• Title/Summary/Keyword: fixation device

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A Study on the Fixation Characteristics of a Self-expansion Type ACL Fixation Device (자가 확장형 전방십자인대 고정장치의 고정 특성에 대한 연구)

  • Kim, Jong-Dae;Kim, Hong-Gun
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.18 no.3
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    • pp.321-327
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    • 2009
  • This paper studied the influences of the main design parameter-the expansion angle and the material properties of the self-expansion anterior cruciate ligament fixation device on the contact condition with the bone and the initial stability of the device. Using finite element analysis, the stress distributions of the ring part of the device and the wall of the bone tunnel were calculated. And the micro-migration of the device by the pull-out force was calculated. From the analysis results, it was found that when designing the self-expansion type anterior cruciate ligament fixation device, it is desirable to use the material having higher Young's modulus and to design the fixation device that all wedges uniformly maintain contact with bone to obtain initial stability after operation.

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The study of stability of absorbable internal fixation after mandibular bilateral sagittal split ramal osteotomy (하악골 양측 하악지 시상분할 골절단술 후 흡수성 고정의 안정성에 관한 연구)

  • Choi, Byoung-Hwan;Park, Su-Won;Jang, Soo-Mi;Son, Han-Na;Park, Bong-Chan;Son, Jang-Ho;Cho, Yeong-Cheol;Sung, Iel-Yong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.255-261
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    • 2010
  • Introduction: To evaluate the skeletal stability after a bilateral sagittal split osteotomy (BSSO) setback of the mandible fixed with a biodegradable internal fixation device or metal internal fixation device. Materials and Methods: Thirty consecutive patients underwent mandibular setback via BSSO. Fifteen patients were fixed with a biodegradable internal fixation device or metal internal fixation device respectively. Posteroanterior (PA) and lateral cephalograms were taken preoperatively and at two days, 5.5 months and 14.5 months postoperatively. The relevant skeletal points were traced and digitized to evaluate the skeletal changes postoperatively. The relapse rates were analyzed and compared statistically. Results: There was no statistically significant differences in postoperative stability between the two groups.(P<0.05) Conclusion: The biodegradable internal fixation device may make an effective device alternative to a metal internal fixation device for setback BSSO.

Development and Evaluation of Fixation Equipment for Transporting Unit Modules

  • Park, Su-Yeul;Kim, Kyoon-Tai;Park, Nam-Cheon
    • Journal of the Korea Institute of Building Construction
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    • v.13 no.6
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    • pp.609-618
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    • 2013
  • The unit modular construction system is a building technique in which unit modules are manufactured at a factory and then assembled at the construction site. It has many benefits, including reduction of the construction period and improvement in quality. For this reason, it is utilized for various purposes in Japan and England. While it has been introduced in Korea, there have been few Korean studies conducted on the unit modular system. In particular, little research has been done on the method of safely fixating the unit modules to a truck. Therefore, this study reviewed the fixation methods of unit modules for transport, analyzed the problems, and designed a fixation device for unit modules. In addition, a device for the fixation of unit modules to a truck was developed, and a structural simulation was implemented for a safety test by considering the maximum stress generated during the transport of the unit modules fixed on a truck. When the device for the fixation of unit modules is manufactured based on the results of the structural simulation done in this study, it is expected to aid the development of a more practical fixation device for unit modules.

Lisfranc Injury Repair with the TightRope$^{TM}$ Device (A Case Report) (TightRope$^{TM}$ Device를 이용한 족근 중족 관절 손상의 치료(1예 보고))

  • Cho, Jae-Ho;Oh, In-Suk
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.4
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    • pp.243-246
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    • 2011
  • Lisfranc injury is complex and difficult to treat. Making the correct diagnosis and achieving an anatomical reduction are important factors in regard to achieving a favorable outcome with this injury. We describe a new technique that we have found to be useful for stabilizing Lisfranc injury. This method is relatively fast and simple, and it provides non-rigid fixation. Also, it eliminates the need for implant removal. To date, we have achieved predictable results for stabilizing and treating this injury with the use of a $TightRope^{TM}$ Device, instead of traditional interfragmental screw fixation. In this report, we describe a case in which this method was used with satisfactory short-term results.

