This study explores the pitting susceptibility of Nitinol wires with blue oxide surfaces before
processing into a vascular graft device, after processing, and explanted after in vivo exposure
during a clinical trial. Only two explanted devices were made available for testing. The blue
oxide surfaces of the control specimens tended to perform poorly in a commonly performed
cyclic polarization test intended to screen implantable devices for pitting susceptibility, however
the explanted devices performed far better under the same test conditions. Electrochemical
polarization, x-ray photoelectron spectroscopy, optical and scanning electron microscopies
were performed on adjacent wire samples cut from selected specimens. It must be noted that
some of the details of handling and storage for the explants from the time of removal to the
time that they were provided for analysis are unknown.
Many screening tests are intentionally aggressive, the goal being to provide an adequate
safety margin for acceptability. Nonetheless, these results raise potential questions regarding
the environmental parameters of the in vitro screening test and whether it is always a reliable
indicator of in vivo performance.
Key Words: Medical Implant, In Vivo, Nitinol, Pitting, Potentiodynamic Polarization, Screening