Biomedical Engineering and Bioengineering Commons^™

Tibiotalar Arthrodesis: Development Of A Novel Jig And Alignment Guide, Adam Mathew Ropchan

Electronic Thesis and Dissertation Repository

Tibiotalar arthrodesis is a surgical procedure, used for the treatment of end-stage ankle arthrosis and instability. There are dozens of described procedures in the literature, all with varying rates of success. Two of the most common reasons for reoperation in tibiotalar arthrodesis are nonunion and infection; few studies have established any associations between patient/surgical factors and reoperation for nonunion and infection.

The first part of this thesis focuses on determining the rate of reoperation to the ipsilateral lower limb and if any patient/surgical factors are associated with reoperation for nonunion and infection. The second part of this thesis turns attention …

Investigation And Validation Of Imaging Techniques For Mitral Valve Disease Diagnosis And Intervention, Claire Vannelli

Electronic Thesis and Dissertation Repository

Mitral Valve Disease (MVD) describes a variety of pathologies that result in regurgitation of blood during the systolic phase of the cardiac cycle. Decisions in valvular disease management rely heavily on non-invasive imaging. Transesophageal echocardiography (TEE) is widely recognized as the key evaluation technique where backflow of high velocity blood can be visualized under Doppler. In most cases, TEE imaging is adequate for identifying mitral valve pathology, though the modality is often limited from signal dropout, artifacts and a restricted field of view. Quantitative analysis is an integral part of the overall assessment of valve morphology and gives objective evidence …

A Biomechanical And Physiological Signal Monitoring System For Four Degrees Of Upper Limb Movement, Allison R. Goldman

Electronic Thesis and Dissertation Repository

A lack of adherence to prescribed physical therapy regimens in improper healing results in poor outcomes for those affected by musculoskeletal disorders (MSDs) of the upper limb. Societal and psychological barriers to proper adherence can be addressed through the system presented in this work consisting of the following components: an ambulatory biosignal acquisition sleeve, an electromyography (EMG) based motion repetition detection algorithm, and the design of a compatible capacitive EMG acquisition module.

The biosignal acquisition sleeve was untethered, unobtrusive to motion, contained only modular components, and collected biomechanical and physiological sensor data to form full motion profiles of the following …

Electrospun Collagen Fibers For Tissue Regeneration Applications, Ying Li

Electronic Thesis and Dissertation Repository

Tissue engineering aims to regenerate damaged and deceased tissue by combining cells with scaffold made from an appropriate biomaterial and providing a conducive environment to guide cell growth and the formation or regeneration of new tissue or organ. While collagen, an important material of the extracellular matrix (ECM), is a natural choice as a scaffold biomaterial, the conducive environment can only be created by having the ability to control the geometry, organization, structural and mechanical properties of the scaffold. Moreover, degradability and degradation rate control of the scaffold has to be taken into consideration too. In this work, we aim …

Dynamic Calibration Of Emg Signals For Control Of A Wearable Elbow Brace, Taylor Stanbury

Electronic Thesis and Dissertation Repository

Musculoskeletal injuries can severely inhibit performance of activities of daily living. In order to regain function, rehabilitation is often required. Assistive devices for use in rehabilitation are an avenue explored to increase arm mobility by guiding therapeutic exercises or assisting with motion. Electromyography (EMG), which are the muscle activity signals, may be able to provide an intuitive interface between the patient and the device if appropriate classification models allow smart systems to relate these signals to the desired device motion.

Unfortunately, there is a gap in the accuracy of pattern recognition models classifying motion in constrained laboratory environments, and large …

Development Of Image-Based Surgical Planning Software For Bone-Conduction Implants, Carlos D. Salgado

Electronic Thesis and Dissertation Repository

The BONEBRIDGE bone-conduction device is used to treat conductive and mixed hearing losses. The size of its floating mass transducer (FMT) can preclude implantation in certain anatomies, necessitating comprehensive surgical planning. Current techniques are time consuming and difficult to transfer to the operating room. The objective of this thesis was to develop software for calculating skull thickness to the dura mater to find locations for the FMT and to the first air cells which guarantee sufficient bone for the implant screws to grasp. Temporal bone computed tomography (CT) images were segmented and processed and custom Matlab code was written to …

