• Journal of radiological science and technology
• /
• v.46 no.2
• /
• pp.151-157
• /
• 2023

The purpose of this study was to develop an assist device that could correct and support patient position during biopsy on computed tomography (CT) using 3D printing technology. The development method was conducted in the order of 3D design, 3D output, intermediate evaluation for product, final assist device evaluation. The 3D design method was conducted in the order of prior research data survey, measurement, primary modeling, 3D printing, output evaluation, and supplementary modeling. The 3D output was the 3D printer (3DWOX 2X, Sindoh, Korea) with additive manufacturing technology and the polylactic acid (PLA) materials. At this time, the optimal strength was evaluated to infill degree of product as the 3D printing factors into 20%, 40%, 60%, and 80%. The intermediate evaluation and supplementation was measured noise in the region of interest (ROI) around the beam hardening artifact on the CT images. We used 128-channel MDCT (Discovery 75 HD, GE, USA) to scan with a slice thickness of 100 kVp, 150 mA, and 2.5 mm on the 3D printing product. We compared the surrounding noise of the final 3D printing product with the beginning of it. and then the strength of it according to the degree of infill was evaluated. As a result, the surrounding noise of the final and the early devices were measured at an average of 3.3 ± 0.5 HU and 7.1 ± 0.1 HU, respectively, which significantly reduced the noise of the final 3D printing product (p<0.001). We found that the percentage of infill according to the optimal strength was found to be 60%. Finally, development of assist devices for CT biopsy will be able to minimize artifacts and provide convenience to medical staff and patients.

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.2
• /
• pp.143-150
• /
• 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
• /
• v.57 no.2
• /
• pp.184-194
• /
• 2024

Background: Left ventricular assist devices (LVADs) are widely employed as a therapeutic option for end-stage heart failure. We evaluated the outcomes associated with centrifugal-flow LVAD implantation, comparing 2 device models: the Heartmate 3 (HM3) and the Heartware Ventricular Assist Device (HVAD). Methods: Data were collected from patients who underwent LVAD implantation between June 1, 2015 and December 31, 2022. We analyzed overall survival, first rehospitalization, and early, late, and LVAD-related complications. Results: In total, 74 patients underwent LVAD implantation, with 42 receiving the HM3 and 32 the HVAD. A mild Interagency Registry for Mechanically Assisted Circulatory Support score was more common among HM3 than HVAD recipients (p=0.006), and patients receiving the HM3 exhibited lower rates of preoperative ventilator use (p=0.010) and extracorporeal membrane oxygenation (p=0.039). The overall early mortality rate was 5.4% (4 of 74 patients), with no significant difference between groups. Regarding early right ventricular (RV) failure, HM3 implantation was associated with a lower rate (13 of 42 [31.0%]) than HVAD implantation (18 of 32 [56.2%], p=0.051). The median rehospitalization-free period was longer for HM3 recipients (16.9 months) than HVAD recipients (5.3 months, p=0.013). Furthermore, HM3 recipients displayed a lower incidence of late hemorrhagic stroke (p=0.016). In the multivariable analysis, preoperative use of continuous renal replacement therapy (odds ratio, 22.31; p=0.002) was the only significant predictor of postoperative RV failure. Conclusion: The LVAD models (HM3 and HVAD) demonstrated comparable overall survival rates. However, the HM3 was associated with a lower risk of late hemorrhagic stroke.

• International Journal of Control, Automation, and Systems
• /
• v.1 no.3
• /
• pp.368-375
• /
• 2003

Data fusion approach is investigated to avoid suction in the left ventricular assist system (LVAS) using a nonpulsatile pump. LVAS requires careful control of pump speed to support the heart while preventing suction in the left ventricle and providing proper cardiac output at adequate perfusion pressure to the body. Since the implanted sensors are usually unreliable for long-term use, a sensorless approach is adopted to detect suction. The pump model is developed to provide the load coefficient as a necessary signal to the data fusion system without the implanted sensors. The load coefficient of the pump mimics the pulsatility property of the actual pump flow and provides more comparable information than the pump flow after suction occurs. Four signals are generated from the load coefficient as inputs to the data fusion system for suction detection and a neural fuzzy method is implemented to construct the data fusion system. The data fusion approach has a good ability to classify suction status and it can also be used to design a controller for LVAS.

