Printer Friendly

Stress-softening and residual strain effects in suture materials.

1. Introduction

Technical advances in the field of surgery have exponentially grown during the last few years. Progressive research, better understanding of the physiopathological processes behind every procedure, more experienced surgeons, and the increasing interest of biomedical companies in developing new products have made possible the excellent results seen in surgery nowadays.

Sutures have remained for many decades a cornerstone for most surgical procedures. Wound closure, vascular and intestinal anastomosis, structures fixation, bleeding control, and tissue approximation are only a few examples from the many uses sutures are given; however, there is no perfect suture for all purposes, and the enormous variables involved in the cicatrization process make this task a difficult one to achieve.

The ideal suture should have certain characteristics that will abet the therapeutic course; it is supposed to have an adequate tensile strength in each phase of the healing process, should be surgeon friendly, induce minimal or no tissue reaction, and must not stimulate infection. Also it should be biologically inert and should be able to have a suitable response to edema and tolerate the different environments within the human body. Since there is no such a product available at present, it is essential to comprehend not only the biological responses to the materials but also understand the precise behavior of each suture in order to decide on the best and most efficient way to take advantage of each particular property of any given suture [1]. Nichols et al. cautioned surgeons about the handling of sutures by surgical instruments since this could result in premature suture failure [2]. They indicated that their rough handling and the usage of clamps and forceps could damage and weaken these.

Therefore, learning the biomechanical performance of sutures will help surgeons not only to determine the appropriate clinical application for each type but also to improve surgical techniques to take advantage of each suture properties [3]. Some of the most important characteristics of a suture regarding its mechanical material properties are related to softening and permanent set effects which appear when sutures are subjected to cyclic load, and, thus, the normal stress versus stretch curve shows a reduction on the stress magnitude during the unloading process [4-13]. This stress-softening effect known as the Mullins effect becomes clinically relevant because initial characteristics exhibited by a suture material immediately after it has been manufactured could change dramatically when stress is applied during the suturing and healing processes [2]. Understanding the material response behavior of suture materials could help surgeons in the selection of the most appropriate suture material.

The aim of this work is to characterize the stress-softening and residual strain effects in suture materials such as polyglycolic acid, polydioxanone, nylon, and polypropylene commonly used in surgical procedures when subjected to loading and unloading cycles by developing a phenomenological nonmonotonous stress-softening hyperelastic material model that depends on the amount of strain [14]and permanent set effects [15].

We have organized this paper as follows. In Section 2,we provide detail of the uniaxial experimental tests performed on suture materials. A brief review of the required equations to describe finite deformations of an incompressible elastic material is introduced in Section 3.InSection 4,wehave characterized the experimental data by assuming a non-monotonous damage softening function and by modifying the Holzapfel et al. constitutive equation to include residual strain effects [15]. Also, we have developed the corresponding stress-stretch constitutive equations by using the non-Gaussian average-stretch, full-network model of arbitrarily oriented molecular chains [16]. A comparison of the results corresponding to simulated and experimental data is done in Section 5.Finally, in Section 6, we address some conclusions related to our experimental observations and theoretical predictions of suture materials.

2. Experimental Work

2.1. Suture Materials. Eight batches of two suture commercial manufactures were selected to be tested in uniaxial deformation. The absorbable sutures materials tested were MonoPlus, Monosyn, polyglycolic acid, polydioxanone, polydioxanone 4-0, poly(glycolide-co-epsilon-caprolactone) (PGC25 3-0); the nonabsorbable suture materials were nylon and polypropylene. The mean diameter values used to characterize the suture samples were taken from suppliers specifications. The mean values considered here were 0.397 mm for MonoPlus and Monosyn sutures, 0.334 mm for polyglycolic acid 2-0, 0.377 mm for polydioxanone 2-0, 0.23 mm for polydioxanone 4-0, 0.29 mm for PGC25 3-0, 0.247 mm for nylon, and 0.241 mm for polypropylene.

