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Journal of Medical Engineering & Technology

Yanfei Chen, Bryan W Tillman, Sung Kwon Cho, Tara D Richards, Amit D Tevar, Xinzhu Gu, William R Wagner, Youngjae Chun
Donation after cardiac death has been adopted to address the critical shortage of donor organs for transplant. Recovery of these organs is hindered by low blood flow that leads to permanent organ injury. We propose a novel approach to isolate the perfusion of the abdominal organs from the systemic malperfusion of the dying donor. We reasoned that this design could improve blood flow to organs without open surgery, while respecting the ethical principle that cardiac stress not be increased during organ recovery...
October 7, 2016: Journal of Medical Engineering & Technology
Yoshinobu Murayama, Olof A Lindahl
Resonance-based contact-impedance measurement refers to the application of resonance sensors based on the measurement of the changes in the resonance curve of an ultrasonic resonator in contact with a surface. The advantage of the resonance sensor is that it is very sensitive to small changes in the contact impedance. A sensitive micro tactile sensor (MTS) was developed, which measured the elasticity of soft living tissues at the single-cell level. In the present paper, we studied the method of improving the touch and stiffness sensitivity of the MTS...
October 5, 2016: Journal of Medical Engineering & Technology
Jitendra Chourasia, Vijay Chourasia, A K Mittra
Congenital heart defects (CHD) are one of the utmost birth defects present in the neonatal after birth and a big challenge for the researchers to identify the structural abnormality during the antepartum period. An algorithm is presented here to identify the presence of CHD through foetal phonocardiographic (fPCG) signals. The recorded fPCG is decomposed using Daubechies4 wavelet with sub-level threshold to remove the noise in the signal. The Shannon energy is used to identify the different peaks of signals and then S1 and S2 according to the intervals between adjacent peaks...
October 4, 2016: Journal of Medical Engineering & Technology
Marcelo Coelho Goiato, Rodrigo Antonio de Medeiros, Mariana Vilela Sônego, Taynara Maria Toito de Lima, Aldiéris Alves Pesqueira, Daniela Micheline Dos Santos
Short dental implants have been used as an attempt to avoid bone grafts surgery, however there are few literature reports that evaluate changes to their design. Therefore, the aim of this study was to assess the effect of different short implant design on stress distribution through photoelastic analysis. Six external hexagon (5 × 5 mm) short dental implants with different design were used. Each group was treated with a single crown and a three element fixed partial dental prosthesis, resulting in a total of 12 photoelastic models...
October 4, 2016: Journal of Medical Engineering & Technology
Lisa Stroux, Boris Martinez, Enma Coyote Ixen, Nora King, Rachel Hall-Clifford, Peter Rohloff, Gari D Clifford
Limited funding for medical technology, low levels of education and poor infrastructure for delivering and maintaining technology severely limit medical decision support in low- and middle-income countries. Perinatal and maternal mortality is of particular concern with millions dying every year from potentially treatable conditions. Guatemala has one of the worst maternal mortality ratios, the highest incidence of intra-uterine growth restriction (IUGR), and one of the lowest gross national incomes per capita within Latin America...
October 4, 2016: Journal of Medical Engineering & Technology
Hao Wu, Zhiwu Wang, Guozheng Yan, Wentian Jin, Shan Lu, Zerun Zhou
This article presents a novel puborectalis muscle artificial anal sphincter system (PM-AASS) with the module of sensory perception for treating severe faecal incontinence (FI). Due to the implantable feature of PM-AASS, this system applied low-power design and the total energy consumption could drop to 48.8 Ah/d. To reduce the injury of intestine and the pressure exerted on intestine, the actuator, including the structure of tings and the robot mechanism, of PM-AASS was presented and the middle ring was optimised...
September 30, 2016: Journal of Medical Engineering & Technology
Donglai Fu, Yanhua Liu
Mobile devices are extensively used to store more private and often sensitive information. Therefore, it is important to protect them against unauthorised access. Authentication ensures that authorised users can use mobile devices. However, traditional authentication methods, such as numerical or graphic passwords, are vulnerable to passive attacks. For example, an adversary can steal the password by snooping from a shorter distance. To avoid these problems, this study presents a biometric approach that uses cloud models of heartbeats as the entity identifier to secure mobile devices...
