Biomedical Engineering and Bioengineering Commons^™

The Biomechanical Role Of Scaffolds In Augmented Rotator Cuff Tendon Repairs, Amit Aurora, Jesse A. Mccarron, Antonie J. Van Den Bogert, Jorge E. Gatica, Joseph P. Iannotti, Kathleen A. Derwin

Mechanical Engineering Faculty Publications

Background

Scaffolds continue to be developed and used for rotator cuff repair augmentation; however, the appropriate scaffold material properties and/or surgical application techniques for achieving optimal biomechanical performance remains unknown. The objectives of the study were to simulate a previously validated spring-network model for clinically relevant scenarios to predict: (1) the manner in which changes to components of the repair influence the biomechanical performance of the repair and (2) the percent load carried by the scaffold augmentation component.

Materials and methods

The models were parametrically varied to simulate clinically relevant scenarios, namely, changes in tendon quality, altered surgical technique(s), and …

Experimental Composite Guidance Conduits For Peripheral Nerve Repair: An Evaluation Of Ion Release, X. F. Zhang, A. Coughlan, H. O'Shea, Mark R. Towler, S. Kehoe, D. Boyd

Chemical and Biochemical Engineering Faculty Research & Creative Works

Poly (lactide-co-glycolide) (PLGA) - Pluronic F127 - glass composites have demonstrated excellent potential, from the perspective of controlled mechanical properties and cytocompatibility, for peripheral nerve regeneration. In addition to controlling the mechanical properties and cytotoxicity for such composite devices, the glass component may mediate specific responses upon implantation via degradation in the physiological environment and release of constituent elements. However, research focused on quantifying the release levels of such therapeutic ions from these experimental medical devices has been limited. To redress the balance, this paper explores the ion release profiles for Si⁴⁺, Ca²⁺, Na⁺, …

Gallium Containing Glass Polyalkenoate Anti-Cancerous Bone Cements: Glass Characterization And Physical Properties, A. W. Wren, A. Coughlan, L. Placek, Mark R. Towler

Chemical and Biochemical Engineering Faculty Research & Creative Works

A gallium (Ga) glass series (0.48SiO₂-0.40ZnO-0.12CaO, with 0.08 mol% substitution for ZnO) was developed to formulate a Ga-containing Glass Polyalkenoate Cement (GPC) series. Network connectivity (NC) and X-ray Photoelectron Spectroscopy (XPS) was employed to investigate the role of Ga³⁺ in the glass, where it is assumed to act as a network modifier. Ga-GPC series was formulated with E9 and E11 polyacrylic acid (PAA) at 50, 55 and 60 wt% additions. E11 working times (T_w) ranged from 68 to 96 s (Lcon.) and 106 s for the Ga-GPCs (LGa-1 and LGa-2). Setting times (T_s) …

The Effect Of A Navigational Aid On Training Of A Minimally Invasive Surgery Camera Task, Ketan Vidwans

Theses and Dissertations

Minimally Invasive Surgery (MIS) differs from Open Surgery as surgeons view the surgical site indirectly on a monitor. The view shown is typically from an angled endoscope off to one side of the surgery (i.e., uncollocated with the view of the hands). This makes camera navigation a challenging ability to learn. MIS thus requires longer training periods, more practice and mental effort to achieve proficiency. Current training setups and Operating Room (OR) environments lack appropriate real-time visual cues for navigation and other perception related information that could help with learning and performance in the OR. The purpose of this research …

Augmented Image-Guidance For Transcatheter Aortic Valve Implantation, Pencilla Lang

Electronic Thesis and Dissertation Repository

The introduction of transcatheter aortic valve implantation (TAVI), an innovative stent-based technique for delivery of a bioprosthetic valve, has resulted in a paradigm shift in treatment options for elderly patients with aortic stenosis. While there have been major advancements in valve design and access routes, TAVI still relies largely on single-plane fluoroscopy for intraoperative navigation and guidance, which provides only gross imaging of anatomical structures. Inadequate imaging leading to suboptimal valve positioning contributes to many of the early complications experienced by TAVI patients, including valve embolism, coronary ostia obstruction, paravalvular leak, heart block, and secondary nephrotoxicity from contrast use.

