• Journal of Chest Surgery
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• v.40 no.7 s.276
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• pp.512-516
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• 2007

A mechanical circulatory support system is a life-saving option for treating acute severe respiratory failure or cardiac failure. There are currently a few types of assist devices and the Twin-Pulse Life Support (T-PLS) system is a kind of pulsatile pump. We report here on three patients with severe life threatening cardiopulmonary dysfunction who had the T-PLS system used as an assist device. The indications for applying the T-PLS system were continuing respiratory or cardiac failure in spite of maximal ventilatory and inotropic support. There were two patients with acute respiratory failure due to infection and one patient with cardiac failure due to acute myocarditis. One respiratory failure patient and one cardiac failure patient survived after applying the T-PLS system for 3 days and 5 days, respectively. The T-PLS system is useful as an assist device and it should be considered before multi-organ failure occurs.

• Journal of Chest Surgery
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• v.57 no.4
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• pp.413-417
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• 2024

A 70-year-old man with dilated cardiomyopathy underwent left ventricular assist device (LVAD) implantation, using a HeartWare ventricular assist device, as a bridge to candidacy. After 26 months, computed tomography (CT) angiography indicated stenosis in the LVAD outflow graft; however, the patient was asymptomatic, prompting a decision to manage his condition with close monitoring. Ten months later, the patient presented with dizziness and low-flow alerts. Subsequent CT angiography revealed a critical obstruction involving the entire LVAD outflow graft. The patient underwent emergency surgery, during which an organized seroma causing the graft obstruction was found between a wrapped expanded polytetrafluoroethylene (ePTFE) graft and a Dacron outflow graft. The covering of the outflow graft was removed, along with the organized seroma. Following removal of the ePTFE wrap and decompression of the outflow graft, normal LVAD flow was reestablished. The practice of wrapping the outflow graft with synthetic material, commonly done to facilitate later redo sternotomy, may pose a risk for outflow graft obstruction.

• 순환기질환의공학회:학술대회논문집
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• 2001.11a
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• pp.16-17
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• 2001

• The Transactions of The Korean Institute of Electrical Engineers
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• v.66 no.1
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• pp.89-99
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• 2017

Many works have attempted to solve the scalability, the availability, and the low-latency problems of peer-to-peer (P2P) live video streaming; yet, the problems still remain. While tree-based systems are vulnerable to churn, the mesh-based systems suffer from high delay and overhead. The DHT-aided chunk-driven overlay (DCO) [1] tried to tackle these problems by using the distributed hash table (DHT), which structures into a mesh-based overlay to efficiently share the video segment. However, DCO fully depends on the capacity of the users' device which is small and unstable, i.e., the users' device may leave and join the network anytime, and the video server's bandwidth can be insufficient when the number of users joining the network suddenly increases. Therefore, cloud assist is introduced to overcome those problems. Cloud assist can be used to enhance the availability, the low-latency, and the scalability of the system. In this paper, the DHT is used to maintain the location of the streaming segments in a distributed manner, and the cloud server is used to assist other peers when the bandwidth which required for sharing the video segment is insufficient. The simulation results show that by using the threshold and cloud assist, the availability and the low-latency of the video segments, and the scalability of the network are greatly improved.

• The Journal of the Convergence on Culture Technology
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• v.9 no.2
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• pp.143-150
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• 2023

As Korea's per capita income increases, participation in various leisure activities to improve the quality of life of the disabled is encouraged. However, in order to participate in leisure activities, movement to the place where the leisure activities are performed must be preceded, so interest in means of transportation for leisure activities of the disabled is increasing. Since manual and electric wheelchairs have their respective disadvantages as means of transportation for leisure activities, interest in power assisting devices for wheelchairs combining the functions of electric wheelchairs with manual wheelchairs is increasing. In this study, the FDA approval process of wheelchair power-assistance products was investigated, and the characteristics of side-attached, front-attached, downward-attached, and rear-attached types of power assist devices for wheelchairs wheelchair in countries around the world were identified. These information will be of great use in helping the disabled and their assistants in Korea to choose the optimal product according to the patient's condition. More usability tests and clinical case studies are needed so that people with disabilities can choose a power assist device suitable for them.

• Journal of Chest Surgery
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• v.43 no.3
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• pp.304-307
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• 2010

A 5-day-old neonate (body weight=2.4 kg) with coarctation of the aorta and critical aortic stenosis underwent an interventional balloon valvuloplasty for aortic stenosis. During the intervention, cardiac arrest occurred due to injury of the right carotid artery by the guide wire. An extracorporeal membrane oxygenator (ECMO) was applied. After 1 day's support, total surgical correction was achieved; however, in the immediate postoperative period, cardiac function was severely depressed. We applied a bi-ventricular assist device (bi-VAD) instead of an ECMO and we were able to wean the patient off the bi-VAD device after 3 days' support. The patient was discharged without severe complications.

