• Title/Summary/Keyword: 이식형포트

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An Implementation of an MPC860 based Embedded System (MPC860 프로세서에 기반한 내장형 시스템의 구현)

  • Kim, Kyeong-Hoi;Cho, Byeong-Heon;Oh, Ha-Ryoung;Seong, Yeong-Rak;Ahn, Hyun-Sik
    • Proceedings of the Korea Information Processing Society Conference
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    • 2003.05a
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    • pp.443-446
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    • 2003
  • 본 논문에서는 MPC860T 프로세서를 이용하여 통신 제어가 필요한 환경에 적합한 내장형 시스템 보드를 개발한다. 개발된 보드는 1 개의 100Mbps 이더넷 포트, 4개의 10Mbps 이더넷 포트, 2 의 직렬 통신 포트를 가진다. 또한 외부의 입출력 보드와의 연결을 위한 회로를 구성하여 통신 제어 용도에 맞도록 시스템의 확장성을 높였다. 운영체제 및 소프트웨어 개발을 위해서 부트 로더의 이식이 필요하다. 부트 로더로는 PowerPC 계열의 프로세서에 적합한 PPCBoot를 사용한다. 시스템의 운영체제로는 리녹스를 이식하였다. 이를 위해서 사용된 메모리 소자의 특성과 크기 등 개발된 보드의 규격에 맞추어 리녹스 커널 소스를 수정하였다.

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Feasibility and Safety of a Technique Intended to Place the Catheter Tip in the Right Atrium without Abutment Against the Cardiac Wall during Implantation of the Totally Implantable Venous Access Port (완전이식형 정맥 접근 포트 삽입 시 카테터 팁을 심벽에 닿지 않고 우심방 내 위치시키는 방법의 타당성과 안전성)

  • Hyejin Park;Tae-Seok Seo;Myung Gyu Song;Woo Jin Yang
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.161-170
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    • 2024
  • Purpose To assess the safety and feasibility of intentionally positioning the catheter tip in the right atrium (RA) without an abutment during implantation of a totally implantable venous access port (TIVAP). Materials and Methods We enrolled 330 patients who had undergone TIVAP implantation between January and December 2016 and postoperative chest CT. The TIVAP was placed using the single-incision technique to access the axillary vein directly from the incision line. To position the catheter tip in the RA without abutment, blood return was checked before cutting. Catheter length and complications were evaluated by retrospectively reviewing medical images and records. Results All patients achieved successful catheter tip positioning without abutment or dysfunction. The median tip position was 15.3 mm distal to the cavoatrial junction (CAJ) on fluoroscopy and 6 mm distal to the CAJ on CT. Catheter tips migrated a median of 10.4 mm cephalically on CT compared to fluoroscopy. Thromboses were detected in the RA and superior vena cava in one patient each. Conclusion Intentional catheter tip positioning in the RA without abutment is a safe and feasible technique with a low incidence of thrombosis and no observed dysfunction.

Development and Effects of Fear-Reduction Program for Malignant Disease Children with Inserting Implanted Port (이식형 포트 삽입 학령전기 아동의 주사공포감소를 위한 프로그램 개발 및 효과)

  • Yang, Kyung-Ah;Chang, Sook;Kim, Il-Ok
    • Korean Parent-Child Health Journal
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    • v.8 no.1
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    • pp.37-48
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    • 2005
  • Purpose: The purpose of this study was to develop a play education program to reduce children's fear of needle insertion to the implanted port, and to assess the effect of this program. Method: The play education program was composed of play education before needle insertion, encouragement during needle insertion, and a present to reward then after needle insertion. Measurement instruments were the Procedure Behavior Check List(PBCL) and Faces Rating Scale(FRS). Results: The first hypothesis, "the PBCL point of children with malignant disease would decrease after play education program", was rejected(before insertion : Z=-0.189, p= .850, during insertion : Z=-0.350. p= .727, after insertion : Z=-0.590, p= .555). The second hypothesis, "the FRS point of children with malignant disease would decrease after play education program education", was rejected(observer 1 : Z=-0.245, p= .806, observer 2 : Z=-0.912, p= .362, self-report : Z=-0.181, p= .856). The third hypothesis, "the Time of needle insertion would decrease after play education program", was rejected(Z=-0.464, p= .642). Conclusion: The effect on fear-reduction of play education program for children with malignant disease inserted implanted port was not significant but continuous education is needed for parents and children.

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Studies on the Cycle Simulation for a Geothermal Heat Pump System using CO2 as Refrigerant (CO2 지열 히트펌프 사이클 모사에 관한 연구)

  • Kim, Young-Jae;Chang, Keun-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2888-2897
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    • 2011
  • The performance of a geothermal heat pump system using carbon dioxide was investigated by the steady-state cycle simulation program developed in this study. A parametric study was carried out in order to investigate the effect of various operating conditions on the performance of the basic cycle without an IHX(internal heat exchanger). The simulation program consists of several Fortran subroutines for simulating indoor and outdoor heat exchangers, compressors, and expansion valves and Visual Basic subroutines for the graphic user interface(GUI) consisted with pre-processor for input data and post-processor for the output data. Refprop V6.01 was used for estimating the thermodynamic properties and equilibrium behaviors of carbon dioxide. The simulation results were validated by comparing experimental data through a series of case studies. The cycle simulation program developed in this work would seem to be a useful tool in optimizing and establishing economical and efficient operating conditions in the $CO_2$ geothermal heat pump system.