2.2. Uniaxial Tensile Tests. The experimental tests were performed in two electromechanical universal testing machines. The suture materials identified as MonoPlus, Monosyn, polyglycolic acid 2-0, polydioxanone 2-0, nylon, and polypropylene were tested in an MTS Insight 2 tensile machine with a maximum cell load capacity of 2.5 kN while the suture materials of polydioxanone 4-0 and PGC25 3-0 were tested in an Instron tensile machine Model 3365 with a maximum cell load capacity of 1.6 kN. The selected samples length between machine grips was 50 mm. All tests were run at the machine speed of 500 mm/min at the average room temperature value of 24[degrees]C. All samples were subjected to cyclic loading-unloading conditions to obtain softening and permanent set effects as shown in Figure 1. Figure 1 illustrates that when the suture material is loaded from its virgin state, unloaded, and then reloaded again, its stress magnitude becomes smaller than the stress magnitude at the same amount of stretch during virgin loading. This reduction in the stress magnitude is known as the Mullins effect [4, 5]. This softening effect becomes associated with residual strain or permanent set effects which implies that the initial length of the suture sample has increased during the application of the tensile load. Table 1 illustrates the experimental average value of residual strain measured in each suture batch. Notice that suture materials response behavior agrees with Nichols et al. qualitative observation on sutures materials [2]. However, to describe quantitatively the stress-softened and permanent set effects observed on suture materials, a material model must be used. Therefore, to understand the physical relationships behind a material model, we first briefly review some basic knowledge on finite deformations, and, then, we shall derive a material model that is based on non-Gaussian statistical mechanics.

3. Basic Concepts on Finite Deformations

We consider the deformation of an incompressible elastic body which in its natural configuration occupies the region Q. A material particle is considered to be in its undeformed reference configuration of a body at the place X = [X.sub.k][e.sub.k]. After a prescribed deformation the body occupies the region [[OMEGA].sub.c], the current configuration, and the particle at X moves to the place x = [x.sub.k][e.sub.k] in a common rectangular Cartesian frame (p = {O; [e.sub.k]} with origin O and orthonormal basis [e.sub.k]. Thus, the Cauchy-Green deformation tensor B [equivalent to] [FF.sup.T] has the form

B = [[lambda].sup.2.sub.1][e.sub.11] + [[lambda].sup.2.sub.2] [e.sub.22] + [[lambda].sup.2.sub.3] [e.sub.33], (1)

where [e.sub.jk] = [e.sub.j] [cross product] [e.sub.k], [e.sub.i] are the associated orthonormal principal directions, F is the deformation gradient, and [[lambda].sub.i] denote the principal stretches in [phi]. Note that the magnitude of the strain intensity at a material point X denoted by m is defined by m [equivalent to] [square root of (B x B)] = [square root of tr [B.sup.2]], where tr is the trace operation. In the undeformed state B = 1, the identity tensor and m = [square root of 3]; otherwise, m > [square root of 3] for all isochoric deformations [8]. Also m [greater than or equal to] [square root of 3] for all [lambda], the equality holding when and only when [lambda] = 1, the undeformed state. Recalling that the principal invariants [I.sub.k] of B are defined by

[I.sub.1] = tr B, [I.sub.2] = 1/2 [[I.sup.2.sub.1] - tr ([B.sup.2])], [I.sub.3] = det B, (2)

thus, the magnitude of the strain intensity m is given as

m = [square root of ([I.sup.2.sub.1] - 2[I.sub.2])]. (3)

4. A Nonmonotonous Stress-Softening

Material Model

To characterize stress-softening effects, there exist in the literature many different micromechanical models have been developed to explain material damage mechanisms. See, for instance, the papers of Govindjee and Simo [6], Ogden and Roxburgh [7], Beatty and Krishnaswamy [8], Elias-Zuniga and Beatty [9], Elias-Zuniga [11], Diani et al. [12], de Tommasi et al. [13], Holzapfel et al. [15], Johnson and Beatty [17], de Souza Neto et al. [18], Marckmann et al. [19], Dorfmann and Ogden [20], Kazakeviciute-Makovska and Kacianauskas [21], and references cited therein for an overview of the main features of these models.

