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Toward the development of the PediaFlow™ pediatric ventricular assist device: Past, present, future PediaFlow™儿童心室辅助装置的发展:过去,现在,未来
Pub Date : 2022-09-01 DOI: 10.1016/j.apples.2022.100113
Harvey S. Borovetz , Salim E. Olia , James F. Antaki , the PediaFlow™ consortium

Ventricular Assist Devices (VADs) have revolutionized treatment of adult heart failure with tens of thousands of devices implanted either as a “bridge” to transplant or as a permanent “destination” therapy. There is also a need for VADs for pediatric patients with congenital and/or acquired cardiac disease; yet, the small market potential of pediatrics versus adults has limited commercial interest. Under the support of two completed contract awards from the National Heart, Lung, and Blood Institute and one current award from the Department of Defense Peer Reviewed Medical Research Program, we have designed and validated an implantable, mixed-flow, fully magnetically levitated (maglev), rotodynamic blood pump, the PediaFlow™ pediatric VAD. The clinical design goal for the PediaFlow™ pediatric VAD is to support the failed circulation of infants/neonates and consequently most vulnerable patients for durations consistent with bridge-to-transplant wait list times. Our current fifth generation prototype is the size of an AA cell battery and can achieve flow rates consistent with pediatric circulatory support requirements with minimal cellular damage. We are also currently developing a “smart” closed-loop pump controller which is a quantum improvement over current clinical-use controllers that operate in fixed-output, open-loop mode.

心室辅助装置(VADs)已经彻底改变了成人心力衰竭的治疗方法,数以万计的装置要么作为移植的“桥梁”,要么作为永久的“目的地”治疗。患有先天性和/或获得性心脏病的儿科患者也需要VADs;然而,儿科相对于成人的市场潜力很小,商业利益有限。在美国国家心脏、肺和血液研究所两份已完成的合同和美国国防部同行评议医学研究计划的一份当前合同的支持下,我们设计并验证了一种可植入的、混合流动的、全磁悬浮的旋转动力血泵——PediaFlow™儿科VAD。PediaFlow™儿科VAD的临床设计目标是支持婴儿/新生儿循环失败,从而支持大多数脆弱患者的持续时间与移植桥等待时间一致。我们目前的第五代原型是一个AA电池的大小,可以在最小的细胞损伤的情况下实现与儿科循环支持要求一致的流速。我们目前还在开发一种“智能”闭环泵控制器,这是对目前在固定输出、开环模式下运行的临床使用控制器的巨大改进。
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引用次数: 2
Constitutive modeling of the mechanical response of arterial tissues 动脉组织力学响应的本构建模
Pub Date : 2022-09-01 DOI: 10.1016/j.apples.2022.100111
Manoj Myneni , K.R. Rajagopal

Despite the tremendous impact that a good constitutive relation for the response of arterial tissues can have with regard to advances in cardiovascular science and medicine, and notwithstanding the intense effort to put a felicitous constitutive relation into place, no reliable constitutive relation is available in the literature. In this review article, we provide a brief survey and assessment of the evolution of constitutive relations that have been developed to describe the response of arterial tissues, their inadequacies, and the various quintessential aspects of the response that need to be taken into consideration. We then fashion a nonlinear constitutive relation to describe an inhomogeneous anisotropic compressible viscoelastic solid, which while being grossly inadequate to describe the tissue in its entirety, makes it evident that what one ought to strive for is not in capturing the complexity of tissues, but rather the development of a simple global measure that can be a reliable predictor of the onset of tissue disease, and tissue damage and failure.

尽管良好的本构关系对动脉组织反应的巨大影响与心血管科学和医学的进步有关,尽管为建立合适的本构关系付出了巨大的努力,但在文献中没有可靠的本构关系。在这篇综述文章中,我们提供了一个简要的调查和评估本构关系的演变,这些本构关系已经发展到描述动脉组织的反应,它们的不足之处,以及需要考虑的反应的各个典型方面。然后,我们塑造了一个非线性本构关系来描述一个非均匀各向异性可压缩粘弹性固体,这虽然远远不足以描述整个组织,但很明显,人们应该努力的不是捕捉组织的复杂性,而是发展一个简单的全局测量,可以可靠地预测组织疾病的发作,以及组织损伤和衰竭。
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引用次数: 6
Intrinsic modulus and strain coefficients in dilute composites with a Neo-Hookean elastic matrix 具有Neo-Hookean弹性矩阵的稀复合材料的固有模量和应变系数
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100100
Dmytro Ivaneyko , Jan Domurath , Gert Heinrich , Marina Saphiannikova

