Biomedical Engineering and Bioengineering Commons^™

Predicting Neointimal Hyperplasia In Stented Arteries Using Time-Dependant Computational Fluid Dynamics: A Review, Jonathan Murphy, Fergal Boyle

Articles

This paper reviews the recent literature regarding the time-dependant computational fluid dynamics (CFD) analyses of blood flow through implanted coronary stents. The in vivo processes which result in arterial restenosis are identified. The definition and range of the computationally predicted variables which are believed to stimulate the restenosis processes are evaluated. The reviewed literature is subdivided into effect-based in which the effects of altering the flow model are investigated and design-based in which different geometric stent configurations are compared. Finally, conclusions are made regarding the body of work reviewed and recommendations are provided for future work in this field.

A Multi-Variable Analysis Of Transient Near-Wall Haemodynamics In A Stented Coronary Artery, Jonathan Murphy, Fergal Boyle

Conference Papers

No abstract provided.

Ablation Of Chronic Total Occlusions Using Kilohertz-Frequency Mechanical Vibrations In Minimally Invasive Angioplasty Procedures., Garrett Mcguinness, Mark Wylie, Graham Gavin

Articles

Certain minimally invasive cardiology procedures, such as balloon angioplasty and stent implantation, critically require that the site of an arterial blockage be crossed by an intraluminal guidewire. Plaques resulting in near or totally occluded arteries are known as chronic total occlusions (CTOs), and crossing them with conventional guidewires is a significant challenge. Among the most promising proposed solutions is the delivery of high power, low frequency ultrasonic vibrations to the occlusion site via an intraluminal wire waveguide. The vibrating distal-tip of the ultrasound wire waveguide is used to transmit energy to the surrounding plaques, tissues and fluids in order to …

Drug-Eluting Stents For Coronary Artery Disease: A Review, David Martin, Fergal Boyle

Articles

Over the past decade the introduction of drug-eluting stents (DESs) has revolutionised the treatment of coronary artery disease. However, in recent years concern has arisen over the long-term safety and efficacy of DESs due to the occurrence of late adverse clinical events such as stent thrombosis. With this concern in mind, research and development is currently centred on increasing the long-term safety and efficacy of DESs. The aim of this paper is to provide a thorough review of currently approved and promising investigational DESs. With dozens of companies involved in the development of new and innovative anti-restenotic agents, polymeric coatings …

Computational Structural Modelling Of Coronary Stent Deployment: A Review, David Martin, Fergal Boyle

Articles

The finite element (FE) method is a powerful investigative tool in the field of biomedical engineering, particularly in the analysis of medical devices such as coronary stents whose performance is extremely difficult to evaluate in vivo. In recent years, a number of FE studies have been carried out to simulate the deployment of coronary stents, and the results of these studies have been utilised to assess and optimise the performance of these devices. The aim of this paper is to provide a thorough review of the state-of-the-art research in this area, discussing the aims, methods and conclusions drawn from a …

Estimation Of 3d Shape In The Patellofemoral Joint Using Statistical Shape Models And 2d Data, Colm O'Kane

Conference Papers

Disorders of the patellofemoral joint (PFJ) including PF osteoarthritis and PF pain disorder have been estimated to represent 25% of all patients presenting for knee joint treatment. The diagnosis and treatment of these disorders is curtailed by lack of understanding of the mechanical operation of the joint. A crucial aspect to be considered in understanding contact patterns and kinematics of the PFJ is the alignment of the patella in the trochlear groove. Investigation of patellar alignment necessitates accurate knowledge of the 3D articular surfaces of both patella and femur, along with underlying bone geometry. These 3D data are generally obtained …

Accelerometer Based Measurement For The Mapping Of Neck Surface Vibrations During Vocalized Speech, Mark Nolan, Brian Madden, Edward Burke

Conference Papers

This paper presents a detailed study of the vibrations on the surface of the neck during a vocalization of predefined fundamental frequency and intensity. This study was carried out as part of a wider investigation into the use of laryngeal vibrations as a channel of communication. Another potential application of this study is in identifying a suitable location for a hands-free electro-larynx for laryngectomees.

