• 제목/요약/키워드: Instrument failure

검색결과 99건 처리시간 0.026초

Risk Factors of Allogenous Bone Graft Collapse in Two-Level Anterior Cervical Discectomy and Fusion

  • Woo, Joon-Bum;Son, Dong-Wuk;Lee, Su-Hun;Lee, Jun-Seok;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
    • /
    • 제62권4호
    • /
    • pp.450-457
    • /
    • 2019
  • Objective : Anterior cervical discectomy and fusion (ACDF) is commonly used surgical procedure for cervical degenerative disease. Among the various intervertebral spacers, the use of allografts is increasing due to its advantages such as no harvest site complications and low rate of subsidence. Although subsidence is a rare complication, graft collapse is often observed in the follow-up period. Graft collapse is defined as a significant graft height loss without subsidence, which can lead to clinical deterioration due to foraminal re-stenosis or segmental kyphosis. However, studies about the collapse of allografts are very limited. In this study, we evaluated risk factors associated with graft collapse. Methods : We retrospectively reviewed 33 patients who underwent two level ACDF with anterior plating using allogenous bone graft from January 2013 to June 2017. Various factors related to cervical sagittal alignment were measured preoperatively (PRE), postoperatively (POST), and last follow-up. The collapse was defined as the ratio of decrement from POST disc height to follow-up disc height. We also defined significant collapses as disc heights that were decreased by 30% or more after surgery. The intraoperative distraction was defined as the ratio of increment from PRE disc height to POST disc height. Results : The subsidence rate was 4.5% and graft collapse rate was 28.8%. The pseudarthrosis rate was 16.7% and there was no association between pseudarthrosis and graft collapse. Among the collapse-related risk factors, pre-operative segmental angle (p=0.047) and intra-operative distraction (p=0.003) were significantly related to allograft collapse. The cut-off value of intraoperative distraction ${\geq}37.3%$ was significantly associated with collapse (p=0.009; odds ratio, 4.622; 95% confidence interval, 1.470-14.531). The average time of events were as follows: collapse, $5.8{\pm}5.7months$; subsidence, $0.99{\pm}0.50months$; and instrument failure, $9.13{\pm}0.50months$. Conclusion : We experienced a higher frequency rate of collapse than subsidence in ACDF using an allograft. Of the various preoperative factors, intra-operative distraction was the most predictable factor of the allograft collapse. This was especially true when the intraoperative distraction was more than 37%, in which case the occurrence of graft collapse increased 4.6 times. We also found that instrument failure occurs only after the allograft collapse.

Effect of adaptive motion on cyclic fatigue resistance of a nickel titanium instrument designed for retreatment

  • Ozyurek, Taha;Yilmaz, Koray;Uslu, Gulsah
    • Restorative Dentistry and Endodontics
    • /
    • 제42권1호
    • /
    • pp.34-38
    • /
    • 2017
  • Objectives: The aim of this study was to evaluate the cyclic fatigue resistance of the ProTaper Universal D1 file (Dentsply Maillefer) under continuous and adaptive motion. Materials and Methods: Forty ProTaper Universal D1 files were included in this study. The cyclic fatigue tests were performed using a dynamic cyclic fatigue testing device, which had an artificial stainless steel canal with a $60^{\circ}$ angle of curvature and a 5 mm radius of curvature. The files were randomly divided into two groups (Group 1, Rotary motion; Group 2, Adaptive motion). The time to failure of the files were recorded in seconds. The number of cycles to failure (NCF) was calculated for each group. The data were statistically analyzed using Student's t-test. The statistical significant level was set at p < 0.05. Results: The cyclic fatigue resistance of the adaptive motion group was significantly higher than the rotary motion group (p < 0.05). Conclusion: Within the limitations of the present study, the 'Adaptive motion' significantly increased the resistance of the ProTaper Universal D1 file to cyclic facture.

티어심 파손 강도를 고려한 동승석 에어백 도어시스템의 최적 설계 (Optimal Design of Passenger Airbag Door System Considering the Tearseam Failure Strength)

  • 최환영;공병석;박동규
    • 자동차안전학회지
    • /
    • 제13권3호
    • /
    • pp.60-68
    • /
    • 2021
  • Invisible passenger airbag door system of hard panel types must be designed with a weakened area such that the side airbag will deploy through the instrument panel as like intended manner, with no flying debris at any required operating temperature. At the same time, there must be no cracking or sharp edges in the head impact test. If the advanced airbag with the big difference between high and low deployment pressure ranges are applied to hard panel types of invisible passenger airbag (IPAB) door system, it becomes more difficult to optimize the tearseam strength for satisfying deployment and head impact performance simultaneously. It was introduced the 'Operating Window' idea from quality engineering to design the hard panel types of IPAB door system applied to the advanced airbag for optimal deployment and head impact performance. Zigzab airbag folding and 'n' type PAB mounting bracket were selected.

