Biomedical Engineering and Bioengineering Commons^™

Assessment Of Blood Vessel Mimics With Optical Coherence Tomography, Garret T. Bonnema, Kristen O'Halloran Cardinal, James B. Mcnally, Stuart K. Williams, Jennifer K. Barton

Biomedical Engineering

Optical coherence tomography (OCT) is an imaging mo-dality that enables assessment of tissue structural characteristics. Studies have indicated that OCT is a useful method to assess both blood vessel morphology and the response of a vessel to a deployed stent. We evaluated the ability of OCT to visualize the cellular lining of a tissue-engineered blood vessel mimic (BVM) and the response of this lining to a bare metal stent. We develop a side-firing endoscope that obtains intraluminal, longitudinal scans within the sterile bioreactor environment, enabling time-serial assessment. Seventeen BVMs are imaged with the endoscopic OCT system. The BVMs are then …

Quantitative Regional Associations Between Remodeling, Modeling, And Osteocyte Apoptosis And Density In Rabbit Tibial Midshafts, Nicole L. Hedgecock, Tamer Hadi, Andrew A. Chen, Shane B. Curtiss, R. Bruce Martin, Scott J. Hazelwood

Biomedical Engineering

Evidence suggests that osteocyte apoptosis is involved in the adaptive response of bone, although the specific role of osteocytes in the signaling mechanism is unknown. Here, we examined and correlated regional variability in indices of remodeling, modeling, osteocyte apoptosis, and osteocyte density in rabbit tibia midshafts. Histomorphometric analysis indicated that remodeling parameters (BMU activation frequency, osteon density, forming osteon density, and resorption cavity density) were lower in the cranial region compared to other quadrants. In addition, pericortical subregions displayed less remodeling relative to intracortical and endocortical ones. Modeling indices also demonstrated regional variability in that periosteal surfaces exhibited a greater …

Biomechanics Of The Rabbit Knee And Ankle: Muscle, Ligament, And Joint Contact Force Predictions, Dustin M. Grover, Andrew A. Chen, Scott J. Hazelwood

Biomedical Engineering

Mathematical models of small animals that predict in vivo forces acting on the lower extremities are critical for studies of musculoskeletal biomechanics and diseases. Rabbits are advantageous in this regard because they remodel their cortical bone similar to humans. Here, we enhance a recent mathematical model of the rabbit knee joint to include the loading behavior of individual muscles, ligaments, and joint contact at the knee and ankle during the stance phase of hopping. Geometric data from the hindlimbs of three adult New Zealand white rabbits, combined with previously reported intersegmental forces and moments, were used as inputs to the …

Volume Effects On Fatigue Life Of Equine Cortical Bone, R. F. Bigley, J. C. Gibeling, S. M. Stover, S. J. Hazelwood, D. P. Fyhrie, R. B. Martin

Biomedical Engineering

Materials, including bone, often fail due to loading in the presence of critical flaws. The relative amount, location, and interaction of these flaws within a stressed volume of material play a role in determining the failure properties of the structure. As materials are generally imperfect, larger volumes of material have higher probabilities of containing a flaw of critical size than do smaller volumes. Thus, larger volumes tend to fail at fewer cycles compared with smaller volumes when fatigue loaded to similar stress levels. A material is said to exhibit a volume effect if its failure properties are dependent on the …

Two In Vivo Surgical Approaches For Lumbar Corpectomy Using Allograft And A Metallic Implant: A Controlled Clinical And Biomechanical Study, Philbert Huang, Munish C. Gupta, Nesrin Sarigul-Klijn, Scott Hazelwood

Biomedical Engineering

Background context: Both bone graft and metallic implants have been used in combination with the necessary anterior rod or plate instrumentation to fill the voids left by vertebral body removal, with the ultimate goal of restoring stability. One type of device that has recently been introduced is an expandable titanium telescoping cage that is designed to be used as a strut implant to fill corpectomy defects. The use of these devices has met varying success. Acceptance by surgeons and spine biomechanicians has been limited by clinical failure with subsequent loss of reduction and increase in kyphosis. In order to further …

The Effect Of Plate Rotation On The Stiffness Of Femoral Liss: A Mechanical Study, Afshin Khalafi, Shane Curtiss, Scott Hazelwood, Philip Wolinsky

Biomedical Engineering

Objective: Malposition of the femoral Less Invasive Stabilization System (LISS) plate may alter its biomechanical behavior. This study compares the mechanical stability of ‘‘correctly’’ affixed LISS plates matching the slope of the lateral femoral condyle to ‘‘incorrectly’’ placed LISS plates fixed in external rotation relative to the distal femur.

