Biomedical Engineering and Bioengineering Commons^™

Feeling For Failure: Haptic Force Perception Of Soft Tissue Constraints In A Simulated Minimally Invasive Surgery Task, Lindsay Long

All Dissertations

In minimally invasive surgery (MIS), the ability to accurately interpret haptic information and apply appropriate force magnitudes onto soft tissue is critical for minimizing bodily trauma. Force perception in MIS is a dynamic process in which the surgeon's administration of force onto tissue results in useful perceptual information which guides further haptic interaction and it is hypothesized that the compliant nature of soft tissue during force application provides biomechanical information denoting tissue failure. Specifically, the perceptual relationship between applied force and material deformation rate specifies the distance remaining until structural capacity will fail, or indicates Distance-to-Break (DTB). Two experiments explored …

Ion Channel-Mediated Hydrostatic Pressure Mechanotransduction In Urothelial Cells, Kevin Champaigne

All Dissertations

A majority of men and women aged 40 and over experience lower urinary tract symptoms, including urgency, incontinence, and frequency, which often affect the individual's quality of life. Although often considered a simple structure, the bladder is a complex system with sophisticated sensory and motor feedback mechanisms that allow for the sensation of fullness and pain, reflexive responses to bladder filling, and conscious control over the time and place of micturition. Although disruptions of these sensory mechanisms are believed to cause certain lower urinary tract dysfunctions, the specific mechanisms involved in sensing bladder fullness, distension, tension, or pressure at the …

A Novel Hybrid Hydrogel For Scaffold-Mediated Gene Delivery, Jeremy Zhang

All Dissertations

Scaffold-mediated nonviral gene delivery avoids several drawbacks of systemic injection such as clearance by the reticulo-endothelial system and serum aggregation. Existing synthetic and natural polymers used in gene delivery scaffolds are primarily derived from other tissue engineering applications with design parameters focused on the physicochemical properties of the scaffold and its biocompatibility. Common synthetic materials used in polymeric scaffolds such as PEG are practically bio-inert with minimal cell and protein interaction. Therefore, an opportunity exists for the rational design novel gene delivery scaffolds with components capable of increasing the expression of incorporated transgene by including scaffold components that interact with …

Spatial Control Of Magnetic Nanoparticles Integrated With Cellular Spheroids As Tissue Engineered Building Blocks, Brandon Mattix

All Dissertations

Magnetic nanoparticles (MNPs) have been investigated in tissue engineering applications to provide in situ imaging, drug delivery, and tissue patterning, but direct and prolonged interaction between cells and MNPs can have adverse effects on cell function. Therefore, methods which reduce or limit the interaction of MNPs with cells, or utilize more biocompatible MNP-based strategies will improve upon the commonly used iron oxide MNPs. We investigated a variety of methods to improve upon the use of MNPS in tissue engineering.
Cell aggregates, or spheroids, have been used as tissue engineered building blocks that can closely mimic the native three-dimensional in vivo …

Multifunctional Nanophosphors For Tissue Imaging And Drug Delivery, Hongyu Chen

All Dissertations

X-rays have been used for non-invasive high-resolution imaging of thick biological specimens since their discovery in 1895. They are widely used for structural imaging of bone, metal implants, and cavities in soft tissue. Recently, a number of new contrast methodologies have emerged which are expanding X-ray's biomedical applications to functional as well as structural imaging. However, traditional X-ray imaging provides high spatial resolution imaging through tissue but do not measure chemical concentrations. In this dissertation, we describe an X-ray excited optical luminescence (XEOL) technique which uses a scanning X-ray beam to irradiate Gd2O2S phosphors and detect the resulting visible luminescence …

Sustained Release Of Estrogens From Pegylated Nanoparticles For Treatment Of Secondary Spinal Cord Injury, John Barry

All Dissertations

Spinal Cord Injury (SCI) is a debilitating condition which causes neurological damage and can result in paralysis. SCI results in immediate mechanical damage to the spinal cord, but secondary injuries due to inflammation, oxidative damage, and activated biochemical pathways leading to apoptosis exacerbate the injury. The only currently available treatment, methylprednisolone, is controversial because there is no convincing data to support its therapeutic efficacy for SCI treatment. In the absence of an effective SCI treatment option, 17β-estradiol has gained significant attention for its anti-oxidant, anti-inflammatory, and anti-apoptotic abilities, all events associated with secondary. Sadly, 17β-estradiol is associated with systemic adverse …

