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研究生: 江貴凰
Guei-Huang Jiang
論文名稱: 金屬玻璃鍍層應用於手術縫合針之性質提升研究
Beneficial Effects of Thin-film Metallic Glass Coating on Property Improvements of Surgical Suture Needles
指導教授: 朱瑾
Jinn P. Chu
口試委員: 張世幸
Shih-Hsin Chang
陳明仁
Ming-Jen Chen
白孟宜
Meng-Yi Bai
朱瑾
Jinn P. Chu
學位類別: 碩士
Master
系所名稱: 工程學院 - 材料科學與工程系
Department of Materials Science and Engineering
論文出版年: 2017
畢業學年度: 105
語文別: 英文
論文頁數: 125
中文關鍵詞: 縫合技術縫合材料縫合針金屬玻璃薄膜耐久度針體/組織互動
外文關鍵詞: suturing, suture material, suture needle, thin film metallic glasses (TFMGs), usage durability, needle/tissue interaction
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  • 縫合材料為用來將傷口或外科手術後的人體組織縫合在一起。有效地縫合是讓手術成功的重要關鍵之一,其取決於許多因素如醫師技術、縫合針的品質與耐用度等。另外,在微創手術中,因受限於手術空間與手部靈活度,常使縫合的時間拉長,同時也增加手術部位被感染的風險。因此改善縫合針之使用效率與耐用度,不僅可以減少手術過程中感染之風險,亦能提升醫療品質。
    藉金屬玻璃之高強度、低摩擦係數以及耐磨耗等優異性質,以及先期研究中發現之抗菌、抗血小板與癌細胞沾黏等良好的生物相容性質,本研究將60奈米厚的鋯基(Zr53Cu33Al9Ta5)金屬玻璃薄膜以磁控式濺鍍鍍覆於縫合針上,在四十次的穿刺試驗中,以裸針與具潤滑塗層的針作為對照組,用最大穿刺力的增值評估金屬玻璃鍍層在針體上的表現。在本研究中亦準備兩種不同的縫合針(6/0 反角針,7/0 圓體角針)分別對仿生材料聚氨基甲酸乙脂橡膠塊和臨床用人工血管進行多次的定速穿刺試驗。
    在6/0角針對橡膠塊進行四十次穿刺試驗後,裸針的平均穿刺力達到2.21 N,具潤滑層的針為2.23 N,而有金屬玻璃鍍層的針僅1.9 N,在多次穿刺後據金屬玻璃鍍層的針可得較小之穿刺力。在對橡膠的多次穿刺試驗中,具金屬玻璃鍍層的針表現出最小的穿刺力增值(2-8 %)遠低於裸針(~42 %)和具潤滑層的針(48-59 %),此外,在穿刺試驗前後表面粗糙度測試中,比起裸針(~24 %),具金屬玻璃鍍層的針有較小的粗糙度增值(~5 %),金屬玻璃鍍層表現出優異的保護與耐磨耗功效。在對層狀人工血管的四十次穿刺試驗中,具金屬玻璃的針(~4 %)亦展現出比裸針(~22 %)和具潤滑層針(~20 %)小的穿刺力增值;而在針體與組織間作用力的調查中,亦得到相同的趨勢,表示金屬玻璃鍍層不僅能保護針尖同時也能保護針體。整體而言,金屬玻璃鍍層在不同大小與針型上都能有效地保護縫合針,提升其耐用度,即使對不同的穿刺材料下亦能得到同樣優異的結果。


    Suture material is used to bring tissue or skin together in a wound or surgical laceration to aid in healing of the wound. Effective wound closure is important for success of any surgical procedure, which is determined by surgical techniques, the durability and the quality of suture needles. Suturing during some surgery operations, such as Minimally Invasive Surgery (MIS), remains a time-consuming task with a high-risk of infection, so that improving the efficacy of suture materials is critical to reduce infections.