Methods: A fracture gap model was created to simulate a comminuted supracondylar femur fracture (AO/OTA33-A3). Fixation was achieved using two different plate positions: the LISS plate was either placed ‘‘correctly’’ by internally rotating the plate to match the slope of the lateral femoral condyle, or ‘‘incorrectly’’ by externally rotating the plate …

Cosmm: An Undergraduate Laboratory For Engineering And Manufacturing Complex, Organic Shapes Using Nature As A Template, Daniel Walsh, Lanny Griffin, Robert Crockett

Biomedical Engineering

No abstract provided.

Effect Of Low Molecular Weight Heparin On Fracture Healing In A Stabilized Rat Femur Fracture Model, David J. Hak, Rena L. Stewart, Scott J. Hazelwood

Biomedical Engineering

The purpose of this studywas to evaluate the effect of low molecular weight heparin (LMWH) on fracture healing in a standard stabilized rat femur fracture model. A closed, mid-diaphyseal transverse fracture was created in the right femur of Long-Evans rats after insertion of a 0.8-mm K-wire into the medullarycanal. Animals were randomized to receive either LMWH (70 units/kg dalteparin) oraninjection of normal saline daily for 2 weeks. Animals were sacrificed at 2, 3, and 6 weeks. Fracture healing was assessedbyradiographs, histology, and mechanical testing. There were no significant differences between the control and LMWH groups in the percentage of animalswith …

Neural-Electronic Inhibition Simulated With A Neuron Model Implemented In Spice, Robert B. Szlavik, Abuhanif K. Bhuiyan, Anthony Carver, Frank Jenkins

Biomedical Engineering

There have been numerous studies presented in the literature related to the simulation of the interaction between biological neurons and electronic devices. A complicating factor associated with these simulations is the algebraic complexity involved in implementation. This complication has impeded simulation of more involved neural-electronic circuitry and consequently has limited potential advancements in the integration of biological neurons with synthetic electronics. In this paper, we describe a modification to a previously proposed SPICE based Hodgkin-Huxley neuron model that demonstrates more physiologically relevant electrical behavior. We utilize this SPICE based neuron model in conjunction with an external circuit that allows for …

Predictions On Preserving Bone Mass In Knee Arthroplasty With Bisphosphonates, Jeffry S. Nyman, Juan J. Rodrigo, Scott J. Hazelwood, Oscar C. Yeh, R. Bruce Martin

Biomedical Engineering

Using a computational model of bone adaptation, we investigated the long-term ability of bisphosphonates to minimize proximal bone loss that is associated with stress shielding in the tibia after long-stemmed total knee arthroplasty (TKA). When invoking bisphosphonate effects, the remodeling activity was suppressed, and the resorption size was reduced. Compared with the untreated simulation, bisphosphonate slowed the rate of bone loss after TKA (42% reduction in bone loss at 1 year). Activating the drug 3 months before the surgery reversed bone loss associated with the reduction in such activities as walking, but it did not provide any substantial benefit in …

Osteon Interfacial Strength And Histomorphometry Of Equine Cortical Bone, Robert F. Bigley, Lanny V. Griffin, Lisa Christensen, Ryan Vandenbosch

Biomedical Engineering

The interfacial strength of secondary osteons from the diaphysis of the Thoroughbred equine third metacarpal was evaluated using the fiber pushout test. The pushout was performed on 300–500 mm sections of 4x4x15mm bone blocks machined from four anatomic regions of the cortex. Pushout strength was evaluated from proximal to distal location within the diaphysis on four osteon types classified under polarized light on adjacent histologic sections from each block. The shear strength of the interfaces were estimated from shear lag theory. Differences were found in the interfacial strength of osteons based on appearance under polarized light with bright field having …

Osteonal Effects On Elastic Modulus And Fatigue Life In Equine Bone, V. A. Gibson, S. M. Stover, J. C. Gibeling, S. J. Hazelwood, R. B. Martin

