• Title/Summary/Keyword: Type of prosthesis

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A study on bio-signal process for prosthesis arm control (인공의수의 능동 제어를 위한 생체 신호 처리에 관한 연구)

  • Ahn, Young-Myung;Yoo, Jae-Myung
    • 전자공학회논문지 IE
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    • v.43 no.4
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    • pp.28-36
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    • 2006
  • In this paper, an algorithm to classify the 4 motions of arm and a control system to position control the prosthesis are studied. To classify the 4 motions, we use flex sensors which is electrical resistance type sensor that can measure warp of muscle. The flex sensors are attached to the biceps brchii muscle and coracobrachialis muscle and the sensor signals are passed the sensing system. 4 motion of the forearm - flexion and extension, the pronation and supination are classified from this. Also position of forearm is measured from the classified signals. Finally, A two D.O.F prosthesis arm with RC servo-motor is designed to verify the validity of the algorithm. At this time, fuzzy controller is used to reduce the position error by rotary inertia and noise. From the experiment, the position error had occurred within about 5 degree.

Is Ossiculoplasty Necessary in Canal Wall Down Mastoidectomy? Comparison of Clinical Outcomes Between Type 0 Tympanoplasty and Ossiculoplasty

  • Suh, Michelle J.;Park, Jin-A;Yi, Hee Jun;Song, Chan Il
    • Journal of Audiology & Otology
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    • v.25 no.2
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    • pp.104-109
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    • 2021
  • Background and Objectives: To assess whether the audiological and clinical outcomes of type 0 tympanoplasty (T0) performed using cartilage were comparable with those of ossiculoplasty in patients who underwent canal wall down mastoidectomy (CWDM). Subjects and Methods: This study included patients who had chronic otitis media with cholesteatoma and underwent CWDM with ossiculoplasty involving partial ossicular replacement prosthesis (PORP), total ossicular replacement prosthesis (TORP), or T0. Anatomical success rates and hearing outcomes were analyzed. Results: Seventy-two patients were included in this study; 29 of them underwent CWDM with T0, 27 underwent CWDM with PORP, while 16 underwent CWDM with TORP. The difference in mean improvement in the air-bone gap (ABG) between the groups was not significant. The differences in the rates of ABG closure to ≤10 dB HL (p=0.030) and ≤20 dB HL (p=0.029) were significant. There were significant differences in improvements in the ABG at 3 kHz among the PORP, TORP, and T0 groups. Conclusions: The audiological outcomes of CWDM with ossiculoplasty seemed to be better than those of CWDM with T0 with no significant difference in the incidence of complications following ossiculoplasty and T0.

Is Ossiculoplasty Necessary in Canal Wall Down Mastoidectomy? Comparison of Clinical Outcomes Between Type 0 Tympanoplasty and Ossiculoplasty

  • Suh, Michelle J.;Park, Jin-A;Yi, Hee Jun;Song, Chan Il
    • Korean Journal of Audiology
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    • v.25 no.2
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    • pp.104-109
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    • 2021
  • Background and Objectives: To assess whether the audiological and clinical outcomes of type 0 tympanoplasty (T0) performed using cartilage were comparable with those of ossiculoplasty in patients who underwent canal wall down mastoidectomy (CWDM). Subjects and Methods: This study included patients who had chronic otitis media with cholesteatoma and underwent CWDM with ossiculoplasty involving partial ossicular replacement prosthesis (PORP), total ossicular replacement prosthesis (TORP), or T0. Anatomical success rates and hearing outcomes were analyzed. Results: Seventy-two patients were included in this study; 29 of them underwent CWDM with T0, 27 underwent CWDM with PORP, while 16 underwent CWDM with TORP. The difference in mean improvement in the air-bone gap (ABG) between the groups was not significant. The differences in the rates of ABG closure to ≤10 dB HL (p=0.030) and ≤20 dB HL (p=0.029) were significant. There were significant differences in improvements in the ABG at 3 kHz among the PORP, TORP, and T0 groups. Conclusions: The audiological outcomes of CWDM with ossiculoplasty seemed to be better than those of CWDM with T0 with no significant difference in the incidence of complications following ossiculoplasty and T0.