    Owing to the amorphous nature, thin film metallic glasses (TFMGs) exhibit exceptional mechanical properties, such as high strength, good wear-resistance and low coefficient of friction. In addition, TFMGs have been reported to show good biocompatibility and antibacterial properties. TFMG coating can be a potential candidate for enhancing the surface properties of needles. In this study, two types of suture needles (6/0 reverse cutting needle and 7/0 taper cutting needle) with 60-nm-thick Zr-based (Zr53Cu33Al9Ta5) TFMG coatings deposited by magnetron sputtering are prepared to compare the performance with bare needles and the needles with lubricant in the 40-time insertion tests against homogenous polyurethane rubber and vascular graft, respectively.
    The average values of peak loads after 40-time insertion tests conducted with 6/0 needles against polyurethane rubber are 2.21 N for bare needles, 2.23 N for the needle with lubricant, and 1.9 N for TFMG-coated needle. After 40-time insertion tests against rubber, TFMG samples show the smallest peak-load increments (2-8 %) than bare samples (~42 %) and the needles with lubricant (48-59 %). Also, the surface-roughness increments (before and after tests) of TFMG samples (~ 5 %) are lower than that of bare samples (~24 %), which is consistent with the results in force increments and suggests the excellent protection function and wear performance of TFMG coatings. In the insertion tests against vascular graft, the force increments of TFMG samples (~4 %) are still lower than bare samples (~22 %) and the needles with lubricant (~20 %), and the similar tendency also can be obtain from the investigation of needle-body/tissue interaction forces, implying that TFMG coatings not only can protect the needle tips but also needle bodies. On the whole, TFMG coatings can effectively protect the needle samples, irrespective of testing materials and needle types.

    摘要 I Abstract II Acknowledgements III Table of Contents IV List of Figures VI List of Tables X Chapter 1 Introduction 1 1.1 Overview of Thin Film Metallic Glass (TFMG) 1 1.2 Motivation and Objectives 2 Chapter 2 Literature Review 3 2.1 Materials for Wound Closure 3 2.2 Suture Materials 4 2.2.1 Evolution of Suture Materials 4 2.2.2 Classification of Suture Materials 4 2.2.3 Classification of Suture Sizes 6 2.2.4 Classification of Suture Needles 7 2.3 Introduction of Synthetic Vascular Graft 10 2.4 Needle-Tissue Interaction Force 11 2.5 Thin Film Metallic Glass: Properties and Fabrication 13 2.5.1 Antibacterial Properties and Biocompatibility 16 2.5.2 Biomedical Application 18 2.6 Magnetron Sputter Deposition 20 Chapter 3 Experimental Procedure 23 3.1 Substrate Preparation 24 3.1.1 Suture Needle Preparation 24 3.1.2 Thin Film Metallic Glass (TFMG) Deposition 24 3.2 Material Characterizations 25 3.2.1 Crystallographic Analysis 25 3.2.2 Thermal Analysis 26 3.2.4 Chemical Composition Analysis 27 3.2.5 Microstructural Analysis 28 3.2.6 Cell Viability Analysis 28 3.3 Insertion and Retraction Test 30 3.3.1 Test Material: Rubber 31 3.3.2 Test Material: Vascular Graft 31 3.3.3 Surface Morphology Observation of Suture Needle 33 3.3.4 Surface Roughness Analysis of Suture Needle 34 3.4 Statistic Analysis 35 Chapter 4 Results and Discussion 37 4.1 Characterizations of TFMGs 37 4.1.1 Crystallographic Analysis 37 4.1.2 Thermal Analysis 37 4.1.3 Chemical Composition Analysis 38 4.1.4 Microstructural Analysis 39 4.1.5 Cell Viability Analysis 40 4.2 Insertion and Retraction Test against Rubber 41 4.2.1 Needle Sample: 6/0 Suture Needle 41 4.2.1.1 Results of Insertion and Retraction Test 41 4.2.1.1.1 Peak Load Analysis 45 4.2.1.2 Surface Morphology Observation 50 4.2.1.3 Influence of Tip Geometry 62 4.2.2 Needle Sample: 7/0 Suture Needle 64 4.2.2.1 Results of Insertion and Retraction Test 64 4.2.2.1.1 Peak Force Analysis 66 4.2.2.2 Surface Morphology Observation 70 4.2.2.3 Influence of Tip Geometry 82 4.2.2.4 Surface Roughness Analysis 84 4.2.2.5 Microstructural Analysis 85 4.3 Discussion Ⅰ: Influences of Needle Characteristics 86 4.4 Insertion and Retraction Test against Vascular Graft 90 4.4.1 Results of Insertion and Retraction Test 90 4.4.1.1 Puncture Force Analysis 93 4.4.1.2 Needle-Body/Tissue Interaction Forces 97 4.4.2 Surface Morphology Observation 99 4.4.3 Influence of Tip Geometry 111 4.5 Discussion Ⅱ 113 4.5.1 Influences of Needle and Tissue Characteristics 113 4.5.2 Factors Affecting Peak Load Value 117 4.5.3 Factors Affecting Force Increment 118 Chapter 5 Conclusions 119 Reference 121

    [1] J. P. Chu et al., "Thin film metallic glasses: Unique properties and potential applications," Thin Solid Films, Review vol. 520, no. 16, pp. 5097-5122, 2012.