A finite element modelling of dilute elastomer composites based on a Neo-Hookean elastic matrix and rigid spherical particles embedded within the matrix was performed. In particular, the deformation field in vicinity of a sphere was simulated and numerical homogenization has been used to obtain the effective modulus of the composite μeff for different applied extension and compression ratios. At small deformations the well-known Smallwood result for the composite is reproduced: μeff=(1+[μ]φ)μ0 with the intrinsic modulus [μ]=2.500. Here φ is the volume fraction of particles and μ0 is the modulus of the matrix solid. However at larger deformations higher values of the intrinsic modulus [μ] are obtained, which increase quadratically with the applied true strain. The homogenization procedure allowed to extract the intrinsic strain coefficients which are mirrored around the undeformed state for principle extension and compression axes. Utilizing the simulation results, stress and strain modifications of the Neo-Hookean strain energy function for dilute composites are proposed.

基于Neo-Hookean弹性矩阵和嵌入在基体中的刚性球粒,建立了稀弹性体复合材料的有限元模型。特别对球面附近的变形场进行了模拟,并采用数值均匀化方法得到了不同拉伸比和压缩比下复合材料μeff的有效模量。在小变形时,复合材料的著名的Smallwood结果重现:μeff=(1+[μ]φ)μ0,固有模量[μ]=2.500。其中φ为颗粒的体积分数,μ0为基体固体的模量。然而,在较大的变形下,本征模量[μ]得到较高的值,其随施加的真应变呈二次增长。均质化程序允许提取本征应变系数,这些本征应变系数反映在主拉伸和压缩轴的未变形状态周围。利用模拟结果,提出了稀复合材料的Neo-Hookean应变能函数的应力应变修正。
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引用次数: 0
Prediction of surface finish in extrusion honing process by regression analysis and artificial neural networks 用回归分析和人工神经网络预测挤压珩磨过程的表面光洁度
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100105
Jayasimha SLN , Lingaraju K.N , Raju H.P

The current work explores the influence of process parameters such as mesh size and volume fraction of abrasives with number of passes, on the interior surface quality of a pre machined component by extrusion honing process. The finishing process is highly flexible and unconventional while modifying the surfaces in case of miniature components involving complex profiles. The method is extensively used to deburr, polish, edge contour and removing recast layers by producing compressive stresses. By, the pressurized flow of semi viscous abrasive laden across the surface to be processed. The experimental study has been carried out on Inconel-625 alloy by one way EH process, with the carrier medium silicone polymer blended with SiC as abrasives. Experiments are planned by constructing L27 orthogonal array for the factors such as mesh number 36, 46, 54 and volume fraction 40, 50, 60 % of abrasives followed by number of passes 5, 10 and 15. Also, the study focuses in developing a regression model, training neural network and comparison of experimental Ra with both regression and ANN model. The prediction of Ra is accomplished by developing a linear regression model and a feed forward back propagation neural network model. Both the developed models are able to predict the output response with an error of 5 to 12%.

目前的工作探讨了工艺参数,如网格尺寸和磨料体积分数与通道数,对挤出珩磨过程中预加工部件的内表面质量的影响。精加工过程是高度灵活和非常规的,同时修改涉及复杂轮廓的微型部件的表面。该方法广泛用于通过产生压应力来去除毛刺,抛光,边缘轮廓和去除重铸层。通过,半粘性磨料的加压流负载在被加工表面。以载体硅树脂聚合物与SiC共混为磨料,对Inconel-625合金进行了单向EH工艺试验研究。通过构建L27正交阵列,分别以磨料的目数36、46、54和体积分数40、50、60%为影响因素,通过次数5、10、15进行实验规划。此外,研究重点是建立回归模型,训练神经网络,并将实验Ra与回归模型和人工神经网络模型进行比较。通过建立线性回归模型和前馈-反向传播神经网络模型来实现对Ra的预测。所建立的两种模型都能在5% ~ 12%的误差范围内预测输出响应。
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引用次数: 2
Full and partial compression fatigue tests on welded specimens of steel St 52-3. Effects of the stress ratio on the probabilistic fatigue life estimation 钢St 52-3焊接试样的完全和部分压缩疲劳试验。应力比对概率疲劳寿命估计的影响
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100091
Paul Dario Toasa Caiza , Stéphane Sire , Thomas Ummenhofer , Yoshihiko Uematsu

