• 한국멀티미디어학회논문지
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• 제18권5호
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• pp.652-662
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• 2015

It is necessary to develop small, implantable bio-telemetry systems which can measure and transmit patients' bio-signals from internal body to external receiver. When measuring bio-signals, like electrical bio-signals, acoustic bio-signal measurement has also a big clinical usefulness. But, sound signal has larger frequency bandwidth than any other bio-signals. When considering these issues, a wireless telemetry system which has rapid data transmission rate proportional to wide frequency bandwidth is necessary to be developed. The bluetooth module is used to overcome the data rate limitation caused by the large frequency bandwidth. In this paper, a novel multimedia bluetooth biotelemetry system was developed which consists of transmitter module located in the body and receiver device located outside of the body. The transmitter consists of microphone, bluetooth, and wireless charging device. And the receiver consists of bluetooth and codec system. The sound inside the skin is captured by microphone and sent to receiver by bluetooth while charging. The wireless charging system constantly supplies the electric power to the system. To verify the performance of the developed system, an in vitro experiment has been performed. The results show that the proposed biotelemetry system has ability to acquire the sound signals under the skin.

• Archives of Plastic Surgery
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• 제44권1호
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• pp.42-47
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• 2017

Background Skin erosion is a dire complication of implantable cardiac pacemakers and defibrillators. Classical treatments involve removal of the entire generator and lead systems, however, these may result in fatal complications. In this study, we present our experience with a simplified salvage technique for exposed implantable cardiac electronic devices (ICEDs) without removing the implanted device, in an attempt to reduce the risks and complication rates associated with this condition. Methods The records of 10 patients who experienced direct ICED exposure between January 2012 and December 2015 were retrospectively reviewed. The following surgical procedure was performed in all patients: removal of skin erosion and capsule, creation of a new pocket at least 1.0-1.5 cm inferior to its original position, migration of the ICED to the new pocket, and insertion of closed-suction drainage. Patients with gross local sepsis or septicemia were excluded from this study. Results Seven patients had cardiac pacemakers and the other 3 had implantable cardiac defibrillators. The time from primary ICED placement to exposure ranged from 0.3 to 151 months (mean, 29 months. Postoperative follow-up in this series ranged from 8 to 31 months (mean follow-up, 22 months). Among the 10 patients, none presented with any signs of overt infection or cutaneous lesions, except 1 patient with hematoma on postoperative day 5. The hematoma was successfully treated by surgical removal and repositioning of the closed-suction drainage. Conclusions Based on our experience, salvage of exposed ICEDs is possible without removing the device in selected patients.

• 한국정보통신학회논문지
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• 제17권1호
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• pp.49-56
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• 2013

최근 IT 기술과 의료기술이 접목된 유헬스케어 서비스 중 불치병을 갖고 있는 환자에게 의료서비스를 제공하는 체내삽입장치 기술이 각광을 받고 있다. 그러나 체내삽입장치 기술은 환자의 생체정보를 무선구간에서 제3자에게 쉽게 유출되어 악용될 수 있는 보안문제가 나타나고 있다. 본 논문에서는 환자와 병원관계자간 동기화를 통해 환자와 병원관계자가 서로 생성한 랜덤값과 인증서버가 생성한 랜덤값을 이용하여 환자와 병원관계자를 인증하는 인증프로토콜을 제안한다. 특히, 제안 프로토콜은 환자와 병원관계자가 사전에 인증서버에 등록된 정보를 이용하여 생성한 보안 정보를 세션키 생성과정에 이용함으로써 인증서버에게 허락 받지 못한 제3자의 접근을 차단함으로써 안정성을 높이고 있다.

• 대한의용생체공학회:의공학회지
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• 제36권1호
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• pp.31-36
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• 2015

In this study, we evaluated the effects of static magnetic fields of earphones and headphones on pacemakers and implantable cardioverter defibrillators(ICDs). Five pacemakers and three ICDs were subjected to in-vitro test with three headphones which were an in-ear earphone, clip-on headphone, and closed-back headphone. Each implantable device was placed in close proximity(within 3 mm) to the ear-pad of each of the earphone and headphones for 3 min. As a result, no effects were observed on the pacemakers for the earphone and headphones during the test, but an effect was observed on one ICD for the clip-on and closed-back headphone during the test. When the ICD was placed in close proximity to the headphones, the ICD temporarily suspended functions of tachyarrhythmia detection and therapy. The effect was not observed in this study when the headphones were at least 2 cm from the ICD. Based on these findings, patients with ICDs should be advised to keep earphones and headphones at least 2 cm apart from their ICDs.

• 센서학회지
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• 제18권1호
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• pp.63-71
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• 2009

It is said that the desirable bio-signal measurement and stimulation system should be an implantable type if the several problems such as biocompatibility, electrical safety, and so on are overcome. In addition to the biocompatibility issue, a robust RF communication and a stable electrical power source for the implantable bio-signal measurement and stimulation system are very important matters. In this paper, a wireless telemetry system which adopts the FCC's approved MICS (medical implant communication service) protocol and a wireless power transmission has been proposed. The proposed system composed of a base station (BS) and an implantable medical device (IMD) has the advantages that the interference with other RF devices can be reduced by the use of the specially assigned MICS frequency band of 402.MHz to 405 MHz. Also, the proposed system includes various functions of a multi-channel bio-signal acquisition and an electric stimulation. Since the electrical power for the IMD can be provided by the inductive link between PCB patterned coils, the IMD needs no battery so that the IMD can be smaller size and much less dangerous than the active type IMD which includes the internal battery. Finally, the validity as a wireless telemetry system has been demonstrated through the experiments by using the implemented BS and IMD.