    [2] Y. Kawamura, T. Shibata, A. Inoue, and T. Masumoto, "Deformation behavior of Zr65Al10Ni10Cu15 glassy alloy with wide supercooled liquid region," Applied Physics Letters, Article vol. 69, no. 9, pp. 1208-1210, 1996.
    [3] A. Inoue, H. M. Kimura, K. Sasamori, and T. Masumoto, "Ultrahigh strength of rapidly solidified Al96-xCr3Ce1Cox (x = 1, 1.5 and 2%) alloys containing an icosahedral phase as a main component," Materials Transactions, JIM, Article vol. 35, no. 2, pp. 85-94, 1994.
    [4] W. Klement, R. H. Willens, and P. Duwez, "Non-crystalline structure in solidified Gold-Silicon alloys," Nature, Article vol. 187, no. 4740, pp. 869-870, 1960.
    [5] A. Inoue and A. Takeuchi, "Recent development and application products of bulk glassy alloys," Acta Materialia, Review vol. 59, no. 6, pp. 2243-2267, 2011.
    [6] M. Nastasi, F. W. Saris, L. S. Hung, and J. W. Mayer, "Stability of amorphous Cu/Ta and Cu/W alloys," Journal of Applied Physics, Article vol. 58, no. 8, pp. 3052-3058, 1985.
    [7] J. Rivory, J. M. Frigerio, M. Harmelin, A. Quivy, Y. Calvayrac, and J. Bigot, "Preparation of CUxZr1-x metallic glasses by sputtering and their thermal stability, electrical and optical properties," Thin Solid Films, Article vol. 89, no. 3, pp. 323-327, 1982.
    [8] R. B. Schwarz and W. L. Johnson, "Formation of an amorphous alloy by solid-state reaction of the pure polycrystalline metals," Physical Review Letters, Article vol. 51, no. 5, pp. 415-418, 1983.
    [9] E. J. Cotts, W. J. Meng, and W. L. Johnson, "Calorimetric study of amorphization in planar, binary, multilayer, thin-film diffusion couples of Ni and Zr," Physical Review Letters, Article vol. 57, no. 18, pp. 2295-2298, 1986.
    [10] S. B. Newcomb and K. N. Tu, "Transmission electron microscopic observations of amorphous NiZr alloy formation by solid-state reaction," Applied Physics Letters, Article vol. 48, no. 21, pp. 1436-1438, 1986.
    [11] R. J. Highmore, J. E. Evetts, A. L. Greer, and R. E. Somekh, "Differential scanning calorimetry study of solid-state amorphization in multilayer thin-film Ni/Zr," Applied Physics Letters, Article vol. 50, no. 10, pp. 566-568, 1987.
    [12] C. J. Chen et al., "On the amorphous and nanocrystalline Zr-Cu and Zr-Ti co-sputtered thin films," Journal of Alloys and Compounds, Article vol. 483, no. 1-2, pp. 337-340, 2009.
    [13] H. S. Chou, J. C. Huang, and L. W. Chang, "Mechanical properties of ZrCuTi thin film metallic glass with high content of immiscible tantalum," Surface and Coatings Technology, Article vol. 205, no. 2, pp. 587-590, 2010.