Comparison of changes in ventilation volume according to fixation method of I-gel during cardiopulmonary resuscitation: a study using a simulated manikin (심폐소생술 시 아이젤의 고정 방법에 따른 환기량의 변화 비교: 시뮬레이션 마네킨을 이용한 연구)

  • Kim, Seon Tae;Shin, Sang-Yol;Choi, Jeong Woo
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.7-16
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    • 2021
  • Purpose: The I-gel device is Korea's most frequently used airway management method during pre-hospital cardiopulmonary resuscitation (CPR). This study aimed to compare changes in ventilation volume according to the fixation method with a simulated manikin. Methods: We placed I-gel into an advanced life support simulator and compared tape and band fixation conditions. CPR was performed according to the 2020 Korean CPR guidelines, using a mechanical chest compression device and an adult bag. The positional shift of I-gel and the ventilation volume of the simulated manikin were measured after performing CPR for 20 minutes. Five trials were carried out in each setting. Statistical analysis was carried out with SPSS 27.0. P < .05 was considered significant. Results: Positional shift after 20 minutes of CPR was as follows: tape fixation, 7.2 ± 0.2 mm; band fixation, no change, indicating a significant difference between the two groups (p=.003). The mean ventilation volume was tape fixation, 482.63 ± 30.84 mL; band fixation, 544.96 ± 22.98 mL, showing a significant difference (p=.002). Conclusion: When using the I-gel during pre-hospital CPR, using a band-type fixing device with elasticity rather than fixing the tape provides stable and appropriate ventilation by maintaining the fixed position.

Characteristics Influencing the Occurrence of Respiratory Medical Device-related Pressure Ulcers in the Pediatric Intensive Care Unit (소아중환자실 환아의 호흡기계 의료장치 관련 욕창 발생 관련 특성)

  • Kim, Hae-kyung;Kim, Younghae;Son, Hyun-Mi
    • Child Health Nursing Research
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    • v.25 no.2
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    • pp.133-142
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    • 2019
  • Purpose: This prospective study was conducted to determine the incidence and related characteristics of respiratory medical device-related pressure ulcers (MDRPU) in children admitted to a pediatric intensive care unit (PICU). Methods: The participants were 184 children who were admitted to the PICU of P University Hospital from April 2016 to January 2017. Data were collected on the occurrence of respiratory MDRPU and characteristics regarding the application of respiratory medical devices. Results: Respiratory MDRPU occurred in 11.9% of participants (58.3%: stage I ulcers, 37.5%: mucosal ulcers). The devices associated with respiratory MDRPU were endotracheal tubes (54.2%), high-flow nasal cannulas (37.5%), and oximetry probes (8.3%). Respiratory MDRPU associated with an endotracheal tube were significant differences according to the site and strength of fixation, the use of a bite block and adhesive tape, skin dryness, and edema. In high-flow nasal cannulas, significant differences were found according to the site of fixation, immobility after fixation, and skin dryness. Conclusion: The occurrence of respiratory MDRPU is significantly affected by the method and strength of fixation, as well as skin dryness and edema. Therefore, appropriate consideration of these factors in nursing care can help prevent respiratory MDRPU.

Analysis of Binocular Vision by Wesson Fixation Disparity Card (Wesson Fixation Disparity Card를 이용한 양안시 분석)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.1
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    • pp.53-59
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    • 2007
  • A commonly used device to determine fixation disparity curves is the Wesson Fixation Disparity Card. A fixation disparity curve is an x, y coordinate plot of the angular amount of fixation disparity as a function of the power of prisms through which the patient views. The fixation disparity curve variables that are used to aid in the diagnosis and management of binocular vision disorders include the x-intercept, y-intercept, curve slope and curve type. Fixation disparity curves were measured on 102 subjects with the Wesson fixation disparity card. The purpose of this study is to investigate distribution of the curve types obtained with Wesson card. Fixation Disparity by Wesson Fixation Disparity Card were that in case of type I 63.0%, in case of type II 0.0%, in case of type III 25.0% and in case of type IV 12.0%.

