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Telemetria odpowiedzi neuronalnych jako metoda wspomagająca dobór parametrów stymulacji przez implant ślimakowy
PublikacjaDzięki pomiarom odpowiedzi neuronalnych i możliwości wyznaczenia na tej podstawie tendencji rozkładu progów stymulacji można lepiej zaprogramować procesor mowy. Jest to niezwykle cenne zwłaszcza u pacjentów nie współpracujących podczas badań (na przykład u małych dzieci). W przypadku takich pacjentów tradycyjne, psychoakustyczne metody doboru parametrów stymulacji przez implant często zawodzą. Natomiast gdy audiolog dysponuje prawdopodobną...
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IN VIVO DEGRADATION OF BIOMATERIALS
PublikacjaThe material designed to be introduced into the human tissue should be biocompatible and biofunctional. Unless it is so, the body may respond to the implant in different ways. An inflammation reaction may appear such as: parting of items of the implant surface resulting from fraction or pressure. The condition of the surface has an important influence on the usefulness of the implant. The required values depend on the implant function...
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Skłonność złączy wykonanych pod wodą do tworzenia pęknięć zimnych
PublikacjaPrzedmiotem pracy jest analiza stanu wiedzy dotyczącej skłonności do tworzenia peknięć zimnych złączy wykonanych pod wodą. Omówiono wpływ warunków spawania na czynniki będące przyczyną pękania. Przedstawiono wyniki badań złączy ze stali o podwyższonej wytrzymałości metodą implant.
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Modeling the debonding process of osseointegrated implants due to coupled adhesion and friction
PublikacjaCementless implants have become widely used for total hip replacement surgery. The long-term stability of these implants is achieved by bone growing around and into the rough surface of the implant, a process called osseointegration. However, debonding of the bone–implant interface can still occur due to aseptic implant loosening and insufficient osseointegration, which may have dramatic consequences. The aim of this work is to...
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Debonding of coin-shaped osseointegrated implants: Coupling of experimental and numerical approaches
PublikacjaWhile cementless implants are now widely used clinically, implant debonding still occur and is difficult to anticipate. Assessing the biomechanical strength of the bone–implant interface can help improving the understanding of osseointegration phenomena and thus preventing surgical failures. A dedicated and standardized implant model was considered. The samples were tested using a mode III cleavage device to assess the mechanical...
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Two-criteria optimisation problem for ventral hernia repair
PublikacjaTwo-criteria optimisation problem related to laparoscopic ventral hernia repair is formulated in this paper. An optimal implant from a given set and its orientation is sought. The implant is subjected to kinematic extortions due to a patient’s body movement and intra-abdominal pressure. The first criterion of the optimisation problem deals with the reaction force in the implant fastener, while the deflection of the implant constitutes...
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SIMULATION OF PROCEED® SURGICAL MESH APPLIED TO VENTRAL HERNIA REPAIR
PublikacjaIn the present research, Proceed® implant is considered. The system is subjected to short-time dynamic pressure load, similar to post-operative cough naturally occurring in human abdomen. The model refers to a clinical case of 5cm of hernia operated by Proceed implant fixed by 15 joints every 3cm around the orifice. The simulations of the implanted mesh are performed by means of the Finite Element Method. The implant is modelled...
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Behaviour of orthotropic surgical implant in hernia repair due to the material orientation and abdomen surface deformation
Publikacjarelation to the different range of typical deformations observed in different directions and zones of abdomen surface due to the patients’ life activities, has a significant influence on the extreme junction forces in the mesh–tissue connections and hence the repair persistence. The finite element model of the orthotropic implant was developed, and the junction forces in the connections of tissue and mesh were studied. The kinematical...
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The problem of infections associated with implants – an overview
PublikacjaImplant-associated infections are serious and relatively common complication that leads to implant loss. The purpose of this paper is to gather knowledge about this issue. A literature review of the epidemiology, risk factors and pathogenesis of infections related to implants was carried out. This position collects data on commonly used implants and infections associated with them from various fields of medicine and contains classifications...
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Determinants of the primary stability of cementless acetabular cup implants: A 3D finite element study
PublikacjaPrimary stability of cementless implants is crucial for the surgical success and long–term stability. However, primary stability is difficult to quantify in vivo and the biomechanical phenomena occurring during the press–fit insertion of an acetabular cup (AC) implant are still poorly understood. The aim of this study is to investigate the influence of the cortical and trabecular bone Young's moduli Ec and Et, the interference...
