Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine
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Published By Sage Publications

2041-3033, 0954-4119

Author(s):  
Ahmet Onder ◽  
Rafet Yapici ◽  
Omer Incebay

The use of substitute fluid with similar rheological properties instead of blood is important due to ethical concerns and high blood volume consumption in pump performance test before clinical applications. The performance of a centrifugal blood pump with hydrodynamic journal bearing is experimentally tested using Newtonian 40% aqueous glycerin solution (GS) and non-Newtonian aqueous xanthan gum solution of 600 ppm (XGS) as working fluids. Experiments are performed at four different rotational speeds which are 2700, 3000, 3300, and 3600 rpm; experiments using GS reach between 8.5% and 37.2% higher head curve than experiments using the XGS for every rotational speed. It was observed that as the rotational speed and flow rate increase, the head curve difference between GS and XGS decreases. This result can be attributed to the friction reduction effect when using XGS in experiments at high rotation speed and high flow rate. Moreover, due to different fluid viscosities, differences in hydraulic efficiency were observed for both fluids. This study reveals that the use of Newtonian fluids as working fluids is not sufficient to determine the actual performance of a blood pump, and the performance effects of non-Newtonian fluids are remarkably important in pump performance optimizations.


Author(s):  
S Rashia Begum ◽  
M Saravana Kumar ◽  
M Vasumathi ◽  
Muhammad Umar Farooq ◽  
Catalin I Pruncu

Additive manufacturing is revolutionizing the field of medical sciences through its key application in the development of bone scaffolds. During scaffold fabrication, achieving a good level of porosity for enhanced mechanical strength is very challenging. The bone scaffolds should hold both the porosity and load withstanding capacity. In this research, a novel structure was designed with the aim of the evaluation of flexible porosity. A CAD model was generated for the novel structure using specific input parameters, whereas the porosity was controlled by varying the input parameters. Poly Amide (PA 2200) material was used for the fabrication of bone scaffolds, which is a biocompatible material. To fabricate a novel structure for bone scaffolds, a Selective Laser Sintering machine (SLS) was used. The displacement under compression loads was observed using a Universal Testing Machine (UTM). In addition to this, numerical analysis of the components was also carried out. The compressive stiffness found through the analysis enables the verification of the load withstanding capacity of the specific bone scaffold model. The experimental porosity was compared with the theoretical porosity and showed almost 29% to 30% reductions when compared to the theoretical porosity. Structural analysis was carried out using ANSYS by changing the geometry. Computational Fluid Dynamics (CFD) analysis was carried out using ANSYS FLUENT to estimate the blood pressure and Wall Shear Stress (WSS). From the CFD analysis, maximum pressure of 1.799 Pa was observed. Though the porosity was less than 50%, there was not much variation of WSS. The achievement from this study endorses the great potential of the proposed models which can successfully be adapted for the required bone implant applications.


Author(s):  
Junsyou Kanashima ◽  
Naohiro Sugita ◽  
Tadahiko Shinshi

The use of ultrasound to destroy microcapsules in microbubble-assisted drug delivery systems (DDS) is of great interest. In the present study, the disruption ratios of capsule clusters were measured by observing and experimentally analyzing microcapsules with polymer shells undergoing disruption by ultrasound. The microcapsules were dispersed in a planar microchamber filled with a gelatin gel and sonicated using 1 MHz focused ultrasound. Different capsule populations were obtained using a filtration technique to modify and control the capsule sizes. The disruption ratio as a function of the concentration of capsules was obtained through image processing of the recorded photomicrographs. We found that the disruption ratio for each population exponentially decreases as the particle number concentration (PNC) increases. The maximum disruption ratio of the diameter-sorted capsules was larger than that of polydispersed capsules. Particularly, for resonant capsule populations, the ratio was more than twice that of polydispersed capsules. Furthermore, the maximum disruption ratio occurred at higher concentrations as the mean particle diameter of the capsule cluster decreased.


