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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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Safety and efficacy of a Ventralight ST echo ps implant for a laparoscopic ventral hernia repair – a prospective cohort study with a one-year follow-up
Publikacjaing new products Thus, every mesh prior to introduction in clinical settings should be tested with a dedicated tacker to discover the proper fixation algorithm. The aim of the study was to assess the safety and efficacy of the Ventralight ST implant with an ECHO positioning system and a dedicated fixation device, the SorbaFix stapler, in a prospective cohort of patients. Material and methods. The study was a prospective single...
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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...
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Biological and mechanical properties of bone cement with nanoarticles - in vitro and in vivo research
PublikacjaDespite antibiotic preventive treatment both before and after implant implementation, the risks of infection are real. These infections develop at the implant surface a few months after inserting them into the body. To prevent the development of bacteria and reduce the risk of infection, implants coated with nanoparticles are used. The Mechanical Department of the Technical University of Gdansk carries out research into using bone...
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IMPLANT USED IN HERNIA REPAIR UNDER PHYSIOLOGICAL MOVEMENTS OF HUMAN ABDOMEN
PublikacjaThe study deals with the mechanical behaviour of implant used in repair of abdominal hernia. The influence of orientation of the orthotropic implants in different areas of abdominal wall is studied.
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Nanotubular Titanium Oxide Layers for Enhancement of Bone-Implant Bonding and Bioactivity
PublikacjaThe present paper describes the techniques to improve the bioactivity of titanium and enhance the bone-implant bonding ability by the electrochemical anodization to fabricate titania nanotube arrays (TiO2).
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Metal implants in ostheosynthesis - construction solutions, materials and applications
PublikacjaThe aim of the article is to present two case studies on intramedullary nails. The research included the evaluation of the type of fracture and the analysis of microstructure, chemical composition and hardness of the implant material.
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Możliwości modelowania rozkładu naprężeń i odkształceń w endoprotezie stawu biodrowego w układzie implant - kość z uwzględnieniem własności materiałowych = Possibility of stress and strain modelling in total hip replacement in implant-bone system including material properties
PublikacjaW pracy przedstawiono możliwości wykorzystania numerycznych technik komputerowych do modelowania rozkładu naprężeń i odkształceń w endoprotezie stawu biodrowego w układzie implant-kość z uwzględnieniem własności materiałowych elementów endoprotezy. Przedstawiono komputerowe modele służące do analizy naprężeń i odkształceń w endoprotezie wykonane przy wykorzystaniu metody elementów skończonych. Metody modelowania naprężeń i odkształceń...
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Allergy to implant components: chromium, nickiel, cobalt and titanium
PublikacjaImplant jest kompozycja roznych pierwiastkow: niklu, chromu, kobaltu, tytanu, molibdenu i wanadu. Pierwiastki te moga doprowadzic do alergii, egzemy i obluzowania implantu.
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Mathematical study of a tissue-implant connection in a ventral herniarepair in a context of the system's parameters
PublikacjaW pracy przedstawiono problem operowania przepuklin brzusznych u ludzi. Zaproponowano jednowymiarowy model układu powieź-implant. Na podstawie analizy wrażliwości zidentyfikowano najważniejsze parametry problemu.
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Mechanical compatibility of implants used in hernia repair with abdominal wall
PublikacjaThe paper deals with a membrane model of a synthetic surgical mesh for treatment of abdominal hernia. The authors analyse the compatibility of two implant types with the human wall: Dualmesh Gore and Proceed. The finite element method is applied to simulate tjhe behavior of the proposed model. Due fact that recurrences are usually caused by connection failure, this study is focused on reaction forces in supports representing the...
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The degradation of metal implants
PublikacjaThe presence of metal implants in the human body causes some dangers, which result from introducing another object into organism. There may occur a biocorrosion, which causes different modifications of implant surface.
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Trudności podczas modelowania próby implant w programie Ansys.
PublikacjaW artykule przedstawiono trudności związane ze stworzeniem modelu próby implant w programie Ansys. Określono również trudności związane z przypisaniem odpowiednim strefom połączenia spawanego własności mechanicznych.