Yorick's "besoin de Voyager": Mobility and Sympathy in Laurence Sterne's Sentimental Journey

  • Choi, Ja Yun
    • 영어영문학
    • /
    • 제64권1호
    • /
    • pp.117-133
    • /
    • 2018
  • This article examines Laurence Sterne's Sentimental Journey in the context of eighteenth-century British travel literature. While literary critics generally read Sterne's work as a sentimental novel, contemporary readers initially interpreted the text as a travel narrative. It is my argument that travel writing, particularly the motion entailed in travelling, plays a significant role in Sterne's critical examination of sympathy and its cultural function during this period. By narrating in great detail his narrator Yorick's mobility and the effects it has on his sentimental encounters, Sterne illustrates how sympathy is not only difficult to activate and therefore requires added stimulation in the form of motion, but also does not necessarily result in charitable actions, a moral failure that is dramatized by the literal distance Yorick maintains from the objects of his sympathy. Calling to mind the figurative distance that constitutes an integral part of Adam Smith's formulation of sympathy in The Theory of Moral Sentiments, the distance Yorick establishes through his travels indicates sympathy's failure to bridge the emotional and socioeconomic distance between individuals, thereby highlighting sympathy's limitations as a moral instrument. I argue that by using Yorick's repeated acts of sympathy to explore the problems of sentimentalism, Sterne both draws from and innovates the tradition of employing imaginary voyages to engage in philosophical inquiries.

PCR 과정의 오류 관리를 위한 Fault Tree Analysis 적용에 관한 시범적 연구 (Feasibility Study on the Fault Tree Analysis Approach for the Management of the Faults in Running PCR Analysis)

  • 임지수;박애리;이승주;홍광원
    • Applied Biological Chemistry
    • /
    • 제50권4호
    • /
    • pp.245-252
    • /
    • 2007
  • FTA(fault tree analysis)는 system 오류 관리를 위한 정성적/정량적 기법으로 적용되고 있다. FTA를 적용한 PCR의 오류 관리 system의 구축을 위한 시범적 단계로서 PCR 실행의 여러 단계 중 가장 간단한 단계인 '반응액의 제조 및 PCR 기기 사용 단계'를 모델로 하여 분석하였다. PCR 실행시 발생할 수 있는 오류를 연역적 논리 방식에 의해 fault tree의 형태로 규명하였다. Fault tree는 오류 관리의 최상위 요소인 top event를 중심으로 중간 계층을 이루는 intermediate events와 최하위의 요소인 basic events로 세분하여 구성하였다. Top event는 '반응액의 제조 및 PCR 기기 사용 단계에서의 오류'; 중간계층 events는 '기기 유래 오류', '실험행위 유래 오류'; basic events는 '정전상황', 'PCR 기기 선정', '기기 사용 관리', '기기 내구성', '조작의 오류', '시료 구분의 오류'로 분석되었다. 이로부터 top event의 원인 분석 및 중요 관리점을 도출하기 위하여 정성적/정량적 분석을 실시하였다. 정성적 기법으로 minimal cut sets, structural importance, common cause vulnerability를 분석하였고, 정량적 기법으로 simulation, cut set importance, item importance, sensitivity를 분석하였다. 정성적 분석과 정량적 분석의 결과에서 '시료 구분의 오류'와 '기기 조작의 오류'가 제 1중요관리점; '기기 관리의 오류'와 '내구성에 의한 오류'는 제 2중요관리점으로 일치되게 나타났다. 그러나 '정전상황'과 '기기 선정의 오류'는 정성적 분석에서만 중요관리점으로 분석되었다. 특히 sensitivity 분석에서 '기기 관리의 오류'는 사용 시간이 경과함에 따라 가장 중요한 관리점으로 부각되었다. 결론적으로 FTA는 PCR 모델 case에 대한 오류의 원인 분석 및 그 방지를 위한 중요관리점을 제시함에 따라, 궁극적으로 미래에 PCR의 오류 관리 system을 완성할 수 있는 효과적인 방법으로 사료된다.