    [14] L. Yongdong, H. Seiichi, W. Kouichi, and S. Akira, "Thermal, Mechanical and Electrical Properties of Pd-Based Thin-Film Metallic Glass," Japanese Journal of Applied Physics, vol. 40, no. 9R, p. 5382, 2001.
    [15] S. Hata, K. Sato, and A. Shimokohbe, "Fabrication of thin film metallic glass and its application to microactuators," 1999, vol. 3892, pp. 97-108.
    [16] P. Sharma, W. Zhang, K. Amiya, H. Kimura, and A. Inoue, "Nanoscale Patterning of Zr-Al-Cu-Ni Metallic Glass Thin Films Deposited by Magnetron Sputtering," Journal of Nanoscience and Nanotechnology, vol. 5, no. 3, pp. 416-420, // 2005.
    [17] P. T. Chiang, G. J. Chen, S. R. Jian, Y. H. Shih, J. S. C. Jang, and C. H. Lai, "Surface antimicrobial effects of Zr61Al7.5Ni10Cu17.5Si4 thin film metallic glasses on Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Acinetobacter baumannii and Candida albicans," Fooyin Journal of Health Sciences, Article vol. 2, no. 1, pp. 12-20, 2010.
    [18] H. Kang and J. T. Wen, "Robotic knot tying in minimally invasive surgeries," in IEEE International Conference on Intelligent Robots and Systems, 2002, vol. 2, pp. 1421-1426.
    [19] S. Ishikawa et al., "Surgery for infective endocarditis: Determinate factors in the outcome," Journal of Cardiovascular Surgery, Article vol. 49, no. 4, pp. 545-548, 2008.
    [20] M. LeDuc, S. Payandeh, and J. Dill, "Toward Modeling of a Suturing Task," in Proceedings - Graphics Interface, 2003, pp. 273-279.
    [21] J. L. Cox, D. A. Chiasson, and A. I. Gotlieb, "Stranger in a strange land: The pathogenesis of saphenous vein graft stenosis with emphasis on structural and functional differences between veins and arteries," Progress in Cardiovascular Diseases, vol. 34, no. 1, pp. 45-68, 1991/07/01 1991.
    [22] J. P. Chu et al., "Fabrication and characterizations of thin film metallic glasses: Antibacterial property and durability study for medical application," Thin Solid Films, Article vol. 561, pp. 102-107, 2014.
    [23] J. E. Carter, "Suture? Staple? Electrosurgery? How to Decide What is Best For You," JSLS : Journal of the Society of Laparoendoscopic Surgeons, vol. 1, no. 2, pp. 171-174, Apr-Jun 1997.
    [24] C. C. Snyder, "On the history of the suture," Bulletin of the history of dentistry, Article vol. 25, no. 2, pp. 79-84, 1977.
    [25] R. E. Kravetz, "Horse hair sutures," The American journal of gastroenterology, Article vol. 98, no. 3, p. 691, 2003.
    [26] L. J. Aries, "Experimental studies with synthetic fiber (nylon* * The materials used in these experiments were furnished by Curity Laboratories of the Lewis Mfg. Co., Walpole, Mass.) as a buried suture," Surgery, Article vol. 9, no. 1, pp. 51-60, 1941.
    [27] A. R. Anscombe, N. Hira, and B. Hunt, "The use of a new absorbable suture material (polyglycolic acid) in general surgery," British Journal of Surgery, Article vol. 57, no. 12, pp. 917-920, 1970.
    [28] R. W. Postlethwait, "Polyglycolic Acid Surgical Suture: R. W. Postlethwait, MD, Durham, NC," Archives of Surgery, Article vol. 101, no. 4, pp. 489-494, 1970.
    [29] R. G. Bennett, "Selection of wound closure materials," Journal of the American Academy of Dermatology, vol. 18, no. 4, pp. 619-637, 1988/04/01 1988.
    [30] L. Apt, F. D. Costenbader, M. M. Parks, and D. G. Albert, "Catgut Allergy in Eye Muscle Surgery: I. Correlation of Eye Reaction and Skin Test Using Plain Catgut," A.M.A. Archives of Ophthalmology, Article vol. 63, no. 1, pp. 30-35, 1960.
