Biomedical Engineering and Bioengineering Commons^™

Foot Support Taping Device For Off-Loading Wounds, Andres Fojaco Gomez, Mikaela Williams, Josh Pelegrin

Biomedical Engineering

No abstract provided.

Automated Microscope Stage, Corin Nishimoto, Alison Flesch, Theo Anastos

Biomedical Engineering

This document seeks to describe the background information, customer requirements, design specifications, indications for use, selected materials, proposed budget, prototypes, final design, manufacturing processes, and testing methods regarding the CellOptimizer automated microscope stage product.

Slit Lamp Ophthalmoscope Redesign, Michael Hostetler, Austin Mattmiller, Alexis Brewer

Biomedical Engineering

The slit lamp ophthalmoscope is used by ophthalmologists for diagnosis of pathologies in the eye. The device is used for identifying ocular diseases or indications of other possible systemic diseases to treat them before the diseases progress. Redesign of the ergonomics and adjustment mechanisms of the slit lamp ophthalmoscope will attempt to improve the compatibility of the device across a greater variety of patients. The wider headrest tower of 12.75 inches, the wider table cutout of 12 inches, and the 12 inches of extension of the headrest tower creates a better ergonomic fit for the patient and doctor. The wider …

Ideomotion Gait Training Thigh Prompt, Kristin Schmidt, Elizabeth Peterson, Dalton Jennings

Biomedical Engineering

This document serves as our project report at its completion for developing thigh prompts to be used with the LiftWalker. In this document we outline our project from its beginning to end. We describe our process from understanding the background and our customer requirements, transforming these customer requirements into engineering specifications, performing the stage gate process, developing and evolving the design, testing the design, and finally drawing conclusions and making recommendations for the future.

Quantifying Proliferative And Surface Marker Heterogeneity In Colony‐Founding Connective Tissue Progenitors And Their Progeny Using Time‐Lapse Microscopy, Edward Kwee, Gerald M. Saidel, Kimerly Powell, Christopher M. Heylman, Cynthia A. Boehm, George F. Muschler

Biomedical Engineering

Connective tissue progenitors (CTPs) are defined as the heterogeneous population of tissue‐resident stem and progenitor cells that are capable of proliferating and differentiating into connective tissue phenotypes. The prevalence and variation in clonal progeny of CTPs can be characterized using a colony formation assay. However, colony assays do not directly assess the characteristics of the colony‐founding CTP. We performed large, field‐of‐view, time‐lapse microscopy to manually track colonies back to the founding cells. Image processing and analysis was used to characterize the colonies and their founding cells. We found that the traditional colony‐forming unit (CFU) assay underestimates the number of founding …

Upright Sleep Device For Patients Required To Sleep Upright Post Surgery/Medical Procedure, Kristin J. Abele, Madeleine H. Hummel, Tayler R. Kastlunger

Biomedical Engineering

No abstract provided.

Effects Of Game Pitch Count And Body Mass Index On Pitching Biomechanics In 9-To 10-Year-Old Baseball Athletes, Jim D. Darke, Eshan M. Dandekar, Arnel L. Aguinaldo, Scott J. Hazelwood, Stephen M. Klisch

Biomedical Engineering

Background: Pitching while fatigued and body composition may increase the injury risk in youth and adult pitchers. However, the relationships between game pitch count, biomechanics, and body composition have not been reported for a study group restricted to 9-to 10-year-old athletes.

Hypothesis: During a simulated game with 9-to 10-year-old athletes, (1) participants will experience biomechanical signs of fatigue, and (2) shoulder and elbow kinetics will correlate with body mass index (BMI).

Study Design: Descriptive laboratory study. Methods: Thirteen 9-to 10-year-old youth baseball players pitched a simulated game (75 pitches). Range of motion and muscular output tests were conducted before and …

Effects Of Game Pitch Count And Body Mass Index On Pitching Biomechanics In 9- To 10-Year-Old Baseball Athletes, Scott Hazelwood, Jim D. Darke, Eshan M. Dandekar, Arnel L. Aguinaldo, Stephen M. Klisch

Biomedical Engineering

Background:

Pitching while fatigued and body composition may increase the injury risk in youth and adult pitchers. However, the relationships between game pitch count, biomechanics, and body composition have not been reported for a study group restricted to 9- to 10-year-old athletes.

Hypothesis:

During a simulated game with 9- to 10-year-old athletes, (1) participants will experience biomechanical signs of fatigue, and (2) shoulder and elbow kinetics will correlate with body mass index (BMI).