Biomedical Engineering

We hypothesized that recently formed, incompletely mineralized, and thus, relatively deformable osteons in the equine third metacarpus enhance in vitro load-controlled fatigue life in two ways. Macroscopically, there is a compliance effect, because reduced tissue elastic modulus diminishes the stress required to reach a given strain. Microscopically, there is a cement line effect, in which new osteons and their cement lines more effectively serve as barriers to crack propagation. We studied 18 4×10×100 mm beams from the medial, lateral, and dorsal cortices of metacarpal bones from 6 thoroughbred racehorses. Following load-controlled fatigue testing to fracture in 4 point bending, a …

Recombinant Human Bmp-7 Effectively Prevents Non-Union In Both Young And Old Rats, David J. Hak, Takeshi Makino, Takahiro Niikura, Scott J. Hazelwood, Shane Curtiss, A. Hari Reddi

Biomedical Engineering

The purpose of this study was to evaluate the influence of age on the effectiveness of rhBMP-7 treatment in a fracture with severe periosteal damage that is known to result in non-union formation. Closed stabilized femur fractures were produced in 3-month-old and 18-month-old rats. The fracture site was exposed and 2 mm of the periosteum cauterized circumferentially to impair normal fracture healing. The cauterized fracture site was immediately treated with either 100 mg rhBMP-7 (BMP-7 group), or with 25 xL of vehicle alone (control group). Fracture healing was evaluated with radiographs taken at 3 and 6 weeks. Animals were sacrificed …

Coronal Fractures Of The Distal Femoral Condyle: A Biomechanical Evaluation Of Four Internal Fixation Constructs, David J. Hak, James Nguyen, Shane Curtiss, Scott Hazelwood

Biomedical Engineering

This study evaluated different fixation methods in posterior femoral condyle coronal fractures. A standardised osteotomy was created in synthetic composite femurs and fixed with one of four methods (one 3.5 mm diameter screw, two 3.5 mm screws, one 6.5 mm screw, two 6.5 mm screws). The stiffness and mean loads to specified displacements were measured. The stiffness of two 6.5 mm screws was significantly greater than both single 3.5 mm screw (3567 versus 2584 N/mm; p = 0.0075) and double 3.5 mm screws (3567 versus 2080 N/mm; p = 0.003). There was no statistical difference in the stiffness of one …

Prevention Of Atrophic Nonunion Development By Recombinant Human Bone Morphogenetic Protein-7, Takeshi Makino, David J. Hak, Scott Hazelwood, Shane Curtiss, A. Hari Reddi

Biomedical Engineering

Severe periosteal and soft tissue disruption at the time of fracture may result in the formation of an atrophic nonunion. We have developed a reproducible atrophic nonunion in an animal model. The purpose of this study was to evaluate whether the immediate application of recombinant human BMP-7 to the fracture site could rescue the healing process in this nonunion model. A total of 56 three month old Fisher 344 rats were utilized. A 1.25mm diameter K-wire was inserted into the femur in a retrograde fashion, and a mid-diaphyseal closed transverse fracture was created using a standard three point bending device. …

Do Microcracks Decrease Or Increase Fatigue Resistance In Cortical Bone?, O. S. Sobelman, J. C. Gibeling, S. M. Stover, S. J. Hazelwood, O. C. Yeh, D. R. Shelton, R. B. Martin

Biomedical Engineering

Fatigue of cortical bone produces microcracks; it has been hypothesized that these cracks are analogous to those occurring in engineered composite materials and constitute a similar mechanism for fatigue resistance. However, the numbers of these linear microcracks increase substantially with age, suggesting that they contribute to increased fracture incidence among the elderly. To test these opposing hypotheses, we fatigued 20 beams of femoral cortical bone from elderly men and women in load-controlled four point bending having initial strain ranges of 3000 or 5000 microstrain. Loading was stopped at fracture or 106 cycles, whichever occurred first, and microcrack density and length …

Varying The Time Delay Of An Action Potential Elicited With A Neural-Electronic Stimulator, Robert B. Szlavik, Frank Jenkins

Biomedical Engineering

There have been various theoretical and experimental studies presented in the literature that focus on interfacing neurons with discrete electronic devices such as transistors. It has also been demonstrated experimentally that neural-electronic devices can be used to elicit action potentials in a target neuron in close proximity to the neural-electronic stimulator. The time delay between stimulus and the onset of the neural action potential can be varied by varying the pulse amplitude and width generated by the neural-electronic stimulator (transistor).