• Membrane Journal
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• v.13 no.1
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• pp.20-28
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• 2003

In this study, we try to formularize simultaneous equations to make a prediction about pressure drop for designing intravascular artificial lung assist device. Designing parameters to predict the effect of pressure drop and designed modules under various conditions were studied through an experimental modeling before inserting the artificial lung assist device into as venous. We measured pressure drop in various number of hollow fiber membranes, when the inside diameter of shell is fixed in 3 cm, and tried to develope the prediction equations by curve fitting based on the correlation between the experimental pressure drop and the device frontal area or packing density. The results showed that pressure drop increased with 2nd order functional formula as the liquid flow rate, the frontal area, and the packing density increased. Also, we can estimate the pressure drop as a function of the frontal area or packing density. The pressure drop obtained from the experiment was similar to that from the equation, confirming the usefulness of the equation.

• Journal of Chest Surgery
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• v.55 no.3
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• pp.197-205
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• 2022

Background: The integrated design of the HeartMate 3 (Abbott Laboratories, Chicago, IL, USA) affords flexibility to place the pump within the pericardium or thoracic cavity. We sought to determine whether the presence of a left ventricular assist device (LVAD) in either location has a meaningful impact on overall patient outcomes. Methods: A retrospective cohort study was conducted of all 165 patients who received a HeartMate 3 LVAD via a median sternotomy from November 2014 to August 2019 at our center. Based on operative reports and imaging, patients were divided into intrapleural (n=81) and intrapericardial (n=84) cohorts. The primary outcome of interest was in-hospital mortality, while secondary outcomes included postoperative complications, cumulative readmission incidence, and 3-year survival. Results: There were no significant between-group differences in baseline demographics, risk factors, or preoperative hemodynamics. The overall in-hospital mortality rate was 6%, with no significant difference between the cohorts (9% vs. 4%, p=0.20). There were no significant differences in the postoperative rates of right ventricular failure, kidney failure requiring hemodialysis, stroke, tracheostomy, or arrhythmias. Over 3 years, despite similar mortality rates, intrapleural patients had significantly more readmissions (n=180 vs. n=117, p<0.01) with the most common reason being infection (n=68/165), predominantly unrelated to the device. Intrapleural patients had significantly more infection-related readmissions, predominantly driven by non-ventricular assist device-related infections (p=0.02), with 41% of these due to respiratory infections compared with 28% of intrapericardial patients. Conclusion: Compared with intrapericardial placement, insertion of an intrapleural HM3 may be associated with a higher incidence of readmission, especially due to respiratory infection.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.13 no.3
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• pp.1311-1324
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• 2019

In the traditional cellular network communication, the cellular user and the base station exchange information through the uplink channel and downlink channel. Meanwhile, device-to-device (D2D) users access the cellular network by reusing the channel resources of the cellular users. However, when cellular user channel conditions are poor, not only D2D user cannot reuse its channel resources to access the network, but also cellular user's communication needs cannot be met. To solve this problem, we introduced a novelty D2D communication mechanism in the downlink, which D2D transmitter users as half-duplex (HD) relays to assist the downlink transmission of cellular users with reusing corresponding spectrum. The optimization goal of the system is to make the cellular users in the bad channel state meet the minimum transmission rate requirement and at the same time maximize the throughput of the D2D users. In addition, i for the purpose of improving the efficiency of relay transmission, we use two-antenna architecture of D2D relay to enable receive and transmit signals at the same time. Then we optimized power of base station and D2D relay separately with consideration of backhaul interference caused by two-antenna architectures. The simulation results show that the proposed HD relay strategyis superior to existing HD and full-duplex (FD) models in the aspects of system throughput and power efficiency.

• The Journal of Korea Robotics Society
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• v.5 no.4
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• pp.294-301
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• 2010

In order to produce a convenient robot for the aged and the lower limb disabled, it is needed for the research detecting implicit walking intention and controlling robot by a user's intention. In this study, we developed sensor module system to control the walking- assist robot using FSR sensor and tilt sensor, and analyzed the signals being acquired from two sensors. The sensor module system consisted of the assist device control unit, communication unit by wire/wireless, information collection unit, information operation unit, and information processing PC which handles integrated processing of assist device control. The FSR sensors attached user's the palm and the soles of foot are sensing force/pressure signals from these areas and are used for detecting the walking intention and states. The tilt sensor acquires roll and pitch signal from area of vertebrae lumbales and reflects the pose of the upper limb. We could recognize the more detailed user's walking intention such as 'start walking', 'start of right or left foot forward', and 'stop walking' by the combination of FSR and tilt signals can recognize.