A …

Evaluation Of A Novel Myoelectric Training Device, Ryan Clingman

Theses and Dissertations

While research shows that a patient’s success in using a myoelectric prosthetic arm is dependent on receiving effective training, current methods of training are not designed to effectively hold attention long enough for optimal training. This study focused on evaluating a novel myoelectric training device, consisting of a toy car controlled by EMG signals from the arm. Subjects’ performance with the trainer was evaluated to determine its ability to provide experience with EMG controls. Eight healthy adult subjects were taken through typical initial stages of myoelectric training, then asked to drive the car through a slalom course while the time, …

Dynamics Of Depression Storage During Sprinkler Irrigation And Precipitation Events, Michael B. Mckinney

Department of Agricultural and Biological Systems Engineering: Dissertations, Theses, and Student Research

Surface depression storage (D_s) is the volume of precipitation excess which is stored by surface microrelief features of soils. The volume of water stored in surface depressions when precipitation rate exceeds infiltration rate reduces the amount of runoff generated. Because Ds is dependent on soil microrelief, land slope, and crop residue, tillage and management practices can have a considerable impact on the magnitude of this value.

When modeling irrigation systems and surface hydrology, depression storage is often treated as a static abstraction, meaning that maximum storage volume must be filled before runoff occurs. However, several researchers have documented …

Life History Switch Point Plasticy In Response To Pond Drying Alyers Metamorph Allometry And Jumping Performance, Julie Charbonnier

Theses and Dissertations

Animals with complex life cycles can cope with environmental uncertainty by altering life history switch points through developmental plasticity. Pond drying is an important factor which may alter life history switch points in aquatic organisms. Many amphibians can plastically respond to changes in pond drying by emerging earlier, but few studies have examined the post-metamorphic consequences for performance. To investigate the potential carry-over effects of plasticity to pond drying, we studied the túngara frog, Physalaemus pustulosus, a tropical anuran that breeds in highly ephemeral habitats. We conducted a field study with three different water depth treatments in 60 L mesocosms …

Bio-Inspired Design And Dynamic Maneuverability Of A Minimally Actuated Six-Legged Robot, Aaron Hoover, Samuel Burden, Xiao-Yu Fu, S. Sastry, Ronald Fearing

Aaron M. Hoover

Rapidly running arthropods like cockroaches make use of passive dynamics to achieve remarkable locomotion performance with regard to stability, speed, and maneuverability. In this work, we take inspiration from these organisms to design, fabricate, and control a 10cm, 24 gram underactuated hexapedal robot capable of running at 14 body lengths per second and performing dynamic turning maneuvers. Our design relies on parallel kinematic mechanisms fabricated using the scaled smart composite microstructures (SCM) process and viscoelastic polymer legs with tunable stiffness. In addition to the novel robot design, we present experimental validation of the lateral leg spring (LLS) locomotion model's prediction …

Design, Analysis And Testing Of Haptic Feedback System For Laparoscopic Graspers In In Vivo Surgical Robots, Nikhil Salvi

Department of Mechanical and Materials Engineering: Dissertations, Theses, and Student Research

Laparo-Endoscopic Single Site (LESS) Robotics Surgery is an advanced technology in the field of Minimally Invasive Surgery (MIS). The LESS surgical robots significantly improve the surgeon’s accuracy, dexterity and visualization, and reduce the invasiveness of surgical procedure results in faster recovery time and improved cosmetic results. In a standard robotic endosurgery, the palpation of tissues is performed by laparoscopic graspers located at the end effectors. The master-slave configuration in robotic surgery leads in remote access to the operation site. Therefore, surgeon’s ability to perceive valuable sensory information is severely diminished. Sensory information such as haptics, which is essential for safe …

Integrated Analysis Of Hydrothermal Flow Through Pretreatment, Veronique Archambault-Leger, Xiongjun Shao, Lee R. Lynd

Dartmouth Scholarship

Background:

The impact of hydrothermal flowthrough (FT) pretreatment severity on pretreatment and solubilization performance metrics was evaluated for three milled feedstocks (corn stover, bagasse, and poplar) and two conversion systems (simultaneous saccharification and fermentation using yeast and fungal cellulase, and fermentation by Clostridium thermocellum).