A Theoretical Analysis Of Long-Term Bisphosphonate Effects On Trabecular Bone Volume And Microdamage, Jeffry S. Nyman, Oscar C. Yeh, Scott J. Hazelwood, R. Bruce Martin

Biomedical Engineering

Bisphosphonates increase bone mass and reduce fracture risk, but their anti-resorptive action may lead to increases in fatigue microdamage. To investigate how bisphosphonate effects influence changes in bone volume and microdamage in the long term, a strain-adaptive model of bone remodeling and microdamage balance was developed for a continuum-level volume of postmenopausal trabecular bone by invoking Frost's mechanostat hypothesis. Both disuse and fatigue microdamage were assumed to stimulate the activation frequency of basic multicellular units (BMUs) such that bone remodeling served to remove excess bone mass and microdamage. Bisphosphonate effects were simulated as follows: low, intermediate, high, or complete suppression …

Long Stemmed Total Knee Arthroplasty With Interlocking Screws: A Computational Bone Adaptation Study, Jeffry S. Nyman, Scott J. Hazelwood, Juan J. Rodrigo, R. Bruce Martin, Oscar C. Yeh

Biomedical Engineering

The ability of an interlocking screw fixation technique to minimize bone loss related to stress shielding in the tibia was investigated and compared to the abilities of cement and press-fit fixation. Full bony ingrowth has been associated with greater stress shielding than partial ingrowth; therefore, the effect of intimate bonding of the stem to bone on subsequent bone loss was also studied. A damage-and disuse-based remodeling theory was coupled with a two-dimensional finite element model of the tibia to predict changes in bone remodeling following long stemmed total knee arthroplasty (TKA) for four different fixation techniques (cement, press-fit, interlock with …

Neural Electronic Signal Detection Fidelity And Membrane Conductance, Robert B. Szlavik

Biomedical Engineering

Abstract of paper presented at conference.

Osteon Pullout In The Equine Third Metacarpal Bone: Effects Of Ex Vivo Fatigue, L. P. Hiller, S. M. Stover, V. A. Gibson, J. C. Gibeling, C. S. Prater, S. J. Hazelwood, O. C. Yeh, R. B. Martin

Biomedical Engineering

An important concept in bone mechanics is that osteons influence mechanical properties in several ways, including contributing to toughness and fatigue strength by debonding from the interstitial matrix so as to "bridge" developing cracks. Observations of "pulled out" osteons on fracture surfaces are thought to be indicative of such behavior. We tested the hypothesis that osteon pullout varies with mode of loading (fatigue vs. monotonic), cortical region, elastic modulus, and fatigue life. Mid-diaphseal beams from the dorsal, medial, and lateral regions of the equine third metacarpal bone were fractured in four point bending by monotonic loading to failure under deflection …

Development Of An Atrophic Nonunion Model And Comparison To A Closed Healing Fracture In Rat Femur, Takeshi Kokubu, David J. Hak, Scott J. Hazelwood, A. Hari Reddi

Biomedical Engineering

Although most fractures heal, some fail to heal and become nonunions. Many animal models have been developed to study problems of fracture healing. The majority of nonunion models have involved segmental bone defects, but this may not adequately represent the biologic condition in which nonunions clinically develop. The objective of the present study is to develop a nonunion model that better simulates the clinical situation in which there is soft tissue damage including periosteal disruption and to compare this model to a standard closed fracture model utilizing identical fracture stabilization, providing a similar mechanical environment. A total of 96 three …

Strategies For Improving Neural Signal Detection Using A Neural-Electronic Interface, Robert B. Szlavik

Biomedical Engineering

There have been various theoretical and experimental studies presented in the literature that focus on interfacing neurons with discrete electronic devices, such as transistors. From both a theoretical and experimental perspective, these studies have emphasized the variability in the characteristics of the detected action potential from the nerve cell. The demonstrated lack of reproducible fidelity of the nerve cell action potential at the device junction would make it impractical to implement these devices in any neural prosthetic application where reliable detection of the action potential was a prerequisite. In this study, the effects of several different physical parameters on the …

The Impact Of Variations In Membrane Capacitance On The Detected Neural-Electronic Signal, Robert B. Szlavik

Biomedical Engineering

There have been various theoretical and experimental studies presented in the literature that focus on interfacing neurons with discrete electronic devices such as transistors. The demonstrated lack of reproducible fidelity of the nerve cell action potential at the device junction would make it impractical to implement these devices in any neural prosthetic application where reliable detection of the action potential was a pre-requisite. In this study, the impact of typical variations in membrane capacitance on the detected neural signal is investigated.