An analog accelerometer, with dimensions 5x5x1.6mm and of mass 80mg, was used to perform the measurements. It was connected to a 12-bit analog-to-digital converter via single strands of insulated wire with a diameter of 100μm. The …

The Tromped, A Means Of Prophylaxis For Flight Related Deep Vein Thrombosis, Carolyn Collins

Doctoral

The process of blood flow in the leg, against gravity and towards the heart is instigated by compression of the veins in the foot. Contraction of the calf muscles results in an ejection volume (EV) of blood towards the heart, completing the process. Research studies have shown an association between flight travel and deep vein thrombosis (DVT). Stasis of blood flow can lead to the development of thrombus formation. Deep Vein Thrombosis occurs in situations where people are immobile for long periods of time, whether this is a result of ill health or travel on land or in the air. …

An Investigation Of The Use Of A High Resolution Adc As A Digital Biopotential Amplifier, Damon Berry, Frank Duignan, Richard Hayes

Conference Papers

Sigma delta analogue to digital converters have been used in many signal processing applications including some commercially available systems for sampling of bio-signals Bio-potential amplifiers have traditionally utilised specialised highquality analogue components to amplify bio-signals.

The central aim of this work is to investigate the benefits of using high-resolution sigma delta conversion as a digital amplification stage in the signal path of a bio-potential amplifier. A number of system arrangements specific to bio-potential measurement are presented and discussed. These arrangements are designed to use the high resolution capacity of the sigma delta converter in different ways, providing different benefits. To …

Analysis Of Strain Transfer To Fbg’S For Sensorized Telerobotic End-Effector Applications, Dean Callaghan, Mark Mcgrath, Ginu Rajan, Eugene Coyle, Yuliya Semenova, Gerald Farrell

Books/Book chapters

Sensorized instruments which cater for the measurement of interaction forces during surgical procedures are not available on current commercial Minimally Invasive Robotic Surgical (MIRS) systems. This paper investigates the ef-fectiveness of advanced optical sensing technology (Fiber Bragg Grating) as sur-gical end effector strain/force sensors. The effects of adhesive bonding layer thickness and length are specifically addressed owing to their importance for ef-fective strain transfer and ensuring compactness of the resulting sensing arrange-ment. The strain transfer characteristics of the compound sensing arrangement are evaluated by the examination of shear transfer through the fiber coating and adhe-sive layers. Detailed analysis of the …

Comparing Stent Design Using Computational Fluid Dynamics To Predict Wall Shear Stress Based Parameters, Jonathan Murphy, Fergal Boyle

Conference Papers

No abstract provided.

A Mobile Ecg Monitoring System With Context Collection, Jin Peng Li, Damon Berry, Richard Hayes

Conference Papers

Preventative health management represents a shift from the traditional approach of reactive treatment-based healthcare towards a proactive wellness-management approach where patients are encouraged to stay healthy with expert support when they need it, at any location and any time. This work represents a step along the road towards proactive, preventative healthcare for cardiac patients. It seeks to develop a smart mobile ECG monitoring system that requests and records context information about what is happening around the subject when an arrhythmia event occurs. Context information about the subject’s activities of daily living will, it is hoped, provide an enriched data set …

Therapeutic Ultrasound Angioplasty: The Risk Of Arterial Perforation. An In Vitro Study, Mark Wylie, Garrett Mcguinness, Graham Gavin