In this section, we derive the corresponding equations that describe the non-monotonic behavior of suture biocompatible materials subjected to loading and unloading cycles by assuming that the stress-softened material behavior can be obtained from the virgin material response constitutive equation. Here, we assume an incompressible and isotropic virgin elastic material whose corresponding time independent Cauchy stress constitutive equation has the form

T = -p1 + [[ALEPH].sub.1] ([I.sub.1], [I.sub.2]) B + [[ALEPH].sub.-1] ([I.sub.1], [I.sub.2]) [B.sup.-1], (4)

in which T is the Cauchy stress, p is an undetermined pressure, and [[ALEPH].sub.[GAMMA]] = [[ALEPH].sub.[GAMMA]] ([I.sub.1], [I.sub.2]), r = 1, -1, denote the virgin material response functions related to the strain energyfunction W = [??]([I.sub.1], [I.sub.2]), per unit reference volume, in accordance with

[[ALEPH].sub.1] = 2[W.sub.1], [[ALEPH].sub.-1] = -2[W.sub.2], (5)

wherein [W.sub.[alpha]] [equivalent to] [partial derivative]W/[partial derivative][I.sub.a] [16]. By using (4), Elias- Zuniga and Beatty in [9] proposed a damage type model to describe the stress-softened material behavior of the form

[tau] = F(m; M) T, (6)

in which [tau] denotes the Cauchy stress in the stress-softened material, M denotes the maximum previous strain at which the material is unloaded from the primary path, and F(m; M) is an isotropic softening function at the damage level [m.sub.max] = M on the interval m [member of] [[square root of 3], M]. They assumed that this softening function F(m; M) is a monotone increasing function of the strain intensity that satisfies the conditions

0 < F(m; M) < 1, F(M; M) = 1. (7)

Based on this assumption, Elias-Zuniga and Beatty proposed the following softening function:

F(m; M) = [e.sup.-b[square root of (M-m)]] (8)

where b is a dimensionless positive material-softening parameter. After substituting (8) into (6), Elias-Zuniga and Beatty obtained the following stress-softened phenomenological material model:

[tau] = [e.sup.-b[square root of (M-m)]]T. (9)

Theoretical predictions provided by (9) were computed in Elias-Zuniga and Beatty [9] and Elias-Zuniga and Beatty [10] and compared to experimental data for uniaxial extension, pure shear, and equibiaxial deformation states. There, the theoretical predictions showed reasonably good agreement with experimental data not only for the virgin loading path but also for the reloading paths. However, Kazakeviciute-Makovska [22] observed that the experimental data when plotted as the normalized stress [tau]/T versus the stretch ratio [lambda]/[[lambda].sub.max] showed nonmonotonous behavior with the characteristic S-shaped form, and [[lambda].sub.max] defines the maximum amount of stretch on the primary loading path corresponding to the value at which the unloading starts in a particular deformation cycle. Kazakeviciute-Makovska concluded that, because of the variations in shapes of the curves for different deformation cycles, different values of the softening parameters were needed to fit experimental data for a particular choice of the softening function. Moreover, Kazakeviciute-Makovska showed that the softening function given by (8)fails in predicting the nonmonotonous behavior exhibited by experimental data collected by Mullins and Tobin [5], Cheng and Chen [23], and Mars and Fatemi [24] at higher stretch values.

On the other hand, de Tommasi and coworkers showed the importance of microscopic inhomogeneity to describe known experimental effects observed in amorphous materials such as the transition from diffuse to localized damage as the distribution properties are varied [25]. In fact, they showed that the monotone stress-stretch loading curve behavior is mainly due to a diffuse damage mechanism. They also considered that amorphous materials may be characterized by unstable strain domain, which gives the possibility of having homogeneous or localized damage with nonmonotone primary loading curve.

