Verónica Jasso, F. Torres, Israel Martínez, Diego A. Nunez, Martha Hernández
{"title":"DESIGN OF A MECHANISM TO ASSIST THE STANDING UP AND SITTING DOWN OF A WHEELCHAIR USER","authors":"Verónica Jasso, F. Torres, Israel Martínez, Diego A. Nunez, Martha Hernández","doi":"10.1115/dmd2023-9263","DOIUrl":"https://doi.org/10.1115/dmd2023-9263","url":null,"abstract":"\u0000 This paper details the design of a mechanism to assist the wheelchair user during actions like standing up and sitting down. The original structural design of a commercial basic wheelchair has been retained, therefore, the proposed 3-bar mechanism to move only the seat through a linear actuator has been intended to match the dimensions and shaping of a commercial wheelchair. Moreover, the mechanism has been reasoned to be easy to manufacture and install, besides, this must support the weight to load. For this reason, the design is based on kinematic synthesis and results of simulations with SolidWorks showing a correct trajectory of motion and the required force by the actuator in relation to the available device.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123372999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evan L. Williams, G. Thomas, Steven A. Long, D. Anderson, M. Karam
{"title":"DISCOVERING PATTERNS IN ORTHOPEDIC SURGICAL RESIDENT BEHAVIOR DURING A CEPHALOMEDULLARY NAIL PROCEDURE WITH A WIRE NAVIGATION SIMULATOR","authors":"Evan L. Williams, G. Thomas, Steven A. Long, D. Anderson, M. Karam","doi":"10.1115/dmd2023-4016","DOIUrl":"https://doi.org/10.1115/dmd2023-4016","url":null,"abstract":"\u0000 Each year there are hundreds of thousands of emergency department visits for hip fractures. Hip fracture repair is a common surgical procedure that residents learn early in their careers. Efficient fluoroscopy use and the precision of fixation can have an important influence on patient outcomes. This study used a wire navigation simulator to assess patterns in behavior between less experienced and experienced surgeons. The hypothesis was that experienced surgeons would have more controlled hand motions, higher accuracy in obtaining an entry point, and use less fluoroscopy than less experienced surgeons.\u0000 A new simulation module for the cephalomedullary nail wire navigation task was developed, including a solid Sawbones model and visually and haptically realistic soft tissue. Second- and fifth-year residents found an appropriate entry point and drive their k-wire into the femoral shaft. Each participant repeated this task twice.\u0000 Experienced surgeons had a starting point on average 1.77 mm more accurate than less experienced surgeons (p = 0.045), and experienced surgeons were more consistent in their starting point. Neither group used significantly more images or time (p = 0.097 and p = 0.061, respectively). Surgeons who consistently used larger corrections typically required more images to find their entry point. Each corrective movement with a swept area larger than 1329.7 mm2 was estimated to add between 1.53-2.25 images to the total needed.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130997826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryan J Reichert, Rohan Bhattaram, Yusairah Basheer
{"title":"BIOINFORMATX : BIOLOGICAL DATA AND EMR INTEGRATION FOR A PATIENT FACING HEART FAILURE APPLICATION","authors":"Ryan J Reichert, Rohan Bhattaram, Yusairah Basheer","doi":"10.1115/dmd2023-6016","DOIUrl":"https://doi.org/10.1115/dmd2023-6016","url":null,"abstract":"\u0000 CHF exacerbations are the second leading cause of hospitalizations in the United States. The two most common causes of CHF exacerbations are medication and diet nonadherence. BioinformatX is a patient facing application whose aim is to improve heart failure management and decrease hospitalizations. Specifically, BioinformatX incorporates biological patient data from a wearable device directly into the EMR. With remote access to patients’ activity, HR, oxygen saturation, EKG, and fluid status, providers can detect and intervene on acute, decompensated CHF exacerbations before patients need to be hospitalized. Through this application, providers can schedule sooner primary care appointments or make medication adjustments. Additionally, the application uses patient-specific data to recommend tailored exercise and diet adjustments.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116433334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Celia Fernandez Brillet, Margaret R. Chow, Andrianna I Ayiotis, C. D. Della Santina