    [31] P. H. Craig et al., "A biologic comparison of polyglactin 910 and polyglycolic acid synthetic absorbable sutures," Surgery Gynecology and Obstetrics, Article vol. 141, no. 1, pp. 1-10, 1975.
    [32] M. S. and M. MD, Ophthalmic Microsurgical Suturing Techniques. Springer Berlin Heidelberg, 2007.
    [33] A. B. Rizutti, "Clinical evaluation of suture material and needles in surgery of the cornea and lens," Ethicon, Somerville, NJ, 1968.
    [34] W. C. Trier, "Considerations in the choice of surgical needles," (in eng), Surgery, gynecology & obstetrics, vol. 149, no. 1, pp. 84-94, 1979/07// 1979.
    [35] P. R. Minahan, "Eyeless needle," ed: Google Patents, 1914.
    [36] J. D. Bronzino, Biomedical engineering handbook. CRC press, 1999.
    [37] J. W. Quarmby et al., "Prospective randomized trial of woven versus collagen‐impregnated knitted prosthetic Dacron grafts in aortoiliac surgery," British journal of surgery, vol. 85, no. 6, pp. 775-777, 1998.
    [38] L. Barbé, B. Bayle, M. de Mathelin, and A. Gangi, "Needle insertions modeling: Identifiability and limitations," Biomedical Signal Processing and Control, vol. 2, no. 3, pp. 191-198, 7// 2007.
    [39] A. M. Okamura, C. Simone, and M. D. O'Leary, "Force modeling for needle insertion into soft tissue," IEEE transactions on biomedical engineering, vol. 51, no. 10, pp. 1707-1716, 2004.
    [40] O. A. Shergold and N. A. Fleck, "Experimental investigation into the deep penetration of soft solids by sharp and blunt punches, with application to the piercing of skin," Journal of biomechanical engineering, vol. 127, no. 5, pp. 838-848, 2005.
    [41] D. Okuno, T. Togawa, H. Saito, and K. Tsuchiya, "Development of an automatic blood sampling system: control of the puncturing needle by measuring forces," in Engineering in Medicine and Biology Society, 1998. Proceedings of the 20th Annual International Conference of the IEEE, 1998, vol. 4, pp. 1811-1812: IEEE.
    [42] T. Podder et al., "In vivo motion and force measurement of surgical needle intervention during prostate brachytherapy," Medical Physics, Article vol. 33, no. 8, pp. 2915-2922, 2006.
    [43] T. K. Podder et al., "In-vivo measurement of surgical needle intervention parameters: A pilot study," in Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings, 2006, pp. 3652-3655.
    [44] T. K. Podder et al., "Needle insertion force estimation model using procedure-specific and patient-specific criteria," in Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings, 2006, pp. 555-558.
    [45] X. Bao, W. Li, M. Lu, and Z. R. Zhou, "Experiment study on puncture force between MIS suture needle and soft tissue," Biosurface and Biotribology, vol. 2, no. 2, pp. 49-58, 2016.
    [46] J. T. Stellman, "Production, development, and characterization of plastic hypodermic needles," 2009.
    [47] M. A. Meltsner, N. J. Ferrier, and B. R. Thomadsen, "Observations on rotating needle insertions using a brachytherapy robot," Physics in medicine and biology, vol. 52, no. 19, p. 6027, 2007.
    [48] K. Naemura, Y. Uchino, and H. Saito, "Effect of the needle tip height on the puncture force in a simplified epidural anesthesia simulator," in Engineering in Medicine and Biology Society, 2007. EMBS 2007. 29th Annual International Conference of the IEEE, 2007, pp. 3504-3507: IEEE.
    [49] K. Naemura, A. Sakai, T. Hayashi, and H. Saito, "Epidural insertion simulator of higher insertion resistance & drop rate after puncture," in Engineering in Medicine and Biology Society, 2008. EMBS 2008. 30th Annual International Conference of the IEEE, 2008, pp. 3249-3252: IEEE.
    [50] D. J. van Gerwen, J. Dankelman, and J. J. van den Dobbelsteen, "Needle-tissue interaction forces--a survey of experimental data," Med Eng Phys, vol. 34, no. 6, pp. 665-80, Jul 2012.
