• Title/Summary/Keyword: Artificial prosthesis

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In Vivo Experiment of Tissue-Engineered Artificial Vessel (조직공학적 인조혈관의 생체 내 이식 실험)

  • 임상현;조승우;홍유선;김병수;유경종;장병철;최차용
    • Journal of Chest Surgery
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    • v.37 no.3
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    • pp.220-227
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    • 2004
  • The number of patients with coronary artery disease and peripheral vascular disease are increasing, and the need of small diameter vessel is also increasing. We developed small diameter artificial vessel and experimented in vivo. We got allogenic valve from mongrel dogs, and removed all cells from the allogenic valve. Then, we seeded autologous bone marrow cells onto the decellularized scaffold. After implantation of artificial vessel into the canine carotid artery, we performed angiography regularly. In case of vessel occlusion or at 8 weeks after operation, we euthanized dogs, and retrieved the implanted artificial vessels. Control vessels were all occluded except one (which developed aneurysmal dilatation). But autologous cell seeded vascular graft were patent by 4 weeks in one, by 6 in one and by 8 weeks in two. Histologic examination of patent vessel revealed similar structure to native artery. Tissue-engineered vascular graft manufactured with decellularized allogenic matrix and autologous bone marrow cells showed that tissue engineered graft had similar structure to native artery.

A Study on the magnetization of metal orthopedic prosthesis in magnetic resonance imaging (자기공명 영상장치에서 정형보철금속의 자화(磁化)에 관한 연구)

  • Kim, Hyeong-Gyun;Song, Duk-Chung;Choi, Seong-Dae
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.4
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    • pp.34-39
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    • 2013
  • For orthopedic artificial metal stainless steel, the magnetization of the magnetic field due to the presence of the titanium was to observe the change. Magnetic field meter (Tesla meters) a certain distance (ISO Centre) 1.5 Tesla magnetic field, the magnetization in the center with the passage of time were measured. Therefore, these artificial metal clip shape and magnetization of the sample size to produce a ferromagnetic material for comparison is the experimental dependence. For comparison of the experimental dependence of the magnetization, thereby producing a test piece size such as shaping prosthetic metal Clip is a ferromagnetic material. The experimental results, the metal orthopedic implants, there was no change in the magnetization indicated by ferromagnetic material in its natural state. However, in a magnetic field of 1.5T (Tesla), showed a sensitivity that is magnetized rapidly compared to the ferromagnetic material. In conclusion, high in the order of Clip, Stainless, of Titanium, the degree of dependence of the magnetization intensity of magnetization was the order Stainless, Titanium, of Clip in a magnetic field.

Fabrication of surveyed crown and repairing the artificial teeth for existing removable partial denture using digital technology: a case report (디지털 방식을 이용한 기존 국소의치 맞춤 보철 제작과 심미적인 인공치 수리 증례)

  • Ina Kim;Eunji Oh;Sang-Won Park;Hyun-Pil Lim;Kwi-dug Yun;Chan Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.82-90
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    • 2024
  • It often happens that a removable partial denture needs to be repaired due to tissue changes in the remaining alveolar ridge, fracture of the denture, or fracture of the abutment tooth. There are several advantages to retrofitting a customized surveyed crown under the existing RPD. Retrofitting a crown to the RPD decreases the economic burden to the patient and avoids the need for several appointments to fabricate a new RPD. It is difficult for artificial teeth used to repair dentures due to fractured natural teeth to have a shape similar to that of natural teeth, and to repair aesthetic artificial teeth, it is necessary to manufacture customized artificial teeth similar to the shape of each patient's teeth. Recently, CAD/CAM technology has been used to fabricate customized prosthetics on existing RPD to achieve high retention and fitness accuracy, and by manufacturing customized artificial teeth, more aesthetic and harmonious artificial tooth repair is possible. This is a case in which a denture was repaired using a digital method to fabricate a customized prosthesis on an existing partial denture and customized artificial teeth that mirrored the adjacent dentition, saving time and cost, simplifying the process, and achieving aesthetically and functionally satisfactory results.