Study Design:

Descriptive laboratory study.

Methods:

Thirteen 9- to 10-year-old youth baseball players pitched a simulated game (75 pitches). Range of motion and …

Virtual Stethoscope/Otoscope Duo, Camila P. Monchini, Paige R. Mazur, Christian Navarro

Biomedical Engineering

The virtual stethoscope/otoscope duo is a medical device intended to allow patients to be seen by their medical provider via internet consultations from the comfort of their own home. This device allows patients to substitute in-person doctor visits by checking a patient’s cardiovascular, respiratory, and auditory health. This document is the statement of work for the virtual stethoscope/otoscope duo and contains information on similar products, patents, and relevant literatures containing virtual technologies that assist in patient diagnosis. Product specifications and other details for the device such as performance evaluation review techniques can also be found within this document outlining the …

Influence Of Fibroblasts On Functional Arteriogenesis In A Murine Chronic Hindlimb Ischemia Model, Ashli A. Santos

Biomedical Engineering

Peripheral arterial occlusive disease (PAOD) occurs when there is a narrowing or blockage – usually a buildup of plaque - within the arteries that reduces blood flow to tissues which can chronic ischemia. As with most diseases, early detection and proactive treatment are important to maximize prognosis. Exercise effectively treats PAOD, but due to ischemic pain in the limbs, or intermittent claudication (IC), exercise can become painful and difficult. Due to the buildup of plaque, occlusions create an ischemic environment that changes the pressure distribution in collateral networks and increases the shear stress in transverse collaterals. Those two responses signal …

Emg-Driven Inverse Dynamic Analysis Of Knee Contact Forces During Gait And Cycling Using Opensim, Megan V. Pottinger, Katherine Mavrommati, Scott Hazelwood, Stephen M. Klisch

Biomedical Engineering

Joint contact forces determine the loading experienced by cartilage tissue and, thus, may be used to predict risk of cartilage tissue damage and osteoarthritis (OA). Participating in low impact and/or non-weight bearing activities such as cycling may help reduce knee OA risk by limiting forces exerted during exercise [1]. Cycling is a common recommendation for rehabilitative or fitness sustainment exercise for select patients [1]. Although knee joint contact forces have been directly measured in gait and cycling using instrumented knee implants [2,3] and calculated in gait using EMG-driven analysis [4]; they have not been calculated in cycling using EMG-driven analysis. …

Principal Component Analysis Of Gait And Cycling Experiments: Crosstalk Error Reduction And Corrected Knee Axes, Jordan Skaro, Harsh Goel, Scott Hazelwood, Stephen M. Klisch

Biomedical Engineering

Crosstalk is a leading source of error in motion analysis [1-2]. Due to incorrect flexion axis direction that develops from marker placement error, crosstalk results in a strong, anatomically incorrect correlation between flexion-extension (FE) and adduction-abduction (AA) motions [1-2]. Thus, crosstalk limits the ability of biomechanical models to reflect the “true” motion of the knee. Principal Component Analysis (PCA) has been proposed as a post-hoc correction for crosstalk in prior gait studies [1-2]; however, previous studies have not proposed a method to determine PCA corrected knee axes. Further, it is not clear how PCA should be implemented in motion analysis …

Elbow And Shoulder Joint Torques Are Correlated With Body Mass Index But Not Game Pitch Count In Youth Baseball Pitchers, Jim Douglas Darke, Eshan M. Dandekar, Arnel Aguinaldo, Scott Hazelwood, Stephen M. Klisch

Biomedical Engineering

The number of ulnar collateral ligament (UCL) reconstructive (i.e. “Tommy John”) surgeries performed on youth baseball pitchers have more than doubled since 2000 [1]. Routinely pitching while fatigued is considered a leading factor associated with UCL injuries; adolescent pitchers who had elbow or shoulder surgery were 36 times more likely to have routinely pitched with arm fatigue [1]. MLB/USA Baseball Pitch Smart guidelines limit 9-10 yr. old pitchers to a maximum 75 pitches per game, a figure based on long-term studies related to injury prevention [2]. Several studies have shown that pitching kinematics (e.g. elbow flexion/extension and pronation/supination, scapulothoracic internal-external …

Knee Biomechanics During Cycling Are Similar For Normal Weight And Obese Subjects, Juan D. Gutierrez-Franco, Jordan Skaro, Scott Hazelwood, Stephen M. Klisch

