Bench testing of tracheostomy tube-related insults using an instrumented manikin

Author(s):  
Guillaume Cathelain ◽  
Antoine Perrier ◽  
Ludivine Folliot ◽  
Cyrielle Le Gloanec ◽  
Mohamed Rarrbo ◽  
...  
2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.


2015 ◽  
Vol 66 (6) ◽  
pp. 400-405
Author(s):  
Sunao Tanaka ◽  
Shigeru Kikuchi ◽  
Atushi Ohata ◽  
Masafumi Ohki

2020 ◽  
Vol 6 (3) ◽  
pp. 78-81
Author(s):  
Michael Stiehm ◽  
Christoph Brandt-Wunderlich ◽  
Stefan Siewert ◽  
Klaus-Peter Schmitz ◽  
Niels Grabow ◽  
...  

AbstractModern technologies and methods such as computer simulation, so-called in silico methods, foster the development of medical devices. For accelerating the uptake of computer simulations and to increase credibility and reliability the U.S. Food and Drug Administration organized an inter-laboratory round robin study of a generic nozzle geometry. In preparation of own bench testing experiment using Particle Image Velocimetry, a custom made silicone nozzle was manufactured. By using in silico computational fluid dynamics method the influence of in vitro imperfections, such as inflow variations and geometrical deviations, on the flow field were evaluated. Based on literature the throat Reynolds number was varied Rethroat = 500 ± 50. It could be shown that the flow field errors resulted from variations of inlet conditions can be largely eliminated by normalizing if the Reynolds number is known. Furthermore, a symmetric imperfection of the silicone model within manufacturing tolerance does not affect the flow as much as an asymmetric failure such as an unintended curvature of the nozzle. In brief, we can conclude that geometrical imperfection of the reference experiment should be considered accordingly to in silico modelling. The question arises, if an asymmetric benchmark for biofluid analysis needs to be established. An eccentric nozzle benchmark could be a suitable case and will be further investigated.


Thorax ◽  
2019 ◽  
Vol 74 (7) ◽  
pp. 715-717 ◽  
Author(s):  
Jesus Gonzalez-Bermejo ◽  
Jean-Paul Janssens ◽  
Claudio Rabec ◽  
Christophe Perrin ◽  
Frédéric Lofaso ◽  
...  

Episodes of patient-ventilator asynchrony (PVA) occur during acute and chronic non-invasive positive pressure ventilation (NIV). In long-term NIV, description and quantification of PVA is not standardised, thus limiting assessment of its clinical impact. The present report provides a framework for a systematic analysis of polygraphic recordings of patients under NIV for the detection and classification of PVA validated by bench testing. The algorithm described uses two different time windows: rate asynchrony and intracycle asynchrony. This approach should facilitate further studies on prevalence and clinical impact of PVA in long-term NIV.


CHEST Journal ◽  
1987 ◽  
Vol 91 (1) ◽  
pp. 139-141 ◽  
Author(s):  
Gerard Criner ◽  
Barry Make ◽  
Bartolome Celli

Author(s):  
Jaychandar Muthu ◽  
Kanak Soundrapandian ◽  
Jyoti Mukherjee

For suspension components, bench testing for strength is mostly accomplished at component level. However, replicating loading and boundary conditions at the component level in order to simulate the suspension system environment may be difficult. Because of this, the component's bench test failure mode may not be similar to its real life failure mode in vehicle environment. A suspension system level bench test eliminates most of the discrepancies between simulated component level and real life vehicle level environments resulting in higher quality bench tests yielding realistic test results. Here, a suspension level bench test to estimate the strength of its trailing arm link is presented. A suspension system level nonlinear finite element model was built and analyzed using ABAQUS software. The strength loading was applied at the wheel end. The analysis results along with the hardware test correlations are presented. The reasons why a system level test is superior to a component level one are also highlighted.


2000 ◽  
Vol 15 (5) ◽  
pp. 196-200
Author(s):  
Catherine Goulding
Keyword(s):  

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