Design of Compact Magneto-Rheological Fluid Damper for Artificial Low-Limb Prosthesis (Magneto-Rheological Fluid를 이용한 인공지능 의족의 Compact damper 개발)

  • Sung, So-Young;Kang, S.J.;Moon, I.H.;Moon, M.S.;Jang, S.M.
    • Proceedings of the KIEE Conference
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    • 2005.07d
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    • pp.2962-2964
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    • 2005
  • Magneto-Rheological (MR) fluid is suspension of fine magnetic particles in a liquid carrier such as silicon oil or water. MR fluid exhibits solid-like mechanical behavior into chain or clusters with high yield stress when magnetic field is applied to the particles. The response of MR fluids is very quick and reversible after removal of the field. MR Fluids have high yield stress (up to 5kPs) and operate in low voltage power supply. Recently, MR damper using MR fluids was open used in vibration control system such as structural devices, seat vibration controllers and helicopter rotor systems, but it is too big in size and heavy. Therefore, it is not appreciate to rehabilitation devices such as prosthetic limbs.

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Microstructures and Elastic Moduli of the Alloys Containing the Biocompatible Alloying Elements (생체 친화적인 원소를 함유한 티타늄합금의 미세조직과 탄성계수)

  • Jeong, Hui-Won;Kim, Seung-Eon;Hyeon, Yong-Taek;Lee, Yong-Tae
    • 연구논문집
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    • s.33
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    • pp.157-165
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    • 2003
  • New titanium alloys with a low elastic modulus have been developed for biomedical applications to avoid the stress shielding effect of the artificial prosthesis. The newly developed alloys contained the transition elements like Zr, Hf, Nb, Ta which were non-cytotoxicity elements and $\beta$ stabilizers. In the present paper the elastic moduli of Ti-xM containing Zr, Hf, Nb, Ta were evaluated by measuring the acoustic velocity (PEG). The effectiveness of the alloying elements for lowering the elastic modulus was investigated. In addition, the dominant factors for the low modulus were discussed. Ta was the most effective in lowering the elastic modulus of the alloys. The effectiveness of Hf was not acceptable for decreasing the elastic modulus. The dominant factor was the lattice parameter for Zr, and the poisson's ratio for Nb, Ta, respectively.

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A Study on the Interface Micromotions of Cementless Artificial Hip Replacement by Three-Dimensional FEM (무시멘트형 인공고관절 대치술후 초기의 경계면 미세운동의 3차원 FEM 연구)

  • Kim, S.K.;Chae, S.W.;Choi, H.Y.
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.71-74
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    • 1994
  • In cementless total hip arthroplasty(THA), an initial stability of the femoral component is mandatory to achieve bony ingrowth and secondary long term fixation. Bone ingrowth depends strongly on relative micromotion and stress distributions at the interface. Primary stability of the femoral component can be obtained by minimizing the magnitude of relative micromotions at bone-prosthesis interface, Hence an accurate evaluation of interface behavior and stress/strain fields in the bone implant system may be relevant for better understanding of clinical situations and improving THA design. However, complete evaluation of load transfer in the bone remains difficult to assess experimentally, Hence, recently finite element method (FEM) was introduced in orthopaedic research field to fill the gap due to its unique capacity to evaluate stress in structure of complex shape, loading and material behavior. The authors developed the 3-dimensional numerical finite element model which is composed of totally 1179 elements off and 8 node blick. We also analyzed the micromotions at the bone-stem interface and mechanical behavior of existing bone prosthesis for a loading condition simulating the single leg stance. The result indicates that the values of relative motion for this well fit Multilock stem were $150{\mu}m$ in maximum, $82{\mu}m$ in minimum, and the largest relative motion developed in medial region of proximal femur with anterior-posterior direction. The proximal region of the bone was much larger in motion than the distal region and the stress pattern shows high stress concentration on the cortex near the tip of the stem. These findings indicates that the loading in the proximal femoral bone in the early postoperative situation can produce micromotions on the interface and clinically cementless TEA patient should not be allowed weight bearing strictly early in the postoperative period.