Author(s):  
Vinod Singh Thakur ◽  
Pavan Kumar Kankar ◽  
Anand Parey ◽  
Arpit Jain ◽  
Prashant Kumar Jain

This study aims to develop and analyse a finite element model of the endodontic nickel-titanium (NiTi) instrument during the root canal treatment (RCT). The 3D model of the tooth and the endodontic instrument has been created using computer-aided design software. The nonlinear explicit dynamic analysis in the CAE package (ANSYS) has been used to analyse the mechanical behaviour of endodontic instruments such as total deformation, equivalent elastic strain, and equivalent stress during canal preparation. The mechanical behaviour of three commercially available endodontic NiTi alloy instruments such as WaveOne Gold (WOG), 2Shape 1 (TS1) and 2Shape 2 (TS2) endodontic files was evaluated using FEA. Consequently, the effect of deformation, equivalent stress and equivalent elastic strain on endodontic files during cleaning and shaping are investigated and compared. The results show that the total deformation and equivalent elastic strain are maximum in the TS1 endodontic file in comparison to TS2 and WOG files. Graphical abstract [Formula: see text]


Author(s):  
Ajay Kumar ◽  
Rajesh Ghosh

This paper comprehensively reviews the various experimental and numerical techniques, which were considered to determine the fracture characteristics of the cortical bone. This study also provides some recommendations along with the critical review, which would be beneficial for future research of fracture analysis of cortical bone. Cortical bone fractures due to sports activities, climbing, running, and engagement in transport or industrial accidents. Individuals having different diseases are also at high risk of cortical bone fracture. It has been observed that osteon orientation influences cortical bone fracture toughness and fracture mechanisms. Apart from this, recent studies indicate that fracture parameters of cortical bone also depend on many factors such as age, sex, temperature, osteoporosis, orientation, location, loading condition, strain rate, and storage facility, etc. The cortical bone regains its fracture toughness due to various toughening mechanisms. Owing to these factors, several experimental, clinical, and numerical investigations have been carried out to determine the fracture parameters of the cortical bone. Cortical bone is the dense outer surface of the bone and contributes to 80%–82% of the skeleton mass. Cortical bone experiences load far exceeding body weight due to muscle contraction and the dynamics of motion. It is very important to know the fracture pattern, direction of fracture, location of the fracture, and toughening mechanism of cortical bone. A basic understanding of the different factors that affect the fracture parameters and fracture mechanisms of the cortical bone is necessary to prevent the failure and fracture of cortical bone. This review has summarized the advancement considered in the various experimental techniques and numerical methods to get complete information about the fracture mechanisms of cortical bone.


Author(s):  
Gunjan Patel ◽  
Rajani Mullerpatan ◽  
Bela Agarwal ◽  
Triveni Shetty ◽  
Rajdeep Ojha ◽  
...  

Wearable inertial sensor-based motion analysis systems are promising alternatives to standard camera-based motion capture systems for the measurement of gait parameters and joint kinematics. These wearable sensors, unlike camera-based gold standard systems, find usefulness in outdoor natural environment along with confined indoor laboratory-based environment due to miniature size and wireless data transmission. This study reports validation of our developed (i-Sens) wearable motion analysis system against standard motion capture system. Gait analysis was performed at self-selected speed on non-disabled volunteers in indoor ( n = 15) and outdoor ( n = 8) environments. Two i-Sens units were placed at the level of knee and hip along with passive markers (for indoor study only) for simultaneous 3D motion capture using a motion capture system. Mean absolute percentage error (MAPE) was computed for spatiotemporal parameters from the i-Sens system versus the motion capture system as a true reference. Mean and standard deviation of kinematic data for a gait cycle were plotted for both systems against normative data. Joint kinematics data were analyzed to compute the root mean squared error (RMSE) and Pearson’s correlation coefficient. Kinematic plots indicate a high degree of accuracy of the i-Sens system with the reference system. Excellent positive correlation was observed between the two systems in terms of hip and knee joint angles (Indoor: hip 3.98° ± 1.03°, knee 6.48° ± 1.91°, Outdoor: hip 3.94° ± 0.78°, knee 5.82° ± 0.99°) with low RMSE. Reliability characteristics (defined using standard statistical thresholds of MAPE) of stride length, cadence, walking speed in both outdoor and indoor environment were well within the “Good” category. The i-Sens system has emerged as a potentially cost-effective, valid, accurate, and reliable alternative to expensive, standard motion capture systems for gait analysis. Further clinical trials using the i-Sens system are warranted on participants across different age groups.


