• Title/Summary/Keyword: Valve Material

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Long Term Clinical Results of Duromedics Valve (Duromedics 판막의 장기 임상 성적 고찰)

  • Jeong, Dong-Seop;Lim, Chung;Kim, Kyung-Hwan;Kim, Ki-Bong;Aun, Hyuk
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.686-691
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    • 2001
  • Background: The Duromedics valve has been used in Korea since 1982, however, but there were no long term clinical results that have been reported. This paper presents the long term clinical results of Duromedics valve implanted in Seoul National University Hospital. Material and method: Between 1987, 23 patients underwnet cardiac valve replacement with Duromedics mechanical valve. There were 8 mitral valve replacements, 5 aortic valve replacements, one tricuspid valve replacement, 6 aortic and mitral valve replacements, and one mitral and tricuspid valve replacement. There were 12 men and 11 women. The mean age was 35$\pm$10(15~52) years. We evaluated the clinical performance of Duromedics cardiac prosthesis. Result: The early operative mortality was 4.3%(1/23) and the late morlatity was 4.3%(1/23). Causes of death were low cardiac output syndrome and structural valvular failure. The mean follow-up duration was 133$\pm$43(8~157) months. There were 3 reoperations. The causes of reoperations were thrombosis and structural failure and nonstructural valvular failure. The actuarial survival rate at 10 years was 90.9%. Conclusion: Although the number of patients was not sufficient for effective clinical study, the long term clinical results of Duromedics valve was relatively good and there was no structural defect in this mechanical valve. However, more research is needed in the future.

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Long-Term Result of Tricuspid Valve Replacement (삼첨판막 치환술의 장기성적)

  • Lim, Cheong;Kang, Moon-Chul;Kim, Kyung-Hwan;Kim, Ki-Bong;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.680-685
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    • 2001
  • Background: Tricuspid valve replacement is very rarely performed procedure and its long-term result is not yet satisfactory. Moreover, it is not well known whether bioprosthesis or mechanical prosthesis is the best selection for artificial valve. We reviewed 72 cases of tricuspid valve replacements in 71 patients between January 1989 and December 1998, trying to analyze the overall results and risk factors for mortality and morbidity. Material and Method: Average age of the patients at the time of operation was 42$\pm$13 years(range 16 to 65 years) and the sex ratio of male versus female was 32/39. Primary diagnosis consisted of 50 cases of aquired valvular heart disease and 18 cases of congenital heart disease, such as Ebstein’s anomaly. 4 cases had isolated tricuspid valve regurgitation. Implanted valves were 69 mechanical prosthesis and 3 bioprosthesis. Concomitant mitral or aortic valve replacements were performed in 50 cases. One patient received concomittant pulmonary valve replacement. Result: There were 7(9.72%) operative deaths and 7(13.0%) late deaths. Actuarial survival at 10 years was 59.2$\pm$7.2%. Prosthetic tricuspid valve thrombosis occurred 11 times in 5 patients. Reoperation for prosthetic tricuspid valve failure was performed in 1 patient. In this case, examination of the explanted prostheses showed that the tricuspid stenosis was the result of valve thrombosis. Among the 47 survivors, 46 patients(98%) were in functional class I or II. Conclusion: In our ten-year experience of tricuspid valve replacement, mortality and morbidity were satisfactory. Mechanical prosthesis in tricuspid position showed comparable clinical results as bioprosthesis.

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Measurement of Porcine Aortic and Pulmonary Valve Geometry and Design for Implantable Tissue Valve (돼지 대동맥, 폐동맥의 근위부 기하학적 구조 측정을 통한 판막 구조 수치의 계량화와 판막 도안에 관한 연구)