{"title":"VESTIBULAR IMPLANT STIMULATION PAUSE DETECTION THRESHOLDS: IMPLICATIONS FOR DESIGN OF BATTERY DEPLETION ALERTS","authors":"Celia Fernandez Brillet, Margaret R. Chow, Andrianna I Ayiotis, C. D. Della Santina","doi":"10.1115/dmd2023-8085","DOIUrl":"https://doi.org/10.1115/dmd2023-8085","url":null,"abstract":"\u0000 Vestibular implants (VI) modulate the rate and amplitude of charge-balanced current pulses to encode head angular velocity or acceleration. When the battery of a VI becomes depleted, stimulation interruptions can cause vertigo. To avoid this, VIs can use alert signals such as vibration and beeping to remind the user to replace the battery. However, in distracting and noisy environments typical of activities of daily life, some patients may fail to hear or feel those alerts, so a physiological signal can be used as an alternate channel for signaling battery depletion. Pauses in the stimulation waveform can be delivered for this purpose, with the length of the pause long enough to be detected reliably by the patient but not so long as to induce dizziness or a vertigo attack. As a guide for the design of a physiologic battery depletion alert system, this study reports the ability of nine longterm, continuous VI users to detect stimulation pauses of various durations. We also show the effect of distraction on patients’ detection thresholds and response latencies for detected events.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114476462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DETECTING PULMONARY EDEMA THROUGHOUT EX VIVO LUNG PERFUSION","authors":"Ryan Nadybal, Andrew Wang, P. Iaizzo","doi":"10.1115/dmd2023-4133","DOIUrl":"https://doi.org/10.1115/dmd2023-4133","url":null,"abstract":"Ex Vivo Lung Perfusion (EVLP) is now a powerful clinical technique that has facilitated the increase in successful human lung transplantation procedures. By having the abilities to assess marginal lungs, extend preservation times, and expand geographical distances for donations, EVLP has effectively both expanded the human lung transplantation donor pool and shortened times on the transplant waitlist. While clinical usage has expanded, preclinical research on EVLP has not. EVLP can be utilized as a preclinical research model, i.e., to investigate pharmacological responses (e.g., post-conditioning agents), organ preservation, device testing and/or methodology development. To facilitate the use of EVLP as a research tool, we have developed a low-cost testing system with ever increasing capabilities e.g., the use of a novel continuous weight sensor to evaluate lung edema. Real time tracking of edema allows us to hone in on potential causes of lung damage, and investigate techniques to rehabilitate and mitigate damage on a short time scale (<8 hours). This system enhances our abilities to accurately test medical devices, lung physiology, and potential treatment impacts on lungs.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129399932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad E. Shakeri Jannati, Sarah K O’Byrne, Z. Moussavi
{"title":"DESIGN, IMPLEMENTATION AND EVALUATION OF A SMART TOOTHBRUSH FOR INDIVIDUALS WITH DEMENTIA","authors":"Mohammad E. Shakeri Jannati, Sarah K O’Byrne, Z. Moussavi","doi":"10.1115/dmd2023-8625","DOIUrl":"https://doi.org/10.1115/dmd2023-8625","url":null,"abstract":"\u0000 Dementia in general and Alzheimer’s Disease in particular, is one of the most challenging health conditions in our century. Experiencing cognitive decline, resulting in relying on others for daily living activities and impairment in basic mental tasks are the main symptoms. There are yet no proven treatments to slow or prevent neurodegenerative dementia progression; thus, dementia patients eventually need full-time care. To help patients to stay in their own homes longer and ease the caregiver burden, Smart Assistive Technology (SAT) products may be beneficial. One of the basic activities that Alzheimer’s patients in particular need help with, are basic hygiene needs such as brushing their teeth. A smart toothbrush has been designed and implemented as a pilot study towards development of a SAT for basic hygiene functions of dementia patients, while it can also have educational application for children. The design includes hardware and software. The hardware includes 9-Axis motion sensor, individually addressable light-emitting diodes (LEDs), Bluetooth Light Energy (BLE) communication module, laser distance sensor and other electrical components. The software includes real-time monitoring of several dependent and independent tasks using an algorithm to assist the users and transmit that data to a smartphone application. The real-time monitoring system of the designed prototype assists the users by visual and auditory means. It is anticipated the designed prototype will assist people with dementia, and hopefully prolong the time they can be cared for at home; it may also be used for oral hygiene education and instruction in general.