Highly Sensitive Fiber-Based Devices For Gene And Protein Analysis, Victor Maximov

All Dissertations

Single cell probing has found a number of applications in different areas of research. It can help us to better understand cell-to-cell interactions; it has found numerous applications in immunology, cancer research, detection of pathogenic infections and genetic abnormalities. The single cell analysis is very important in stem cells research and development of cells. The main obstacle in the single cell analysis is the small amount of analyte that a single cell could provide. Another difficulty is connected to the cell-to-cell variability inside the uniform population due to the differences of single cells in size, activity, mitotic stage, and functions. …

Post-Market Surveillance Of Total Knee Replacement Combining Clinical Outcomes And Quantitative Image Processing Techniques, Leah Nunez

All Theses

Total knee replacement (TKR) is a successful procedure for the relief of pain, correction of deformity, and restoration of function in patients with knee arthritis.1-3 In the United States, the number of primary TKR surgeries performed in 2030 is projected to be between 2,938,000 to 4,136,000 and revision surgeries between 193,000 to 381,000.4 Osteolysis, pain, and aseptic loosening are the most common causes of revision TKR surgery.5 The purpose of this thesis is to complete assessments for post-market surveillance of total knee replacement (TKR) targeting areas for improving polymer bearings through evaluation of clinical outcomes and analysis of prosthesis retrieved …

Development Of An Ex Vivo Tissue Testing System For Three Dimensional Biomechanical Analysis Of Abdominal Aortic Aneurysm, Bradley Johns

All Theses

Abdominal aortic aneurysms (AAA) are localized, progressive dilations of the aortic wall and are the 13th most common cause of death in the United States (~15,000 per year) and surgery is usually recommended when the aneurysm is 5 cm or larger in diameter. Because of this clinical parameter, previous studies of AAA biomechanics have utilized a one-dimensional analysis that focuses solely on changes in wall diameter and have attempted to model geometric changes with mathematical formulas, generally based on the LaPlace equation. This is not sufficient however, as the mechanical behavior of the tissue at sites of aneurysm have been …

Evaluating Mechanical Performance Of Hydrogel-Based Adhesives For Soft Tissue Applications, Nitin Balakrishnan

All Theses

According to the National Center for Health Statistics, an estimated 22 million women have undergone a hysterectomy procedure in the United States. The most common complication during hysterectomies is accidental laceration of the urinary bladder during the surgery with incidence between 0.2-8.3% with the current gold standard wound repair method being sutures. Yet, sutures come with their own limitations in that they necessitate use of a catheter and collection bag during healing due to preventing proper distention of the bladder tissue at normal pressures. The long-term goal of our study is to eliminate the need for suturing by creating a …

Dynamic Transcriptional Response Of Escherichia Coli To Inclusion Body Formation, Faraz Baig

All Theses

Escherichia coli is used intensively for recombinant protein production due to its many unique advantages, but one key challenge with the use of E. coli is the tendency of recombinant proteins to misfold and aggregate into insoluble inclusion bodies (IBs). The presence of IBs stresses cells and can hinder overall growth. Additionally, IBs contain high concentrations of recombinant protein in an inactive form and thus require recovery steps to salvage functional recombinant protein. Currently, no universally effective method exists to prevent IB formation in recombinant E. coli. Further research into the gene expression response to insoluble recombinant protein may …

Evaluation Of Angular Velocity Data From Inertial Measurement Units For Use In Clinical Settings, Chelsea Ex-Lubeskie

All Theses

Evaluating the human gait cycle with inertial measurement units (IMU) may prove beneficial for applications such as diagnoses of musculoskeletal diseases and assessment of rehabilitation regimes. An IMU system is potentially applicable for diagnosing and assessing rehabilitation outcomes for a variety of neuromuscular diseases since it is small, portable, and less expensive than a camera system. IMUs directly measure angular velocity, whereas position data from a camera system must be processed twice to obtain this information. The purpose of this research is to determine repeatability of IMU angular velocity data, and agreement between angular velocity data from an IMU system …