Conference Papers

The use of therapeutic ultrasound delivered via small diameter wire waveguides may represent an emerging minimally invasive approach in the treatment of chronic total occlusions (CTOs), calcified and fibrous plaques. The distal-tip mechanical vibrations (typically 0-210 μm peak-to-peak) have been reported to debulk rigid calcified and fibrous tissues while healthy elastic arterial tissue remains largely unaffected. The risk of arterial (healthy tissue) perforation with energized waveguides is not fully understood. An ultrasonic apparatus capable of delivering a range of wire waveguide distal-tip displacements, up to 80 μm peak-to-peak (p-p), at an operational frequency of 22.5 KHz (+/- 6%) has been …

Ultrasonic Angioplasty: Assessing The Risk Of Arterial Perforation, Mark Wylie, Garrett Mcguinness, Graham Gavin

Conference Papers

Atherosclerosis is a cardiovascular disease that effects large and medium muscular arteries (such as coronary and iliac) and also large elastic arteries (such as aorta) [1]. It causes thickening of the arterial wall and over time can result in a completely blocked artery or chronic total occlusion (CTO). While the majority of atherosclerotic lesions can be attempted by typical Percutaneous Transluminal Coronary Angioplasty (PTCA) such as balloon and stent implantation, calcified CTOs are often problematic as they do not lend themselves to be accessed by the guidewire which is required to implant the balloon and stent. Excessive guidewire pushing force …

Accelerometer Based Measurement Of Body Movement For Communication, Play, And Creative Expression, Mark Nolan, Edward Burke, Frank Duignan

Conference Papers

This paper presents a newly designed wireless accelerometer-based movement measurement device. The device is capable of measuring activity ranging from gross body movements to more subtle vibrations emanating from the body, including laryngeal vibration and the mechanomyogram (mechanical vibrations from working muscles). The main body of the device, which is less than 20cm3 in volume and weighs less than 50g, contains a microcontroller, wireless transceiver, battery, and one accelerometer. A supplementary accelerometer module is connected to the main device by thin wires. This module is very light weight and can therefore be directly attached to the skin to measure laryngeal …

Assessment Of The Effects Of Increasing Levels Of Physiological Realism In The Computational Fluid Dynamics Analyses Of Implanted Coronary Stents, Jonathan Murphy, Fergal Boyle

Conference Papers

Coronary stent implantation can improve blood flow in an artery that has been narrowed by the build up of arterial plaque. However, the implantation of the stent will change the geometry of the vessel wall. The haemodynamic effects of the stents presence and alteration of the vessel wall are unclear. The redistribution of flow induced vessel wall shear stress (WSS) and wall shear stress gradient (WSSG) may directly contribute to restenosis (re-blockage). Computational fluid dynamics (CFD) is used extensively to identify these parameters in stented vessels. However, simplifications to the model of the stented artery are common. In this paper, …

An Engineering Evaluation Of Ankle Prosthetics, Christopher Thian, Stephen Tiernan, Fiona Mcevoy, Robert Flavin

Conference Papers

There are a wide range of different types of ankle replacements on the market today each with a
different mechanical design. Unfortunately the results of ankle replacements are not as good as hip
and knee replacements; this is due to the complexity of the ankle joint. In the early days of ankle
replacements some of the prosthetics only lasted 4 months. Recent developments have improved the
longevity of the replacements although, there are still many complications and failures of the
replacements, these include; the prosthetic components migrating into the bone, the components
failing due to stresses induced by the forces …

Force Measurement Methods In Telerobotic Surgery: Implications For End-Effector Manufacture, Dean Callaghan, Mark Mcgrath, Eugene Coyle

Articles

Haptic feedback in telesurgical applications refers to the relaying of position and force information from a remote surgical site to the surgeon in real-time during a surgical procedure. This feedback, coupled with visual information via microscopic cameras, has the potential to provide the surgeon with additional ‘feel’ for the manipulations being performed at the instrument-biological tissue interface. This increased sensitivity has many associated benefits which include, but are not limited to; minimal tissue damage, reduced recuperation periods, and less patient trauma. The inclusion of haptic feedback leads to reduction in surgeon fatigue which contributes to enhanced performance during operation. Commercially …