Author(s):  
Zahra Hayatbakhsh ◽  
Farzam Farahmand

Locking plates have threaded holes, in which threaded-head screws are affixed. Hence, they do not need to be in intimate contact with underlying bone to provide fixation. There are, however, reports that a large distance between the plate and the bone might cause clinical complications such as delayed union or nonunion, screw pull out, and screw and plate breakage. Considering the diversity in the capabilities and costs of different plate customization techniques, the purpose of this study was to investigate the effect of the plate contouring quality on the biomechanical performance of high tibial osteotomy (HTO) fixation. A finite element model of proximal tibia was developed in Abaqus, using the QCT data of a cadaver. The model was then subjected to open-wedge HTO (correction angle 12°) with TomoFix plate fixation. The sagittal curvature of the plate was changed parametrically to provide certain levels of geometrical fit, and the biomechanical performance parameters of fixation were assessed. Results indicated 5%, 9% and 38% increase in the stiffness of the construct, and the von Mises stress in the plate and locking screw just above the osteotomy site, respectively, when the level of fit of plate changed from 0% (initial non-contoured initial shape) to 100% (fully adapted shape). The same change decreased the pressure at the lateral hinge of the osteotomy by 61%, and the mean of the tensile stress on the screw shaft by 12%. It was concluded that the level of fit has conflicting effects on the biomechanical parameters of the HTO fixation system, that is, the structural stiffness, the pressure at the lateral hinge, the stresses in the plate and screws, and the pull out resistance of the screws. In particular, for HTO patients with high quality bone, the optimal level of fit should provide a tradeoff between these parameters.


Author(s):  
Yesenia Gómez Taborda ◽  
Maryory Gómez Botero ◽  
Juan Guillermo Castaño-González ◽  
Angela Bermúdez-Castañeda

During their service life, modular interfaces experience tribological, and corrosion phenomena that lead to deterioration, which in turn can cause a revision procedure to remove the failed prosthesis. To achieve a clearer understanding of the surface performance of those biomedical alloys and the role of the surface properties in the mechanical and chemical performance, samples were taken from retrieval implants made of Ti6Al4V and Co28Cr6Mo alloys. Polarization resistance and pin-on-disk tests were performed on these samples. Physical properties such as contact angle, roughness, microhardness, and Young’s modulus were determined. A correlation between surface energy and evolution of the tribological contact was observed for both biomedical alloys. In tribocorrosion tests, titanium particles seem to remain in the surface, unlike what is observed in CoCr alloys. These metallic or oxidized particles could cause necrosis or adverse tissue reactions.


Author(s):  
Kishore Balasubramanian ◽  
Ananthamoorthy NP ◽  
Ramya K

Parkinson’s and Alzheimer’s Disease are believed to be most prevalent and common in older people. Several data-mining approaches are employed on the neuro-degenerative data in predicting the disease. A novel method has been built and developed to diagnose Alzheimer’s (AD) and Parkinson’s (PD) in early stages, which includes image acquisition, pre-processing, feature extraction and selection, followed by classification. The challenge lies in selecting the optimal feature subset for classification. In this work, the Sunflower Optimisation Algorithm (SFO) is employed to select the optimal feature set, which is then fed to the Kernel Extreme Learning Machine (KELM) for classification. The method is tested on the Alzheimer’s Disease Neuroimaging Initiative (ADNI) and local dataset for AD, the University of California, Irvine (UCI) machine learning repository and the Istanbul dataset for PD. Experimental outcomes have demonstrated a high accuracy level in both AD and PD diagnosis. For AD diagnosis, the highest classification rate is obtained for the AD versus NC classification using the ADNI dataset (99.32%) and local dataset (98.65%). For PD diagnosis, the highest accuracy of 99.52% and 99.45% is achieved on the UCI and Istanbul datasets, respectively. To show the robustness of the method, the method is compared with other similar methods of feature selection and classification with 10-fold cross-validation (CV) and with unseen data. The method proposed has an excellent prospect, bringing greater convenience to clinicians in making a better solid decision in clinical diagnosis of neuro-degenerative diseases.


Author(s):  
Yahui Hu ◽  
Xucai Hu ◽  
Zhenhao Fan ◽  
Zhuo Liu ◽  
Chunqiu Zhang ◽  
...  

Craniotomy, as a part of neurosurgery, implies a safe opening of the skull with mechanical equipment. Grinding is a traditional machining method that can accurately and efficiently remove bone tissue. Aiming at low-damage and high-efficiency bone grinding, this study analyzed the kinematic law of a single abrasive grain during the grinding process. The theoretical model of grinding force was established based on the calculation of specific energy and friction force. The grinding test platform was set up, and the full factorial experimental design was performed to link the grinding force evolution with different processing parameters. The experimental results obtained on porcine femurs validated the model predictions where the grinding force grew with feed speed and grinding depth; it exhibited a decreasing trend with rotation speed, followed by increasing one.


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