Effect of Human Implantable Medical Devices on Dose and Image Quality during Chest Radiography using Automatic Exposure Control (자동노출제어를 적용한 흉부 방사선 검사 시 인체 이식형 의료기기가 선량과 화질에 미치는 영향)

  • Kang-Min Lee
    • Journal of the Korean Society of Radiology
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    • v.18 no.3
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    • pp.257-265
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    • 2024
  • In this study, we applied AEC(Auto Exposure Control), which is used in many chest examinations, to evaluate whether medical devices inserted into the body affect the dose and image quality of chest images. After attaching three HIMD(Human implantable medical devices) to the ion chamber, the Monte Carlo methodology-based program PCXMC(PC Program for X-ray Monte Carlo) 2.0 was applied to measure the effective dose by inputting the DAP(Dose Ares Product) value derived from the Pacemaker and CRT and Chemoport Additionally, to evaluate image quality, we set three regions of interest and one noise region on the chest and measured SNR and CNR. The final study results showed significant differences in DAP and Effective dose. There was a significant difference between Pacemaker and CRT when AEC was applied and not applied. (p<0.05) When applied, the dose increased by 37% for Pacemaekr and 52% for CRT. Chemoport showed a 10% increase in effective dose depending on whether AEC was applied, but there was no significant difference. (p>0.05) In the image quality evaluation, there was no significant difference in image quality between all HIMD insertions and AEC applied or not. (p>0.05) Therefore, when the HIMD was inserted into the chest during a chest x ray and overlapped with the ion chamber sensor, the effective dose increased, and there was no difference in image quality even at a low dose without AEC. Therefore, when performing a chest X-ray examination of a patient with a HIMD inserted, it is considered that performing the examination without applying AEC is a method that can be considered to reduce the patient's radiation exposure.

The Usefulness of Cephalic Vein Cut-Down for Totally Implantable Central Venous Port in Children (소아에서 완전 이식형 중심정맥포트를 위한 두정맥 절개술의 유용성)

  • Jung, Kyu-Whan;Moon, Suk-Bae;Jung, Sung-Eun;Lee, Seong-Cheol;Park, Kwi-Won
    • Advances in pediatric surgery
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    • v.14 no.1
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    • pp.67-74
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    • 2008
  • The usefulness of totally implantable central venous port for long-term intravenous infusion is widely accepted in children. Usually the catheters are placed through the internal or external jugular vein. In case of jugular vein cut-down, two separate incisions are needed for catheter and port respectively. Patients also feel uncomfortable as the catheter run through the neck. However these disadvantages can be overcome by using the cephalic vein (CV). We reviewed our experiences on CV cut-down for totally implantable central venous port in children. From January 2002 to December 2006, 201 patients (M:F=127:74) underwent 218 central venous port insertions. Mean age at operation was 5.9 years (2 months - 19 years). Indications included chemotherapy (N=167), long-term intravenous antibiotics infusion (N=36), and total parenteral nutrition (N=15). CV was selected preferentially. The incision includes the deltopectoral triangle laterally, and both the CV cut-down and port insertion were achieved with a single incision. The number of insertion through external, internal jugular vein, and CV was 77, 66 and 75, respectively. The median age, height and body weight were higher in CV cut-down group. The youngest age for CV cut-down was 8 months, the shortest height was 69 cm and the smallest body weight was 5.9 kg. Of 118 trials of CV cut-down, cut-down was successful in 75 cases (63.6 %). CV was absent in 10 cases(8.4 %) and CV was sacrificed after catheter tip malposition in 10 cases (8.4 %). There was only one complication, in which the catheter was inserted into the minute branch of subclavian artery. The CV cut-down method for totally implantable central venous port was safe and feasible in selected groups of patients in children. In addition, preservation of jugular vein and a more favorable cosmetic effect are other benefits of CV cut-down.

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A Basic Study on a Magnetic Fluid Driven Artificial Heart (자성유체에 의해 구동되는 인공심장에 관한 기초연구)

  • Kim, Dong-Wook;MITAMURA, Yoshinoro
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.7 no.5
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    • pp.940-947
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    • 2006
  • A variety of actuators fur an implantable artificial heart have been studied. They, all, however, share the disadvantages of a complicated energy conversion mechanism and of the need to use bearings. A ferrofluidic actuator directly drives magnetic fluids by applying a magnetic field to these fluids; it does not require bearings. In this study, the feasibility of a ferrofluidic actuator for an implantable artificial heart was studied. An way of two Poles of ring solenoids was mounted near the acrylic tube $({\phi}\;7.4mm)$. A rubber sack (volume : $2m{\ell}$ was connected to both ends of the acrylic tube. The sack were encased in a rigid chamber that had inlet and outlet ports. The acrylic tube and the rubber sack were filled with water encased in a rigid chamber magnetic fluid and the iron cylinder were immersed in the water. Two experiment method was conducted. 1) distance between stoppers were 72mm and 2) distance between stoppers were 104mm. A stroke volume was stability and $0.96m{\ell}$ was obtained in the experiment 1 and $1.92m{\ell}$ in the experiment 2. The energy efficiency of Experiment method 2 is about five times than Experiment method 2. A magnetic fluid-driven blood pump could be feasible if the magnetic fluid with high magnetization (3 times yester than the current value) is developed.

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