A Force Measurement Evaluation Tool For Telerobotic Cutting Applications: Development Of An Effective Characterization Platform, Dean Callaghan, Mark Mcgrath, Eugene Coyle

Articles

Sensorized instruments that accurately measure the interaction forces (between biological tissue and instrument endeffector) during surgical procedures offer surgeons a greater sense of immersion during minimally invasive robotic surgery. Although there is ongoing research into force measurement involving surgical graspers little corresponding effort has been carried out on the measurement of forces between scissor blades and tissue. This paper presents the design and development of a force measurement test apparatus, which will serve as a sensor characterization and evaluation platform. The primary aim of the experiments is to ascertain whether the system can differentiate between tissue samples with differing mechanical …

High-Power Low-Frequency Ultrasound: A Review Of Tissue Dissection And Ablation In Medicine And Surgery, Brendan O'Daly, Edmund Morris, Graham Gavin, John O'Byrne, Garrett Mcguinness

Articles

High-power low-frequency ultrasound in the range 20–60 kHz has wide ranging clinical applications in surgical and medical instruments for biological tissue cutting, ablation or fragmentation, and removal. Despite widespread clinical application and common device operating characteristics, there is an incomplete understanding of the mechanism of tissue failure, removal and damage. The relative contribution of cavitation, direct mechanical impact and thermal effects to each process for specific tissue types remains unclear. Different and distinct mechanisms and rates of tissue removal are observed for interaction with soft and hard tissue types. Device operating parameters known to affect the interaction include frequency, peak–peak …

An Analysis Of The Performance Of Foams Used In Hurling Helmets, Keith Norris, Stephen Tiernan

Conference Papers

Abstract Head injuries can occur in most sporting activities. The seriousness of these injuries can vary greatly depending on the sport. Many sports such as American football, cricket, baseball and hurling try to reduce this risk by designing helmets that are suitable to be worn by the players. The National Standard Authority of Ireland (NSAI) has recently made great strides in this area with the introduction of the first comprehensive standard adopted for the sport I.S. 355:2006, which sets out new testing procedures that all new helmets must meet. The Gaelic Athletic Association (GAA) has also stated its intention to …

Force Measurement And Evaluation For Surgical Cutting Applications: Development Of An Effective Characterisation Testbed, Dean Callaghan

Conference Papers

Sensorized instruments that cater for accurate measurement of the interaction forces (between biological tissue and instrument end-effector) during surgical procedures offer surgeons a greater sense of immersion during minimally invasive robotic surgery (MIRS). There is much ongoing research into force measurement/evaluation involving surgical graspers. However, comparatively little corresponding effort has been expended in the measurement and subsequent evaluation of forces between scissor blades and tissue. This paper presents the design and development of a force/strain measurement test apparatus, which will ultimately serve as an effective sensor characterisation and evaluation platform. Data acquired from the testing platform can be used to …

Development Of A Three Dimensional Prolapse Model To Simulate Physiological Haemodynamics In A Stented Coronary Artery, Jonathan Murphy, Fergal Boyle

Conference Papers

Coronary stent implantation can improve blood flow in an artery that has been narrowed by the build up of arterial plaque. However, the haemodynamic effect of stent placement is unclear and may influence arterial restenosis (re-blockage). The degree of tissue prolapse between stent struts may be an important factor in predicting the restenosis rate of a stent due to the haemodynamic influence of the protruding tissue. In this paper a mathematical model has been developed to numerically predict the tissue prolapse for an artery implanted with a coronary stent. The prolapse model has been applied to the Gianturco-Roubin II (GR-II) …

Evolution Of A Computational Domain For Numerical Analysis Of Fluid Mechanical Disturbance Induced By Coronary Stent Deployment, Jonathan Murphy, Fergal Boyle

Conference Papers

No abstract provided.

