Dyneema Purity® fiber
World strongest medical grade fiber used in
millions of patients today!
DSM Company profile
•   Active worldwide in performance materials & life sciences
•   Among global leader in approximately 75% of businesses
•   History of 100+ years. Highly ranked in Dow Jones Sustainability Index
•   Focus on growth by means of innovation


    DSM key data
    Sales               ~   Euro 8200 mln
    EBIT                ~   Euro 750 mln
    Workforce           ~   22000 (9% R&D)
    Material research   >   300 people




    Page 1
Examples of business areas
Food                                     Electronics




                  Biomedical materials
Pharmaceutics                            Constructions




Anti-infectives                          Automotive




   Page 2
Dyneema Purity® fiber for medical use
CASE: Rotator cuff repair

Strong, thin and pliable sutures play an
important role in rotator cuff repair1:
 Minimizes suture breakage during tightening
 Reduces need for additional procedures
 Reduces patient discomfort




Switch to Dyneema Purity® fiber
High strength sutures made with Dyneema Purity®
have become the new ‘golden’ standard within 4
years.




 1Oper   Tech Sports Med 12:210-214 (2004)


     Page 3
Dyneema Purity® fiber for medical use
CASE: ACL repair

Fixation of ligament replacement in knee
 Endoscopic, minimally invasive procedure
 Reduces patient discomfort and costs
 Strength and compliance essential




Switch to Dyneema Purity® fiber
Various constructions of Dyneema Purity®
are used today to secure the soft tissue
transplant, providing strength and
stiffness.




     Page 4
Orthopedic segments
   High strength sutures
   ACL repair
   Laminar wiring fusion (spine)
   Non fusion (spine)
   Scoliosis (spine)
   ACL replacement
   Cerclage cables (trauma)




Page 5
Cardiovascular segments
   Stent grafts
  Catheters
  CV Sutures
  Heart valves
  Stimulation leads




 Page 6
The basics
• Dyneema Purity® fiber is made from Ultra High
  Molecular Weight Polyethylene (UHMWPE), with
  a very high purity, dedicated for medical
  applications


          Normal Polyethylene, low orientation, low
          molecular weight, crystalinity < 60%




          Dyneema Purity® fiber, very high molecular
          orientation and weigth, crystalinity
          approximately 95%




 Page 7
High
                        Soft as silk        pliability         Hydrophobic

           Extremely                                                    Low melting
             strong                                                     point (~150°C)


  Cut and tear                                                                  High fatigue
   resistance                                                                    resistance


Creeps under                                                                    High chemical
constant load                                                                     resistance


                                                                             High abrasion
 Low coefficient                                                              resistance
   of friction
                                                                  Low density
           Electrical
           insulator
                               Biocompatible;               Low
                             low irritation rate         elongation



  Page 8
Benchmarking strength - I
                            N/tex
                           4
                                                                Dyneema Purity® fiber           At similar weight,
    N/tex                                                                                       Dyneema Purity® fiber
                                                                                                is about 15x stronger
Tenacity based on weight




                                                                                                than steel.
                           3


                                                                       Aramids                  At similar volume,
                                                                        Aramids
                                                                                                Dyneema Purity® fiber
                           2                                                                    is about 4x stronger
                                                             Carbon
                                                                Carbon                          than titanium


                                                                     Ceramic
                                                                  Ceramic          Boron
                           1            PP     PET
                                      Nylon          ePTFE                                      At similar volume,
                                                                                                Dyneema Purity® fiber
                                    Nylon                      Steel
                                                                                                is about 3x stronger
                                                                         Steel                  than polyester
                                    Titanium


                                               11           22          33                 44
                                                Tenacity based on volume GPa

                           Page 9
Benchmarking strength - II

                             Benchmark with other fiber
                             materials commonly used in
                             medical devices shows the
                             unique stress-strain behavior
                             of Dyneema Purity® fiber.




                                     Dyneema Purity® fiber
                                     Polyester (PET) fiber
                                     Nylon
                                     Polypropylene (PP)




Page 10
Benchmarking size
Profile reduction at same strength




Two constructions with similar strength,
23x magnification (SEM micrograph)

                                           USP#2 suture made
                                           with Dyneema Purity®
                                           fiber


                                           USP#5 Ethibond Excel™
                                           polyester suture


Page 11
Benchmarking fatigue resistance

       Tension fatigue testing at similar relative loading
                                                                                         Test setup
                                                                                      Hydraulic machine
                                                             Data filed at DSM        0.3Hz cyclic loads




                                                                                 Conclusion
                                                                                 Dyneema® fibers will not easily
                                                                                 break or lose their strength when
                                                                                 subjected to cyclic or fluctuating
                                                                                 loads.

