Blast-Related Lung Injury Risk Estimation Based on Chest Wall Velocity

Author(s):  
Johanna Boutillier ◽  
Nicolas Prat ◽  
Sébastien De Mezzo ◽  
Pascal Magnan ◽  
Pierre Naz
2021 ◽  
Author(s):  
Florence M Mbithi ◽  
Joshua Steer ◽  
Andrew J Chipperfield ◽  
Alexander Dickinson

Purpose: To perform activities of daily living (ADL), people with lower limb amputation depend on the prosthetic socket for stability and proprioceptive feedback. Poorly fitting sockets can cause discomfort, pain, limb tissue injuries, limited device usage, and potential rejection. Semi-passively controlled adjustable socket technologies exist, but these depend upon the user’s perception to determine safe interfacial pressure levels. This paper presents a framework for automatic control of an adjustable transtibial prosthetic socket that enables active adaptation of residuum-socket interfacial loading through localized actuators, based on soft tissue injury risk estimation. Method: Using finite element analysis, local interfacial pressure vs. compressive tissue strain relationships were estimated for three anatomical actuator locations, for tissue injury risk assessment within a control structure. Generalized Predictive Control of multiple actuators was implemented to maintain interfacial pressure within estimated safe and functional limits. Results: Controller simulation predicted satisfactory dynamic performance in several scenarios, based on previous related studies. Actuation rates of 0.06 – 1.51kPa/s with 0.67% maximum overshoot, and 0.75 – 1.58kPa/s were estimated for continuous walking, and for a demonstrative loading sequence of ADL, respectively. Conclusion: The developed platform could be useful for extending recent efforts in adjustable lower limb prosthetic socket design, particularly for individuals with residuum sensory impairment.


Author(s):  
Mark M. Wurfel ◽  
Jason D. Christie ◽  
Tarah D. Holden ◽  
Grant E. O'Keefe ◽  
Carolyn S. Calfee ◽  
...  

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 227-233
Author(s):  
Yun Hsu ◽  
Kevin Ho ◽  
Philemon Chan

Abstract Introduction Blast overpressure health hazard assessment is required prior to fielding of weapon systems that produce blast overpressures that pose risk of auditory and nonauditory blast lung injuries. The anthropomorphic blast test device (ABTD) offers a single device solution for collection of both auditory and nonauditory data from a single blast at anthropometrically correct locations for injury risk assessment. It also allows for better replication of personnel positioning during weapons firings. The ABTD is an update of the blast test device (BTD), the current Army standard for collection of thoracic blast loading data. Validation testing of the ABTD is required to ensure that lung injury model validated using BTD collected test data and sheep subjects is still applicable when the ABTD is used. Methods Open field validation blast tests were conducted with BTD and ABTD placed at matching locations. Tests at seven blast strength levels were completed spanning the range of overpressures for occupational testing. Results The two devices produced very similar values for lung injury dose over all blast levels and orientations. Conclusion The ABTD was validated successfully for open field tests. For occupational blast injury assessments, ABTD can be used in place of the BTD and provide enhanced capabilities.


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