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Biomedizinische Technik. Biomedical Engineering

Michael Czaplik, Verena Voigt, Hannes Kenngott, Hans Clusmann, Rüdiger Hoffmann, Armin Will
In the past decades, modern medicine has been undergoing a change in the direction of digitalisation and automation. Not only the integration of new digital technologies, but also the interconnection of all components can simplify clinical processes and allow progress and development of new innovations. The integration and interconnection of medical devices with each other and with information technology (IT) systems was addressed within the framework of the Federal Ministry of Education and Research (BMBF)-funded lighthouse project OR...
December 29, 2017: Biomedizinische Technik. Biomedical Engineering
Björn Andersen, Martin Kasparick, Hannes Ulrich, Stefan Franke, Jan Schlamelcher, Max Rockstroh, Josef Ingenerf
The new medical device communication protocol known as IEEE 11073 SDC is well-suited for the integration of (surgical) point-of-care devices, so are the established Health Level Seven (HL7) V2 and Digital Imaging and Communications in Medicine (DICOM) standards for the communication of systems in the clinical IT infrastructure (CITI). An integrated operating room (OR) and other integrated clinical environments, however, need interoperability between both domains to fully unfold their potential for improving the quality of care as well as clinical workflows...
December 22, 2017: Biomedizinische Technik. Biomedical Engineering
Hendrik Schorler, Robert Wendlandt, Christian Jürgens, Arndt-Peter Schulz, Christian Kaddick, Felix Capanni
This paper follows up on a recent systematic review of test methods and parameters for biomechanical testing of bone plates and it is the first study that contains recommendations for standardized mechanical testing of bone plate-screw constructs for osteosynthesis. Following the testing philosophy of ASTM F382 and ISO 9585, we have developed standardized quasi-static and dynamic testing methods for straight linear and anatomically shaped plates, including locked type and conventional systems. The test specification comprises torsion and bending tests along the implant axis and therefore modifies and extends the methods proposed by ASTM F382...
December 18, 2017: Biomedizinische Technik. Biomedical Engineering
Urban Burnik, Štefan Dobravec, Marko Meža
Software-based medical devices need to be maintained throughout their entire life cycle. The efficiency of after-sales maintenance can be improved by managing medical systems remotely. This paper presents how to design the remote access function extensions in order to prevent risks imposed by uncontrolled remote access. A thorough analysis of standards and legislation requirements regarding safe operation and risk management of medical devices is presented. Based on the formal requirements, a multi-layer machine design solution is proposed that eliminates remote connectivity risks by strict separation of regular device functionalities from remote management service, deploys encrypted communication links and uses digital signatures to prevent mishandling of software images...
December 9, 2017: Biomedizinische Technik. Biomedical Engineering
Quentin Péntek, Simon Hein, Arkadiusz Miernik, Alexander Reiterer
Bladder cancer is likely to recur after resection. For this reason, bladder cancer survivors often undergo follow-up cystoscopy for years after treatment to look for bladder cancer recurrence. 3D modeling of the bladder could provide more reliable cystoscopic documentation by giving an overall picture of the organ and tumor positions. However, 3D reconstruction of the urinary bladder based on endoscopic images is challenging. This is due to the small field of view of the endoscope, considerable image distortion, and occlusion by urea, blood or particles...
December 4, 2017: Biomedizinische Technik. Biomedical Engineering
Katharina Olze, Christof Jan Wehrmann, Luyang Mu, Meinhard Schilling
In brain computer interface (BCI) applications, the use of steady-state visually evoked potentials (SSVEPs) is common. Therefore, a visual stimulation with a constant repetition frequency is necessary. However, using a computer monitor, the set of frequencies that can be used is restricted by the refresh rate of the screen. Frequencies that are not an integer divisor of the refresh rate cannot be displayed correctly. Furthermore, the programming language the stimulation software is written in and the operating system influence the actually generated and presented frequencies...
November 28, 2017: Biomedizinische Technik. Biomedical Engineering
Jun Okamoto, Ken Masamune, Hiroshi Iseki, Yoshihiro Muragaki
Currently, networking has not progressed in the treatment room. Almost every medical device in the treatment room operates as a stand-alone device. In this project, we aim to develop a networked operating room called "Smart Cyber Operating Theater (SCOT)". Medical devices are connected using Open Resource interface for the Network (ORiN) technology. In this paper, we describe the concept of the SCOT project. SCOT is integrated using the communication interface ORiN, which was originally developed for industry...