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Development of the Upper Wear Fixation Device for Chest AP X-ray Imaging on the Emergency Stretcher Bed (응급실 침대 위 흉부전후방향 엑스선 검사를 위한 상의고정장치 개발)

  • Lim, Woo-Taek;Hong, Dong-Hee
    • Journal of radiological science and technology
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    • v.45 no.3
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    • pp.205-211
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    • 2022
  • This study aimed to provide basic data for 3D printing in the medical health field by developing upper wear fixation device (UWFD), an auxiliary device for shortening chest AP examination time on emergency room beds and non-contact with patients. The standard of hooks was modeled according to the bed frame using the Autodesk Fusion 360. It was printed with Form2 (Formlabs, Somerville, MA, USA), as SLA (stereo lithography apparatus) method, and was washed and hardened using Form Wash and Form Cure. The completed UWFD conducted an online survey on 4 items of stability, convenience, availability, preference and general characteristics. The total stability average was 3.93±0.80, the total convenience average was 3.93±0.68, the total availability average was 4.01±0.89, and the total preference average was 3.80±1.08. This study was significant in suggesting improvements in the general X-ray examination process in the emergency room by designing and making aids to easily fixing the patient's top to the frame of the emergency bed while meeting promptness and non-contact with the patient.

Development of Devices for Improving the Reducibility of Patient Positioning on a Breast Board (Breast Board를 이용한 방사선치료에서 환자 위치 재현성 향상 방안에 대한 연구)

  • Huh Soon Nyung;Cho Woong;Park Yang Kyun;Ha Sung Whan
    • Radiation Oncology Journal
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    • v.23 no.2
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    • pp.123-130
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    • 2005
  • Purpose: We wanted to improve the setup reproducibility of breast cancer patients when utilizing a commercially available breast board for radiation therapy. The breast board was modified by using a new head rest and 2 types of board fixation devices. Materials and Methods: A conventional head/neck rest was modified to be positioned in various slots of the breast board, and it was fabricated 1 cm thinner to provide more comfort to a patient when the patient's neck was rotated. This rest improves the uncertainty of the daily setup. Also, the sagging problems at the left and right sides became negligible with the two types of board fixation devices: (1) the stair type, and (2) the arm type. The first device consists of an upper/lower holder with 4 stair-types of grooves and 4 rectangular Inserts. In order to cover the whole range of vertical setup of the breast board, 4 rectangular inserts were needed, and each covered 10 steps. The arm-type fixation device was also fabricated and attached to the breast board, It had two aluminum bars that were fixed by utilizing a lock-type of screw. These devises were evaluated with two volunteers in order to prove the effectiveness of the improved setup accuracy. Results; The developed cranio-caudal fixation device demonstrated that it could reduce the cranio-caudal error by nearly $55\%$ compared to the old device. As for left-and-right inclination, the stair-type and arm-type fixation devices can reduce the relative inclination by nearly $80\%$ and $90\%$, respectively, compared to the breast board without the fixation device. Conclusion: It was verified that the developed devices were effective for positioning the patients and for avoiding inclination of the breast board.

Biomechanical Comparison of Spinal Fusion Methods Using Interspinous Process Compressor and Pedicle Screw Fixation System Based on Finite Element Method

  • Choi, Jisoo;Kim, Sohee;Shin, Dong-Ah
    • Journal of Korean Neurosurgical Society
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    • v.59 no.2
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    • pp.91-97
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    • 2016
  • Objective : To investigate the biomechanical effects of a newly proposed Interspinous Process Compressor (IPC) and compare with pedicle screw fixation at surgical and adjacent levels of lumbar spine. Methods : A three dimensional finite element model of intact lumbar spine was constructed and two spinal fusion models using pedicle screw fixation system and a new type of interspinous devices, IPC, were developed. The biomechanical effects such as range of motion (ROM) and facet contact force were analyzed at surgical level (L3/4) and adjacent levels (L2/3, L4/5). In addition, the stress in adjacent intervertebral discs (D2, D4) was investigated. Results : The entire results show biomechanical parameters such as ROM, facet contact force, and stress in adjacent intervertebral discs were similar between PLIF and IPC models in all motions based on the assumption that the implants were perfectly fused with the spine. Conclusion : The newly proposed fusion device, IPC, had similar fusion effect at surgical level, and biomechanical effects at adjacent levels were also similar with those of pedicle screw fixation system. However, for clinical applications, real fusion effect between spinous process and hooks, duration of fusion, and influence on spinous process need to be investigated through clinical study.