To confirm these observations, Elias-Zuniga and Rodrguez in [14] used the nonmonotonous stress-softening function


where b is a positive softening material parameter and [alpha] and [gamma] are positive scaling constants chosen to best fit experimental data. They chose the values of [alpha] = 1/2 and [gamma] = 1 for the scaling constants and fit the value of the softening parameter according to the unloading experimental data of the unloading path at which the amount of stretch has th emaximum value. Then, they used the equation


to predict the corresponding stress-softened values during the inflation and deflation of rubber balloons.

To account permanent set effects during the material unloading processes, Elias-Zuniga and Rodrguez [14] modified Holzapfel et al. model [15] and proposed an energy model based on pseudoelastic theory of the form:

[W.sub.s] = W([[lambda].sub.1], [[lambda].sub.2], [[lambda].sub.3]) + [[mu]/C] [3.summation over (a=1)] [1/2 [([[lambda].sup.n.sub.maxa] - [[lambda].sup.n.sub.a]).sup.2] - [Cd.sub.0]], (12)

where W([[lambda].sub.1], [[lambda].sub.2], [[lambda].sub.3]) represents the strain energy function associated with the primary loading path, [mu] is the material shear modulus, C is a positive dimensionless material constant, [d.sub.0] is an integration constant, n is a fitting parameter that in general takes the value of 1/2, [[lambda].sub.a] represents the principal stretches, and [[lambda].sub.maxa] = 1, 2, 3, are themaximum values of the principal stretches at which unloading begins on the primary loading path.

Here, we use the softening function given by (10) and assume that W([[lambda].sub.1], [[lambda].sub.2], [[lambda].sub.3]) is provided by the non-Gaussian Arruda-Boyce constitutive equation for an average-stretch, full-network of arbitrarily oriented molecular chains to predict softening and residual strain effects on suture materials.

4.1. A Nonmonotonous Amended Averaged Stretch Material Model. For this material model, it is well known that the strain energy per unit volume for the loading path is given by

W([[lambda].sub.1], [[lambda].sub.2], [[lambda].sub.3])

= [mu] [[N.sub.8] ([beta][[lambda].sub.r] + ln([beta]/sin [beta])) - ln([beta]/[[lambda].sub.r])] - [c.sub.8], (13)

where [[lambda].sub.r] is the relative chain stretch defined by

[[lambda].sub.r] = [[lambda].sub.chain]/[[lambda].sub.L], (14)

[[lambda].sub.L] = [square root of [N.sub.8]] represents the fully extended chain stretch, [N.sub.8] is the chain number of rigid links, each of length l, [[lambda].sub.chain] is the chain deformation that in the affine deformation is determined by

[[lambda].sub.chain] = [square root of ([I.sub.1]/3)], (15)

[beta] defined by [beta] = [L.sup.-1]([[lambda].sub.r]) is the inverse of the Langevin function L([beta]) which is defined as

[[lambda].sub.r] = L ([beta]) [equivalent to] coth [beta] - 1/[beta], (16)

and [c.sub.8] is a constant that ensures that the strain energy-density vanishes in the undeformed state [16, 26]. Substitution of (13) into (12) provides the modified non-Gaussian pseudo strain energy per unit volume that accounts for residual strains on the unloading path; that is,


where D is an energy constant.

The Cauchy stress-stretch averaging network model components for the virgin material are obtained by substituting (13) into 4):

[T.sub.k] = -p + [ALEPH] ([I.sub.1]) [[lambda].sup.2.sub.k], (18)

where [ALEPH] ([I.sub.1]) is a material response function given as

[ALEPH] ([I.sub.1]) [equivalent to] [[mu]/3[[lambda].sub.r]] [[beta] + [1/[N.sub.8]] ([1/[[lambda].sub.r]] - [1/[beta](1 - [[lambda].sup.2.sub.r] - 2[[lambda].sub.r]/[beta]])]. (19)

Eliminating the pressure from (18) gives

[T.sub.j] - [T.sub.k] = [ALEPH] ([I.sub.1])([[lambda].sup.2.sub.j] - [[lambda].sup.2.sub.k]), (20)

where j [not equal to] k = 1, 2, 3 (no sum). Similarly, the Cauchy stress-stretch constitutive equation for a stress-softened material can be obtained by substituting (17)into 4) and by using 5) and (11) yields the following stress-softened components:

