• 로봇학회논문지
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• 제14권1호
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• pp.58-64
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• 2019

The paper proposes a stiffness measurement device composed of a measurement part including six indenters and a fixing part including four fixtures. The device is able to make simultaneously measurements of the stiffness of human arm. The six indenters make use of both position and force control schemes sequentially whenever needed. In addition, the loadcells and the digital encoders are attached to the indenters and electric motors, respectively, so that the data can be provided in real time. On the end of the indenter, two-axis potentiometer is attached in order to measure the angle difference between the applied force axis and the axis normal to the skin of human arm, and to convert the force measured on the loadcell into the actual applied force to skin. For this purpose, the mapping between the voltage output and the angle of potentiometer was obtained by fitting it for each axis. Ultimately, the measurement device was able to measure the stiffnesses of six regions of human arm.

• 융합신호처리학회논문지
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• 제25권2호
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• pp.77-85
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• 2024

의족과 절단단을 연결해주는 현가장치는 하지 절단 장애인이 의족착용을 가능하게 하며 보행뿐만 아니라 일상생활 중에서도 항상 절단단과 접촉되어 있어 의족 사용 중 가장 민감하게 느끼는 부분이다. 본 논문에서는 영구자석의 인력과 척력의 원리를 이용하여 자석의 극성변화로 하지 절단 장애인들의 절단단과 의족을 고정할 수 있는 자석락 현가장치를 개발하였다. 자석락의 작동 방식은 비자성체인 황동심을 기준으로 좌우에 네오디움 자석을 NNSS로 배치 시 자력은 흡착부재를 매개체로 하여 황동심을 넘어 외부로 흘러 결합력이 발생하며, 90도 회전 시 자석은 NSNS로 위치 이동하며 자력이 내부로 흘러 상쇄되는 원리이다. 이를 바탕으로 인장강도를 통한 결합력 시험 및 비교군인 셔틀락 현가장치와의 단기적인 의족 비교 평가를 수행하여 시제품에 대한 신뢰성 검증 및 만족도를 평가하였다. 그 결과 적정 결합력을 상회하는 인장강도를 확인하였으며 자석락이 셔틀락 대비 높은 만족도를 나타냈다. 추후 제품화를 위한 장기적인 ADL 임상시험을 수행해 실제 절단 장애인들에게 보급 가능한 제품으로 개발하고자 한다.

• Archives of Plastic Surgery
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• 제47권1호
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• pp.20-25
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• 2020

Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications. Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups. Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242-8.516; P=0.016). Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique.

• 로봇학회논문지
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• 제19권2호
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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.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2007년도 제5차 연수강좌
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• pp.189-195
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• 2007

$\cdot$ Difficult & Challenging Fracture $\cdot$ Most Treated Nonoperative $\cdot$ ORIF in Young Patients with Unstable Fractures $\cdot$ Fixed Angles Device is Promising $\cdot$ Prosthetic Arthroplasty in Elderly $\cdot$ Loss of Motion Very Common

• 대한의용생체공학회:의공학회지
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• 제16권1호
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• pp.61-66
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• 1995

We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane. To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medicals prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volllme and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate.

• The Journal of Advanced Prosthodontics
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• 제10권4호
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• pp.315-320
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• 2018

PURPOSE. Fractures, occlusal adjustments, or marginal corrections after removing excess composite cements result in rough surfaces of all-ceramic FPDs. These have to be polished to prevent damage of the surrounding tissues. The aim of this study was to evaluate the roughness of zirconia, silicate-ceramic, and composite after polish with different systems for intraoral use. MATERIALS AND METHODS. Each set of 50 plates was made of zirconia, silicate-ceramic, and composite. All plates were ground automatically and were divided into 15 groups according to the treatment. Groups Zgrit, Sgrit, and Cgrit received no further treatment. Groups Zlab and Slab received glaze-baking, and group Clab was polished with a polishing device. In the experimental groups Zv, Sv, Cv, Zk, Sk, Ck, Zb, Sb, and Cb, the specimens were polished with ceramic-polishing systems "v", "k", and "b" for intraoral use. Roughness was measured using profilometry. Statistical analysis was performed with ANOVA and $Scheff{\acute{e}}$-procedure with the level of significance set at P=.05. RESULTS. All systems reduced the roughness of zirconia, but the differences from the controls Zgrit and Zlab were not statistically significant (P>.907). Roughness of silicate ceramic was reduced only in group Sv, but it did not differ significantly from both controls (P>.580). Groups Cv, Ck, and Cb had a significantly rougher surface than that of group Clab (P<.003). CONCLUSION. Ceramic materials can be polished with the tested systems. Polishing of interface areas between ceramic and composite material should be performed with polishing systems for zirconia first, followed by systems for veneering materials and for composite materials.