NiTi Rotary Instrumentation이 근관만곡도 변화에 미치는 영향 (THE EFFECT OF NiTi ROTARY INSTRUMENTATION ON THE CHANGE OF APICAL ROOT CANAL CURVATURE)

  • 임형태;홍찬의;조용범
    • Restorative Dentistry and Endodontics
    • /
    • 제23권1호
    • /
    • pp.257-268
    • /
    • 1998
  • During cleaning and shaping of narrow and curved canals, it is very difficult or nearly impossible to maintain the original canal shape. Procedural accidents such as, ledge, zipping, perforation, and instrument breakage are frequently occurred and even may lead to failure of endodontic therapy. To prevent these kinds of accidents, various instrumentation techniques and materials have been introduced. Recently some nickel titanium (NiTi) files are introduced and it is reported that These NiTi files created rounder preparations with less transportation than conventional instruments in curved canals. This study compared the change of the canal curvature and procedural accidents after instrumentation produced by stainless steel K-flexo file, and NiTi rotary files (Profile 29 and Quantec 2000). Thirty narrow and curved canals (25-45 degree) of extracted human molars were randomly divided into three groups. In group 1, canals were instrumented using a step-back and watch-winding/pull motion with K-flexo files. In group 2, canals were prepared with Profile 29. Group 3, canals were prepared with Quantec 2000 files. Before and after preparation of canals, periapical radiographs were taken and scanned. The change of canal curvature were measured using Photoshop 4.0 program and the incidence of procedural accidents were also evaluated. The results were as follows: 1. All group showed some loss of canal curvature after instrumentation. 2. Average loss of canal curvature was $6.70{\pm}5.31$ degree for group 1, $3.80{\pm}2.57$ degree for group 2, and $5.40{\pm}4.83$ degree for group 3. All group There was significant change in curvature between before and after instrumentation (p<0.05). But there was no statistical difference amoung 3 groups. 3. In group I, there were no procedural accidents, such as ledging, perforation, or instrument fracture. In group 2, two cases of ledge and one case of instrument fracture were produced Goup 3, each one case of ledge, perforation and instrument fracture were occurred. Whthin the limits of above results, It seems that NiTi rotary instrumentation is not All Mighty and if we use uncarefully, it is more dangerous to produce some procedural accidents than conventional hand files. But more studies should be taken to evaluate the exact effects of NiTi rotary instrumentations.

  • PDF

원자력발전소 케이블 노출 화재 시 기능상실온도 분석 (Cable Functional Failure Temperature Evaluation of Cable Exposed to the Fire of Nuclear Power Plant)

  • 임혁순;배연경;지문구
    • 한국화재소방학회논문지
    • /
    • 제26권1호
    • /
    • pp.10-15
    • /
    • 2012
  • 원전 방화지역에서 화재가 발생할 경우 안전정지 케이블은 단락, 접지, 단선 등 전기적 고장으로 케이블에 고장이 발생하여 그 결과로 안전정지계통의 설비와 기기는 안전정지 기능을 상실할 수 있다. 따라서 원자력 발전소 안전정지계통의 설비와 기능은 다중설계, 계열간 독립 및 분리 원칙에 따라 운영되고 있다. 케이블 화재의 경우 기기 오동작과 오지시 또는 잘못된 계측을 유발할 수 있으며 운전원의 상황 판단에 오류를 일으켜 안전정지 기능을 저해할 수 있다. 본 논문에서는 원자력발전소 케이블 화재 조사 및 원인 분석, 케이블 화재온도 및 기능상실 기준 및 국내 원자력발전소에서 사용중인 케이블을 선정하여 노출 화재 시 케이블 기능상실 온도를 분석하여 케이블 안전성을 확인하였다.