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Nanotubular Ti Oxide Layers for Enhancement of Bone-Implant Bonding and Bioactivity
PublikacjaAbstrakt artykułu pt. ''Nanotubular Ti Oxide Layers for Enhancement of Bone-Implant Bonding and Bioactivity''. The paper describes techniques to improve the bioactivity of titanium and ehnahnce the bone-implant bonding ability by the electrochemical anodization to fabricate titania nanotubular oxide layer.
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Nanoindentation tests titanium alloy Ti-6Al-4V after interference laser treatment
PublikacjaThe study aimed was to assess selected mechanical properties of surface layers obtained after interference laser treatment – DLIL of titanium alloy Ti-6Al-4V used for implants. The samples were melted in still air at room temperature, for this purpose Nd:YAG laser was used, the number of laser shots was variable. Next, nanoindentation tests were performed, based on which Young’s modulus and nanohardness in the obtained surface...
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Towards Understanding of Mechanics of Hernia Managed by Synthetic Mesh in Laparoscopic Operation: A Single Case Study
PublikacjaIn this paper a research towards understanding of mechanics of ventral hernia operated with the use of Physiomesh Open image in new window implant and SecureStrap Open image in new window staples is described. Experimental and numerical studies are conducted for that purpose. Experimental works cover uni-axial tension tests of the implant samples and of the implant-staples-tissue system. Also experiments on implant-staples-tissue...
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Mathematical modelling of implant in an operated hernia for estimation of the repair persistence
PublikacjaThis paper presents mathematical modelling of an implanted surgical mesh used in the repair process of the abdominal hernia. The synthetic implant is simulated by a membrane structure. The author provides a material modelling of the implant based on the dense net model appropriate for technical fabrics. The accuracy of the proposed solution is evaluated by comparing the simulations of the dynamic behaviour of the system with the...
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A FEM membrane model of human fascia-synthetic implant system in a case of a stiff ventral hernia orifice
PublikacjaPraca prezdstawia model matematyczny układu tkanka ludzka - implant syntetyczny w postaci tzw. siatki w leczeniu przepuklin brzusznych. Implant jest tu moelowany jako struktura membranowa. Ocena wpływu danych materiałowych oraz wstępnego napięcia na zachowanie pracującej membrany po implantacji została przedstawiona na podstawie analizy wrażliwości. Pracę podsumowują pewne wskazówki dla chirurgów implantujących siatki.
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A PRELIMINARY STUDY ON THE OPTIMAL CHOICE OF AN IMPLANT AND ITS ORIENTATION IN VENTRAL HERNIA REPAIR
PublikacjaThis paper addresses the problem of ventral hernia repair. The main goals are to find an optimal surgical mesh for hernia repair and to define its optimal orientation in the abdominal wall to minimise the maximum force at the tissue-implant juncture. The optimal mesh is chosen from a set of orthotropic meshes with different stiffness ratios for typical hernia placement in the abdominal area. The implant is subjected to an anisotropic...
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Biological and mechanical properties of bone cement with nanoparticles - in vivo and in vitro research
PublikacjaDespite antibiotics preventive treatment, before and after an implant implementation, risk of infection are real. These infections at the implant surface develop in a few months after applying them into the body. To prevent the development of bacteria and to reduce the risk of infection, implants coated with nanoparticles come into use. The Mechanical Department of the Technical University of Gdańsk carried out a research with...
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Electrophoretic Deposition of Chitosan/Eudragit E 100/AgNPs Coatings for Controlled Release of Antibacterial Substance
PublikacjaThe development of bacterial infection of the tissues surrounding an implant is one of the leading causes of implant surgery failure. In order to prevent the deposition of bacteria on the implant surface and the formation of biofilm, coatings that exhibit antibacterial properties are manufactured. However, the problem is the controlled release of the therapeutic substance from the coating over the extended life of the implant [1],...
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Underwater welded joint properties investigation
PublikacjaPrzeprowadzono badania mikro- i makroskopowe złączy spawanych typu implant wykonanych pod wodą metodą lokalnej komory suchej. Wyniki badań świadczą o tym, że w SWC badanych złączy tworzą się kruche struktury hartownicze, które są odpowiedzialne za zwiększoną skłonność stali o podwyższonej wytrzymałości do tworzenia pęknieć zimnych. Analiza rozkładów twardości złączy implant również potwierdza istnienie szkodliwego wpływu środowiska...
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Physical and mathematical modelling of implant-fascia system in order to improve laparoscopic repair of ventral hernia
PublikacjaThis paper describes an investigation of biomechanical behaviour of hernia repair, which is focused on the selection of safe linking of certain type of implant with fascia in laparoscopic operation. The strength of various fixations of the implant to the fascia is analysed. Methods: The research is based on experimental observations of operated hernia model behaviour during a dynamic impulse load corresponding to post-operative...