September 28, 2016: Journal of Medical Engineering & Technology
David B Springer, Thomas Brennan, Ntobeko Ntusi, Hassan Y Abdelrahman, Liesl J Zühlke, Bongani M Mayosi, Lionel Tarassenko, Gari D Clifford
Mobile phones, due to their audio processing capabilities, have the potential to facilitate the diagnosis of heart disease through automated auscultation. However, such a platform is likely to be used by non-experts, and hence, it is essential that such a device is able to automatically differentiate poor quality from diagnostically useful recordings since non-experts are more likely to make poor-quality recordings. This paper investigates the automated signal quality assessment of heart sound recordings performed using both mobile phone-based and commercial medical-grade electronic stethoscopes...
September 23, 2016: Journal of Medical Engineering & Technology
Steven Brantlov, Leigh C Ward, Lars Jødal, Søren Rittig, Aksel Lange
Several guidelines for bioelectrical impedance analysis (BIA) have been prepared for adults, but not for children. For that reason, there is a pressing need to develop a consensus set of guidelines to facilitate standardisation of BIA in this important group. This review provides an introduction to BIA, highlights critical factors that may impact on BIA and identifies areas where there is a need for further research in order to increase the quality of impedance measurements and prediction of body composition in children...
September 20, 2016: Journal of Medical Engineering & Technology
Fatemeh Sadeghpour, Nasser Fatouraee, Mahdi Navidbakhsh
Aortic valve (AV) stenosis is described as the deposition of calcium within the valve leaflets. With the growth of stenosis, haemodynamic, mechanical performances of the AV and blood flow through the valve are changed. In this study, we proposed two fluid-structure interaction (FSI) finite element (FE) models. The hyperelastic material model was considered for leaflets tissue. The leaflet tissue was considered stiffer in stenotic valve than the healthy leaflets because of its calcium content. Therefore, the valve could not open completely and this led to a decrease in the orifice area of the valve...
September 15, 2016: Journal of Medical Engineering & Technology
Yi Jun Teh, Asral Bahari Jambek, Uda Hashim
The aim of this paper is to discuss the latest nano-biosensor technologies and existing signal analyser algorithm methods so that an automatic and portable nano-biosensor analyser can be realised. In this paper, the latest nano-biosensors are reviewed, and particular attention is given to sensors that provide amplitude changes at their output. To provide an automatic signal analysis of these changes, existing signal processing algorithms for peak detection are also discussed in detail.
September 9, 2016: Journal of Medical Engineering & Technology
P Madhan Mohan, V Nagarajan, J C Vignesh
Due to increasing health consciousness among people, it is imperative to have low-cost health care devices to measure the vital parameters like heart rate and arterial oxygen saturation (SpO2). In this paper, an efficient heart rate monitoring algorithm based on the morphology of photoplethysmography (PPG) signals to measure the spot heart rate (HR) and its real-time implementation is proposed. The algorithm does pre-processing and detects the onsets and systolic peaks of the PPG signal to estimate the heart rate of the subject...
September 9, 2016: Journal of Medical Engineering & Technology
Vivek Rane, Satish Hamde, Ankush Agrawal
PURPOSE: The aim of this study was to assess the Maximum Voluntary Bite Force (MVBF) in Indian population with normal occlusion and after treatment of mandibular angle fracture. MATERIALS AND METHODS: This paper discusses the development of a sensor fork with modified load cell and computer-based bite force measuring system that generates force profile on the computer. This is a powerful diagnostic tool in response to the needs of dentists seeking an accurate way to dynamically measure occlusion...
August 26, 2016: Journal of Medical Engineering & Technology
Kate Michi Ettinger, Hamilton Pharaoh, Reymound Yaw Buckman, Hoffie Conradie, Walter Karlen
In low- and middle-income countries (LMIC), community health care workers (CHCW) are the primary point of care for millions of people. Mobile phone health applications (mHealth app) are the preferred technology platform to deliver clinical support to CHCW. In LMIC, limited regulatory oversight exists to guide quality and safety for medical devices, including mHealth. During the development of a mHealth app to assist CHCW with patient assessment and clinical diagnosis in rural South Africa, we applied human-centred design (HCD) and a bioethics consultation...