A Biomechanical Comparison Of Three Sternotomy Closure Techniques, David J. Cohen, Lanny V. Griffin

Biomedical Engineering

Background. A biomechanical study of three sternotomy closuretechniques (figure-of-eight stainless-steel wires, PectofixDynamic Sternal Fixation [DSF] stainless-steel plates, and figure-of-eightstainless-steel cables) was conducted to compare strength andstiffness variables in three clinically relevant loading modes(anterior-posterior shear, longitudinal shear, and lateral distraction).

Methods. All tests were conducted on polyurethane foam sternalmodels that simulate the properties of cancellous bone. Eachmodel was divided longitudinally and reconstructed using oneof the sternotomy closure repair techniques. Tests were performedusing a materials testing system that applies a continuouslyincreasing amount of force in one direction to the model untilit catastrophically breaks. A total of six trials of each …

A Mechanistic Model For Internal Bone Remodeling Exhibits Different Dynamic Responses In Disuse And Overload, Scott J. Hazelwood, R. Bruce Martin, Mark M. Rashid, Juan J. Rodrigo

Biomedical Engineering

Bone is a dynamic tissue which, through the process of bone remodeling in the mature skeleton, renews itself during normal function and adapts to mechanical loads. It is, therefore, important to understand the effect of remodeling on the mechanical function of bone, as well as the effect of the inherent time lag in the remodeling process. In this study, we develop a constitutive model for bone remodeling which includes a number of relevant mechanical and biological processes and use this model to address differences in the remodeling behavior as a volume element of bone is placed in disuse or overload. …

The Effect Of Anisotrophy On The Potential Distribution In Biological Tissues And Its Impact On Nerve Excitation Simulations, Robert B. Szlavik, Hubert De Bruin

Biomedical Engineering

Presents a finite difference solution of the potential distribution associated with electrical current stimulation in an anisotropic in-homogeneous tissue environment and compare it to the isotropic case. The results demonstrate that there can be significant errors associated with the assumption of isotropic tissue properties in calculating the potential distribution along an axon in nerve excitation simulations. These errors can have a significant impact on predicted nerve fiber recruitment patterns when evaluating the efficacy of specific surface or intramuscular stimulus electrode configurations. The results of this study also suggest when a more comprehensive tissue model should be implemented in an electrode …

The Relationship Between Basic Multicellular Unit Activation And Origination In Cancellous Bone, C. J. Hernandez, S. J. Hazelwood, R. B. Martin

Biomedical Engineering

Activation frequency is often used as a measure of basic multicellular unit (BMU) activity in cancellous bone. However, activation frequency expresses the rate of BMU appearance in a histologic slide and not the rate of origination, which is a more physiologic indicator of remodeling activity and is necessary for the development of BMU-level bone remodeling simulations. Using identical assumptions to those for calculating the activation frequency, it is shown that the origination frequency in cancellous bone is equal to the activation frequency divided by the total distance traveled by the BMU and its width.

The Effect Of Stimulus Current Pulse Width On Nerve Fiber Size Recruitment Patterns, Robert B. Szlavik, Hubert De Bruin

Biomedical Engineering

There have been theoretical studies presented that postulate a change in the stimulus current amplitude required to recruit nerve fibers with different stimulus current pulse widths. Based on these theoretical predictions, it has been suggested that the stimulus pulse width parameter may be used to selectively recruit fibers of different sizes and that this selectivity should increase with increasing distance from the stimulus electrode. In this paper, a simulation study of the recruitment patterns of a population of motor nerve fibers with a histologically accurate fiber diameter distribution is presented. Nerve fiber excitation simulations coupled with a time varying field …

In Vivo Electrical Stimulation Of Motor Nerves, Robert B. Szlavik

Biomedical Engineering

Stimulus waveform parameters and stimulation protocols are fundamental to the use of electrical stimulation in medical applications. This thesis presents new simulation and experimental procedures that for the first time can quantify the effects on nerve fiber recruitment patterns of variable stimulus waveform parameters, such as pulse width and changes in the stimulation protocol with respect to electrode orientation. The study of the effect of variable electrical stimulus waveform parameters and stimulation protocols is important from the perspective of therapeutic and diagnostic medicine. Variations in the stimulus waveform such as stimulus pulse width have been shown to offer some promise …