The effects of autoclave sterilization on the cyclic fatigue resistance of ProTaper Universal, ProTaper Next, and ProTaper Gold nickel-titanium instruments

  • Ozyurek, Taha;Yilmaz, Koray;Uslu, Gulsah
    • Restorative Dentistry and Endodontics
    • /
    • 제42권4호
    • /
    • pp.301-308
    • /
    • 2017
  • Objectives: It was aimed to compare the cyclic fatigue resistances of ProTaper Universal (PTU), ProTaper Next (PTN), and ProTaper Gold (PTG) and the effects of sterilization by autoclave on the cyclic fatigue life of nickel-titanium (NiTi) instruments. Materials and Methods: Eighty PTU, 80 PTN, and 80 PTG were included to the present study. Files were tested in a simulated canal. Each brand of the NiTi files were divided into 4 subgroups: group 1, as received condition; group 2, pre-sterilized instruments exposed to 10 times sterilization by autoclave; group 3, instruments tested were sterilized after being exposed to 25%, 50%, and 75% of the mean cycles to failure, then cycled fatigue test was performed; group 4, instruments exposed to the same experiment with group 3 without sterilization. The number of cycles to failure (NCF) was calculated. The data was statistically analyzed by using one-way analysis of variance and post hoc Tukey tests. Results: PTG showed significantly higher NCF than PTU and PTN in group 1 (p < 0.05). Sterilization significantly increased the NCF of PTN and PTG (p < 0.05) in group 2. PTN in group 3 had significantly higher cyclic fatigue resistance than PTN group 4 (p < 0.05). Also, significantly higher NCF was observed for PTG in group 2 than in groups 3 and 4 (p < 0.05). Conclusions: PTG instrument made of new gold alloy was more resistant to fatigue failure than PTN and PTU. Autoclaving increased the cyclic fatigue resistances of PTN and PTG.

AE를 이용한 복합재료 T 조인트부의 파괴거동에 관한 연구 (A Study on the Fracture Behavior of Composite Laminated T-Joints Using AE)

  • 김재훈;안병욱;사정우;박병준
    • 비파괴검사학회지
    • /
    • 제19권4호
    • /
    • pp.277-287
    • /
    • 1999
  • 탄소섬유 복합재료 T 조인트 시험편에 대한 접착특성 및 파손과정을 조사하기 위하여 단순인장 및 하중-제하 인장시험이 수행된다. 시험편은 스킨과 프레임 구조를 가지며, 동시성형과 2차 접착법에 의한 두 종류의 시험편이 제작된다. 단순인장시험동안 시험편의 손상 개시 및 진전시에 AE 특성을 측정하였고, 하중-제하 인장시험동안 진전된 균열길이는 CCD 카메라를 이용하여 측정된다. 또한 시험편 내부의 크랙면 윤곽에 대한 조사는 초음파 C-scan이 사용된다. AE 신호가 급격히 증가하는 하중과 하중-시간 곡선에서 하중강하점은 5% 이내의 오차로 비교적 잘 일치한다. 두 종류의 시험편의 초기균열은 동일한 위치인 중앙 누들부에서 발생되나 최종파단은 동시성형의 경우, 누들부에서, 2차 접착의 경우, 스킨/프레임 끝단에서 일어난다. 이런 결과로부터 두 종류의 시험편은 성형방법에 따라 서로 다른 파손 모드를 보인다.

  • PDF

물류서비스실패시 회복만족에 영향을 미치는 요인에 관한 연구 (A Study on the Factors affecting the Recovery Satisfaction at Logistics Service Failure)

  • 최영로
    • 한국항만경제학회지
    • /
    • 제28권4호
    • /
    • pp.169-191
    • /
    • 2012
  • 본 연구의 목적은 물류기업의 서비스실패시 물류서비스 제공기업의 조직특성과 인적특성이 서비스회복만족에 미치는 영향을 분석하고 서비스회복에 대한 만족이 고객의 신뢰와 관계몰입에 미치는 영향을 분석함으로써 물류서비스 제공자와 수요자간의 장기적 관계형성 및 유지전략을 제시하는 것이다. 본 연구의 목적을 달성하기 위하여 서비스실패와 회복 그리고 물류서비스의 특성에 관한 문헌연구와 함께 실증연구를 병행하였다. 실증연구는 대부분의 물류서비스기업이 서비스제공자이면서 수요자인 역할을 담당하고 있는 것을 감안하여 물류기업 종사자들을 표본으로 선정하였고, 설문지법을 이용하여 진행하였다. 인터넷과 직접방문, 우편접수 등을 통해 수집된 자료를 신뢰성과 타당성 검정을 실시하고 다중회귀분석방법을 이용하여 가설을 검정하였다. 연구결과 물류서비스 제공기업의 서비스회복을 위한 조직특성과 인적특성은 서비스 실패에 대한 회복만족에 정(+)의 영향을 미치는 것으로 나타났고, 회복만족은 고객의 신뢰와 관계몰입에 정(+)의 영향을 미치는 것으로 분석되었다