Evaluating Devices For The Measurement Of Auditory-Evoked Fetal Movement, Patrick Gatutsi

Electronic Thesis and Dissertation Repository

Determining normal and abnormal fetal function in utero in order to better predict which fetuses are at risk for adverse outcome is critical. However, the medical imaging tools that could assist with diagnosis are very expensive and rarely available in the developing world. In this study, we developed a prototype audio-motio-tachograph (AMTG), which measures fetal movements through the recording of abdominal wall deformations and tested it in Rwanda. First, we showed that AMTG detected fetal signals and that fetuses respond to complex acoustic stimuli. In order to improve the sensitivity of the device, we then measured whole abdominal wall deformations …

An In-Silico Assessment Of Stemless Shoulder Arthroplasty: From Ct To Predicted Bone Response, Jacob M. Reeves

Electronic Thesis and Dissertation Repository

Despite the emergence of stemless humeral implants that utilize short fixation features to gain purchase solely in the metaphysis, the literature contains little information regardingthe morphology and mechanical properties of the humerus’ proximal trabecular-canal, and how stemless implants impact bone response. The present work employs in-silicotools, including CT-based and Finite Element (FE) methods, to define parameters that may influence stemless implant design.

The density and morphology of the proximal humerus were assessed using CT-derived point clouds of the trabecular-canal. Bone density was found to diminish 15-20mm beneath the humeral head resection and was greater peripherally. The depth, path and bounding …

Augmented Reality Ultrasound Guidance In Anesthesiology, Golafsoun Ameri

Electronic Thesis and Dissertation Repository

Real-time ultrasound has become a mainstay in many image-guided interventions and increasingly popular in several percutaneous procedures in anesthesiology. One of the main constraints of ultrasound-guided needle interventions is identifying and distinguishing the needle tip from needle shaft in the image. Augmented reality (AR) environments have been employed to address challenges surrounding surgical tool visualization, navigation, and positioning in many image-guided interventions. The motivation behind this work was to explore the feasibility and utility of such visualization techniques in anesthesiology to address some of the specific limitations of ultrasound-guided needle interventions. This thesis brings together the goals, guidelines, and best …

The Kinematic And Biomechanical Effects Of Bracing On The Rehabilitation Of The Lcl Injured Elbow, Sara M. Banayan

Electronic Thesis and Dissertation Repository

Lateral collateral ligament (LCL) injuries are often treated non-operatively or with surgical repair. If instability persists, hinged elbow orthoses (HEOs) are often recommended. However, these orthoses are designed as a straight hinge, which does not account for the native carrying angle of the elbow. A custom HEO was designed to adjust the orthosis valgus angulation to measure in vitro elbow kinematics and biomechanics. An in vitro study investigated the effect of HEO valgus angulation during simulated active and passive flexion, in the vertical dependent and varus positions, with the forearm pronated and supinated. In the vertical dependent position, the orthosis …

Development Of Force-Space Navigation For Surgical Robotics, Corey Daniel Smith

Electronic Thesis and Dissertation Repository

Surgical robotics have been used for many years in orthopaedic procedures in the hip and knee. Robots tend to offer high accuracy and repeatability but add increased cost, complexity, time, and workflow disruption. This work outlines the design and development of a surgical robot that navigates using force feedback. Flexible components tether the patient to the robot and reaction loads are measured allowing the robot to “feel” its way around the pre-operative plan. Differences calculated between measured and desired loads are converted to Cartesian corrections that the robot used to navigate. The robot was tested first using simple square paths …

Embedded Smart-Polymer Sensor Arrays For Elucidating Load Distributions In Orthopaedic Implants, Carolina Micolini

Electronic Thesis and Dissertation Repository

The long-term outcomes of orthopaedic joint implants are only beginning to be understood, making it imperative to monitor the contact loads across the entire implant interface. This capability will elucidate the force transmission and distribution mechanisms exhibited by these implants in-service over time. This study explores the design and implementation of 3D-printed smart-polymer force sensor arrays, consisting of piezoresistive polyaniline (PANI) structures embedded within a polymeric parent phase. This unique multi-material additive manufacturing process was then employed to realize transducers embedded in the humeral component of a replacement prosthetic device conventionally used to restore the functionality of the shoulder joint. …