[[tau].sub.k] = [- p + [ALEPH]([I.sub.1]) [[lambda].sup.2.sub.k] + [[mu][[lambda].sub.k]/2C] [f.sub.k] ([[lambda].sub.1], [[lambda].sub.2], [[lambda].sub.3])] x [e.sup.-b[square root of (M-m)(m/M)], k=1 ,2 ,3(nosum), (21)


[f.sub.k] ([[lambda].sub.1], [[lambda].sub.2], [[lambda].sub.3]) = [partial derivative][[summation].sup.3.sub.a=1] [([[lambda].sup.n.sub.max a] - [[lambda].sup.n.sub.a]).sup.2]/[partial derivative][[lambda].sub.k]. (22)

Then, on elimination of p from (21), it yields


where, in general, j [not equal to] k = 1, 2, 3 (no sum).

Recalling that, for an incompressible material, the engineering stress [sigma] is related to the Cauchy stress by

[sigma] = [TF.sup.-1], (24)

then, the uniaxial engineering stress-stretch relation for an average-stretch, full-network stress-softened material model is obtained by using (22), (23), and (24):



m = [square root of ([[lambda].sup.4] + 2[[lambda].sup.-2])], (26)

and the relative chain stretch which can be obtained from (14) and (15) is given as

[[lambda].sub.r] = [square root of [1/3[N.sub.8]] ([[lambda].sup.2] + 2[[lambda].sup.-1])]. (27)

Of course, other material models may be modified by using (10) and our derived pseudo strain energy per unit volume given by (12) to account for a nonmonotonous stress-softened behavior as well as permanent set effects, respectively.

We next examine the degree of accuracy attained by our proposed material model in predicting experimental data of biocompatible suture materials.

5. Comparison with Suture Experimental Data

To assess the accuracy of the derived constitutive (25) which includes residual strains and has a nonmonotonous stress softening function that describes Mullins effect, we used the experimental data collected during uniaxial extension test of the aforementioned suture material samples. Notice from (25) that only four constitutive material constants and one fitting parameter need to be computed, that is, the shear modulus [mu], the chain number of links N, the stress softening parameter b, the residual strain material constant C, and the fitting parameter n. However, we have found that in general the value of n = 1 for the uniaxial stress-softened material model described by (25) provides good fit to the collected experimental data.

We begin with the stress-stretch data for suture samples of MonoPlus and Monosyn materials. Figures 2 and 3 illustrate the predicted engineering stress response curves obtained from (24)and (25). We can see from Figures 2 and 3 that theoretical results are in good agreement with experimental data for the several loading and unloading cycles that exhibit residual strains. The constitutive material constants used to best fit experimental data are [mu] = 100 MPa, N = 20, b = 0.45, and C = 0.0065 MPa for MonoPlus sutures and [mu] = 92 MPa, N = 20, b = 0.85,and C = 0.0045 MPa for Monosyn material. The amount of error attained between experimental and predicted residual strains is shown in Table 1. From Figures 2 and 3 and Table 1,itisconcluded that Monosyn sutures tend to soften and have bigger residual strains than MonoPlus sutures. In all figures, the dashed black lines represent theoretical predictions, and the blue solid lines describe experimental data.

Figures 4 through 7 illustrate the stress-stretch curves collected from polyglycolic acid, polydioxanone, polydioxanone 4.0, and poly(glycolide-co-epsilon-caprolactone) (PGC25 3-0) suture material samples, respectively. We can see from Figures 4, 5, 6,and 7 that the predicted response stress-stretch curves computed from (25) stand in good agreement with experimental data for the several loading and unloading cycles. In these figures, the blue lines represent the experimental collected data, and the dashed black lines represent theoretical results obtained from (24)and (25). The material constants used in the material model are provided by a best fit analysis and these are listed in the figure captions. It is clear from Figures 4-7 that each suture material exhibits different qualitative and quantitative response material behavior. In fact, the amount of softening on the polyglycolic acid 2-0 and polydioxanone 2-0 suture materials is bigger than those of polydioxanone 4.0 and PGC25 3-0.