Results:

Compared to batch pretreatment, FT pretreatment consistently resulted in higher XMG recovery, higher removal of non-carbohydrate carbon and higher glucan solubilization by simultaneous saccharification and fermentation (SSF). XMG recovery was above 90% for FT pretreatment below 4.1 severity but decreased at higher severities, particularly for bagasse. Removal of non-carbohydrate carbon during FT pretreatment increased …

Effect Of Applied Uniaxial Stress On Rate And Mechanical Effects Of Cross-Linking In Tissue-Derived Biomaterials, Debbie Chachra, Paul Gratzer, Christopher Pereira, J. Lee

Debbie Chachra

Conformational changes in collagen fibrils, and indeed the triple helix, can be produced by application of mechanical stress or strain. We have demonstrated that the rate of cross-linking in glutaraldehyde and epoxide homobifunctional reagents can be modulated by uniaxial stress (strain). Two poly(glycidyl ether) epoxides were used: Denacol^® EX-810 (a small bifunctional reagent), and Denacol EX-512 (a large polyfunctional reagent). To prevent any possible effect from being masked by saturation of cross-linking sites, bovine pericardium was cross-linked to such an extent that the increase in collagen denaturation temperature, T_d, was one-half of the maximal rise achievable with …

Shelf-Life Of Bioprosthetic Heart Valves: A Structural And Mechanical Study, Maryse Julien, Dany Letouneau, Yves Marois, Alain Cardou, Martin King, Robert Guidoin, Debbie Chachra, J. Lee

Debbie Chachra

This study was undertaken to evaluate the influence of storage conditions on the shelf-life of porcine bioprosthetic valves. Fifty-five unimplanted porcine bioprostheses have been evaluated. The valves were stored in 0.5% buffered glutaraldehyde solution for different periods of time (7, 23 and 32 months). Twenty-eight valves were refrigerated while the remaining valves were stored at room temperature. The pH of the glutaraldehyde solution at room temperature decreased with time of storage, while that kept in the refrigerator remained stable over the course of the study. Macroscopic observations showed that the valve tissues kept at room temperature, especially for the periods …

Fluoride Treatment Increased Serum Igf-1, Bone Turnover, And Bone Mass, But Not Bone Strength, In Rabbits, C. Turner, L. Garetto, A. Dunipace, W. Zhang, M. Wilson, Marc Grynpas, Debbie Chachra, R. Mcclintock, M. Peacock, G. Stookey

Debbie Chachra

We hypothesized that fluoride partly acts by changing the levels of circulating calcium-regulating hormones and skeletal growth factors. The effects of oral fluoride on 24 female, Dutch-Belted, young adult rabbits were studied. The rabbits were divided into two study groups, one control and the other receiving about 16 mg fluoride/rabbit/day in their drinking water. After 6 months of fluoride dosing, all rabbits were euthanized and bone and blood samples were taken for analyses. Fluoride treatment increased serum and bone fluoride levels by over an order of magnitude (P < 0.001), but did not affect body weight or the following serum biochemical variables: urea, creatinine, phosphorus, total protein, albumin, bilirubin, SGOT, or total alkaline phosphatase. No skeletal fluorosis or osteomalacia was observed histologically, nor did fluoride affect serum PTH or Vitamin D metabolites (P > 0.4). BAP was increased 37% (P < 0.05) by fluoride; serum TRAP was increased 42% (P < 0.05); serum IGF-1 was increased 40% (P < 0.05). Fluoride increased the vertebral BV/TV by 35% (P …