Design of control algorism for 2 DOF myoelectric hand prosthesis (2자유도 전동의수의 제어알고리즘 설계)

  • Choi, Gi-Won;Choe, Gyu-Ha;Kim, Hong-Sung;Shin, Woo-Seok
    • Proceedings of the KIPE Conference
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    • 2007.07a
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    • pp.250-252
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    • 2007
  • In this paper presents a control algorism for myoelectric hand prosthesis(MHP) with 2 degree of freedom(DOF), which consists of a mechanical hand, a surface myoelectric sensor(SMES) for measuring myoelectric signal, a control system and a charging battery. The actuation for the 2-DOF hand functions such as grasping and wrist rotation was performed by two DC-motors, and controlled by myoelectric signal measured from the residual forearm muscle. The two controllers were made of a RISC-type microprocessor, and its software was executed on a real-time kernel. The experimental results were showed that the proposed a control algorism is feasible for the MHP.

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Severe Hemolysis after St. Jude Medical Valve Replacement in the Aortic Position -A Redo Case Report - (판막치환술 후 심한 용혈 현상으로 재치환한 경험)

  • 조영철
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.706-710
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    • 1988
  • Intravascular hemolysis occurs in the majority of patient with mechanical valve prosthesis. The primary cause is mechanical trauma to red cells from turbulent blood flow through the prosthesis. Degree of hemolysis is dependent upon the type, size and material of valve and aggravated by paravalvular leakage. Clinically important hemolytic anemia is required medical management or consideration of reoperation. In severe hemolysis, reoperation is recommended without delay when seems to be renal failure. In this case, postoperative severe mechanical hemolysis was developed immediately after aortic valve replacement with St. Jude medical valve in a 13 year-old male patient. Neither significant paravalvular leakage nor valvular dysfunction was found through redo, but the mechanical valve was strongly suspected the cause of severe hemolysis. The St. Jude Medical valve was changed with Ionescu-Shiley bioprosthesis and any significant clinical problems were not noted through the postoperative course.

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Design of a Mechanical Artificial Heart Valve Prosthesis Appliing Design Methodology (설계방법론을 이용한 기계식 인공심장판막의 설계)

  • 천길정;류형태
    • Journal of Biomedical Engineering Research
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    • v.19 no.3
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    • pp.291-296
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    • 1998
  • A new mechanical heart valve prosthesis has been designed appling systematic design methodology. The function of the heart valve was defined, and search for design variation has been carried out according to the functional structure, Optimal model among the various variations was determined in view of the design specificationn. Proto type valve was fabricated and test has been carried out using a mock circulation system. It has been observed that the pressure profile, cardiac output and behavior characteristics are generally satisfactory.

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Clinical study on screw loosening in dental implant prostheses: a 6-year retrospective study

  • Lee, Ki-Young;Shin, Kyung Su;Jung, Ji-Hye;Cho, Hye-Won;Kwon, Kyung-Hwan;Kim, Yu-Lee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.2
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    • pp.133-142
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    • 2020
  • Objectives: In this study, we determined the incidence and pattern of screw loosening in patients who received dental implants. Materials and Methods: Patients who received implants between January 2008 and October 2013 and completed their prosthetic rehabilitation were evaluated for the incidence, frequency, and onset of screw loosening using dental charts and radiographs. The association between each factor and screw loosening was analyzed using the chi-square test and a multivariate analysis with binary logistic regression models (P<0.05). Results: Total 1,928 implants were placed in 837 patients (448 males, 389 females), whose follow-up period after loading varied from 0.25 to 70 months (mean period, 31.5 months). Screw loosening occurred in 7.2% of implants. Most cases occurred less than six months after loading. Among those, 22.3% experienced recurrent screw loosening. Screw loosening was most common in the molar region (8.5%) and frequently associated with an implant diameter of ≥5 mm (14.2%). External implant-abutment connections (8.9%) and screw-retained implant prostheses (10.1%) showed higher incidence of problems than internal implant-abutment connections and cement-retained implants, respectively. Screw loosening was most common in implant prostheses with single crowns (14.0%). Conclusion: Within the limits of the current study, we conclude that the incidence of screw loosening differs significantly according to the position of implant placement, the type of implant and manufacturer, implant diameter, the type of implant-abutment connection, the type of retention in the implant prosthesis, and the type of implant prosthesis.