    [51] Y. H. Liu et al., "Deposition of multicomponent metallic glass films by single-target magnetron sputtering," Intermetallics, Article vol. 21, no. 1, pp. 105-114, 2012.
    [52] J. P. Chu et al., "Annealing-induced full amorphization in a multicomponent metallic film," Physical Review B - Condensed Matter and Materials Physics, Article vol. 69, no. 11, pp. 1134101-1134104, 2004, Art. no. 113410.
    [53] C. L. Chiang, J. P. Chu, F. X. Liu, P. K. Liaw, and R. A. Buchanan, "A 200 nm thick glass-forming metallic film for fatigue-property enhancements," Applied Physics Letters, Article vol. 88, no. 13, 2006, Art. no. 131902.
    [54] F. X. Liu et al., "Fatigue-resistance enhancements by glass-forming metallic films," Materials Science and Engineering A, Article vol. 468-470, no. SPEC. ISS., pp. 246-252, 2007.
    [55] C. W. Chu, J. S. C. Jang, S. M. Chiu, and J. P. Chu, "Study of the characteristics and corrosion behavior for the Zr-based metallic glass thin film fabricated by pulse magnetron sputtering process," Thin Solid Films, Article vol. 517, no. 17, pp. 4930-4933, 2009.
    [56] H. S. Chou et al., "Amorphous and nanocrystalline sputtered Mg-Cu thin films," Journal of Alloys and Compounds, Article vol. 483, no. 1-2, pp. 341-345, 2009.
    [57] H. Jia et al., "Thin-film metallic glasses for substrate fatigue-property improvements," Thin Solid Films, Review vol. 561, pp. 2-27, 2014.
    [58] C. C. Yu, C. M. Lee, J. P. Chu, J. E. Greene, and P. K. Liaw, "Fracture-resistant thin-film metallic glass: Ultra-high plasticity at room temperature," APL Materials, Article vol. 4, no. 11, 2016, Art. no. 116101.
    [59] J. W. Lee and Y. C. Kuo, "A study on the microstructure and cyclic oxidation behavior of the pack aluminized Hastelloy X at 1100 °C," Surface and Coatings Technology, Article vol. 201, no. 7 SPEC. ISS., pp. 3867-3871, 2006.
    [60] C. Y. Chuang, Y. C. Liao, J. W. Lee, C. L. Li, J. P. Chu, and J. G. Duh, "Electrochemical characterization of Zr-based thin film metallic glass in hydrochloric aqueous solution," Thin Solid Films, Conference Paper vol. 529, pp. 338-341, 2013.
    [61] Z. Li, C. Zhang, and L. Liu, "Wear behavior and corrosion properties of Fe-based thin film metallic glasses," Journal of Alloys and Compounds, Article vol. 650, pp. 127-135, 2015.
    [62] Y. Z. Chang et al., "Zr-based metallic glass thin film coating for fatigue-properties improvement of 7075-T6 aluminum alloy," Thin Solid Films, Conference Paper vol. 544, pp. 331-334, 2013.
    [63] P. H. Tsai et al., "Sharpness improvement of surgical blade by means of ZrCuAlAgSi metallic glass and metallic glass thin film coating," Intermetallics, Article vol. 31, pp. 127-131, 2012.
    [64] W. Diyatmika, J. P. Chu, B. T. Kacha, C. C. Yu, and C. M. Lee, "Thin film metallic glasses in optoelectronic, magnetic, and electronic applications: A recent update," Current Opinion in Solid State and Materials Science, Article vol. 19, no. 2, pp. 95-106, 2015.
    [65] H. T. Michels, J. O. Noyce, and C. W. Keevil, "Effects of temperature and humidity on the efficacy of methicillin- resistant Staphylococcus aureus challenged antimicrobial materials containing silver and copper," Letters in Applied Microbiology, Article vol. 49, no. 2, pp. 191-195, 2009.
    [66] Q. L. Feng, J. Wu, G. Q. Chen, F. Z. Cui, T. N. Kim, and J. O. Kim, "A mechanistic study of the antibacterial effect of silver ions on Escherichia coli and Staphylococcus aureus," Journal of Biomedical Materials Research, Article vol. 52, no. 4, pp. 662-668, 2000.
