phosphorus and calcium from hydroxyapatite and the presence of elements such as Ni, Cu, Cr, and Fe as specific metal elements of 316 stainless steel could be observed.   Figure 10. Figure 10 presents SEM microstructure of the 80% 316L and 20% HAp composite (images taken at 200× magnification). From microscopic analysis of the composite can be seen that the steel powder is the party round, slightly dendritic, white color. For these powder mixtures 80/20 were chosen fractions larger than 160 μm for 316L stainless steel powder and more than 45 μm for hydroxyapatite.  EDAX analysis of 80% 316 and 20% HAp composite shown in Figure 11 gives us the qualitative analysis of diffusion elements present in the composite. The diagram reveals the presence of phosphorus and calcium from hydroxyapatite and the presence of specific metal elements such as Ni, Cu, Cr, Fe, and Mo elements present in stainless steel 316L.
From all elements present in the chemical composition of 316L stainless steel, there is a moderate but uniform distribution of Fe and a reduced distribution of Ni. Distribution of Cu atoms is relatively uniform but stronger in specific areas of steel metal pellets.

Shore hardness determination
Shore D hardness (HSD) is a dynamic feature and represents an amount proportional to the ratio of the height at which jumps back and the height from which the material was dropped through a vertical guide. To determine hardness, composites are made by powder mixtures of 70% 316L:30%HAp and 80% 316L:20% HAp.
With the help of conversion tables, the Shore hardness values measured for both types of composites have been converted to HRC and HV values, as can be seen in Table 1. Figure 11. EDAX analysis for 80% 316L and 20% HAp composite.

Hydroxyapatite coating of 316L stainless steel
A synthetic hydroxyapatite film obtained by sol-gel has been deposited on 316L stainless steel metal substrate, and the samples were subjected to X-ray diffraction analysis and structurally characterized by scanning electron microscopy. With this analysis the phases present in hydroxyapatite layer, morphology, and structure of hydroxyapatite were identified [24][25][26][27].
Structural quality of layers deposited by sol-gel was investigated by X-ray diffraction (XRD) analysis and scanning electron microscope (SEM) to highlight the crystallinity of deposited layers and the phases present in the hydroxyapatite film [4,28,29]. and 13(a, b) show SEM images of hydroxyapatite layer deposited on 316L stainless steel. SEM photographies reveal the existence of a layer with a thickness about 350-500 nm and with an aspect of continuous film crack with a roughness of approximately zero [30,31].  Appearance of the two images reveals the presence of cracks due to burning contraction between steel and hydroxyapatite layer. SEM image of the first layer of HAp is shown in Figure 14(a) with 2500× magnification.

Figures 12
Appearance of the second layer of hydroxyapatite on 316L stainless steel support is shown in Figure 14(b) at 50,000× magnification. Phase analysis was performed on hydroxyapatite layer deposited on the metal by using X-ray diffraction (XRD) (Figure 15).   The only phase identified in the film deposited on 316L stainless steel substrate was hydroxyapatite. This method allows a good control of composition and crystallization of hydroxyapatite films at low temperatures [32,33].

Determination of Fe, Mn, Ni, and Cr in saline and plasma by atomic absorption spectrometry
Stainless steel in medical applications is type 316 (AISI). In the 1950s, the amount of carbon in the type 316 was reduced from 0.08 to 0.03% by weight for a higher corrosion resistance in chlorides. This new alloy was known as the 316L. Even so, the use of austenitic stainless steels is limited due to the release of corrosion products in the form of Ni 2+ , Cr 3+ , and Cr 6+ , which produce local effects in the body and destroy the implant [34].
For hydroxyapatite coating achieved by sol-gel method, two samples of 316L stainless steel sheet metal with 0.35 mm thickness with 15×15×0.35 mm dimensions were chosen. These samples were polished with metallographic papers 400 or electrochemically attacked with 5% perchloric acid in ethanol and then were washed and dried.
The relevant metal concentration that may be released from composite materials in plasma/ serum, under controlled conditions in the ppbs, has not been reported too much in the literature; for the systems created and investigated in this chapter, the metal levels in plasma/serum have been analyzed by atomic absorption spectrometry and graphite furnace technique [35,36]. Changes in concentrations of heavy metals like Fe, Ni, Cr, and Mn for the representative samples are plotted in Figure 16 for two representative samples. These samples were chosen due to their higher surface exposure. Could be observed that after 6 months, the concentration of the metals (Fe, Mn, Cr, and Ni) (ppb) that may be released in simulated physiological fluids (SBF) from the used composite materials is practically zero.
The obtained results indicated that deposition of hydroxyapatite film on 316L metal plate was designed to prevent the release of metal ions in artificial plasma and in saline solution [37,38].

Conclusions
In this chapter, the size and microscopic characterization was performed both for stainless steel powders and for hydroxyapatite and their composite. As compactness, the best compositions have been observed for 80% HAp: 20% 316L and 70% HAp: 30% 316L. The macroscopic analysis on composites with 80% HAp and 20% 316L obtained by cold pressing reveals friable samples with high porosity. It was found that: • By increasing the amount of HAp in the composite, a lower hardness and a lower relative density for 316L/HAp composite, but with a significant increase in porosity, could be obtained.
• By increasing the proportion of HAp, the hardness or densification of the sintered composite is strongly affected.
The best mechanical results were obtained for composites of 70% 316L/30% HAp and 80% 316L/HAp 20%. Mechanical behavior studies of composites obtained were performed by analysis of Shore hardness, values of 71 HSD for composite with 70% 316L/30% HAp and 77HSD for composite with 80% 316/20% HAp. According to literature, for hydroxyapatite shore, the hardness values are between 81 and 88 HSD, and for human bones from 85 to 95 HSD. The results presented suggest that the composites obtained can be varied by choosing an appropriate chemical composition powder mixture. The influence of grain size on the microstructure of the composite is very important because large granulations of powder will create large intergranular pores, which are affecting the density and mechanical properties of composites. HAp powder density proportional affects the product density (HAp/316L), so that a high density of particles will lead to a better packing density of compacted product.
In this chapter, compositional and structural investigations for composites have been established, and some correlations between the parameters of the process of preparation, chemical composition, structure, and properties of composites have been obtained, too. A comparison between composites and sol-gel coating is discussed, too.