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Medical Grade Comparison · 10 min read

Titanium Grade 23 vs Grade 5

If you are specifying titanium for a medical device and wondering whether Grade 5 or Grade 23 is correct, the short answer is: Grade 23 (ASTM F136) for load-bearing implants, Grade 5 (AMS 4928) for everything else. The alloy chemistry is nearly identical — but trace element limits and regulatory requirements are not.

Grade 23 oxygen max: 0.13 wt.% · Grade 5 oxygen max: 0.20 wt.% · Fracture toughness (KIc — resistance to crack propagation): ~75 vs ~55 MPa√m · Machining parameters: identical

By MakerStage Engineering
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Why Two Versions of the Same Alloy Exist

Grade 5 and Grade 23 have the same major composition: 6 wt.% aluminum, 4 wt.% vanadium, balance titanium. If you did not know they were different grades, you might order the wrong one. The difference — a maximum oxygen content of 0.20 vs. 0.13 wt.% — sounds trivially small. But oxygen is a surprisingly powerful influence on titanium's fatigue and fracture behavior, and that 0.07 wt.% gap is the difference between a part that passes regulatory review and one that does not.

This comparison is primarily relevant for engineers working on medical devices. For structural or industrial applications, Grade 5 (AMS 4928) is the correct choice. This article explains why Grade 23 exists, what it actually changes about the material, and when you are obligated to use it.

Quick Decision Guide

Use Grade 5 (AMS 4928) when:
  • • High-strength structural parts (non-implantable)
  • • Industrial, marine, or chemical hardware
  • • Non-implantable medical devices or surgical instruments
  • • Any application not subject to ASTM F136 / ISO 5832-3
Use Grade 23 (ASTM F136) when:
  • • Load-bearing implantable medical devices
  • • Hip stems, knee tibial trays, spinal rods, trauma plates
  • • The drawing explicitly calls out ASTM F136
  • • FDA submission requires Class III implant materials data
Background

What Is Extra Low Interstitials (ELI)?

In titanium metallurgy, “interstitials” are oxygen, nitrogen, hydrogen, and carbon atoms that sit in the spaces between titanium atoms in the crystal lattice. At even small concentrations, these elements strengthen titanium by impeding dislocation motion — but they also embrittle it by reducing fracture toughness and fatigue crack growth resistance.

Why Oxygen Is the Critical Interstitial

Oxygen is a strong alpha stabilizer — it increases both alpha-phase stability and solid solution strengthening. In standard Grade 5 (max 0.20 wt.% O), oxygen contributes approximately 15–20 ksi to UTS. Reducing oxygen to 0.13 wt.% max and iron to 0.25 wt.% max (Grade 23 ELI) reduces UTS by ~10 ksi but improves fracture toughness by ~35% (from ~55 to ~75 MPa√m) and fatigue crack growth resistance significantly. For cyclically loaded implants that see millions of load cycles, fracture toughness is the critical property — not just UTS.

The Fatigue Life Difference

Published fatigue data (ASTM E466 rotating bending, R = -1): Ti-6Al-4V Grade 5 endurance limit ~75 ksi (517 MPa) at 10⁷ cycles. Ti-6Al-4V ELI Grade 23 endurance limit ~90–95 ksi (621–655 MPa) at 10⁷ cycles — approximately 20% higher. For a hip stem cycling at 1–3× body weight (1,200–3,600 lb for an average patient) at 1–2 million cycles per year, this 20% fatigue life improvement can mean the difference between a 15-year and 20-year implant service life.

Composition Limits

Composition Limits: Grade 5 vs Grade 23

Chemical composition limits for Ti-6Al-4V Grade 5 vs Grade 23 ELI
ElementGrade 5 (AMS 4928)Grade 23 ELI (ASTM F136)Effect of Reduction
Oxygen (O)0.20 wt.% max0.13 wt.% max ↓35%Improves fracture toughness and fatigue life most significantly
Nitrogen (N)0.05 wt.% max0.05 wt.% max (same)N limits are already low in Grade 5
Hydrogen (H)0.015 wt.% max0.012 wt.% max ↓20%Reduces risk of hydrogen embrittlement
Iron (Fe)0.30 wt.% max0.25 wt.% max ↓17%Reduces formation of iron-rich beta phases at grain boundaries
Carbon (C)0.08 wt.% max0.08 wt.% max (same)C limits are already low in Grade 5
Aluminum (Al)5.5–6.5 wt.%5.5–6.5 wt.% (same)Primary alpha stabilizer; unchanged
Vanadium (V)3.5–4.5 wt.%3.5–4.5 wt.% (same)Primary beta stabilizer; unchanged
Titanium (Ti)BalanceBalance
Mechanical Properties