Biomedical Engineering

Osteoarthritis (OA) is a degenerative disease of cartilage and bone tissue, and is linked to more than 70% of total hip and knee replacements [1]. In 1994 the direct and indirect costs of OA in the United States were $155 billion [2] and in 2006 OA resulted in approximately $10.5 billion in hospital charges [3]. Obesity is a risk factor for OA [1, 3, 4], likely due to increased knee loading [5, 6] and varus malalignment [7] in gait. Seated cycling has been recommended as a weight-loss exercise with lower knee loads than walking or jogging [8]. However, lack of …

Redesign Of The Medtronic Kyphon Bone Cement Mixer For Vertebral Compression Fractures, Mollie Benson, Sarah Freesemann, Aj Konnath, Benjamin Murray

Biomedical Engineering

The complete senior project report was submitted to the project advisor and sponsor. The results of this project are of a confidential nature and will not be published at this time.

Isolation And Culture Of Myofiber-Derived Cells From The Extensor Digitorum Longus Muscle, Ethan M. Tietze

Biomedical Engineering

Peripheral arterial occlusive disease (PAOD) involves distal artery occlusion by atherosclerotic plaques, which restricts blood flow and leads to ischemia in downstream tissues. Increased blood flow through preexisting collateral vessels leads to increased shear stress that triggers an outward remodeling of the vessel called arteriogenesis. In some cases this natural compensatory mechanism is able to sufficiently restore blood flow following arterial occlusion. However, for many individuals this process is insufficient to relieve peripheral ischemia, and patients experience intermittent claudication, or limb pain with locomotion or exercise. Without treatment, reduced blood flow can lead to tissue necrosis and potentially amputation. The …

Three-Dimensional Adult Cardiac Extracellular Matrix Promotes Maturation Of Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes, Ahsley H. Fong, Mónica Romero-López, Christopher M. Heylman, Mark Keating, David Tran, Agua Sobrino, Anh Q. Tran, Hiep H. Pham, Cristhian Fimbres, Paul D. Gershon, Elliot L. Botvinick, Steven C. George, Christopher C.W. Hughes

Biomedical Engineering

Pluripotent stem cell-derived cardiomyocytes (CMs) have great potential in the development of new therapies for cardiovascular disease. In particular, human induced pluripotent stem cells (iPSCs) may prove especially advantageous due to their pluripotency, their self-renewal potential, and their ability to create patient-specific cell lines. Unfortunately, pluripotent stem cell-derived CMs are immature, with characteristics more closely resembling fetal CMs than adult CMs, and this immaturity has limited their use in drug screening and cell-based therapies. Extracellular matrix (ECM) influences cellular behavior and maturation, as does the geometry of the environment—twodimensional (2D) versus three-dimensional (3D). We therefore tested the hypothesis that native …

Functional Vasodilation And Vascular Reactivity In Arteriolar Collaterals In The Spinotrapezius Of Males And Females, Britta C. Nelson

Biomedical Engineering

Peripheral arterial occlusive disease (PAOD) occurs when there is narrowing or blockage of the peripheral arteries that carry blood to the extremities, most commonly the legs. The most common symptom of PAOD is intermittent claudication, or ischemic pain during exercise. Women with PAOD experience a greater extremity functional impairment than men. Since impaired vasodilation might cause the ischemic pain from PAOD, we should evaluate vasodilation post ligation in males and females in collateral vessels, which connect two arterial segments to maintain blood flow to an otherwise hypoxic area. First, we need to examine collateral vasodilation in unoperated male and female …

Portable Sensory Room For The West Orange County Consortium For Special Education, Lindsey Chase, Emma Eskildsen, Alex Fox, Claire Francis, Nate Hoffman, Kaylee Keck, Sarah Sullivan

Biomedical Engineering

This report discusses the development of a Portable Sensory Room to be used at Newland Elementary School in Huntington Beach. Newland Elementary has an exceptional Special Needs program that teaches the children with the most severe cases of autism in its school district. People with autism typically also have sensory processing disorders, which can be extremely disruptive for a child’s development and can make it difficult for a child to be able to concentrate long enough to gain necessary life skills. The idea behind a Sensory Rooms is to create a place to calm the students and to expose them …

Prosthetic Leg Kit For Deployment In Developing Countries, Brian Murphy, Dominique Porcincula, Derek Morgan, Kendall Ruggles, Christian Aguayo

Biomedical Engineering

The World Health Organization estimates that over 30 million people require some sort of prosthetic technology. However, traditional prosthetic fitting practices take a lot of time and cost a lot of money, making them inaccessible to millions of people around the world. StandUP Worldwide is an interdisciplinary project team devoted to creating low-cost prosthetic technologies for use around the world, especially in resource poor areas. They are currently developing a low cost, below-the-knee prosthetic kit that can be easily deployed in a resource-poor area. The following presents their solution for a below-the-knee prosthetic socket, foot, and leg.

