• Title/Summary/Keyword: cardiac device

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In Vitro Test of Seiong Pediatric Ventricular Assist Device (소아용 보조인공심장의 모의순환 실험에 관한 연구)

  • 권혁남;박표원
    • Journal of Biomedical Engineering Research
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    • v.12 no.1
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    • pp.29-34
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    • 1991
  • Ventricular assist device(VAD) has been clinically applied as a temporary circulatory sup- porting system in the patients with severe heart failure, but small sized VAD for infant is not available. The purpose of tilis paper is to introdIAce small sized VAD and presents the result of in vitro test. Sejong VAD is diaphragmatic type of pneumatic pump and stroke volume is 11cc. Cardiac outputs of the Sejong VAD were measured by overflow tank under variable conditions of driving parameters. The cardiac output was 1.3 1/min at the heart rate of 120 per minute, left atrial pressure of $15cmH_2O$, percent systole of 43%, driving pressure of 240 mmHg, vacuum pressure of -40 mmHg, and mean aortic pressure of 70 mmHg. No mechanical problem was developed during the continuous in vitro test for 3 months.

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A Study on Cardiac Disease Management System in Mobile Networks (이동통신망에서 심장질환 관리 시스템에 관한 연구)

  • Han, Kwang-Rok;Sahn, Surg-Won;Jang, Dong-Wook
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.1
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    • pp.163-171
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    • 2009
  • Precaution is important in cardiac disease above all things. However, current developed tele-monitoring devices limit their communication distance by 100 m and have disadvantage that the device must be activated by the patients themselves. To overcome these shortcomings, we design and implement a cardiac disease management system by sending abnormal ECG signals automatically to the PC in hospital using mobile networks. Experiments show that ECG signals of the patients are transmitted to the database server in hospital without any distortion. Moreover, the amount of SMS data decreased by more than 30% using base64 method than hexadecimal one.

Surgical Resection of Cardiac Hemangiosarcoma Using Articulated Surgical Stapler in a Dog

  • Woo-Jin Kim;Kyung-Min Kim;Won-Jong Lee;Chang-Hwan Moon;Hae-Beom Lee;Seong-Mok Jeong;Dae-Hyun Kim
    • Journal of Veterinary Clinics
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    • v.41 no.1
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    • pp.37-42
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    • 2024
  • This case report discusses the successful surgical resection of cardiac hemangiosarcoma in a dog using an articulated surgical stapler. Cardiac tumors, particularly hemangiosarcomas, have a poor prognosis. Recommended treatment involves surgical removal of the primary tumor, along with chemotherapy. However, the use of staples for cardiac tumor resection has not yet been extensively documented in the veterinary literature. A 10-year-old dachshund with pericardial effusion underwent surgery to remove a right atrial mass. An articulated linear cutting stapler was used for tumor resection. The patient experienced chylothorax as a complication but recovered well. However, the patient later developed respiratory symptoms and died, most likely due to aspiration pneumonia. The surgical stapler provided stability, convenience, and a shorter surgical time during tumor resection. Surgical resection combined with chemotherapy improves the survival of dogs with cardiac hemangiosarcoma. The stability and adjustability of the stapling device make it advantageous for cardiac tumor resection. Although complications, such as chylothorax, can arise, appropriate management can lead to positive outcomes. This case report demonstrates the feasibility and safety of using an articulated surgical stapler for cardiac tumor resection in dogs. Insights from this case can guide future research and clinical practice.

Development of Realtime ECG Analysis and Monitoring System (실시간 심전도 분석 및 모니터링 시스템 개발)

  • Jeong, Gu-Young;Yoon, Myoung-Jong;Yu, Kee-Ho
    • Journal of Institute of Control, Robotics and Systems
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    • v.15 no.4
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    • pp.406-412
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    • 2009
  • ECG is used on purpose to keep good health or monitor cardiac function of aged person as well as on purpose to diagnose the disease of heart patients. The ambulatory ECG monitoring system under guarantee of safety and accuracy is very efficient to prevent the progress of heart disease and sudden death. These systems can detect the temporary change of ECG that is very significant to diagnose heart disease such as myocardial ischemia, arrhyamia and cardiac infarction. In this paper, we describe the ECG signal analysis algorithm and measurement device for ECG monitoring. The authors designed a small-size portable ECG device that consisted of instrumentation amplifier, micro-controller, filter and RF module. The device measures ECG with four electrodes on the body and detects QRS complex and ST level change in realtime. Also it transmits the measured signals to the personal computer. The developed software for ECG analysis in personal computer has the function to detect the feature points and ST level changes.

In Vitro Test of an Adult-Sized Pneumatic Type Ventricular Assist Device (성인용 공기구동식 심실보조장치의 모의순환실험)

  • Kim, Sang-Hyeon;Jang, Byeong-Cheol;Kim, Won-Gi;Kim, Nam-Hyeon;Jo, Beom-Gu
    • Journal of Biomedical Engineering Research
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    • v.14 no.2
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    • pp.163-167
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    • 1993
  • We developed a ventricular assist device(VAD) to be used as a bridge to heart transplantation or a circulatory assist device for patients with end-stage heart disease or poor myocardial function after cardiac surgery. It is a pneumatic and diaphragm-type VAD and its stroke volume is 90 cc. The upper housing and diaphragm is made of a segmented polyurethane and the lower back plate is made of a polycarbonate. Two Carbomedics$^R$ mechanical valves are used as inlet and outlet valves. It was tested in vitro and the cardiac output of the VAD was 7 L/min at a heart rate of 70 bpm. The line pressure from a pressure transducer inserted in the pneumatic line was recorded and compared with the ideal pressure tracing.