November 18, 2017: Biomedizinische Technik. Biomedical Engineering
Andreas Besting, Sebastian Bürger, Martin Kasparick, Benjamin Strathen, Frank Portheine
The new IEEE 11073 service-oriented device connectivity (SDC) standard proposals for networked point-of-care and surgical devices constitutes the basis for improved interoperability due to its independence of vendors. To accelerate the distribution of the standard a reference implementation is indispensable. However, the implementation of such a framework has to overcome several non-trivial challenges. First, the high level of complexity of the underlying standard must be reflected in the software design. An efficient implementation has to consider the limited resources of the underlying hardware...
November 14, 2017: Biomedizinische Technik. Biomedical Engineering
Luca Cerina, Luca Iozzia, Luca Mainardi
In this paper, common time- and frequency-domain variability indexes obtained by pulse rate variability (PRV) series extracted from video-photoplethysmographic signal (vPPG) were compared with heart rate variability (HRV) parameters calculated from synchronized ECG signals. The dual focus of this study was to analyze the effect of different video acquisition frame-rates starting from 60 frames-per-second (fps) down to 7.5 fps and different video compression techniques using both lossless and lossy codecs on PRV parameters estimation...
November 14, 2017: Biomedizinische Technik. Biomedical Engineering
Katie Gant, Jorge Bohorquez, Christine K Thomas
Various portable monitors have been used to quantify physical activity but most rely on detecting limb movement with a sensor rather than measuring muscle activity. Our first goal was to design and validate a portable system for recording surface electromyographic activity (EMG) from eight muscles over 24 h. The modular system includes: (1) preamplifiers that filter and amplify signals; (2) a preprocessor unit for further filtering and amplification, signal offset and power supply modification; (3) a data-logger for analog-to-digital conversion; a flash memory card for data storage and (4) a rechargeable battery...
November 2, 2017: Biomedizinische Technik. Biomedical Engineering
Kao-Shang Shih, Thanh An Truong, Ching-Chi Hsu, Sheng-Mou Hou
Rib fracture is a common injury and can result in pain during respiration. Conservative treatment of rib fracture is applied via mechanical ventilation. However, ventilator-associated complications frequently occur. Surgical fixation is another approach to treat rib fractures. Unfortunately, this surgical treatment is still not completely defined. Past studies have evaluated the biomechanics of the rib cage during respiration using a finite element method, but only intact conditions were modelled. Thus, the purpose of this study was to develop a realistic numerical model of the human rib cage and to analyse the biomechanical performance of intact, injured and treated rib cages...
November 2, 2017: Biomedizinische Technik. Biomedical Engineering
Jonas H Pfeiffer, Martin Kasparick, Benjamin Strathen, Christian Dietz, Max E Dingler, Tim C Lueth, Dirk Timmermann, Klaus Radermacher, Frank Golatowski
Today's landscape of medical devices is dominated by stand-alone systems and proprietary interfaces lacking cross-vendor interoperability. This complicates or even impedes the innovation of novel, intelligent assistance systems relying on the collaboration of medical devices. Emerging approaches use the service-oriented architecture (SOA) paradigm based on Internet protocol (IP) to enable communication between medical devices. While this works well for scenarios with no or only soft timing constraints, the underlying best-effort communication scheme is insufficient for time critical data...
October 31, 2017: Biomedizinische Technik. Biomedical Engineering
Fizza Ghulam Nabi, Kenneth Sundaraj, Lam Chee Kiang, Rajkumar Palaniappan, Sebastian Sundaraj
Wheezes are high pitched continuous respiratory acoustic sounds which are produced as a result of airway obstruction. Computer-based analyses of wheeze signals have been extensively used for parametric analysis, spectral analysis, identification of airway obstruction, feature extraction and diseases or pathology classification. While this area is currently an active field of research, the available literature has not yet been reviewed. This systematic review identified articles describing wheeze analyses using computer-based techniques on the SCOPUS, IEEE Xplore, ACM, PubMed and Springer and Elsevier electronic databases...
