• 제목/요약/키워드: assist

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소아개심술 후 시행한 순환보조장치의 임상적 고찰 (Postcardiotomy Mechanical Circulatory Support in Congenital Heart Diseases)

  • 권오춘;이영탁
    • Journal of Chest Surgery
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    • 제33권5호
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    • pp.385-390
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    • 2000
  • Background: To review the experience that used both ventricular assist device(VAD) and extracorporeal membrane oxygenation(ECMO) for children with congential heart disease requiring postcardiotomy mechanical circulatory support. Material and Method: Between March 1993 and May 1995, we applied mechanical assist device using centrifugal pump to the 16 patients who failed to be weaned from cardiopulmonary bypass(n=15) or had been in cardiogenic shock in intensive care unit(n=1). The diagnosis were all congenital heart diseases and the ages of patients ranged from 20 days to 10 years (mean age=2.5$\pm$3.5 years). Result: The methods of mechanical circulatory support were LVAD(n=13), BVAD (n=1), and ECMO(n=2). The mean assist times were 54.0$\pm$23.7 hours. Post-assist complications were in orders: bleeding, acute renal failure, ventricular failure, respiratory failure, infection, and neurologic complication. It was possible for 9 patients(56.3%) to be weaned from assist device and 5 patients(31.3%) were discharged from hospital. There was no statistical significant between hospital discharged group and undischarged group by age, body weight, cardiopulmonary bypass time, and assist time. Conclusion: The ventricular assist device is an effective modality in salvaging the patient who failed to be weaned from cardiopulmonary bypass, but multiple factors must be considered for improving the results of mechanical circulatory support ; such as patient selection, optimal time of starting the assist device, and prevention and management of the complications.

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Development of Wound Rotor Synchronous Motor for Belt-Driven e-Assist System

  • Lee, Geun-Ho;Lee, Heon-Hyeong;Wang, Qi
    • Journal of Magnetics
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    • 제18권4호
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    • pp.487-493
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    • 2013
  • The automotive industry is showing widespread interest in belt-driven electric motor-assisted (e-Assist) systems. A belt-driven assist system (BAS) starts and assists the combustion engine in place of the conventional generator. In this study, a water-cooled wound rotor synchronous motor (WRSM) for the e-Assist system was designed and analyzed. The performance of the WRSM was compared with that of an interior permanent magnet synchronous motor (IPMSM). The WRSM efficiency can be improved for the BAS by adjusting the field flux at high speeds. The field current map to obtain the maximum efficiency based on the speed and torque was developed. To control the field flux via field current control in the WRSM, a general H-bridge circuit was added to the WRSM inverter to get the rapid current response in the high-speed region; the characteristics were compared with the chopper circuit. A WRSM developed for the belt-driven e-Assist system and a prototype 115 V power electronic converter to drive the WRSM were tested with a 900 cc combustion engine. The test results showed that the WRSM-type e-Assist system had good characteristics and could successfully start and assist the 900 cc combustion engine.

Overview of Human Adaptive Mechatronics and Assist-control to Enhance Human's Proficiency

  • Suzuki, Satoshi;Furuta, Katsuhisa;Harashima, Fumio
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.1759-1764
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    • 2005
  • Human Adaptive Mechatronics(HAM) is a new concept which was proposed in our university's research project sponsored by Japanese Ministry of Education, Sports, Culture, Science and Technology(MEXT), and is defined as "intelligent mechanical systems that adapt themselves to the user's skill under various environments, assist to improve the user's skill, and assist the human-machine system to achieve best performance". In this paper, the concept and key-items of HAM are mentioned. And the control strategy to realize a HAM human-machine system is explained in the case of physical-interface system, i.e. haptic system. The proposed assist-control of a force-feedback type haptic system includes online estimation of a operator's control characteristics, and a `force assist' function implemented as a change in the support ratio according to the identified skill level. We developed a HAM-haptic device test system, executed evaluation experiments with this apparatus, and analyzed the measured data. It was confirmed that the operator's skill could be estimated and that operator's performance was enhanced by the assist-control.

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The Feasibility Study of Sit-to-stand and Stand-to-sit Assistive Chair for Elderly

  • Seonggwang Yu;Seungmuk Lee;Minsoo Kim;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.591-597
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    • 2022
  • Objective: The sitting and standing are motions that correspond to the previous stage of rehabilitation to go to walking for daily life. The purpose of this study was to measure task times, path length of the center of pressure (COP) and activity on the vastus femoris muscle using surface electromyography (EMG) when standing up and sitting down. Design: One group cross-sectional design Methods: Fifteen elderly subjects (8 male, 7 female) participated. All subjects were tested three times according to four assist levels (non-assist, lower, middle, and maximal assist) using adjusts the length of spring at sit-to-stand and stand to sit on a chair. The task duration, and COP path length were recorded for the balance function on the Nintendo Wii fit board. The activity of the rectus femoris muscle was recorded on both legs using surface EMG. Results: The results showed that the task duration of the sit-to-stand and stand-to-sit were significantly increased compared to without assist (p<.05). The activation of the rectus femoris muscle more significantly decreased compared to without assistance at standing or sitting (p<.05). Conclusions: The assistive chair showed less quadriceps muscle activation during sitting and standing compared to without assistance. We suggest that our assist-standing chair can help with activities of daily living such as standing up and sitting down movements adjusting the spring length for control assist level by safely.