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Electrophoretically Deposited Chitosan/Eudragit E 100/AgNPs Composite Coatings on Titanium Substrate as a Silver Release System
PublikacjaDue to the possibility of bacterial infections occurring around peri-implant tissues, it is necessary to provide implant coatings that release antibacterial substances. The scientific goal of this paper was to produce by electrophoretic deposition (EPD) a smart, chitosan/Eudragit E 100/silver nanoparticles (chit/EE100/AgNPs) composite coating on the surface of titanium grade 2 using different deposition parameters, such as the...
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Orthotropic membrane as a mechanical model of surgical implant in abdominal hernia repair
PublikacjaEven though the incisional hernia repair surgery is a well known procedure, mechanical properties of the tissue-implant system are unknown so the implantation of the repairing mesh is quite intuitive and, recurrences of the illness still take place. The main objective of the study is to define an operated hernia model that can be used for surgery planning and the assessment of the repair persistence. The load applied to the structure...
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Hip endhoprothesis development using rapid prototyping methods
PublikacjaIntegrated product development based on Rapid Prototyping methods, connected with computer aided 3D design and computer aided engineering enables fast and full new product verification and validation. A case study derived from clinical and technological practice using hip implant construction is also included.
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Implant system for treatment of the orbital floor defects of blowout fractures in the maxillofacial region using polypropylene yarn and bioactive bone cement
PublikacjaFractures in the craniofacial region are a serious problem in terms of treatment. The most reasonable solution is the use of individual implants dedicated to a specific patient. The aim of this study was to develop the implant system specifically for treatment of the orbital floor defects of blowout fractures of maxillofacial region, using polypropylene yarn and bone cement. Three types of bone cement were used to fix the polypropylene...
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Structural changes of bacterial cellulose due to incubation in conditions simulating human plasma in the presence of selected pathogens
PublikacjaBacterial nanocellulose (BNC) is a natural biomaterial with a wide range of medical applications. However, it cannot be used as a biological implant of the circulatory system without checking whether it is biodegradable under human plasma conditions. This work aimed to investigate the BNC biodegradation by selected pathogens under conditions simulating human plasma. The BNC was incubated in simulated biological fluids with or...
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Nanotubular oxide layers and hydroxyapatite coatings on porous titanium alloy Ti13Nb13Zr
PublikacjaThe surface condition of an implant has a significant impact on response occurring at the implant-biosystem border. The knowledge of physical-chemical and biological processes allows for targeted modification of biomaterials to induce a specified response of a tissue. The present research was aimed at development of technology composing of obtaining the nanotube oxide layers on a porous titanium alloy Ti13Nb13Zr, followed by the...
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Effect of welding conditions on susceptibility to cold cracking of underwater welded joints
PublikacjaPrzedstawiono wybrane aspekty spawalności stali przy spawaniu pod wodą metodą lokalnej komory suchej. Zwrócono szczególną uwagę na skłonność do tworzenia peknięć zimnych w SWC. Przy pomocy planowania doświadczeń określono ilościowy wpływ parametrów spawania na naprężenia krytyczne z próby implant.
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BJS-03 DO WE NEED FIXATION OF THE MESH IN LAPAROENDOSCOPIC TECHNIQUES FOR M3 INGUINAL DEFECTS? AN EXPERIMENTAL STUDY
PublikacjaThe authors conducted a research experiment to verify the hypothesis that it is possible to preserve the mesh in the operating field in large direct hernias (M3) without the need to use fixing materials. The results showed that mesh fixation is not the only alternative to preventing recurrence in complex defects and that the type of implant seems to be a key factor from the point of view of mechanics and biophysics.
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Mechanical behaviour of the implant used in human hernia repair under physiological loads
PublikacjaIn laparoscopic operations of abdominal hernias some recurrences still take place, even when applying a surgical mesh. This is usually caused by a failure of the connection between the tissue and the implant. The study deals with the influence of an implant’s orientation on forces in joints, which connect the mesh to human tissues. In the paper, the implant is modelled as a membrane structure within framework of the Finite Element...
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The influence of biological environment on the appearance of silver-coated implants
PublikacjaDespite antibiotics preventive treatment before and after implantation, risk of infection is real. The infections at the implant surface developein 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 silver layer come into use. The paper presents the research results in biological environment on vein and orthopaedicimplants covered with...