• 대한의용생체공학회:의공학회지
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• 제22권4호
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• pp.349-358
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• 2001

A novel electro-mechanical implantable ventricular assist system is developed as a bridge to transplantation or recovery for patients with end-stage heart failure. The developed system is composed of an implanted blood pump, an external monitoring system which stores data, and a wearable system including a portable external driver and a portable power supply system. The blood pump is designed to be implanted into the left upper abdominal space and provides blood flow from the left ventricular apex to the aorta. The pulsatile blood flow is generated by a double cylindrical cam. There was mo excessive heat emission from the blood pump into the temperature-controlled chamber in the heat test and no stagnated flow within the blood sac by the observation in the flow visualization test. Animal experiments were performed using sheep and calves. The maximum assist flow rate reached 7.85L/min in the animal experiment. The evaluation results showed that the developed system was feasible for the implantable ventricular assist system. The long-term in vitro durability test and mid-term in vivo experiments are in progress and mow the modified next model is under development.

• 재활복지공학회논문지
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• 제2권1호
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• pp.27-33
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• 2009

일반적으로, 완전 이식형 인공중이의 이식형 마이크로폰은 측두골 부근에 이식되어진다. 이 경우, 마이크로폰의 진동막이 외부 충격이나 생체 노이즈의 영향 받을 수 있으며 이런 문제를 해결하기 위하여 이식용 마이크로폰을 외이도 내에 이식하는 방법을 고려할 수 있다. 그러나 이소골에 이식된 진동 트랜스듀서에 의해서 고막으로부터 외이도 방향으로 음향 반향이 발생할 가능성이 있다. 본 논문에서는 사람의 귀와 유사한 특성을 가지는 귀 모델을 제작하여 프로브 마이크로폰의 위치를 변경해가며 외이도의 음향 반향을 측정하였고 실험결과를 통하여 외이도 내에서의 마이크로폰의 이식 위치를 추정해 보았다. 분석 결과 외이도에 마이크로폰을 이식할 경우 고막에서 멀어질수록 반향 신호가 감소함을 확인할 수는 있었으나, 반향 신호를 완전히 제거할 수 없기 때문에 외이도에 마이크로폰을 이식하기에는 부적합한 것으로 예상된다.

• 한국의학물리학회지:의학물리
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• 제30권4호
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• pp.150-154
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• 2019

The objective of this study is to monitor the radiation doses delivered to a cardiac implantable electronic device (CIED) by comparing the absorbed doses calculated by a commercial treatment planning system (TPS) to those measured by an in vivo dosimeter. Accurate monitoring of the radiation absorbed by a CIED during radiotherapy is necessary to prevent damage to the device. We conducted this study on three patients, who had the CIED inserted and were to be treated with radiotherapy. Treatment plans were generated using the Eclipse system, with a progressive resolution photon optimizer algorithm and the Acuros XB dose calculation algorithm. Measurements were performed on the patients using optically stimulated luminescence detectors placed on the skin, near the CIED. The results showed that the calculated doses from the TPS were up to 5 times lower than the measured doses. Therefore, it is recommended that in vivo dosimetry be conducted during radiotherapy for CIED patients to prevent damage to the CIED.

• 한국멀티미디어학회논문지
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• 제19권2호
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• pp.375-385
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• 2016

Recently, several implantable hearing aids such as cochlear implant, middle ear implant, etc., which have a module receiving power and signal from outside the body, are frequently used to treat the hearing impaired patients. Most of implantable hearing aids are adopted permanent magnet pairs to couple between internal and external devices for the enhancement of power transmission. Generally, the internal device which containing the magnet in the center of receiving coil is implanted under the skin of human temporal bone. In case of MRI scanning of a patient with the implantable hearing aid, however, homogeneous magnetic fields of the MRI might be interfered by the implanted magnet. For the above reasons, the MR image is degraded by large area of artifact, so that diagnostics are almost impossible in deteriorated region. In this paper, we proposed an external coil system that can reduce the artifact of MR image due to the internal coupling magnet. By finite element analysis estimating area of MR artifact according to varying current and shape of the external coil, optimal coil parameters were extracted. Finally, the effectiveness of the proposed external coil system was verified by confirming the artifact at real MRI scan.

• 디지털융복합연구
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• 제12권5호
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• pp.249-254
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• 2014

최근 USN 기술의 발전으로 의료기술 분야에서 서비스를 받을 수 있는 체내 삽입장치 통신기술이 많은 발전을 하고 있다. 체내 삽입장치(Implantable Medical Device)는 환자와 장비사이에 무선으로 전송되는 구간이 있어서 외부 공격자의 해킹으로 인한 환자의 개인 의료정보 유출사고로 프라이버시 침해 발생이 우려되고 있다. 또한 환자의 의료 정보를 조작할 경우 심각한 의료 문제가 발생할 수 있다. 본 논문에서는 체내 삽입장치에 RFID/USN 기술을 이용할 때 공격자의 공격에 안전한 인증프로토콜을 제안한다. 해시함수 기반으로 연산하며 세션키와 난수를 도입하여 재 암호화를 방지하고 스푸핑공격, 정보노출 및 도청공격에 안전하며 이를 증명하기 위해 정형검증 도구인 Casper/FDR 도구를 이용하여 보안성을 검증 실험하였으며 안전함이 확인되었다.