August 25, 2016: Journal of Medical Engineering & Technology
Nicholas Frazzette, Janak Jethva, Khanjan Mehta, Joshua J Stapleton, Clive Randall
Designing products for use in developing countries presents a unique set of challenges including harsh operating environments, costly repairs and maintenance, and users with varying degrees of education and device familiarity. For products to be robust, adaptable and durable, they need to be ruggedised for environmental factors such as high temperature and humidity as well as different operational conditions such as shock and chemical exposure. The product characterisation and ruggedisation processes require specific expertise and resources that are seldom available outside of large corporations and elite national research labs...
August 18, 2016: Journal of Medical Engineering & Technology
Molly Eckman, Irena Gorski, Khanjan Mehta
Mobile health, or mHealth, technology has the potential to improve health care access in the developing world. However, the majority of mHealth projects do not expand beyond the pilot stage. A core reason why is because they do not account for the individual needs and wants of those involved. A collaborative approach is needed to integrate the perspectives of all stakeholders into the design and operation of mHealth endeavours. Design thinking is a methodology used to develop and evaluate novel concepts for systems...
August 18, 2016: Journal of Medical Engineering & Technology
Irena Gorski, Joshua T Bram, Staci Sutermaster, Molly Eckman, Khanjan Mehta
While mHealth holds great potential for addressing global health disparities, a majority of the initiatives never proceed beyond the pilot stage. One fundamental concern is that mHealth projects are seldom designed from the customer's perspective to address their specific problems and/or create appreciable value. A customer-centric view, where direct tangible benefits of interventions are identified and communicated effectively, can drive customer engagement and advance projects toward self-sustaining business models...
August 12, 2016: Journal of Medical Engineering & Technology
Shu Chen, Enying Gong, Dhruv S Kazi, Ann B Gates, Kamilu Musa Karaye, Nicolas Girerd, Rong Bai, Khalid F AlHabib, Chaoyun Li, Kelly Sun, Louisa Hong, Hua Fu, Weixia Peng, Xianxia Liu, Lei Chen, J-D Schwalm, Lijing L Yan
Coronary heart disease (CHD) is a major disease burden globally and in China, but secondary prevention among CHD patients remains insufficient. Mobile health (mHealth) technology holds promise for improving secondary prevention but few previous studies included both provider-facing and patient-directed measures. We conducted a physician needs assessment survey (n = 59), physician interviews (n = 6), one focus group and a short cellphone message validation survey (n = 14) in Shanghai and Hainan, China...
August 12, 2016: Journal of Medical Engineering & Technology
Pantelis Angelidis, Leslie Berman, Maria de la Luz Casas-Perez, Leo Anthony Celi, George E Dafoulas, Alon Dagan, Braiam Escobar, Diego M Lopez, Julieta Noguez, Juan Sebastian Osorio-Valencia, Charles Otine, Kenneth Paik, Luis Rojas-Potosi, Andreas L Symeonidis, Eric Winkler
The challenge of providing quality healthcare to underserved populations in low- and middle-income countries (LMICs) has attracted increasing attention from information and communication technology (ICT) professionals interested in providing societal impact through their work. Sana is an organisation hosted at the Institute for Medical Engineering and Science at the Massachusetts Institute of Technology that was established out of this interest. Over the past several years, Sana has developed a model of organising mobile health bootcamp and hackathon events in LMICs with the goal of encouraging increased collaboration between ICT and medical professionals and leveraging the growing prevalence of cellphones to provide health solutions in resource limited settings...
August 10, 2016: Journal of Medical Engineering & Technology
Phillip Sundin, Jonathan Callan, Khanjan Mehta
Telemedicine is an increasingly common approach to improve healthcare access in developing countries with fledgling healthcare systems. Despite the strong financial, logistical and clinical support from non-governmental organisations (NGOs), government ministries and private actors alike, the majority of telemedicine projects do not survive beyond the initial pilot phase and achieve their full potential. Based on a review of 35 entrepreneurial telemedicine and mHealth ventures, and 17 reports that analyse their operations and challenges, this article provides a narrative review of recurring failure modes, i...
August 9, 2016: Journal of Medical Engineering & Technology
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