  • Park, Sung-Joon;Kim, Yong-Jin;Nam, Jin-Hae;Kim, Soo-Hwan;Lee, Chang-Ha;Lim, Hong-Gook
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.602-613
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    • 2010
  • Background: As life expectancy has been increased, the cardiac valve disease has been increased. In past, mechanical valve for valve replacement surgery was used widely, but it has many weaknesses, such as hemorrhage, teratogenic effect caused by warfarin, acute mechanical failure, taking warfarin during life, etc. So, the tissue valve is used widely and researches for durability of tissue valve are in progress. Tissue valves being used are all imported in Korea, and there is a lack of information on its geometry and design. So, we studied the geometry of porcine aortic and pulmonary valve, and tried to suggest theoretical basis for making the aortic and pulmonary valve. Material and Method: We harvested aortic and pulmonary valves of 25 pigs and measured the geometry of valve at fresh and glutaraldehyde (GA) fixed state. In each group, we measured the diameter of the base, diameter of commissure, valve height, commissural height, etc. Also, for making implantable porcine and bovine pericardial valve, we designed the valve stent form, thickness, height, and leaflet size, form, thickness by different size of valve. Result: The aortic and pulmonary valve geometry and ratio were measured in each group. The right coronary cusp of aortic valve and right facing cusp of pulmonary valve was bigger than other cusps and non coronary cusp was smaller than others (RCC: NCC : LCC=1 : 0.88 : 1). Valve height was correlated to the leaflet size. We designed the outer diameter of stented porcine aortic valve from 19 mm to 33 mm and designed stent height and width, using previous measured ratio of each structure, stent thickness, working thickness (for making valve). Also, we designed the size of stent and form for stented bovine pericardial valve, considering diameter of valve, leaflet length, height and leaflet minimum coaptation area. Conclusion: By measuring of 25 pig's aortic and pulmonary valve geometry and ratio, we can make theoretical basis for making implantable stented porcine valve and bovine pericardial valve in various size. After making implantable valve using these data, it is necessary to do in vivo and in vitro researches, furthermore.

Effect of Welding method and Welding Material to Corrosion Property of Repair Weld Zone for Exhaust Valve in 5% H2SO4 Solution -1 (5% 황산용액에서 배기밸브 보수 용접부의 부식 특성에 미치는 용접방법과 용접봉의 영향-1)

  • Kim, Jin-Gyeong;Cho, Hwang-Rae;Lee, Myung-Hoon;Kim, Yun-Hae;Moon, Kyung-Man
    • Journal of Advanced Marine Engineering and Technology
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    • v.31 no.6
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    • pp.744-752
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    • 2007
  • Recently a fuel oil of the diesel engine in the ship is being changed with low quality as the oil price is higher more and more. Therefore the wear and corrosion in all parts of the engine like cylinder liner ring groove of piston crown, spindle and seat ring of exhaust valve are increased with using of heavy oil of low quality In particular the degree of wear and corrosion in between valve spindle and seat ring are more serious compared to the other parts of the engine due to operating in severe environment such as the high temperature of exhaust gas and repeating impact. Thus the repair weld to the valve spindle and seat ring is a unique method to prolong the life of the exhaust valve in an economical point of view In this study. corrosion property of both weld metal zone and base metal was investigated with some electrochemical methods such as measurement of corrosion potential, cathodic and anodic polarization curves, cyclic voltammogram and polarization resistance etc. in 5% $H_2SO_4$ solution. in the case of being welded with some welding methods and welding materials to the exhaust valve specimen as the base metal. In all cases. the values of hardness of the weld metal zone were more high than that of the base metal. And their corrosion resistance were also superior to the base metal. The weld metal of A2F(AC SMAW: 2 pass welding with foreign electrode) showed a relatively good results to the corrosion resistance as well as the hardness compared to the ether welding methods and welding materials. Moreover it indicated that hardness of the weld metal by the domestic electrode was considerably high compared to that of the foreign electrode.

Long-term Results of the Carpentier-Edwards Porcine Valve (Carpentier-Edwards 판막의 장기 술후성적)

  • Kim, Jong-Hwan;Lee, Yeong-Gyun
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.83-91
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    • 1986
  • The Carpentier-Edwards porcine xenograft valve was used in 21 patients at Seoul National University Hospital during the period between 1977 and 1979. Twenty-four Carpentier-Edwards valves were implanted along with 2 others. Three patients died within 30 days of operation, an operative mortality rate of 14.3%. Eighteen early survivors were followed up for a total 67.5 patient-years [mean, 45.0$\pm$32.0 months]. There were 2 late deaths with a linealized late mortality rate of 2.96%/patient-year; one died from cerebral bleeding [1.48% bleeding/patient-year] and the other from prosthetic valve endocarditis [1, 48% endocarditis/patient-year]. There was no case of thromboembolism. Two patients developed mitral regurgitation [2.96% failure/patient-year]. Symptomatic improvement was excellent. The actuarial survival rate and the probability of freedom from overall valve failure were 75.3$\pm$9.6% and 80.7$\pm$12.9% at 9 years after surgery respectively. During the period from October, 1968, through June, 1985, 1, 190 substitute heart valves were used in a total of 967 patients at Seoul National University Hospital; of which, 90.9% were either porcine aortic or bovine pericardial xenograft valves. For the evaluation of the xenograft tissue valves, the consecutive patients with lonescu-Shiley valve in the mitral, aortic and both positions, Angell-Shiley valve and Carpentier-Edwards valve were recently studied on the clinical ground. They were 531 patients, and 643 xenograft valves were used. The operative mortality rate was 6.97% and a linealized late mortality rate 2.94%/patient-year. A total of 490 early survivors were followed up for 917.6 patient-years [mean, 22.5 months], and 70% of patients completed the follow-up. The linealized incidences of complications were: 2.29% emboli/patient-year, 1.98% bleeding/patient-year, 1.20% endocarditis/patient-year, and 3.49% failure/patient-year. These clinical resutls are fully comparable with those in the major reports. The durability of the glutaraldehydepreserved xenograft heart valves remains as a great concern and a continuing debate, expecially for the group of patients in the pediatric age. The need of more durable material for the improved tissue valves was also discussed.