Experimental And Numerical Investigation Of Wire Waveguides For Therapeutic Ultrasound Angioplasty, Declan Noone (Thesis)

Other resources

Therapeutic ultrasound angioplasty is an emerging minimally invasive cardiovascular procedure for disrupting atherosclerotic lesions using small diameter wire waveguides. The lesions are damaged through a combination of direct ablation, pressure waves, cavitation and acoustic streaming caused by distal-tip displacements at ultrasonic frequencies. Numerical and experimental methods are used to investigate the outputs of the wire waveguides during ultrasonic activation. A commercially available generator and acoustic horn are used in combination with Nickel-Titanium (NiTi) wire waveguides in this study. A laser sensor is used to measure the frequency and amplitude output of the distal tip of the wire waveguide, and this …

A Mobile Ecg Monitoring System With Context Collection, Jin Peng Li

Masters

An objective of a health process is one where patients can stay healthy with the support of expert medical advice when they need it, at any location and any time. An associated aim would be the development of a system which places increased emphasis on preventative measures as a first point of contact with the patient. This research is a step along the road towards this type of preventative healthcare for cardiac patients. It seeks to develop a smart mobile ECG monitoring system that requests and records context information about what is happening around the subject when an arrhythmia event …

Electric-Powered Wheelchairs As An Assistive Technology, Aidan O'Dwyer, Malabika Basu, Eugene Coyle

Conference papers

This paper briefly outlines recent work done, particularly in control systems, for electric powered wheelchairs. These mobility aids, first developed in the 1950’s [1], were improved with the incorporation of microprocessors. The requirement for mobility aids in general is rising; for example, it is reckoned that 1.5% of the U.K. population require such aids. As an assistive technology, electric powered wheelchairs have many benefits. Nevertheless, a reliable and robust such wheelchair has still to evolve.

Augmented Control Of Hands Free Voice Prostheses, Brian Madden, James Condron, Ted Burke, Eugene Coyle

Conference Papers

Laryngectomy patients often use an electrolarynx to facilitate speech following a tracheotomy. Devices of this type provide the most intelligible means of communication for tracheotomy patients. However, the electro-larynx has inherent drawbacks such as the buzzing monotonic sound emitted, the need for a free hand to operate the device, and the difficulty experienced by many tracheotomy patients in adapting to use it. The most effective means of addressing the shortcomings of existing electro-larynges is to provide the user with a hands-free facility. This allows the user to perform other manual tasks whilst speaking, or simply to communicate more effectively through …

A Coupled Fluid-Structure Model Of A Therapeutic Ultrasound Angioplasty Wire Waveguide, Graham Gavin, Finbar Dolan, M.S. Hashmi, Garrett Mcguinness

Articles

Ultrasonic longitudinal displacements, delivered to the distal tips of small diameter wire waveguides, have been shown to be capable of disrupting complicated atherosclerotic plaques during vascular interventions. These ultrasonic displacements can disrupt plaques by direct contact ablation but also by pressure waves, associated cavitation and acoustic streaming developed in the surrounding blood and tissue cavities. The pressure waves developed within the arterial lumen appear to play a major role but are complex to predict as they are determined by the distal tip output of the wire waveguide (both displacement and frequency), the geometric features of the waveguide tip and the …

Comparison Of Stent Designs Using Computational Fluid Dynamics, Jonathan Murphy, Fergal Boyle

Conference Papers

Coronary artery disease (CAD) is one of the leading causes of death in the developed world. CAD occurs due to the build up of plaque in the coronary arteries which supply fresh blood to the constantly active heart muscle. Several methods exist to alleviate CAD such as coronary artery bypass grafting, balloon angioplasty and coronary stenting. A coronary stent is a small tubular prosthesis which can improve blood flow by acting as a scaffold to prop the diseased artery open. However, stent restenosis (re-blockage) remains a common problem with different stent designs leading to different restenosis rates. This work investigates …