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Flexural strengths of implant-supported zirconia based bridges in posterior regions

  • Rismanchian, Mansour;Shafiei, Soufia;Nourbakhshian, Farzaneh;Davoudi, Amin
    • The Journal of Advanced Prosthodontics
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    • v.6 no.5
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    • pp.346-350
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    • 2014
  • PURPOSE. Impact forces in implant supported FDP (fixed dental prosthesis) are higher than that of tooth supported FDPs and the compositions used in frameworks also has a paramount role for biomechanical reasons. The aim of this study was to evaluate the flexural strength of two different zirconia frameworks. MATERIALS AND METHODS. Two implant abutments with 3.8 mm and 4.5 mm platform were used as premolar and molar. They were mounted vertically in an acrylic resin block. A model with steel retainers and removable abutments was fabricated by milling machine; and 10 FDP frameworks were fabricated for each Biodenta and Cercon systems. All samples were thermo-cycled for 2000 times in $5-55^{\circ}C$ temperature and embedded in $37^{\circ}C$ artificial saliva for one week. The flexural test was done by a rod with 2 mm ending diameter which was applied to the multi-electromechanical machine. The force was inserted until observing fracture. The collected data were analyzed with SPSS software ver.15, using Weibull modulus and independent t-test with the level of significance at ${\alpha}=.05$. RESULTS. The mean load bearing capacity values were higher in Biodenta but with no significant differences (P>.05). The Biodenta frameworks showed higher load bearing capacity ($F_0=1700$) than Cercon frameworks ($F_0=1520$) but the reliability (m) was higher in Cercon (m=7.5). CONCLUSION. There was no significant difference between flexural strengths of both zirconia based framework systems; and both Biodenta and Cercon systems are capable to withstand biting force (even parafunctions) in posterior implant-supported bridges with no significant differences.

Multiple consecutive-biphasic pulse stimulation improves spatially localized firing of retinal ganglion cells in the degenerate retina

  • Jungryul Ahn;Yongseok Yoo;Yong Sook Goo
    • The Korean Journal of Physiology and Pharmacology
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    • v.27 no.6
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    • pp.541-553
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    • 2023
  • Retinal prostheses have shown some clinical success in restoring vision in patients with retinitis pigmentosa. However, the post-implantation visual acuity does not exceed that of legal blindness. The reason for the poor visual acuity might be that (1) degenerate retinal ganglion cells (RGCs) are less responsive to electrical stimulation than normal RGCs, and (2) electrically-evoked RGC spikes show a more widespread not focal response. The single-biphasic pulse electrical stimulation, commonly used in artificial vision, has limitations in addressing these issues. In this study, we propose the benefit of multiple consecutive-biphasic pulse stimulation. We used C57BL/6J mice and C3H/HeJ (rd1) mice for the normal retina and retinal degeneration model. An 8 × 8 multi-electrode array was used to record electrically-evoked RGC spikes. We compared RGC responses when increasing the amplitude of a single biphasic pulse versus increasing the number of consecutive biphasic pulses at the same stimulus charge. Increasing the amplitude of a single biphasic pulse induced more RGC spike firing while the spatial resolution of RGC populations decreased. For multiple consecutive-biphasic pulse stimulation, RGC firing increased as the number of pulses increased, and the spatial resolution of RGC populations was well preserved even up to 5 pulses. Multiple consecutive-biphasic pulse stimulation using two or three pulses in degenerate retinas induced as much RGC spike firing as in normal retinas. These findings suggest that the newly proposed multiple consecutive-biphasic pulse stimulation can improve the visual acuity in prosthesis-implanted patients.