Automated Detection And Analysis Of Depolarization Events In Human Cardiomyocytes Using Madec, Agnieszka F. Szymanska, Christopher M. Heylman, Rupsa Datta, Enrico Gratton

Biomedical Engineering

Optical imaging-based methods for assessing the membrane electrophysiology of in vitro human cardiac cells allow for non-invasive temporal assessment of the effect of drugs and other stimuli. Automated methods for detecting and analyzing the depolarization events (DEs) in image-based data allow quantitative assessment of these different treatments. In this study, we use 2-photon microscopy of fluorescent voltage-sensitive dyes (VSDs) to capture the membrane voltage of actively beating human induced pluripotent stem cell-derived cardiomyocytes (hiPS-CMs). We built a custom and freely available Matlab software, called MaDEC, to detect, quantify, and compare DEs of hiPS-CMs treated with the β-adrenergic drugs, propranolol and …

Label-Free Imaging Of Metabolism And Oxidative Stress In Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes, Rupsa Datta, Christopher M. Heylman, Steven C. George, Enrico Gratton

Biomedical Engineering

In this work we demonstrate a label-free optical imaging technique to assess metabolic status and oxidative stress in human induced pluripotent stem cell-derived cardiomyocytes by two-photon fluorescence lifetime imaging of endogenous fluorophores. Our results show the sensitivity of this method to detect shifts in metabolism and oxidative stress in the cardiomyocytes upon pathological stimuli of hypoxia and cardiotoxic drugs. This non-invasive imaging technique could prove beneficial for drug development and screening, especially for in vitro cardiac models created from stem cell-derived cardiomyocytes and to study the pathogenesis of cardiac diseases and therapy.

Supervised Machine Learning For Classification Of The Electrophysiological Effects Of Chronotropic Drugs On Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes, Christopher Heylman, Rupsa Datta, Agua Sobrino, Steven George, Enrico Gratton

Biomedical Engineering

Supervised machine learning can be used to predict which drugs human cardiomyocytes have been exposed to. Using electrophysiological data collected from human cardiomyocytes with known exposure to different drugs, a supervised machine learning algorithm can be trained to recognize and classify cells that have been exposed to an unknown drug. Furthermore, the learning algorithm provides information on the relative contribution of each data parameter to the overall classification. Probabilities and confidence in the accuracy of each classification may also be determined by the algorithm. In this study, the electrophysiological effects of β–adrenergic drugs, propranolol and isoproterenol, on cardiomyocytes derived from …

The Effect Of Neurostimulation On Ischemic Pain And Methods Of Assessing Pain, Kaylee Keck

Biomedical Engineering

Peripheral arterial disease (PAD) impacts approximately eight million people in the United States [1]. Disease progression leads to chronic ischemic pain, hindering quality of life. Pharmaceuticals are a typical treatment for pain associated with PAD; but as few as 30% of patients have a significant reduction of pain (≥50%) [2].

Neurostimulation is commonly used as a treatment for various diseases and injuries, including Parkinson’s disease and sports-related back and knee injuries [2]. The objective of the study was to explore neurostimulation and its effect on pain and paresthesia for a model of acute peripheral ischemia in young college students.

Pain …

Assessing Functional Vasodilation In The Gracilis Collateral Arteriole, Megan T. Chu

Biomedical Engineering

Peripheral arterial occlusive disease (PAOD) involves arterial occlusion due to the formation of atherosclerotic plaques. It is suggested that intermittent claudication, the most frequent clinical presentation of PAOD, is caused by impaired vasodilation. Current treatments for PAOD are not directed at improving vascular reactivity and are often insufficient. Stimulating arteriogenesis in collateral arterioles has therapeutic potential for PAOD, but because arterioles are the primary site of blood flow resistance, it is important that these treatments do not impair collateral vasodilation. Before this can be evaluated, the effects of arteriogenesis on collateral function must be studied in untreated collaterals. There is …