Analyzed in a tensile test set-up with a frequency of 2 Hz




       Page 12
Conformity
                                                       Dyneema® filament stretched
                                                       over the edge of a razorblade (SEM)
•       Polyethylene cables conform to
        bone surfaces. Metal cables
        have a narrow contact surface
        and hence show high focal
        loads. Focal loads can cause
        cables to cut through bone2.

•       Polyethylene cables flatten
        when placed under tension.
        This property may make the use
        more desirable for soft,
        osteoporotic or cartilaginous
        bone (i.e. in elderly or young
        children)2.




2
    From SPINE, Volume 22, Nr. 6, pp. 596-604, 1997:




         Page 13
Abrasion resistance - I
Abrasion resistance of suture
Test set-up:
                                                                            70000


                                                                            60000


                                                                            50000




                                                        # Cycles-to-break
                                                                            40000


                                                                            30000


Test details:                                                               20000
– Dyneema Purity® UG vs. polyester;
– USP#2 sutures with core-sheath construction;                              10000
– Hard steel pins with 0.9mm;
– Sutures tensioned at 2% of their MBL (max. breaking                          0
    load);                                                                          UG   Polyester

– Frequency: 114 cycles/min.




  Page 14
Coefficient of friction

                                    Coefficient of friction - ASTM D3108 yarn on metal
                                    Standard Test Method for Coefficient of Friction
                                    Yarn to Solid Material, load 22.2 mN/tex
                          0,35
Coefficient of friction




                          0,30                                                         Data filed at DSM     dry
                          0,25                                                                               wet
                          0,20
                          0,15
                          0,10
                          0,05
                              0
                                     Dyneema        Aramid           Polyester         Polyamide           PTFE
                                  Purity® SGX fiber




                              •     Low coefficient of friction contributes to ‘soft touch’, silky feeling.
                              •     Because of its low coefficient of friction, products made with Dyneema Purity®
                                    fibers slide more easily through tissue.


                          Page 15
Stopping power
•   Dyneema Purity® fiber has a very low elongation:

     –   Elongation at break typically is around 3-4% whereas elongation of PET
         typically is around 15-20%.

     –   Dyneema Purity® fiber is used in medical applications for its stopping power
         needed to prevent dimensions or structures go beyond a pre-specified range.

     –   Modulus of Dyneema Purity® fiber is 130N/tex or 126GPa


•   Low elongation can be used to improve tactile
    feedback for surgeon or patient.




    Page 16
ISO10993




Master File on Dyneema Purity®   x: applicable biological tests
fibers available at FDA          o: optional biological tests




  Page 17
Chemical resistance

 Chemical                       Conditions               Tensile
                                                         strength
                    Conc. [%]   Temp.        Exp. time   retention
                                 [ºC]           [hr]
 Inorganic acids
 HCl                   10         20           5000      90-100 %
 HNO3                  10         20           5000
 H2SO4                0.24        60           168
                                                                     Ultra High Molecular Weight Polyethylene
 Organic acids
 CH3COOH              100         20           5000      90-100 %
                                                                     95% crystalline
 Bases                                                               No chemical groups
 Ca(OH)2              0.25        60           168       90-100 %
                                                                     Hydrophobic (Surface tension 27 mN/m)
 NaOH                  10         20           5000
 Organic solvents
                                                                     Very resistant against chemicals
 Ethanol              100         20           5000      90-100 %
 Acetone              100         20           5000
 Trichloromethane     100         20           5000
 Others
 Distilled water      100         20           5000      90-100 %




       Page 18
Sterilization




 Preferred sterilization method for Dyneema Purity® fiber is EtO:
  EtO and steam sterilization hardly affects the mechanical strength.
  Steam should be avoided because Dyneema Purity® fiber is sensitive to too high temperatures.

  Gamma- and e-beam sterilization significantly reduce the mechanical strength due to chain scission.
  Sterilization-induced oxidation might be partly prevented by sterilizing in N2.



  Page 19
Today, more than 10.000.000 patients have medical
    devices with Dyneema Purity® fiber in their body.


    How can Dyneema Purity® fiber
    enable you in your next generation
    device design?



Page 20
Thank you!

www.dyneemapurity.com
Dyneema® and Dyneema Purity® are registered trademarks of Royal DSM N.V.