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125148931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MINIMALISTIC DESIGN OF AN ACTUATION DEVICE TO MANIPULATE AN ACTIVE FLEXIBLE ROBOTIC TOOL","authors":"Samuel Lafreniere, K. Tran, B. Konh","doi":"10.1115/dmd2023-1659","DOIUrl":"https://doi.org/10.1115/dmd2023-1659","url":null,"abstract":"\u0000 This work presents a minimalistic design of an actuation system to operate an active flexible robotic tool to steer within tissue for precise targeting. The device is designed to be held by hand or installed on a robotic system. The robotic tool is operated based the user’s commands received from a joystick button. Two internal tendons, actuated by two Maxon motors, realize precise bidirectional bending at the tip of the robotic tool. The flexible robotic tool is intended to facilitate manipulations in needle-based interventions such as prostate biopsy and brachytherapy.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123956789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oguz Yetkin, Brian B. Terry, J. Baptist, Alex C. Nielsen, Jessica Cordner, Sanjay Gowda
{"title":"HYPER-LOCAL AIR ZONE EVALUATOR (HAZE): AN OPEN SOURCE SYSTEM FOR PERSONAL ENVIRONMENTAL EXPOSURE MONITORING","authors":"Oguz Yetkin, Brian B. Terry, J. Baptist, Alex C. Nielsen, Jessica Cordner, Sanjay Gowda","doi":"10.1115/dmd2023-5665","DOIUrl":"https://doi.org/10.1115/dmd2023-5665","url":null,"abstract":"\u0000 Personal environmental exposure monitoring is an important method for evaluating detrimental effects of pollutants (or otherwise) on human health. We present an open source, affordable personal environmental exposure monitoring system based on off-the shelf components. The system is meant to be worn around the neck for continuous environmental monitoring, which can be useful for future epidemiological studies as well as personal exposure monitoring. We provide the schematics for the Printed Circuit Board as well as the firmware to run the system under a permissive license. Specifically, the system is designed to count airborne particles (PM0.5, PM1.0, PM2.5, PM4.0, PM10), measure CO, CO2, O3, H2S, as well as temperature, pressure, motion, and the relative presence of Volatile Organic Compounds (VOCs). This low-cost and open-source device presented here is an important step to empower individuals, researchers, and underserved communities alike to better understand how daily life within one’s own environments impacts our health and welfare.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129147562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DESIGN OF A HYBRID-INERTIAL DEVICE FOR THE SEPARATION OF CIRCULATING TUMOR CELLS","authors":"M. R. Uddin, Xiaolin Chen","doi":"10.1115/dmd2023-1844","DOIUrl":"https://doi.org/10.1115/dmd2023-1844","url":null,"abstract":"\u0000 Circulating tumor cells (CTCs) are shed from primary tumors, circulate in the bloodstream and are capable of initiating metastasis at distant anatomical sites. The detection and molecular characterization of CTCs are pivotal for early-stage cancer diagnosis and prognosis. Recently, microfluidic technology has achieved significant progress in the separation of cells from complex and heterogeneous mixtures for many biomedical applications. Conventional microfluidic platforms exploit the difference in size between the particles to achieve separation, which makes them ineffective for sorting overlapping-sized CTCs. To address this issue, we propose a method using a spiral channel for label-free, and high throughput separation of CTCs coupling Dielectrophoresis (DEP) with inertial microfluidics. A numerical model has been developed to investigate the separation effectiveness of the device over a range of electrical voltage and flow rates. The presented channel is shown to effectively isolate similar-sized CTCs from the white blood cells (WBCs) in a single-stage separation process. Subsequently, optimum working parameters to enhance separation efficiency have been proposed. The hybrid microfluidic device can provide valuable insight into the development of a robust, inexpensive, and efficient platform for cell separation with reduced analysis time for future cancer research and treatment.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131019098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ARTICULATED SURGICAL STAPLER WITH IMPROVED RANGE OF MOTION FOR MINIMALLY INVASIVE COLORECTAL SURGERY","authors":"Nick Swerczek, C. Nelson, M. A. Carlson","doi":"10.1115/dmd2023-5056","DOIUrl":"https://doi.org/10.1115/dmd2023-5056","url":null,"abstract":"\u0000 In this paper, we present a surgical stapler design with increased mobility at the articulation joint for colorectal minimally invasive surgery. Having broken the main problem down into a few primary sub-problems, we introduce the solution options available for each sub-problem as well as a synthesized model based on the usage of cables to transmit forces to the jaw area of the instrument. CAD modelling and an ongoing prototype work suggest feasibility of this approach.","PeriodicalId":325836,"journal":{"name":"2023 Design of Medical Devices Conference","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114748062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}