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https://www.readbyqxmd.com/read/28231344/evaluation-of-stress-distribution-on-implant-retained-auricular-prostheses-the-finite-element-method
#1
Ahmed A Abbas, Peerapong Santiwong, Amornrat Wonglamsam, Theerathavaj Srithavaj, Teeranoot Chanthasopeephan
PURPOSE: The purpose of this study was to evaluate stress distribution around two craniofacial implants in an auricular prosthesis according to the removal forces. Three attachment combinations were used to evaluate the stress distribution under removal forces of 45 and 90 degrees. MATERIALS AND METHODS: Three attachment designs were examined: (1) a Hader bar with three clips; (2) a Hader bar with one clip and two extracoronal resilient attachments (ERAs); and (3) a Hader bar with one clip and two Locators...
February 23, 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/28231040/evaluation-of-the-alteration-of-occlusal-distribution-in-unilateral-free-end-and-intermediate-missing-cases
#2
Kazuhiro Kon, Makoto Shiota, Aoi Sakuyama, Maho Ozeki, Wataru Kozuma, Sawako Kawakami, Shohei Kasugai
The present study aimed to evaluate the effect of implant prostheses on the occlusal force and area as well as the distribution of occlusal loading in unilateral free-end and intermediate missing cases. Fourteen healthy subjects (7 free-end missing cases in the first and second molars and 7 intermediate missing cases in the first molar region) were included. Six months after the implant prosthesis was placed, an occlusal evaluation was performed with or without the implant superstructure by using Dental Prescale film and an occluder device...
February 2017: Journal of Oral Implantology
https://www.readbyqxmd.com/read/28230917/total-laryngectomy-with-primary-tracheoesophageal-puncture-intraoperative-versus-delayed-voice-prosthesis-placement
#3
Rachelle A Robinson, Virginia A Simms, Elizabeth C Ward, Molly K Barnhart, Sophie J Chandler, Robert I Smee
BACKGROUND: Studies support using intraoperative voice prosthesis insertion performed at the time of primary tracheoesophageal puncture (TEP) during laryngectomy. However, none have compared intraoperative voice prosthesis insertion with delayed voice prosthesis insertion. The purpose of this study was to prospectively examine patient, services, and cost benefits of intraoperative versus delayed voice prosthesis placement. METHODS: Voice prosthesis use, duration to the first voice prosthesis change, early communication, and costs were compared between 14 patients who underwent a laryngectomy and who received intraoperative voice prosthesis placement, and 10 patients who underwent initial catheter stenting and then delayed voice prosthesis insertion...
February 23, 2017: Head & Neck
https://www.readbyqxmd.com/read/28229059/comparison-of-fluoroplastic-causse-loop-piston-and-titanium-soft-clip-in-stapedotomy
#4
Mohammad Faramarzi, Nafiseh Gilanifar, Sareh Roosta
INTRODUCTION: Different types of prosthesis are available for stapes replacement. Because there has been no published report on the efficacy of the titanium soft-clip vs the fluoroplastic Causse loop Teflon piston, we compared short-term hearing results of both types of prosthesis in patients who underwent stapedotomy due to otosclerosis. MATERIALS AND METHODS: A total of 57 ears were included in the soft-clip group and 63 ears were included in the Teflon-piston group...
January 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28228313/significant-intra-valvular-pressure-loss-across-epic-supra-and-perimount-magna-supra-annular-designed-aortic-bioprostheses-in-patients-with-normal-aortic-size
#5
Jagdish C Mohan, Vishwas Mohan, Madhu Shukla, Arvind Sethi
Doppler-derived trans-prosthetic gradients are higher and the estimated effective valve area is smaller than the catheter-derived and directly measured hemodynamic values, mostly due to pressure recovery phenomenon. Pressure recovery to a varying extent is common to all prosthetic heart valves including bioprostheses. Pressure recovery-related differences are usually small except in patients with bileaflet metallic prosthesis, wherein high-pressure local jets across central orifice have been documented since long back and also in patients with narrow aortic root...