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Transaxillary Subpectoral Placement of Cardiac Implantable Electronic Devices in Young Female Patients

  • Oh, Joo Hyun;Kim, Chae Min;Song, Seung Yong;Uhm, Jae Sun;Lew, Dae Hyun;Lee, Dong Won
    • Archives of Plastic Surgery
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    • v.44 no.1
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    • pp.34-41
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    • 2017
  • Background The current indications of cardiac implantable electronic devices (CIEDs) have expanded to include young patients with serious cardiac risk factors, but CIED placement has the disadvantage of involving unsightly scarring and bulging of the chest wall. A collaborative team of cardiologists and plastic surgeons developed a technique for the subpectoral placement of CIEDs in young female patients via a transaxillary approach. Methods From July 2012 to December 2015, subpectoral CIED placement via an axillary incision was performed in 10 young female patients, with a mean age of 25.9 years and mean body mass index of $20.1kg/m^2$. In the supine position, with the patient's shoulder abducted, an approximately 5-cm linear incision was made along one of the deepest axillary creases. The submuscular plane was identified at the lateral border of the pectoralis major, and the dissection continued over the clavipectoral fascia until the subpectoral pocket could securely receive a pulse generator. Slight upward dissection also exposed an entrance to the subclavian vein, allowing the cardiology team to gain access to the vein. One patient with dilated cardiomyopathy underwent augmentation mammoplasty and CIED insertion simultaneously. Results One case of late-onset device infection occurred. All patients were highly satisfied with the results and reported that they would recommend the procedure to others. Conclusions With superior aesthetic outcomes compared to conventional methods, the subpectoral placement of CIEDs via a transaxillary approach is an effective, single-incision method to hide operative scarring and minimize bulging of the device, and is particularly beneficial for young female or lean patients.

Numerical Study of Effect of counter-pulsation on Hemodynamic Response in the ECLS (체외생명구조장치에서 역박동 방법이 혈류역학 응답에 미치는 영향에 대한 수치적 연구)

  • Kim, In-Su;Lim, Ki-Moo;Choi, Seoung-Wook;Jun, Hyung-Min;Shim, Eun-Bo
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1660-1664
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    • 2008
  • Extra-corporeal Life Support System (ECLS) is the device used in emergency cases to substitute a extracorporeal circulation in open heart surgery, cardiac arrest or in acute cardiopulmonary failure. To obtain the effect of counter-pulsation on hemodynamic response in the ECLS quantitatively, we developed cardiovascular model which consists of 12 compartment model of heldt et al. and 3 compartment model of Schreiner et al. based on windkessel approximation. We compared coronary perfusion, arterial pulse pressure, cardiac output, and left ventricular pressure-volume diagram according to flow configuration such as counter-pulsation, copulsation, and continous flow. When counter-pulsation was applied, 5% higher coronary perfusion, 26% lower pulse pressure, and 2% higher cardiac output than copulsation condition were calculated. We conclude that counter-pulsation configuration in the ECLS is hemodynamically more stable than copulsation and influences the positive effect to recover ventricles.

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Nonpharmacological treatment of arrhythmia (소아 부정맥의 비약물적 치료)

  • Bae, Eun-Jung
    • Clinical and Experimental Pediatrics
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    • v.49 no.9
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    • pp.930-936
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    • 2006
  • Although antiarrhythmic medication has been the main treatment modality for arrhythmia in children, in recent decades technological development and computerization have made great advances in nonpharmacological therapy. This article reviews the transcatheter radiofrequency ablation for tachycardia in children, recent advances of device therapy for bradycardia, antitachycardia pacing, implantable cardioverter defibrillator. As a new field of device therapy, cardiac resynchronization therapy for congestive heart failure is also mentioned.

PATIENT WORN, INTELLIGENT ARRHYTHMIA SYSTEMS (환자경고 및 지능부정맥 시스템)

  • Lee, Myoung-Ho;Tompkins, Willis J.
    • Proceedings of the KIEE Conference
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    • 1986.07a
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    • pp.192-197
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    • 1986
  • The device that we are developing is a microprocessor-based, portable arrhythmia monitor that ultimately will need processing algorithm similar to those found now in monitoring systems in the cardiac care unit of today's hospital. Our initial goal is to replace the functions of the Holter tape recorder, the current device of choice for determining if an ambulatory patient has potential heart disease.

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Surgical Extraction of an Embolized Atrial Septal Defect Occluder Device into Pulmonary Artery after Percutaneous Closure

  • Yolcu, Mustafa;Kaygin, Mehmet Ali;Ipek, Emrah;Ulusoy, Fatih Rifat;Erkut, Bilgehan
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.135-137
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    • 2013
  • An atrial septal defect is the most common type of congenital heart disease among adults. Surgical repair or percutaneous closure of the defect is the treatment options. Even though percutaneous closure seems to be less risky than surgical repair, it may result in fatal complications like device embolism, cardiac perforation and tamponade. Herein we report a case of the embolism of a device into the pulmonary artery after one hour of percutaneous closure in which the embolized device was surgically removed and the defect was closed with a pericardial patch.