Finally, Figures 8 and 9 show the stress-stretch curves of the nonabsorbable nylon and polypropylene suture materials. Although the polypropylene sutures are stiffer than the nylon ones, the amount of strength and residual strain are quite similar. Both sutures material experienced stress-softened and permanent set that must be taken into account during suture manipulation to prevent damaging and weakening undesirable effects.

6. Conclusions

In this paper, we have examined the material behavior of eight different types of suture materials and found that, when these are subjected to loading and unloading cycles, its stress magnitude becomes lower than that of the virgin material. Furthermore, all tested sutures exhibit residual strains which is related to microstructural material damage upon deformation from the natural, undistorted state of the virgin material. To predict the suture materials response behavior observed during uniaxial tension test, we have introduced a new nonmonotonous stress-softened material model that takes into account permanent set effects for the unloading paths as described by the simple constitutive relation (25).

For each suture material, we have compared experimental data with theoretical predictions obtained from (25). In each case, we have determined the corresponding four material constants: the material shear modulus [mu], the chain number of rigid links N, the material softening parameter b, and a positive material constant C that is related to the pseudoelastic residual strain energy. Based on the accuracy of our proposed nonmonotonous model to predict experimental data, we can conclude that the extent of damage of suture biocompatible materials can be conveniently determined by considering its softening behavior observed during experimental tests. Nevertheless, there is a variation in the theoretical predictions, as shown in Table 1, that we believe is due to some viscoelastic effects that were not considered in the proposed material model.

Finally, the present study confirms that stress-softening and residual strain effects appear in the suture materials tested here. The experimental work of this paper proves that suture materials change dramatically when tensile loads are applied during the suturing and healing processes [2]. We have also found that the aforementioned effects are more evident when in vitro sutures are subjected to cyclic loading conditions. However, the results of this new experimental work will be reported in a subsequent paper.

Conflict of Interests

The authors declare that they have no conflict of interests.


This work was funded by Tecnologico de Monterrey--Campus Monterrey, through the Research Chair in Nanomaterials for Medical Devices and Research Chair in Intelligent Machines. Additional support was provided by the project FOMIX Nuevo Leon M0014-2010-30 #145045 and from the European Union Seventh Framework Programme (FP7-PEOPLE-2009) under the grant agreement IRSES no. 247476.


[1] N. P. Ingle and M. W. King, "Optimizing the tissue anchoring performance of barbed sutures in skin and tendon tissues," Journal of Biomechanics, vol. 43, no. 2, pp. 302-309, 2010.

[2] W. K. Nichols, M. Stanton, D. Silver, andW. F. Keitzer, "Anastomotic aneurysms following lower extremity revascularization," Surgery, vol. 88, no. 3, pp. 366-374, 1980.

[3] M. Poukalova, C. M. Yakacki, R. E. Guldberg et al., "Pullout strength of suture anchors: effect of mechanical properties of trabecular bone," Journal of Biomechanics, vol.43, no.6, pp. 1138-1145, 2010.

[4] L. J. Mullins, "Effect of stretching on the properties of rubber," Journal of Rubber Research, vol. 16, pp. 275-289, 1947.

[5] L. Mullins and N. R. Tobin, "Theoretical model for the elastic behavior of filled-reinforced vulcanized rubbers," Journal of Rubber Chemestry and Technology, vol. 30, pp. 555-571, 1957.

[6] S. Govindjee and J. Simo, "A micro-mechanically based continuum damage model for carbon black-filled rubbers incorporating Mullins' effect," Journal of the Mechanics and Physics of Solids, vol.39, no.1, pp.87-112, 1991.