January 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28227976/user-intent-prediction-with-a-scaled-conjugate-gradient-trained-artificial-neural-network-for-lower-limb-amputees-using-a-powered-prosthesis
#6
Richard B Woodward, John A Spanias, Levi J Hargrove, Richard B Woodward, John A Spanias, Levi J Hargrove, John A Spanias, Richard B Woodward, Levi J Hargrove
Powered lower limb prostheses have the ability to provide greater mobility for amputee patients. Such prostheses often have pre-programmed modes which can allow activities such as climbing stairs and descending ramps, something which many amputees struggle with when using non-powered limbs. Previous literature has shown how pattern classification can allow seamless transitions between modes with a high accuracy and without any user interaction. Although accurate, training and testing each subject with their own dependent data is time consuming...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227968/limb-position-robust-classification-of-myoelectric-signals-for-prosthesis-control-using-sparse-representations
#7
Joseph L Betthauser, Christopher L Hunt, Luke E Osborn, Rahul R Kaliki, Nitish V Thakor, Joseph L Betthauser, Christopher L Hunt, Luke E Osborn, Rahul R Kaliki, Nitish V Thakor, Luke E Osborn, Christopher L Hunt, Nitish V Thakor, Rahul R Kaliki, Joseph L Betthauser
The fundamental objective in non-invasive myoelectric prosthesis control is to determine the user's intended movements from corresponding skin-surface recorded electromyographic (sEMG) activation signals as quickly and accurately as possible. Linear Discriminant Analysis (LDA) has emerged as the de facto standard for real-time movement classification due to its ease of use, calculation speed, and remarkable classification accuracy under controlled training conditions. However, performance of cluster-based methods like LDA for sEMG pattern recognition degrades significantly when real-world testing conditions do not resemble the trained conditions, limiting the utility of myoelectrically controlled prosthesis devices...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227966/real-time-evaluation-of-a-myoelectric-control-method-for-high-level-upper-limb-amputees-based-on-homologous-leg-movements
#8
Kenneth R Lyons, Sanjay S Joshi, Kenneth R Lyons, Sanjay S Joshi, Sanjay S Joshi, Kenneth R Lyons
Electromyography-based gesture classification methods for control of advanced upper limb prostheses are limited either to individuals with amputations distal to the elbow or to those willing to undergo targeted muscle reinnervation surgery. Based on the natural similarity between gestures of the lower leg and the arm and on established methods in electromyography-based gesture classification, we propose a noninvasive system with which users control an upper limb prosthesis via homologous movements of the leg and foot...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227887/hip-joint-geometry-effects-on-cartilage-contact-stresses-during-a-gait-cycle
#9
Hui-Hui Wu, Dong Wang, An-Bang Ma, Dong-Yun Gu, Hui-Hui Wu, Dong Wang, An-Bang Ma, Dong-Yun Gu, An-Bang Ma, Dong-Yun Gu, Hui-Hui Wu, Dong Wang
The cartilage surface geometry of natural human hip joint is commonly regarded as sphere. It has been widely applied in computational simulation and hip joint prosthesis design. Some new geometry models have been developed and the sphere assumption has been questioned recently. The objective of this study was to analyze joint geometry effects on cartilage contact stress distribution and investigate contact patterns during a whole gait cycle. Hip surface was reconstructed from CT data of a healthy volunteer...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227828/pose-measurement-of-anterior-pelvic-plane-based-on-inertial-measurement-unit-in-total-hip-replacement-surgeries
#10
Zhe Cao, Shaojie Su, Hong Chen, Hao Tang, Yixin Zhou, Zhihua Wang, Zhe Cao, Shaojie Su, Hong Chen, Hao Tang, Yixin Zhou, Zhihua Wang, Zhe Cao, Yixin Zhou, Hong Chen, Zhihua Wang, Hao Tang, Shaojie Su
In Total Hip Replacement (THR), inaccurate measurement of Anterior Pelvic Plane (APP), which is usually used as a reference plane, will lead to malposition of the acetabular prosthesis. As a result, the risk of impingement, dislocation and wear will increase and the safe range of motion will be limited. In order to acquire the accurate pose of APP, a measurement system is designed in this paper, which includes two parts: one is used to estimate the initial pose of APP and the other is used to trail dynamic motion of APP...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227747/split-belt-adaptation-and-gait-symmetry-in-transtibial-amputees-walking-with-a-hybrid-emg-controlled-ankle-foot-prosthesis