비정형화된 전장 환경에 활용 가능한 고효율-경량형 외골격 착용 로봇의 근력 보조 시스템 개발 (Development of the Power Assist System for High Efficiency and Lightweight Wearable Robot in Unstructured Battlefield)

  • 박희창
    • 한국군사과학기술학회지
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    • 제26권4호
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    • pp.313-323
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    • 2023
  • The wearable robot system is designed to assist human skeletal and muscular systems for enhancing user's abilities in various fields, including medical, industrial, and military. The military has an expanding need for wearable robots with the integration of surveillance/control systems and advanced equipment in unstructured battlefield environments. However, there is a lack of research on the design and mechanism of wearable robots, especially for power assist systems. This study proposes a lightweight wearable robot system that provides comfortable wear and muscle support effects in various movements for soldiers performing high-strength and endurance missions. The Power assist mechanism is described and verified, and the tasks that require power assist are analyzed. This study explain the system including its driving mechanism, control system, and mechanical design. Finally, the performance of the robot is verified through experiments and evaluations, demonstrating its effectiveness in muscle support.

Modeling and designing a power assist circuit using artificial muscle

  • Kagawa, Toshiharu;Fujita, Toshinori;Kawashima, Kenji
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1993년도 한국자동제어학술회의논문집(국제학술편); Seoul National University, Seoul; 20-22 Oct. 1993
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    • pp.121-126
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    • 1993
  • Artificial muscle actuators are used in various fields. Especially, they are applied to the power assist circuit to make use of their characteristics. The purpose of this paper is to and analyze the power assist circuit using an artificial muscle actuator. As a result, it is found that the operating feeling of the power assist circuit depends mainly on the flow gain of the pneumatic servo valve. The required flow gain is calculated from the proposed model, and the experimental results agreed with the calculated results.

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IABP 치험 [31례 보고 (Clinical Experience with Intraaortic Balloon pump - Report of 31 cases -)

  • 최준영
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.706-709
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    • 1987
  • From December 1981 to June 1987, thirty one patients suffering from low output syndrome after cardiac operation received cardiac assist with intraaortic balloon pump. Fifteen patients survived [survival rate 48.4%]. After receiving assist with IABP, urine output increased, heart rate and central venous pressure decreased, reflecting improved myocardial performance. Poor preoperative hemodynamic and functional status resulted in poor survival despite of assist with IABP. Poor pre-IABP hemodynamic status also resulted in high mortality after assist with IABP. Our experience suggests that IABP should be introduced early in the course of worsening to get good result.

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EPS 어시스트 토크에 의한 온 센터 조타감 성능지수 영향도 분석 (Effects of EPS Assist Torque on On-center Steering Feel Indices)

  • 김상섭;경진실
    • 한국자동차공학회논문집
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    • 제22권3호
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    • pp.186-193
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    • 2014
  • On-center handling feel indices are the important numerical factors that meaning performance of manuability and stability felt by drivers. They should be considered to suspension design. The major factor that affect to these indices is the shape of assist torque curve. This paper presents the variables that meaning the shape of the assist torque curve and analyze the effect of each variables. And using interaction formulas, it is proposed that the method to extract the variables that satisfy the goal indices. The result of simulation that applied assist torque curve extracted by the method demonstrate the capability of this method with error under 8%.

Temporary Right Ventricular Assist Device Insertion via Left Thoracotomy after Left Ventricular Assist Device Implantation

  • Park, Ilkun;Cho, Yang Hyun;Chung, Su Ryeun;Jeong, Dong Seop;Sung, Kiick;Kim, Wook Sung;Lee, Young Tak
    • Journal of Chest Surgery
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    • 제52권2호
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    • pp.105-108
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    • 2019
  • Right heart failure is a relatively common complication after left ventricular assist device (LVAD) implantation. Severe right heart failure can be managed by temporary right ventricular assist device (RVAD) implantation. However, trans-sternal RVAD insertion requires a subsequent third sternotomy for cannula removal. Herein, we present a case of RVAD insertion via a left anterior mini-thoracotomy after LVAD implantation in a patient with alcohol-induced cardiomyopathy.