Mechanical Properties Comparison

Mechanical properties of Ti-6Al-4V Grade 5 vs Grade 23 ELI
PropertyGrade 5 (Ti-6Al-4V)Grade 23 (ELI)
UTS (annealed)130 ksi (896 MPa)120 ksi (827 MPa)
0.2% Yield120 ksi (827 MPa)110 ksi (758 MPa)
Elongation10% min10% min
Fracture toughness KIc~55 MPa√m (typical)~75 MPa√m (typical) +36%
Fatigue endurance limit (R=-1)~75 ksi (517 MPa)~90–95 ksi (621–655 MPa) +20%
Density0.160 lb/in³ (4.43 g/cm³)0.160 lb/in³ (4.43 g/cm³)
Elastic modulus16 Msi (110 GPa)16 Msi (110 GPa)
Hardness302–340 HB~280–320 HB (slightly lower)
Regulatory Requirements

When Grade 23 Is Regulatory Required

Required: Grade 23 (ASTM F136)
  • Load-bearing hip implants (femoral stems, acetabular shells) — FDA Class III, PMA required
  • Total knee replacement components (tibial and femoral) — Class III
  • Spinal implants under cyclic load (pedicle screws, rods, interbody cages) — Class II/III
  • Trauma fixation implants for fracture healing (intramedullary nails, bone plates) — Class II/III
  • Dental implants (ISO 14801 fatigue testing requirement)
Acceptable: Grade 5 (AMS 4928) or Grade 23
  • Trial implants (non-implantable — used only during surgery, removed)
  • Surgical instruments (forceps, retractors, instrument trays)
  • Non-load-bearing implanted components (spacers, washers)
  • External fixation hardware
  • High-performance structural parts (Grade 5 only — Grade 23 overkill)

Standards Reference

ASTM F136 — Standard Specification for Wrought Ti-6Al-4V ELI Alloy for Surgical Implant Applications (UNS R56401). ISO 5832-3 — Implants for surgery: metallic materials — Wrought titanium 6-aluminium 4-vanadium alloy. These standards supersede generic AMS 4928 for implantable medical devices in virtually all regulatory jurisdictions (FDA 21 CFR 888, EU MDR 2017/745, Health Canada).

Machining Differences

Machining Grade 23 vs Grade 5

The CNC machining parameters for Grade 23 and Grade 5 are essentially identical — the key differences are documentation and inspection requirements, not cutting parameters.

Machining comparison for Grade 23 vs Grade 5 titanium
Machining AspectGrade 5Grade 23
Cutting speed (carbide)80–150 SFM (24–46 m/min)80–155 SFM (24–47 m/min)
Feed rate0.002–0.005 ipt (0.05–0.13 mm/tooth)Identical
ToolingPVD TiAlN carbideIdentical
Coolant500–1,000 psi (35–70 bar) floodIdentical
Tolerances achievable±0.001 in. (±0.025 mm) precisionIdentical
Material certification requiredMill cert (MTR)ASTM F136 CoC + full chemical analysis
Traceability levelHeat/lot numberFull traceability chain per ISO 13485 or equivalent QMS
First article inspectionPer customer requirementPer device manufacturer's QMS (ISO 13485) typically required
Surface finishing for implantsStandard machiningElectropolish + passivation per ASTM F86 common

Quote Medical Grade Titanium Parts

MakerStage can quote Grade 23 ELI titanium parts for applications that need ASTM F136 traceability. Upload your drawing to scope certification and manufacturability requirements, with quotes returned typically within one business day.

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Common Questions

Frequently Asked Questions

Quote Grade 23 or Grade 5 Titanium Parts

Use quote review to confirm whether the drawing really needs Grade 23 ELI or standard Grade 5, along with the cert and traceability package the part actually requires.

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