[7] R. W. Ogden and D. G. Roxburgh, "A pseudo-elastic model for the Mullins effect in filled rubber," Proceedings of the Royal Society A: Mathematical, Physical and Engineering Sciences, vol. 455, no 1988, pp 2861-2877, 1999

[8] M. F. Beatty and S. Krishnaswamy, "Theory of stress-softening in incompressible isotropic materials," Journal of the Mechanics and Physics of Solids, vol.48, no.9, pp.1931-1965, 2000.

[9] A. Elias-Zuniga and M. F. Beatty, "A new phenomenological model for stress-softening in elastomers," Zeitschrift fur Angewandte Mathematik und Physik, vol. 53, no. 5, pp. 794-814, 2002.

[10] A. Elias-Zuniga and M. F. Beatty, "Stress-softening effects in the transverse vibration of a non-Gaussian rubber string," Meccanica, vol. 38, no. 4, pp. 419-433, 2003.

[11] A. Elias-Zuniga, "A phenomenological energy-based model to characterize stress-softening effect in elastomers," Polymer, vol. 46, no.10, pp.3496-3506, 2005.

[12] J. Diani, M. Brieu, and J. M. Vacherand, "A damage directional constitutive model for Mullins effect with permanent set and induced anisotropy," European Journal of Mechanics, A/Solids, vol.25, no.3, pp.483-496, 2006.

[13] D. de Tommasi, G. Puglisi, and G. Saccomandi, "A micromechanics-based model for the Mullins effect," Journal of Rheology, vol. 50, no. 4, pp. 495-512, 2006.

[14] A. Elias-Zuniga and C. A. Rodriguez, "A non-monotonous damage function to characterize stress-softening effects with permanent set during inflation and deflation of rubber balloons," International Journal of Engineering Science, vol. 48, no. 12, pp. 1937-1943, 2010.

[15] G. A. Holzapfel, M. Stadler, and R. W. Ogden, "Aspects of stress softening in filled rubbers incorporating residual strains," in Proceedings of the first European Conference on Constitutive Models for Rubber, A. Dorfmann and A. Muhr, Eds., pp.189-193, Rotterdam, The Netherlands, 1999.

[16] M. F. Beatty, "An average-stretch full-network model for rubber elasticity," Journal of Elasticity, vol.70, no.1-3, pp.65-86, 2003.

[17] M. A. Johnson and M. F. Beatty, "The mullins effect in uniaxial extension and its influence on the transverse vibration of a rubber string," Continuum Mechanics and Thermodynamics, vol. 5, no.2, pp.83-115, 1993.

[18] E. A. de Souza Neto, D. Peric, andD. R. J. Owen, "A phenomenological three-dimensional rate-idependent continuum damage model for highly filled polymers: formulation and computational aspects," Journal of the Mechanics and Physics of Solids, vol. 42, no. 10, pp. 1533-1550, 1994.

[19] G. Marckmann, E. Verron, L. Gornet, G. Chagnon, P. Charrier, and P. Fort, "A theory of network alteration for the Mullins effect," Journal of the Mechanics and Physics of Solids, vol.50, no. 9, pp. 2011-2028, 2002.

[20] A. Dorfmann and R. W. Ogden, "A constitutive model for the Mullins effect with permanent set in particle-reinforced rubber," International Journal of Solids and Structures, vol.41, no. 7, pp. 1855-1878, 2004.

[21] R. Kazakeviciute-Makovska and R. Kacianauskas, "Modelling of stress softening in elastomeric materials: foundations of simple theories," Mechanics Research Communications, vol.31, no.4, pp. 395-403, 2004.

[22] R. Kazakeviciute-Makovska, "Experimentally determined properties of softening functions in pseudo-elastic models of the Mullins effect," International Journal of Solids and Structures, vol. 44, no. 11-12, pp. 4145-4157, 2007.

[23] M. Cheng and W. Chen, "Experimental investigation of the stress-stretch behavior of EPDM rubber with loading rate effects," International Journal of Solids and Structures, vol.40, no. 18, pp. 4749-4768, 2003.