• Journal of Chest Surgery
• /
• v.47 no.4
• /
• pp.409-412
• /
• 2014

Percutaneous extracorporeal life support (P-ECLS) is a useful modality for the management of refractory cardiac or pulmonary failure. However, venoarterial P-ECLS may result in a complication of left ventricular distension. In this case report, we discuss a patient with drug-induced dilated cardiomyopathy managed with venoarterial P-ECLS and a left atrial vent catheter. The venoarterial P-ECLS was modified to a paracorporeal left ventricular assist device (LVAD) by removing the femoral venous cannula. After 28 days of hospitalization, the patient was successfully weaned from the paracorporeal LVAD and discharged home from the hospital.

• 제어로봇시스템학회:학술대회논문집
• /
• 2003.10a
• /
• pp.1495-1499
• /
• 2003

There is some equipment that helps user to exercise and to walk. But almost all equipments require some physical strength of their muscles. So we developed a system that could assist walking action of the people with lower-limb disability. The system called as walking stand adopted the balancing mechanism which assures the stable walking, and the 4 link-based mechanism that had 2 degrees of freedom on each leg. The walking stand uses four motors and has two sets of the special link-structure to simulate the human walking mechanism. With our system, even serious disabled with lower-limb disability may enjoy walking rehabilitation. And by adjusting the power, it can be used as the walking assistant mechanism instead of conventional wheelchairs. Experiments showed that our walking stand is applicable to the rehabilitation and also to the mobile device in our daily life for those people who do not have enough physical ability to walk by themselves.

• International Journal of Automotive Technology
• /
• v.6 no.4
• /
• pp.429-436
• /
• 2005

In this paper, operation algorithms are evaluated for a fuel cell hybrid electric vehicle (FCHEV). Power assist, load leveling and equivalent fuel algorithm are proposed and implemented in the FCHEV performance simulator. It is found from the simulation results that the load leveling algorithm shows poor fuel economy due to the system charge and discharge efficiency. In the power assist and equivalent fuel algorithm, the fuel cell stack is operated in a relatively better efficiency region owing to the battery power assist, which provides the improved fuel economy.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.6 no.1
• /
• pp.52-58
• /
• 1998

The spray characteristics of air-assisted fuel injection and its effects on the engine combustion was investigated in this study. The atomization characteristics of a Bosch fuel injector inserted into the air-assist adapter were measured using particle motion analysis system. Droplet size decreased with air supplied and fine spray with below $60\mu\textrm{m}$ of SMD was acquired under the conditions of air-assist pressure over 0.5bar. The lean combustion performance of a 1.8L DOHC engine equipped with air-assist adapters was tested on the dynamometer. When the assistant air pressure is 1.0bar, lean limit recorded the highest value, and CO, HC emissions were decreased at the pressure over 1.0bar.

• Journal of Welding and Joining
• /
• v.13 no.4
• /
• pp.113-121
• /
• 1995

This study deals with the quality and the optimum range of laser cutting process. Cold rolled steel sheets for automobile application were cut by a high power CO$_{2}$ laser system with beam quality of TEM$_{\infty}$ mode. Both process parameters such as travel speed and assist gas pressure, and quality factors were considered to optimize the laser cutting. It was revealed that the thinner the sheet thickness, the less effect of oxidation energy for contributing the cutting process. High speed photographs demonstrated that molten spot on the cut surface moved in a random and vigorous manner according to its viscosity and the flowing direction of assist gas, which resulted in so called striation. Laser cutting produced a very smooth surface of average roughness(Ra) about less than 1.5.mu.m at the optimum range. It was also shown that the characteristics of dross formation was influenced by the flowing durection of assist gas and the fluidity of molten metal drop..

• Journal of the Korean Society of Manufacturing Process Engineers
• /
• v.11 no.1
• /
• pp.33-38
• /
• 2012

An experimental study was carried out to observe the characteristics of impingement of assist gas from a rectangular supersonic nozzle on kerf surface in laser machining. A micro-scale supersonic (Mach number 2.0) rectangular nozzle system was designed and fabricated for the purposes, and hot tests of the performance of the nozzle system was proceeded in the ITI corporation laboratory. For various related parameters such as laser powers, nozzle pressures and cutting speeds, the quality of the frontal view of cut edge surfaces was observed by a microscope. In the study, it was shown that the application of the present micro-rectangular supersonic nozzle in an off-axis configuration made it possible to cut a mild steel, by combinations of relatively low laser - powers, large standoff distances, and assist gas with no oxygen, which was not achieved by conventional laser cutting processes.