A Regenerative Medicine Approach To Improved Tendon Healing And Repair, Grace Margaret Dion

All Theses

Surgical repair of torn tendons is a common orthopaedic procedure in the United States, with nearly 400,000 repairs occurring annually. Despite improvements in surgical techniques used to re-attach the tendon to its boney insertion, clinically successful outcomes amongst patients are variable and re-tear rates can be exceedingly high. The use of stem cells as an adjunct to surgical repair to aid in improving tendon healing and repair strength has gained much interest amongst the clinical community. Accordingly, many investigators have begun examining the ability of stem cells to differentiate into tenocytes using various methodologies including the application of growth factors …

Characterization Of Potential Wear Sources In Knee Arthroplasty Prostheses After In Vivo Function, Nicole Durig

All Theses

Total joint arthroplasty (TJA) is a common procedure generally performed in patients with osteoarthritis. While TJA continues to be a successful treatment for degenerative joint disease, there are many studies that demonstrate wear and its sequelae as the major limitation of joint replacement longevity. Previous studies have shown that wear debris originates from four main locations: articulating surfaces, modular component surfaces, surfaces of fixation, and adjuvant fixation devices. Each of these possible wear sources can initiate the cascade of failure associated with wear-induced osteolysis and lead to subsequent revision surgery. The objective of this thesis is to characterize the in …

Engineering A Biomimetic Structure For Human Long Bone Regeneration, Eleni Katsanevakis

All Dissertations

Bone tissue serves many functions, including structural support, protection of internal organs, and mineral and growth factor storage, to name a few. Moreover, human bone exhibits excellent mechanical properties, demonstrating superb compressive strength as well as significant elasticity, due to its collagen content. However, defects still occur at a relatively high rate in this tissue. Critical sized defects in bone are defined as defects that cannot form a union and heal on their own. These types of defects occur often, and typically require surgical intervention. The current gold standard treatment for critical sized defects in bone is the use of …

Predictive Modeling Of The Virtual Hemi-Fontan Operation For Second Stage Single Ventricle Palliation: Two Patient-Specific Cases, Ethan Kung, Alessia Baretta, Catriona Baker, Gregory Arbia, Giovanni Biglino, Chiara Corsini, Silvia Schievano, Irene E. Vignon-Clementel, Gabriele Dubini, Giancarlo Pennati, Andrew Taylor, Adam Dorfman, Anthony M. Hlavacek, Alison L. Marsden, Tain-Yen Hsia, Francesco Migliavacca

Publications

Single ventricle hearts are congenital cardiovascular defects in which the heart has only one functional pumping chamber. The treatment for these conditions typically requires a three-staged operative process where Stage 1 is typically achieved by a shunt between the systemic and pulmonary arteries, and Stage 2 by connecting the superior venous return to the pulmonary circulation. Surgically, the Stage 2 circulation can be achieved through a procedure called the Hemi-Fontan, which reconstructs the right atrium and pulmonary artery to allow for an enlarged confluence with the superior vena cava.

Based on pre-operative data obtained from two patients prior to Stage …

Induced Elastic Matrix Synthesis Within 3-Dimensional Collagen Constructs, Lavanya Venkataraman

All Dissertations

Elastin, a primary component of elastic arteries, maintains structural stability of the cyclically recoiling artery, and critically regulates vascular cell behavior. Accelerated degradation of elastic matrix, such as that seen in vascular pathologies like abdominal aortic aneurysms (AAA), can therefore severely compromise vessel homeostasis. Tissue engineering and in-situ matrix repair strategies evaluated so far are primarily limited in inducing adult vascular cells to replicate the complex elastic matrix assembly process, and restore lost matrix integrity. Previously, our lab established the elastogenic benefits of concurrent delivery of TGF-β1 and HA-oligomers (together termed elastogenic factors, EFs), within 2D cultures of rat aortic …

Bioswellable Amphiphilic Copolymers, David Ingram

All Theses

The suture is one of the most commonly used medical devices, consisting of a fiber, a surgical needle and the packaging in which it is stored. The fiber itself remains after implantation for a defined time and is responsible for the approximation of the wound during the healing process. The needle merely serves to aid in insertion, and preferably has a diameter larger than the diameter of the fiber .
The 1970's marked the birth of a new family of fibrous materials for the approximation of wounds: synthetic absorbable sutures. This family has the ability to provide wound support during …