A TWO DIMENSIONAL STRESS ANALYSIS OF FIXED PROSTHESIS WITH OSSEOINTEGRATED IMPLANT AS AN INTERMEDIATE ABUTMENT (골유착성 임플란트를 중간 지대치로 사용한 고정성 보철물의 응력분석)

  • Park Sang-Soo;Vang Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.4
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    • pp.611-624
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    • 1993
  • The purpose of this study was to analyze the stress distribution of the natural teeth, the implant, the prosthesis and the supporting tissue according to the types of implant and connection modality in the five-unit fixed partial denture with a implant pier abutment. A Two dimensional stress analysis model was constructed to represent a mandible missing the first and second premolars and first molar. The model contained a canine and second molar as abutment teeth and implant pier abutments with and without stress-absorbing element. Finite element models were created and analyzed using software ANSYS 4.4A for IBM 32bit personal computer. The results obtained were as follows. 1. Implant group, compared to the natural teeth group, showed a maximum principal stress at the superior portion of implants and a stress concentration at :he neck and end portion. 2. Maximum principal stress and maximum Von Mises stress were always lower in the case of rigid connection than nonrigid connection. 3. A cylinder type implant with stress absorbing element and screw type implant were generally similar in the stress distribution pattern. 4. A screw type implant, compared to the cylinder type implant, showed a relatively higher stress concentration at both neck and end portion of it. 5. Load B cases showed higher stress concentration on the posterior abutments in the case of nonrigid connector than rigid connector. 6. A maximum displacement was always lower in the case of rigid connection than nonrigid connection. These results suggest that osseointegrated implant can be used as an intermediate abutment.

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Development of an Electronically Controlled Knee-Type Prosthetic Leg with a 4-Bar Linkage Structure for Lower Limb Amputee (대퇴 절단 장애인을 위한 4절 링크 구조의 전자 제어식 무릎형 의족)

  • Ji-Woon Lee;Hyun-Soo Woo;Dong-Young Ahn;Min Jo;Hak Yi;Ki-Young Kim
    • The Journal of Korea Robotics Society
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    • v.19 no.2
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    • pp.159-168
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    • 2024
  • Lower limb amputees are increasing due to various reasons. It is difficult for lower limb amputees to walk without an assistive device such as a prosthetic leg. In this paper, an electronically controlled knee-type prosthetic leg with a 4-bar linkage structure for lower limb amputees was developed. The knee-type prosthetic leg has a 4-bar linkage structure and assists walking by using an integrated drive module. The torque is 90 Nm, the rotation speed is up to 120 deg, and it weight 1.9 kg, so it is lighter than a commercial prosthetic leg, so it can be used for a long time because there is less fatigue when walking. An integrated control board was developed by applying various sensors and microprocessor. The motor drive and encoder are built into the integrated drive module. The integrated control board and integrated drive module communicate using CAN. When a lower limb amputee wears a knee-type prosthetic leg and walks, it shows a shape similar to the swing phase graph of a normal people, and it is possible to walk naturally while walking.

Metallic Radial Head Prosthesis in Korea (요골두 금속 치환물의 국내 사용)

  • Han, Sang-Hwan;Moon, Jun-Gyu;Park, Jong-Wong;Jang, Ki-Mo
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.84-91
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    • 2007
  • Purpose: The aim of this study was to report seven cases of metallic radial head prosthesis and present the limit of use in Korea. Materials and Methods: Metallic radial head arthroplasty was performed on 7 patients between April 2006 and December 2006, who had complex elbow injury including comminuted radial head fracture. Indication, operative findings and outcome were assessed. Availability and payment of implant were investigated. Results: All of the patients had more than one associated injury including coronoid fracture, olecranoan fracture, and ligament ruptures. According to Mason classification, there were three type III and four type IV fractures. All radial head fractures were too comminuted to reconstruct. There were two excellent results, four good, and one poor, as graded by Mayo score. There were no patient with instability and implant related complications. Insufficient supply of implant did not enable to do scheduled surgery in 2 cases. Current medical insurance did not cover charge for radial prosthesis, five patients could not help paying for that by themselves. Conclusion: Metallic radial head implants are useful when the radial head cannot be repaired reliably. Preoperative preparing and coverage by medical insurance based on appropriate indication are helpful for decision for a treatment option.