October 31, 2017: Biomedizinische Technik. Biomedical Engineering
Apoorva Dwivedi, Gargi Khanna
The present work attempts to enhance the sensitivity of a folded beam microelectromechanical systems (MEMS) capacitive accelerometer by optimising the device geometry. The accelerometer is intended to serve as a microphone in the fully implantable hearing application which can be surgically implanted in the middle ear bone structure. For the efficient design of the accelerometer as a fully implantable biomedical device, the design parameters such as size, weight and resonant frequency have been considered. The geometrical parameters are varied to obtain the optimum sensitivity considering the design constraints and the stability of the structure...
October 31, 2017: Biomedizinische Technik. Biomedical Engineering
Ehsan Kozegar, Mohsen Soryani
Mammography is the most widely used modality for early breast cancer detection. This work proposes a new computer-aided mass detection approach, in which a denoising method called BM3D is first applied to mammograms. Afterwards, using an adaptive segmentation algorithm, images are segmented to suspicious regions of interest (ROIs) and then a classifier is used to understand the features of true positive (TP) and false positive (FP) patterns. In this way, from selected suspicious ROIs, fractal dimension, texture and intensity features are extracted...
October 23, 2017: Biomedizinische Technik. Biomedical Engineering
Stefan Jockenhoevel
No abstract text is available yet for this article.
October 26, 2017: Biomedizinische Technik. Biomedical Engineering
Tobias Schilling, Michael Bauer, Christian Biskup, Axel Haverich, Thomas Hassel
OBJECTIVE: Regenerative bioprostheses are being investigated for replacement of dysfunctional myocardium worldwide. The aim of this study was to develop a degradable magnesium structure to mechanically support the delicate biological grafts during the early remodeling phase. METHODS: Sheets of magnesium alloys (LA33, LA63 and AX30) were manufactured into scaffolds by abrasive water jet cutting. Thereafter, their surface properties, corrosion kinetics, and breakage behaviors were investigated...
October 26, 2017: Biomedizinische Technik. Biomedical Engineering
Axel Malischewski, Ricardo Moreira, Luis Hurtado, Valentine Gesché, Thomas Schmitz-Rode, Stefan Jockenhoevel, Petra Mela
Around 2% of the population in developed nations are affected by mitral valve disease and available valvular replacements are not designed for the atrioventricular position. Recently our group developed the first tissue-engineered heart valve (TEHV) specifically designed for the mitral position - the TexMi valve. The valve recapitulates the main components of the native valve, i.e. annulus, asymmetric leaflets and the crucial chordae tendineae. In the present study, we evaluated the human umbilical cord as a clinically applicable cell source for the TexMi valve...
October 26, 2017: Biomedizinische Technik. Biomedical Engineering
Steffen Stein, Alexander Kleye, Michael Schauseil, Andreas Hellak, Heike Korbmacher-Steiner, Andreas Braun
OBJECTIVES: This study determined the influence of irradiation on aesthetic ceramic brackets with a novel 445-nm diode laser prior to debonding on the bracket failure mode. MATERIALS AND METHODS: Thirty ceramic brackets (In-Ovation® C, GAC) were standard-bonded to the oral and buccal planed and polished enamel surfaces of 15 caries-free human 3rd molars. Prior to study-blinded debonding, the brackets in the laser group were irradiated with the diode laser (SIROLaser Blue®, Sirona), while the irradiation was simulated within the conventional group...
October 26, 2017: Biomedizinische Technik. Biomedical Engineering
Lu Liu, Guixin Shi, Ying Cui, Hui Li, Zhengchao Li, Qiangcheng Zeng, Yong Guo
The construction of engineered bone mostly focuses on simulating the extracellular matrix (ECM) for proper biological activity. However, the complexity of architecture and the variability of the mechanical properties of natural bones are related to individual differences in age, nutritional state, mechanical loading and disease status. Defect substitutions should be normed with the host natural bone, balancing architectural and mechanical adaption, as well as biological activity. Using a freeform fabrication (FFF) method, we prepared polycaprolactone (PCL) scaffolds with different architectures...
October 26, 2017: Biomedizinische Technik. Biomedical Engineering
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