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Self-Organized Nanotubular Oxide Layers on Ti and Ti Alloys
PublikacjaTo improve bioactivity of titanium and titanium, the implant surface modification by formation of self-organized TiO2 nanotube arrays with electrochemical techniques is presented. The influence of electrolyte composition and deposition parameters during anodization is characterized. The enhancement of phosphates deposition by titanium nanotubular structure is discussed. The calcium phosphate ceramics is shown to be uniformly deposited...
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Nanotubular Oxide Layer Formed on Helix Surfaces of Dental Screw Implants
PublikacjaSurface modification is used to extend the life of implants. To increase the corrosion resistance and improve the biocompatibility of metal implant materials, oxidation of the Ti-13Nb- 13Zr titanium alloy was used. The samples used for the research had the shape of a helix with a metric thread, with their geometry imitating a dental implant. The oxide layer was produced by a standard electrochemical method in an environment of...
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Linear Micropolar Elasticity Analysis of Stresses in Bones Under Static Loads
PublikacjaWe discuss the finite element modeling of porous materials such as bones using the linear micropolar elasticity. In order to solve static boundary-value problems, we developed new finite elements, which capture the micropolar behavior of the material. Developed elements were implemented in the commercial software ABAQUS. The modeling of a femur bone with and without implant under various stages of healing is discussed in details
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Zastosowanie próby implant do oceny spawalności stali
PublikacjaPraca dotyczy oceny spawalności stali o podwyższonej i wysokiej wytrzymałości w aspekcie eksperymentalnego określania skłonności do tworzenia pęknięć zimnych. W artykule opisano metodykę określania wrażliwości na pękanie próbą implant. Przedstawiono również proponowane w literaturze i autorskie sposoby opracowywania i przedstawiania wyników badań rozpatrywaną metodą i ich interpretacji.
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Analiza możliwości zastosowania planowania badań do określania skłonności do tworzenia pęknięć zimnych.
PublikacjaW pracy przedstawiono rozważania na temat możliwości zastosowania teorii planowania badań do określania skłonności do tworzenia pęknięć na zimno badanej metodą implant. Opisano wady i zalety wybranych planów badań z uwzględnieniem kryteriów realizowalności, informatywności i efektywności. Szczególną uwagę zwrócono na trudności związane z zastosowaniem planowania badań do zagadnień spawalniczych.
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In Vitro Biological Characterization of Silver-Doped Anodic Oxide Coating on Titanium
PublikacjaDespite the high biocompatibility and clinical effectiveness of Ti-based implants, surface functionalization (with complex osteointegrative/antibacterial strategies) is still required. To enhance the dental implant surface and to provide additional osteoinductive and antibacterial properties, plasma electrolytic oxidation of a pure Ti was performed using a nitrilotriacetic acid (NTA)-based Ag nanoparticles (AgNP)-loaded calcium–phosphate...
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Skłonność do tworzenia pęknięć zimnych złączy spawanych ze stali o podwyższonej wytrzymałości wykonanych pod wodą.
PublikacjaW pracy przedstawiono zagadnienie spawalności stali 18G2A w odniesieniu do spawania pod wodą metodą lokalnej komory suchej. Zaprezentowano wyniki badań skłonności do tworzenia pęknięć zimnych metodą implant. Ustalono, że podczas spawania pod wodą stal 18G2A cechuje się zwiększoną wrażliwością na tworzenie się pęknięć zimnych w porównaniu ze spawaniem w środowisku powietrznym.
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Modelowanie i badania doświadczalne implantów stosowanych w operacjach laparoskopowych
PublikacjaW pracy przedstawiono problemy modelowania implantów wszczepianych do powięzi w czasie operacji przepuklin brzusznych. Zastosowano metodę elementów skończonych w implementacj komputerowej systemu MSC.Marc.Wyniki symulacji komputerowej porównano z wynikami badań doświadczalnych implantu połączonego z powięzia zszywkami, które przeprowadzono w specjalnej, szczelnej komorze. Badany układ implant-powięź poddany był działaniu impulsowego...
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Mechanics of mesh implanted into abdominal wall under repetitive load. Experimental and numerical study
PublikacjaThere are a number of papers discussing medical and mechanical aspects of ventral hernia management. Despite intensive work on the problem understanding, recurrences of the sickness still happen too often. For that reason new aspects of the problem must be considered. In this paper, a change in the abdominal implant’s stiffness is discussed, which is caused by cyclic loading. Such loading influence abdominal implant e.g. while...