#11
Oliver A Kannape, Hugh M Herr, Oliver A Kannape, Hugh M Herr, Oliver A Kannape, Hugh M Herr
Our ability to automatically adapt our walking pattern to the demands of our environment is central to maintaining a steady gait. Accordingly, a large effort is being made to extend and integrate this adaptability to lower-limb prostheses. To date, the main focus of this research has been on short term adaptation, such as in response to a terrain transition or a sudden change in the environment. However, long term adaptation and underlying sensorimotor learning processes are critical to optimizing walking patterns and predictively changing our gait when faced with continued perturbations...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227741/eye-movements-as-a-marker-for-visual-prosthesis-spatial-mapping-a-feasibility-study-using-a-blind-patient-implanted-with-the-argus-ii-retinal-prosthesis
#12
Avi Caspi, Jessy Dorn, John B Helder, Kapil D Katyal, Arup Roy, Avi Caspi, Jessy Dorn, John B Helder, Kapil D Katyal, Arup Roy, John B Helder, Kapil D Katyal, Jessy Dorn, Arup Roy, Avi Caspi
Spatial mapping, the location in space of a perceived location due to an implanted electrode's electrical stimulation is important in the design of visual prostheses. Generally, a visual prosthesis system consists of an implanted electrode array, an external camera that acquires the image, and a transmitter that sends the information to the implanted electrodes. In cortical visual implant, the layout of the implanted array in most cases does not match the retinotopic map and it is necessary to find the location of the percept of each electrode in world coordinates...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227738/tuning-electrical-stimulation-for-thalamic-visual-prosthesis-an-autoencoder-based-approach
#13
Amr Jawwad, Hossam H Abolfotuh, Bassem Abdullah, Hani M K Mahdi, Seif Eldawlatly, Amr Jawwad, Hossam H Abolfotuh, Bassem Abdullah, Hani M K Mahdi, Seif Eldawlatly, Amr Jawwad, Hani M K Mahdi, Bassem Abdullah, Seif Eldawlatly, Hossam H Abolfotuh
Visual prosthesis holds hope of vision restoration for millions with retinal degenerative diseases. Machine learning techniques such as artificial neural networks could help in improving prosthetic devices as they could learn how the brain encodes information and imitate that code. This paper introduces an autoencoder-based approach for tuning thalamic visual prostheses. The objective of the proposed approach is to estimate electrical stimuli that are equivalent to a given natural visual stimulus, in a way such that they both elicit responses that are as similar as possible when introduced to a Lateral Geniculate Nucleus (LGN) population...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227654/preliminary-results-for-an-adaptive-pattern-recognition-system-for-novel-users-using-a-powered-lower-limb-prosthesis
#14
John A Spanias, Ann M Simon, Eric J Perreault, Levi J Hargrove, John A Spanias, Ann M Simon, Eric J Perreault, Levi J Hargrove, Eric J Perreault, John A Spanias, Ann M Simon, Levi J Hargrove
Powered prosthetic legs are capable of improving the gait of lower limb amputees. Pattern recognition systems for these devices allow amputees to transition between different locomotion modes in a way that is seamless and transparent to the user. However, the potential of these systems is diminished because they require large amounts of training data that is burdensome to collect. To reduce the effort required to acquire these data, we developed an adaptive pattern recognition system that automatically learns from subject-specific data as the user is ambulating...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227653/delaying-ambulation-mode-transitions-in-a-powered-knee-ankle-prosthesis
#15
Ann M Simon, John A Spanias, Kimberly A Ingraham, Levi J Hargrove, Ann M Simon, John A Spanias, Kimberly A Ingraham, Levi J Hargrove, John A Spanias, Ann M Simon, Kimberly A Ingraham, Levi J Hargrove
Powered knee and ankle prostheses have the potential to improve the mobility of individuals with a lower limb amputation. As the number of different ambulation modes the prosthesis can be configured for increases, so too does the challenge of how to best transition the prosthesis between these modes. Pattern recognition systems have been suggested as a means to provide seamless and natural transitions, although error rates need to be reduced for these systems to be clinical viable. Delaying mode transitions by a small window may be one way to reduce error rates and improve reliability...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227652/does-the-impedance-of-above-knee-powered-prostheses-need-to-be-adjusted-for-load-carrying-conditions