[24] W. V. Mars and A. Fatemi, "Observations of the constitutive response and characterization of filled natural rubber under monotonic and cyclic multiaxial stress states," Journal of Engineering Materials and Technology, vol. 126, no. 1, pp. 19-28, 2004.

[25] D. de Tommasi, G. Puglisi, and G. Saccomandi, "Localized versus diffuse damage in amorphous materials," Physical Review Letters, vol. 100, no. 8, Article ID 085502, pp. 1-4, 2008.

[26] A. Elias-Zuniga and M. F. Beatty, "Constitutive equations for amended non-Gaussian network models of rubber elasticity," International Journal of Engineering Science, vol. 40, no. 20, pp. 2265-2294, 2002.

Alex Elias-Zuniga, (1) Beatriz Montoya, (1) Wendy Ortega-Lara, (1) Eduardo Flores-Villalba, (1,2) Ciro A. Rodriguez, (1) Hector R. Siller, (1) Jose A. Diaz-Elizondo, (2) and Oscar Martinez-Romero (1)

(1) Centro de Innovation en Diseno y Tecnologia, Tecnologico de Monterrey--Campus Monterrey, Avenida E. Garza Sada 2501 Sur, 64849Monterrey, NL, Mexico

(2) Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey--Campus Monterrey, Avenida E. Garza Sada 2501 Sur, 64849Monterrey, NL, Mexico

Correspondence should be addressed to Alex Elias-Zuniga;

Received 24 March 2013; Accepted 20 May 2013

Academic Editor: Pavel Lejcek

TABLE 1: Comparison between experimental and predicted residual
strain deformations of the selected suture materials.

Suture material       Maximum    Experimental   Predicted   Error (%)
                     previous      residual     residual
                      stretch       strain       strain

MonoPlus              2.09363       1.6027        1.498      6.5327
                      3.1709        2.2103        2.056      6.9809
                      4.2483        2.7361        2.646      3.2930
                      5.3309        3.3038        3.234      2.1127

Monosyn               1.8165        1.4996        1.464      2.3739
                      2.6165        2.0828        1.962      5.7998
                      3.4165        2.5559        2.484      2.8131
                      4.2165        3.0550        3.007      1.5711

Polyglycolic acid      1.22         1.100         1.125      2.2727
2-0                    1.44         1.230         1.251      1.7070
                       1.66         1.380         1.381      0.0724
                       1.88         1.537         1.515      1.4313

Polydioxanone 2-0       1.5         1.200         1.277      6.4166
                        2.0         1.512         1.566      3.5714
                        2.5         1.815         1.862      3.5895
                         3          2.167         2.154      0.5999

Polydioxanone 4-0       1.2         1.051         1.051      0.7347
                        1.4         1.101         1.099      1.3187
                        1.6         1.149         1.147      0.7879
                        1.8         1.194         1.198      0.1115

Poly(glycolide-co-      1.3         1.123         1.104      1.7270
epsilon-                1.6         1.216         1.206      0.8818
caprolactone)           1.9         1.307         1.306      0.0238
(PGC25 3-0)            2.20         1.403         1.407      0.2851
Nylon                  1.48         1.109         1.235       11.36
                       1.96         1.366         1.481      8.4187
                       2.44          1.67         1.744      4.4311
                       2.92         2.011         2.019      0.3978

Polypropylene           1.4         1.154         1.197       3.72
                        1.8         1.361          1.4       2.8655
                        2.2         1.564         1.615      3.2608
                        2.6         1.855         1.842      0.7008
COPYRIGHT 2013 Hindawi Limited
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2013 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Research Article
Author:Elias-Zuniga, Alex; Montoya, Beatriz; Ortega-Lara, Wendy; Flores-Villalba, Eduardo; Rodriguez, Ciro
Publication:Advances in Materials Science and Engineering
Date:Jan 1, 2013
Previous Article:Studies in finishing effects of clay mineral in polymers and synthetic fibers.
Next Article:Novel optical fiber dynamic light scattering measurement system for nanometer particle size.

Terms of use | Privacy policy | Copyright © 2019 Farlex, Inc. | Feedback | For webmasters