The Effects Of Low Dose Ionizing Radiation Exposure On The Metabolic And Mechanical Properties Of Articular Cartilage, Carl Lindburg

All Theses

Radiation therapy is necessary treatment for many cancer patients due to its non-surgical, yet aggressive and efficacious properties. In fact, over 50% of patients with cancer will undergo some form of radiotherapy during the course of their treatment. While the biological response to ionizing radiation has been examined over the years and many adverse effects have been identified, the effects of radiation on mature cartilage and musculoskeletal tissues are not well understood. Bone, once thought to be a tissue relatively resistant to radiation, has recently been shown to have osteoporosis-like bone atrophy after exposure to low doses (2 Gy) of …

Develop Novel Frap Techniques For Determining Anisotropic Solute Diffusion In Cartilaginous Tissues, Changcheng Shi

All Dissertations

Cartilaginous tissue is a connective tissue composed of specialized cells (e.g., chondrocytes and fibroblasts) that produce a large amount of extracellular matrix (ECM), which is comprised mostly of collagen fibers, abundant ground substance rich in proteoglycan, and elastic fibers. It is characterized by its avascular structures within the tissue, implying that nutrition for normal tissue cells, for maintaining a healthy ECM, is mainly supplied through diffusion from nearby vascularized tissues and synovial fluid. Poor nutritional supply to the cartilaginous tissue is believed to be an important factor leading to tissue degeneration. Moreover, due to the complex collagen fiber structures, the …

Investigating The Role Of Mechanosensitive Ion Channels In Urothelial Cell Pressure Mechanotransduction, Shawn Olsen

All Dissertations

Overactive bladder (OAB) is a bladder disorder that is characterized by bladder storage symptoms of urgency with or without urge incontinence, frequency, nocturia, and, as of 2003, affected approximately 16.5% of adults in the United States with an annual treatment cost of over $65 billion. While therapies are available to mitigate the symptoms of OAB, there are no treatments for the cause of OAB, due to the lack of understanding of the etiology of the disorder. Recent research has provided evidence that the bladder urothelium is not just a passive barrier, but is also sensitive to various chemical and mechanical …

A Novel Haptic Simulator For Evaluating And Training Salient Force-Based Skills For Laparoscopic Surgery, Ravikiran Singapogu

All Dissertations

Laparoscopic surgery has evolved from an 'alternative' surgical technique to currently being considered as a mainstream surgical technique. However, learning this complex technique holds unique challenges to novice surgeons due to their 'distance' from the surgical site. One of the main challenges in acquiring laparoscopic skills is the acquisition of force-based or haptic skills. The neglect of popular training methods (e.g., the Fundamentals of Laparoscopic Surgery, i.e. FLS, curriculum) in addressing this aspect of skills training has led many medical skills professionals to research new, efficient methods for haptic skills training.
The overarching goal of this research was to demonstrate …

Stabilization Of Extracellular Matrix Components In Bioprosthetic Heart Valves Using Neomycin And Pentagalloyl Glucose Enhanced Crosslinking, Daniel Tripi

All Theses

Bioprosthetic heart valves (BHVs) fail within 12-15 years of implantation due to limited durability. This limits their application to elderly population. Younger patients with contraindications for long-term anticoagulant therapy necessary for mechanical heart valves may also receive BHVs. Investigation into improving valve durability can lead to longer implant life, increased quality of life for patients receiving BHVs, and a broadened patient demographic.
Current BHVs are chemically treated with glutaraldehyde (GLUT) to stabilize collagen via chemical crosslinking and to reduce tissue antigenicity. GLUT fails to adequately stabilize elastin and glycosaminoglycans (GAGs), essential extracellular matrix components for valve function and durability. Degradation …

Effects Of Physiological Dynamic Compression Loading On Gold Nanoparticle Permeation Of Articular Cartilage, Britton Mccaskill

All Theses

Articular cartilage is essential part of the human body that aids in support and locomotion. It has unique biochemical and biomechanical properties that allow it to act as a shock absorber to disperse and distribute loading of the joints. However, it has a limited capacity to repair itself because it is not vascularized and must receive its nutrients from the surrounding synovial fluid. Articular cartilage damage can lead to many pathological conditions, including osteoarthritis. Currently, there are many surgical treatment methods that repair some of the damage if it is localized, but for widespread degradation seen in osteoarthritis, there are …