    [67] M. Katsikogianni and Y. F. Missirlis, "Concise review of mechanisms of bacterial adhesion to biomaterials and of techniques used in estimating bacteria-material interactions," Eur Cell Mater, vol. 8, no. 3, 2004.
    [68] K. H. Liao, K. L. Ou, H. C. Cheng, C. T. Lin, and P. W. Peng, "Effect of silver on antibacterial properties of stainless steel," Applied Surface Science, Article vol. 256, no. 11, pp. 3642-3646, 2010.
    [69] Y.-J. Chang, C.-L. Li, J.-W. Lee, F.-B. Wu, and L.-C. Chang, "Evaluation of antimicrobial abilities of Cr2N/Cu multilayered thin films," Thin Solid Films, vol. 518, no. 24, pp. 7551-7556, 10/1/ 2010.
    [70] Z. G. Dan, H. W. Ni, B. F. Xu, J. Xiong, and P. Y. Xiong, "Microstructure and antibacterial properties of AISI 420 stainless steel implanted by copper ions," Thin Solid Films, Article vol. 492, no. 1-2, pp. 93-100, 2005.
    [71] Y. H. Kim et al., "Preparation of ultrathin polydimethylsiloxane-coating on Cu as oxidation-protection layer," Applied Surface Science, Article vol. 258, no. 19, pp. 7562-7566, 2012.
    [72] P. C. Liu, J. H. Hsieh, C. Li, Y. K. Chang, and C. C. Yang, "Dissolution of Cu nanoparticles and antibacterial behaviors of TaN-Cu nanocomposite thin films," Thin Solid Films, Article vol. 517, no. 17, pp. 4956-4960, 2009.
    [73] J. H. Chu et al., "Antimicrobial characteristics in Cu-containing Zr-based thin film metallic glass," Surface and Coatings Technology, Article vol. 259, no. PA, pp. 87-93, 2014.
    [74] Y. Y. Chu, Y. S. Lin, C. M. Chang, J. K. Liu, C. H. Chen, and J. C. Huang, "Promising antimicrobial capability of thin film metallic glasses," Materials Science and Engineering C, Article vol. 36, no. 1, pp. 221-225, 2014.
    [75] S. Chyntara, "Inhibitory Effects and Possible Mechanisms of Thin Film Metallic Glass Coating on Adhesion of Various Cancer Cells," Master thesis, 2015.
    [76] Y.-L. Chen, "Application of Thin Film Metallic Glasses Coated on Implantable Medical Devices: Effects on Reductions of Blood Cell Adhesion," Master thesis, 2015.
    [77] C. T. McCarthy, M. Hussey, and M. D. Gilchrist, "On the sharpness of straight edge blades in cutting soft solids: Part I - indentation experiments," Engineering Fracture Mechanics, Article vol. 74, no. 14, pp. 2205-2224, 2007.
    [78] Y.-J. Tseng, "Effects of thin film metallic glass coating on skin grafting using a dermatome blade," Master thesis, 2015.
    [79] J. P. Chu, C. C. Yu, Y. Tanatsugu, M. Yasuzawa, and Y. L. Shen, "Non-stick syringe needles: Beneficial effects of thin film metallic glass coating," Scientific Reports, Article vol. 6, 2016, Art. no. 31847.
    [80] D. M. Mattox, Handbook of physical vapor deposition (PVD) processing. William Andrew, 2010.
    [81] K. S. Harsha, Principles of vapor deposition of thin films. Elsevier, 2005.
    [82] R. A. Surmenev, "A review of plasma-assisted methods for calcium phosphate-based coatings fabrication," Surface and Coatings Technology, vol. 206, no. 8–9, pp. 2035-2056, 1/15/ 2012.
    [83] J. P. Desai, J. T. Hing, and A. D. Brooks, "A biplanar fluoroscopic approach for the measurement, modeling, and simulation of needle and soft-tissue interaction," Medical Image Analysis, vol. 11, pp. 62–78, 2007.
    [84] R. V. O'Toole et al., "Measuring and developing suturing technique with a virtual reality surgical simulator," Journal of the American College of Surgeons, Article vol. 189, no. 1, pp. 114-128, 1999.

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