All information supplied by or on behalf of DSM Dyneema LLC and/or DSM Dyneema BV (“DSM”) in relation to its products, the
characteristics and properties of its products and their possible application, whether in the nature of data, recommendations or
otherwise, is supported by research and/or experience and believed reliable, but DSM gives no warranties of any kind, expressed or
implied, including, but not limited to, those of correctness, completeness, merchantability or fitness for a particular purpose and DSM
assumes no liability whatsoever in respect of application, processing, use of, or reliance on, the aforementioned information or products,
or any consequence thereof, including but not limited to any infringement of the rights owned or controlled by a third party regarding
intellectual, industrial or other property. Any information provided by DSM does not release the user from the obligation to verify such
information and to perform its own testing and analysis to determine the suitability of the products for the intended process, use or
specific application. The user accepts all liability in respect of or resulting from the application, processing, use of, or reliance on, the
aforementioned information or products or any consequences thereof.

   Page 21

Summary dyneema purity® 2011

  • 1.
    Dyneema Purity® fiber Worldstrongest medical grade fiber used in millions of patients today!
  • 2.
    DSM Company profile • Active worldwide in performance materials & life sciences • Among global leader in approximately 75% of businesses • History of 100+ years. Highly ranked in Dow Jones Sustainability Index • Focus on growth by means of innovation DSM key data Sales ~ Euro 8200 mln EBIT ~ Euro 750 mln Workforce ~ 22000 (9% R&D) Material research > 300 people Page 1
  • 3.
    Examples of businessareas Food Electronics Biomedical materials Pharmaceutics Constructions Anti-infectives Automotive Page 2
  • 4.
    Dyneema Purity® fiberfor medical use CASE: Rotator cuff repair Strong, thin and pliable sutures play an important role in rotator cuff repair1: Minimizes suture breakage during tightening Reduces need for additional procedures Reduces patient discomfort Switch to Dyneema Purity® fiber High strength sutures made with Dyneema Purity® have become the new ‘golden’ standard within 4 years. 1Oper Tech Sports Med 12:210-214 (2004) Page 3
  • 5.
    Dyneema Purity® fiberfor medical use CASE: ACL repair Fixation of ligament replacement in knee Endoscopic, minimally invasive procedure Reduces patient discomfort and costs Strength and compliance essential Switch to Dyneema Purity® fiber Various constructions of Dyneema Purity® are used today to secure the soft tissue transplant, providing strength and stiffness. Page 4
  • 6.
    Orthopedic segments High strength sutures ACL repair Laminar wiring fusion (spine) Non fusion (spine) Scoliosis (spine) ACL replacement Cerclage cables (trauma) Page 5
  • 7.
    Cardiovascular segments Stent grafts Catheters CV Sutures Heart valves Stimulation leads Page 6
  • 8.
    The basics • DyneemaPurity® fiber is made from Ultra High Molecular Weight Polyethylene (UHMWPE), with a very high purity, dedicated for medical applications Normal Polyethylene, low orientation, low molecular weight, crystalinity < 60% Dyneema Purity® fiber, very high molecular orientation and weigth, crystalinity approximately 95% Page 7
  • 9.
    High Soft as silk pliability Hydrophobic Extremely Low melting strong point (~150°C) Cut and tear High fatigue resistance resistance Creeps under High chemical constant load resistance High abrasion Low coefficient resistance of friction Low density Electrical insulator Biocompatible; Low low irritation rate elongation Page 8
  • 10.
    Benchmarking strength -I N/tex 4 Dyneema Purity® fiber At similar weight, N/tex Dyneema Purity® fiber is about 15x stronger Tenacity based on weight than steel. 3 Aramids At similar volume, Aramids Dyneema Purity® fiber 2 is about 4x stronger Carbon Carbon than titanium Ceramic Ceramic Boron 1 PP PET Nylon ePTFE At similar volume, Dyneema Purity® fiber Nylon Steel is about 3x stronger Steel than polyester Titanium 11 22 33 44 Tenacity based on volume GPa Page 9
  • 11.
    Benchmarking strength -II Benchmark with other fiber materials commonly used in medical devices shows the unique stress-strain behavior of Dyneema Purity® fiber. Dyneema Purity® fiber Polyester (PET) fiber Nylon Polypropylene (PP) Page 10
  • 12.
    Benchmarking size Profile reductionat same strength Two constructions with similar strength, 23x magnification (SEM micrograph) USP#2 suture made with Dyneema Purity® fiber USP#5 Ethibond Excel™ polyester suture Page 11
  • 13.