Oral Delivery Of Peptide Drugs For Mitigation Of Crohn's Disease, Paul Blichmann

All Theses

Protein drugs are typically administered intravenously, but this practice has clear disadvantages such as widespread circulation and swift clearance from the body. Orally delivered protein drugs are not yet available but potentially offer improved distribution, retention, and activity by use of protective matrices and cell-specific targeting. Much work has been done on delayed release formulations for the upper intestine, but there has not been overwhelming evidence of protection of peptides from gastric conditions. In many instances the large intestine may be a better release target due to lower proteolytic activity. Afflictions of the colon such as Inflammatory Bowel Disease and …

The Formulation Of A Bone Targeted Drug Delivery System Of Poly(Glycolic Acid)-Poly(Ethylene Glycol) Coated Hydroxyapatite Nanoparticles For The Delivery Of Statins, Erika Jelen

All Theses

Bone is a form of mineralized connective tissue that provides strength and rigidity to the skeleton. The two primary components within bone tissue are an organic extracellular matrix, containing type I collagen, and an inorganic mineral component composed mainly of calcium phosphate hydroxyapatite crystals. Over time the microarchitecture of bone can break down due to a variety of different factors, mainly the onset of osteoporosis in post-menopausal women, Paget's disease, and the experience of a loss of gravity during space flight. Currently there are about ten million people in the United States alone suffering from osteoporosis.
The prevention of further …

Bioengineering Approach To Understanding Tmj Pathobiology, Jonathan Kuo

All Dissertations

The temporomandibular joint (TMJ) is a load-bearing joint consisting of the condyle of the mandibular bone, the fossa eminence of the temporal bone, and a fibrocartilaginous disc held in between the bone surfaces by ligaments. The TMJ disc serves to distribute stress, lubricate movement, and protect the articular surfaces of the joint. Over ten million Americans suffer from TMJ disorders (TMD) that affect the movement and function of the joint, making everyday tasks like talking and eating difficult and painful. A wide variety of treatments and surgeries have been proposed and undertaken with limited success based on the varying degree …

Surface Damage In Retrieved Total Knee Replacement Femoral Components, Estefania Alvarez

All Dissertations

The metallic femoral components of total knee replacements are subject to in vivo surface damage and roughening that can severely limit the service lifetime of the bearing system. To date, there are no national standards by which to characterize the severity and damage modes of these critical bearing surfaces, and therefore it remains difficult to accurately assess how femoral damage influences total joint replacement bearing longevity. In vitro and in vivo studies have shown that severe surface damage of the femoral component can occur, however, there is still no defined test methodology that can identify or replicate the types of …

Effects Of Different Microenvironmental Conditions On The Growth And Differentiation Of Dental Pulp Stem Cells, Matthew Cupelli

All Theses

Human teeth are very complex structures that are susceptible to many different pathologies due to poor dental health. Currently, there are many restorative methods to reestablish some of the function that teeth have, but the materials used in these methods all have drawbacks and cannot fully mimic the native teeth. Tissue engineering research groups have begun to explore regenerating bone or dental tissue using mesenchymal stem cells derived from the bone marrow. However, our group focuses on regenerating dental tissues using multipotent stem cells from dental pulp.
Dental pulp stem cells (DPSCs) have shown similarities to bone marrow stem cells …

The Effects Of Coated Gold Nanorods On Porcine Atrioventricular Valve Tissues Using Atomic Force Microscopy, Heather L'Ecuyer

All Theses

In this Master's thesis we examine the effect of surface modified gold nanorods (AuNRs) coated with polyelectrolyte multilayers (PEMs) on the mechanical properties of porcine mitral valve tissue ex vivo. The presence of healthy mitral valve tissue in the body is important to ensuring unidirectional flow of blood through the systemic circuit. Unfortunately, due to its anatomic complexity and unique mechanical behavior, pathological mitral valve tissue remains difficult to treat with conventional methods. We hope that the knowledge gleaned from these studies could be useful for developing new and novel treatments treating pathological mitral valve mechanical properties.
Specifically, we examine …