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Numerical Simulation of The Pressure-Flow Control Characteristics of Shunt Valves Used to Treat Patients with Hydrocephalus (수두층 치료용 션트밸브의 압력-유량 제어특성 수치해석)

  • 장종윤;이종선;서창민
    • Journal of Biomedical Engineering Research
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    • v.22 no.5
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    • pp.403-412
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    • 2001
  • The Present study analyzed the pressure-flow characteristics of a Korean shunt valve. Changes in the characteristic currie depending on the design parameters were also investigated. The Korean shunt valve used in the present study was constant pressure type and our analyses were validated through experiments. We applied fluid-structure interaction to solve the flow dynamic Problem because the small diaphragm in the valve was made from flexible silicone elastomers. Considering the material nonlinearity of the hyper-elastic material. the Mooney-Rivlin approximation was employed. The results of the numerical analyses were close to the experimental results The major Pressure drop was observed to happen in the small diaphragm. The slope of the pressure-flow characteristic curve was computed to be 0.37mm$H_2O$.hr/cc, which was similar to the average value of commercial shunt valves. 0.40mm$H_2O$.hr/cc. Therefore. our valves analyzed in the Present study showed a Proper Pressure control characteristics of the constant pressure type shunt valves. The opening pressure could be controlled by adjusting the amount of predeflection of the valve diaphragm. In order to obtain opening pressures of 25mm$H_2O$ and 80mm$H_2O$, respectively, and the required predeflection was found to be 10.2$\mu$m and 35.3$\mu$m. The flow orifice size was found to be within 10$\mu$m during valve operation Therefore, Precision design and manufacturing techniques are necessary for successful operations of the shunt valve. The study indicated the amount of predeflection as well as the magnitude of corner rounding of the diaphragm edge are important design parameters to influence the slope of the pressure-flow characteristic curve.

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Manufacture and Efficiency Evaluation of Oil Water Separator (유수분리기의 제작과 성능 평가)

  • 유연향;장동환;오무송;이은학;김태성
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2000.07a
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    • pp.160-164
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    • 2000
  • This paper describes oil water separator using difference of electrical resistor. Oil is a non-conductive element and water is a relatively high conductive element. It is possible to detect water included in oil. Electric sensor is formed 8mm iron stick. Valve is operated With controller inputting signal of electric sensor. A experiment was done for necessary voltage in making program of controller. Oil water separator which was tested in field conditions was saved 7% of whole oil and was drained over 150% water than manual valve.

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Analysis of the Mechanical Behavior of Bellows for Electromagnetic Control Valve (전자기 제어 밸브를 위한 벨로우즈의 기계적 거동에 관한 연구)

  • Son, In-Seo;Hwang, Seon;Shin, Dong-Kil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.432-437
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    • 2016
  • The behavior of a bellows for an electromagnetic control valve was investigated. The bellows consists of an outer metal bellows, inner spring, and metal caps. The bellows needs to have sensitive and precise motion against external loads and pressure loads in order to control the position of the valve accurately. The spring constant of the inner spring and load-displacement curve of the bellows set were measured using a test machine. The inner spring showed a linear relation between load and displacement. The bellows set showed small stiffness at small displacement, and then the stiffness slightly increased upon subsequent displacement. Based on the measured data, finite element analysis was performed. Axisymmetric conditions were applied, and shell elements were used. The effective material properties of the outer bellows material were extracted. Additional analysis was performed, and the behavior of the bellows was analyzed using the finite element model.