#16
Andrea Brandt, Ming Liu, He Helen Huang, Andrea Brandt, Ming Liu, He Helen Huang, He Helen Huang, Ming Liu, Andrea Brandt
Powered knee prostheses provide substantial advantages for amputees compared to traditional passive devices during basic walking tasks (i.e. level-ground, stairs, ramps), but the impedance control parameters are fixed. For environments that differ from the well-controlled setting of the clinic, amputees must compensate their gait patterns because fixed control parameters ideal for walking on level ground in the clinic do not meet real-life task demands. Load carriage is one instance where fixed control parameters may lead to undesired gait patterns and potentially result in injury...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227651/adaptive-control-of-powered-transfemoral-prostheses-based-on-adaptive-dynamic-programming
#17
Yue Wen, Ming Liu, Jennie Si, He Helen Huang, Yue Wen, Ming Liu, Jennie Si, He Huang, He Helen Huang, Yue Wen, Ming Liu, Jennie Si
In this study, we developed and tested a novel adaptive controller for powered transfemoral prostheses. Adaptive dynamic programming (ADP) was implemented within the prosthesis control to complement the existing finite state impedance control (FS-IC) in a prototypic active-transfemoral prosthesis (ATP). The ADP controller interacts with the human user-prosthesis system, observes the prosthesis user's dynamic states during walking, and learns to personalize user performance properties via online adaptation to meet the individual user's objectives...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227649/metabolic-cost-of-level-ground-walking-with-a-robotic-transtibial-prosthesis-combining-push-off-power-and-nonlinear-damping-behaviors-preliminary-results
#18
Yanggang Feng, Jinying Zhu, Qining Wang, Yanggang Feng, Jinying Zhu, Qining Wang, Jinying Zhu, Qining Wang, Yanggang Feng
Recent advances in robotic technology are facilitating the development of robotic prostheses. Our previous studies proposed a lightweight robotic transtibial prosthesis with a damping control strategy. To improve the performance of power assistance, in this paper, we redesign the prosthesis and improve the control strategy by supplying extra push-off power. A male transtibial amputee subject volunteered to participate in the study. Preliminary experimental results show that the proposed prosthesis with push-off control improves energy expenditure by a percentage ranged from 9...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227642/building-blocks-system-for-a-prosthesis-training-of-a-child-with-congenital-amputee
#19
Tomoya Shimokakimoto, Tomoyuki Ueno, Nanao Akimichi, Kenji Suzuki, Tomoya Shimokakimoto, Tomoyuki Ueno, Nanao Akimichi, Kenji Suzuki, Kenji Suzuki, Tomoya Shimokakimoto, Tomoyuki Ueno, Nanao Akimichi
Our objective is to provide a novel habilitation experience using play to children with special needs, in particular to those with congenital defects of the upper limbs. Our concept is a device-assisted motivational training session using tangible building block devices. In order to verify the feasibility of our concept with used bioToys in a clinical training session with occupational therapists. Our participant was a one-year-old girl with congenital amputation of the right upper limb. We verified that bioToys could be used in clinical training for a prosthesis, and could assist with both playful training and quantitative therapeutic evaluation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227639/investigation-of-a-passive-capstan-based-grasp-enhancement-feature-in-a-voluntary-closing-prosthetic-terminal-device
#20
Kevin D Gemmell, Michael T Leddy, Joseph T Belter, Aaron M Dollar, Kevin D Gemmell, Michael T Leddy, Joseph T Belter, Aaron M Dollar, Joseph T Belter, Kevin D Gemmell, Michael T Leddy, Aaron M Dollar
Body-powered prosthetic terminal devices fall into two main categories: voluntary-closing devices, which require the user to exert a force to maintain a grasp, and voluntary opening devices, which generally utilize springs to close and maintain a force. As a result, voluntary-closing devices often have a locking feature that allows the user to relax and transport objects while maintaining a firm grip. In this paper, we examine a new type of capstan-based passive brake mechanism in a voluntary-closing prosthetic terminal device...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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