Measuring Blood Flow In The Skeletal Muscle Microcirculation Using Laser Speckle Flowmetry, Kenneth Howard Gouin Iii

Biomedical Engineering

The presence of a native collateral circulation, which serves as a natural bypass for blood flow around an occlusion, improves prognosis for patients with ischemic diseases, such as peripheral arterial occlusive disease (PAOD). However, not all patients have a native collateral circulation, and animal models suggest a genetic basis for this variability. In mice, such as the BALB/c, that lack native arteriolar collaterals, neocollateral formation from capillaries that connect two arterial trees can occur after arterial occlusion, resulting in reperfusion of the ischemic watershed. Immature arterialized collateral capillaries (ACCs) at 7 days post arterial occlusion do not vasodilate in response …

Using Opensim To Predict Knee Joint Moments During Cycling, Karim C. Dudum, Jake E. Deschamps, Juan D. Gutierrez-Franco, Luke I. Kraemer, Alejandro M. Gonzalez-Smith, Eshan M. Dandekar, S. J. Hazelwood, Stephen M. Klisch

Biomedical Engineering

Cycling is a relatively low impact activity conventionally recommended as a rehabilitative or fitness sustaining exercise for patients at a high risk for knee osteoarthritis (OA) [1,2]. Expanding our understanding of knee joint loads is necessary to develop and improve evidence-based prescriptions for cycling as a rehabilitative and fitness therapy that limits the risk for knee OA.

OpenSim (www.simtk.org) is an open source biomechanical analysis software that can partition predictions of external joint loads (or net muscle moments) into muscle and joint contact loads [3]. Joint contact loads more accurately represent cartilage tissue loading and hence risk for cartilage damage …

Human Knee Joint Finite Element Model Using A Two Bundle Anterior Cruciate Ligament: Validation And Gait Analysis, Nicholas A. Czapla, Meghan K. Sylvia, Zachary F. Lerner, David J. Tuttle, Otto J. Schueckler, S. J. Hazelwood, Stephen M. Klisch

Biomedical Engineering

Anterior cruciate ligament (ACL) deficient individuals are at a much higher risk of developing osteoarthritis (OA) compared to those with intact ACLs, likely due to altered biomechanical loading [1]. Research indicates the ACL is comprised of two “bundles”, the anteromedial (AM) and posterolateral (PL) bundles [2]. Although the function of both bundles is to restrain anterior tibial translation (ATT), each bundle has their own distinct range of knee flexion where they are most effective [3].

Articular cartilage contact stress measurements are difficult to measure in vivo. An alternative approach is to use knee joint finite element models (FEMs) to predict …

Development Of A Human Knee Joint Finite Element Model To Investigate Cartilage Stress During Walking In Obese And Normal Weight Adults, Meghan K. Sylvia, Nicholas A. Czapla, Zachary F. Lerner, David J. Tuttle, Otto J. Schueckler, Scott Hazelwood, Stephen M. Klisch

Biomedical Engineering

Osteoarthritis (OA) is a degenerative condition characterized by the breakdown and loss of joint articular cartilage. While the cause of OA is not precisely known, obesity is a known risk factor [1]. Particular effort has gone towards understanding the relationship between obesity and knee OA because obesity is more strongly linked to OA at the knee than at any other lower extremity joint [2]. Although the relationship between obesity and knee OA is well established, the mechanism of pathogenesis is less understood. Excess body weight generates greater joint contact forces at the knee. However, obese individuals alter their gait, resulting …

Design And Implementation Of An Instrumented Pedal For Cycling Biomechanics Research, Luke I. Kraemer, Juan D. Gutierrez-Franco, Jake E. Deschamps, Karim C. Dudum, Eshan M. Dandekar, Scott Hazelwood, Hemanth Porumamilla, Stephen M. Klisch

Biomedical Engineering

Cycling is a common, low-impact activity used for recreation, exercise, and rehabilitation. Knee joint loading can be predicted using inverse dynamic analyses of pedal load cell and kinematic data measured during cycling biomechanics experiments. Several studies have successfully measured foot loading at the pedals, e.g. by using custom instrumented pedal spindles outfitted with strain gauges and a potentiometer to measure crank angle [1-3]. Such designs are relatively complex, requiring difficult machining and component fabrication, and require post-processing of strain gauge data.

The long-term goal of this study is to calculate knee joint loading and, ultimately, cartilage tissue stress to provide …