    Benchmarking fatigue resistance Tension fatigue testing at similar relative loading Test setup Hydraulic machine Data filed at DSM 0.3Hz cyclic loads Conclusion Dyneema® fibers will not easily break or lose their strength when subjected to cyclic or fluctuating loads. Analyzed in a tensile test set-up with a frequency of 2 Hz Page 12
  • 14.
    Conformity Dyneema® filament stretched over the edge of a razorblade (SEM) • Polyethylene cables conform to bone surfaces. Metal cables have a narrow contact surface and hence show high focal loads. Focal loads can cause cables to cut through bone2. • Polyethylene cables flatten when placed under tension. This property may make the use more desirable for soft, osteoporotic or cartilaginous bone (i.e. in elderly or young children)2. 2 From SPINE, Volume 22, Nr. 6, pp. 596-604, 1997: Page 13
  • 15.
    Abrasion resistance -I Abrasion resistance of suture Test set-up: 70000 60000 50000 # Cycles-to-break 40000 30000 Test details: 20000 – Dyneema Purity® UG vs. polyester; – USP#2 sutures with core-sheath construction; 10000 – Hard steel pins with 0.9mm; – Sutures tensioned at 2% of their MBL (max. breaking 0 load); UG Polyester – Frequency: 114 cycles/min. Page 14
  • 16.
    Coefficient of friction Coefficient of friction - ASTM D3108 yarn on metal Standard Test Method for Coefficient of Friction Yarn to Solid Material, load 22.2 mN/tex 0,35 Coefficient of friction 0,30 Data filed at DSM dry 0,25 wet 0,20 0,15 0,10 0,05 0 Dyneema Aramid Polyester Polyamide PTFE Purity® SGX fiber • Low coefficient of friction contributes to ‘soft touch’, silky feeling. • Because of its low coefficient of friction, products made with Dyneema Purity® fibers slide more easily through tissue. Page 15
  • 17.
    Stopping power • Dyneema Purity® fiber has a very low elongation: – Elongation at break typically is around 3-4% whereas elongation of PET typically is around 15-20%. – Dyneema Purity® fiber is used in medical applications for its stopping power needed to prevent dimensions or structures go beyond a pre-specified range. – Modulus of Dyneema Purity® fiber is 130N/tex or 126GPa • Low elongation can be used to improve tactile feedback for surgeon or patient. Page 16
  • 18.
    ISO10993 Master File onDyneema Purity® x: applicable biological tests fibers available at FDA o: optional biological tests Page 17
  • 19.
    Chemical resistance Chemical Conditions Tensile strength Conc. [%] Temp. Exp. time retention [ºC] [hr] Inorganic acids HCl 10 20 5000 90-100 % HNO3 10 20 5000 H2SO4 0.24 60 168 Ultra High Molecular Weight Polyethylene Organic acids CH3COOH 100 20 5000 90-100 % 95% crystalline Bases No chemical groups Ca(OH)2 0.25 60 168 90-100 % Hydrophobic (Surface tension 27 mN/m) NaOH 10 20 5000 Organic solvents Very resistant against chemicals Ethanol 100 20 5000 90-100 % Acetone 100 20 5000 Trichloromethane 100 20 5000 Others Distilled water 100 20 5000 90-100 % Page 18
  • 20.
    Sterilization Preferred sterilizationmethod for Dyneema Purity® fiber is EtO: EtO and steam sterilization hardly affects the mechanical strength. Steam should be avoided because Dyneema Purity® fiber is sensitive to too high temperatures. Gamma- and e-beam sterilization significantly reduce the mechanical strength due to chain scission. Sterilization-induced oxidation might be partly prevented by sterilizing in N2. Page 19
  • 21.
    Today, more than10.000.000 patients have medical devices with Dyneema Purity® fiber in their body. How can Dyneema Purity® fiber enable you in your next generation device design? Page 20
  • 22.
    Thank you! www.dyneemapurity.com Dyneema® andDyneema Purity® are registered trademarks of Royal DSM N.V. All information supplied by or on behalf of DSM Dyneema LLC and/or DSM Dyneema BV (“DSM”) in relation to its products, the characteristics and properties of its products and their possible application, whether in the nature of data, recommendations or otherwise, is supported by research and/or experience and believed reliable, but DSM gives no warranties of any kind, expressed or implied, including, but not limited to, those of correctness, completeness, merchantability or fitness for a particular purpose and DSM assumes no liability whatsoever in respect of application, processing, use of, or reliance on, the aforementioned information or products, or any consequence thereof, including but not limited to any infringement of the rights owned or controlled by a third party regarding intellectual, industrial or other property. Any information provided by DSM does not release the user from the obligation to verify such information and to perform its own testing and analysis to determine the suitability of the products for the intended process, use or specific application. The user accepts all liability in respect of or resulting from the application, processing, use of, or reliance on, the aforementioned information or products or any consequences thereof. Page 21