• Physical Therapy Rehabilitation Science
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• 제3권2호
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• pp.119-124
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• 2014

Objective: The use of chemicals for building prosthetic sockets present the possibility of being hazardous and unsafe due to off-gassing. The purpose of the present study was to investigate if freshly made materials used in prosthetic sockets causes off-gassing that would penetrate the skin and cause damage to the kidneys or blood. Design: Cross-sectional study. Methods: In this research, the off-gassing effects during the initial curing process of styrene monomer, vinyl ester resin, epoxy methacrylate resin, benzene-1, 3-dimethaneamine, trimethylhexanedlamine, and paratertiarybutylphenol were analyzed. Acid detection strips were placed inside newly fabricated mock-prosthetic sockets and left overnight in a closed environment to find out if acid was present in the invisible fumes. The plastic was worn by 9 subjects and urinalysis was made after 48 hours to test for any kidney or blood toxicity of the resins. Results: After wearing the plastic cuff for 48 hours, the ratio of protein to creatinine in the urine was raised to an abnormal level in five out of nine subjects. Four out of the nine subjects showed normal protein to creatinine ratios after wearing the device. The results showed that damage to the kidney occurred from wearing the resins after curing in half of the subjects. Conclusions: It is very important to conduct patient intakes which includes the assessment of renal function. Off-gassing in vented chambers may be needed to protect both prosthetists and patients.

• Archives of Plastic Surgery
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• 제46권4호
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• pp.303-310
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• 2019

Background Prosthetic hands with a myoelectric interface have recently received interest within the broader category of hand prostheses, but their high cost is a major barrier to use. Modern three-dimensional (3D) printing technology has enabled more widespread development and cost-effectiveness in the field of prostheses. The objective of the present study was to evaluate the clinical impact of a low-cost 3D-printed myoelectric-interface prosthetic hand on patients' daily life. Methods A prospective review of all upper-arm transradial amputation amputees who used 3D-printed myoelectric interface prostheses (Mark V) between January 2016 and August 2017 was conducted. The functional outcomes of prosthesis usage over a 3-month follow-up period were measured using a validated method (Orthotics Prosthetics User Survey-Upper Extremity Functional Status [OPUS-UEFS]). In addition, the correlation between the length of the amputated radius and changes in OPUS-UEFS scores was analyzed. Results Ten patients were included in the study. After use of the 3D-printed myoelectric single electromyography channel prosthesis for 3 months, the average OPUS-UEFS score significantly increased from 45.50 to 60.10. The Spearman correlation coefficient (r) of the correlation between radius length and OPUS-UEFS at the 3rd month of prosthetic use was 0.815. Conclusions This low-cost 3D-printed myoelectric-interface prosthetic hand with a single reliable myoelectrical signal shows the potential to positively impact amputees' quality of life through daily usage. The emergence of a low-cost 3D-printed myoelectric prosthesis could lead to new market trends, with such a device gaining popularity via reduced production costs and increased market demand.

• 재활복지공학회논문지
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• 제7권2호
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• pp.19-26
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• 2013

본 논문에서는 다수의 특징 값 중에서 적합한 특징 및 채널을 선택하는 sEMG 신호기반 보행단계 인식기법을 제안한다. 제안하는 방법은 sEMG 신호 기반 분류기를 이용하여 하지 절단 환자의 동력의족을 제어하며, 적응적으로 특징 및 채널들을 선택하여 임베디드 시스템의 신호처리과정에서 발생하는 오버헤드를 감소시킨다. 또한 피험자의 보행 습관에 따라 근육 발달도가 다르다는 특성을 이용하여 피험자의 보행단계에 따라 사용 빈도가 높은 근육과 특징 추출 알고리즘을 선택함으로서 정확도를 향상시킨다. 실험 결과 피험자마다 인식율이 높은 근육이 다르다는 것을 발견하였다. 또한 모든 특징들과 채널들을 이용하는 기존 방법의 경우 50%의 평균정확도를 보인 반면에 제안한 방법은 91%의 평균정확도를 보였다. 따라서 소수의 발달된 근육과 이에 맞는 특징을 사용한 sEMG기반 보행단계인식 방법이 하지절단환자의 동력의족을 제어하는 데 적용될 수 있음을 확인하였다.