Development of Artificial Vessels with Autologous Bone Marrow Cells and Polymers (자기 골수세포와 고분자 폴리머를 이용한 인공 혈관의 개발)

  • Choi, Jin-Wook;Lim, Sang-Hyun;Hong, You-Sun;Kim, Byung-Soo
    • Journal of Chest Surgery
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    • v.41 no.2
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    • pp.160-169
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    • 2008
  • Bakcground: To treat anastomosis site stenosis and occlusion of the artificial vessels used in vascular surgery, tissue-engineered artificial vessels using autologous cells have been constructed. We developed artificial vessels using a polymer scaffold and autologous bone marrow cells and performed an in vivo evaluation. Material and Method: We manufactured a vascular scaffold using biodegradable PLCL (poly lactide-co-${\varepsilon}$-caprolactone) and PGA (poly glycolic acid) fibers. Then we seeded autologous bone marrow cells onto the scaffold. After implantation of the artificial vessel into the abdominal aorta, we performed an angiography 3 weeks after surgery. After the dogs were euthanized we retrieved the artificial vessels and performed histological analysis. Result: Among the six dogs, 2 dogs died of massive bleeding due to a crack in the vascular scaffold 10 days after the operation. The remaining four dogs lived for 3 weeks after the operation. In these dogs. the angiography revealed no stenosis or occlusion at 3 weeks after the operation. Gross examination revealed small thrombi on the inner surface of the vessels and the histological analysis showed three layers of vessel structure similar to the native vessel. Immunohistochemical analysis demonstrated regeneration of the endothelial and smooth muscle cell layers. Conclusion: A tissue engineered vascular graft was manufactured using a polymer scaffold and autologous bone marrow cells that had a structure similar to that of the native artery. Further research is needed to determine how to accommodate the aortic pressure.

Surgical Outcome of Cervical Arthroplasty Using $Bryan^{(R)}$

  • Kim, Hong-Ki;Kim, Myung-Hyun;Cho, Do-Sang;Kim, Sung-Hak
    • Journal of Korean Neurosurgical Society
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    • v.46 no.6
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    • pp.532-537
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    • 2009
  • Objective : Recently, motion preservation has come to the forefront of emerging technologies in spine surgery. This is the important background information of the emergence of cervical arthroplasty as an alternative to arthrodesis that offers the promise of restoring normal spinal movement and reduces a kinematic strain on adjacent segments. The study was designed to evaluate early surgical outcome and radiological effects of $Bryan^{(R)}$ cervical disc prosthesis. Methods : The authors retrospectively reviewed radiographic and clinical outcomes in 52 patients who received the $Bryan^{(R)}$ Cervical Disc prosthesis, for whom follow-up data were available. Static and dynamic radiographs were measured by computer to determine the angles formed by the endplates of the natural disc preoperatively, those formed by the shells of the implanted prosthesis, the angle of functional spine unit (FSU), and the C2-7 Cobb angle. The range of motion (ROM) was also determined radiographically, whereas clinical outcomes were assessed using Odom's criteria, visual analogue pain scale (VAS) and neck disability index (NDI). Results : A total of 71 $Bryan^{(R)}$ disc were placed in 52 patients. A single-level procedure was performed in 36 patients, a two-level procedure in 13 patients, and a three-level procedure in 3. Radiographic and clinical assessments were made preoperatively. Mean follow-up duration was 29.2 months, ranging from 6 to 36 months. All of the patients were satisfied with the surgical results by Odom's criteria, and showed significant improvement by VAS and NDI score (p < 0.05). The postoperative ROM of the implanted level was preserved without significant difference from preoperative ROM of the operated level (p < 0.05). 97% of patients with a preoperative lordotic sagittal orientation of the FSU were able to maintain lordosis. The overall sagittal alignment of the cervical spine was preserved in 88.5% of cases at the final follow up. Interestingly, preoperatively kyphotic FSU resulted in lordotic FSU in 70% of patients during the late follow up, and preoperatively kyphotic overall cervical alignment resulted in lordosis in 66.6% of the patients postoperatively. Conclusion : Arthroplasty using the $Bryan^{(R)}$ disc seemed to be safe and provided encouraging clinical and radiologic outcome in our study. Although the early results are promising, this is a relatively new approach, therefore long-term follow up studies are required to prove its efficacy and its ability to prevent adjacent segment disease.