The fatigue strength of structures subjected to cyclic loading depends strongly on the stress ratio. Particularly, in case of welded steel structures this fact is not considered in the corresponding standards nor in the guidelines. Experimentally, two approaches are used to study the effect of stress ratio on the fatigue life. On the one hand, based on the S-N  curves obtained from tests performed at different stress ratios, the fatigue life under a particular stress range is estimated. On the other hand, the stress amplitude corresponding to a constant fatigue life is estimated by applying the failure criteria for fluctuating stress like the Goodman–Haigh relationship. This paper presents a general probabilistic model, which estimates the S-N  and Goodman–Haigh curves for any stress ratio. Afterwards, this model is applied on data obtained from full and partial cyclic compression loading tests performed on welded specimens made of steel St 52-3. The tested details correspond to the permissible notch condition limit occurred in highly stressed structures used to build ships.

结构在循环荷载作用下的疲劳强度很大程度上取决于应力比。特别是在焊接钢结构的情况下,在相应的标准和指南中没有考虑到这一事实。试验采用两种方法研究了应力比对疲劳寿命的影响。一方面,根据不同应力比下试验得到的S-N曲线,估算某一应力范围下的疲劳寿命;另一方面,采用Goodman-Haigh关系等波动应力失效准则,估计恒定疲劳寿命下的应力幅值。本文提出了一种估计任意应力比下S-N曲线和Goodman-Haigh曲线的一般概率模型。然后,将该模型应用于St 52-3钢焊接试件的全循环和局部循环压缩加载试验数据。测试细节符合用于建造船舶的高应力结构的允许缺口条件限制。
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引用次数: 3
Extracorporeal carbon dioxide removal (ECCO2R): A contemporary review 体外二氧化碳去除(ECCO2R):当代综述
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100095
Katelin Omecinski , Matthew Cove , Abhijit Duggal , William Federspiel
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引用次数: 1
Coupled electromagnetic and mechanical modeling and detection of buried objects 地埋物电磁与力学耦合建模与探测
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100106
Mohamed Elbadry , J. Wetherington , M.A. Zikry

A time domain finite element (FE) framework was used to investigate the coupled electromagnetic (EM) and mechanical behavior of buried target systems. The coupling of the EM and mechanical fields is through using the Lorentz Force as the body force in the mechanical Cauchy equation of motion. The coupling is sequential where the EM fields and Lorentz force are first solved for, then they are used as inputs for the Cauchy equations of motion. Predictions were obtained for different loading conditions and the Method of Morris sensitivity analysis was used to understand how different mechanical and EM variables affect the buried target system. These predictions indicate that target permeability and depth had the most significant and dominant effects on the behavior of the buried target system.

采用时域有限元框架研究了埋地目标系统的电磁与力学耦合行为。电磁场与机械场的耦合是通过在力学柯西运动方程中用洛伦兹力作为体力实现的。耦合是顺序的,首先求解电磁场和洛伦兹力,然后将它们用作柯西运动方程的输入。对不同的加载条件进行了预测,并利用Morris敏感性分析方法了解了不同的力学和电磁变量对埋地目标系统的影响。这些预测表明,目标渗透率和深度对埋藏目标系统的行为影响最为显著和主导。
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引用次数: 0
Ultimate tensile strength and biaxial stress–strain responses of aortic tissues—A clinical-engineering correlation 主动脉组织的极限拉伸强度和双轴应力-应变响应-临床工程相关性
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100101
Hai Dong , Minliang Liu , Xiaoying Lou , Bradley G. Leshnower , Wei Sun , Bulat A. Ziganshin , Mohammad A. Zafar , John A. Elefteriades

For over a decade, the team from the Aortic Institute at Yale University has worked closely with the bioengineering team of Dr. Wei Sun at Georgia Tech University. This paper presents the products of that collaboration.

We provide clinical context by describing thoracic aortic dissection and its genesis as a prelude to the bioengineering findings. We discuss the genesis of aortic dissection, from the fundamental underlying genetic abnormality, through the degenerative aortic process, to the acute inciting factors and the dissection event itself. The inciting factor is usually an extreme hypertensive episode, occasioned by exertion or emotion.

The bioengineering findings include the following: The aortic wall is stronger in the circumferential direction than in the longitudinal. Bicuspid aortic valve and bovine aortic arch morphology do not compromise aortic strength. Biaxial testing reveals a non-liner stress-strain response of aortic tissues. Dissected tissues become stronger over time, reflecting fibrotic connective tissue ingrowth in response to the dramatic tissue injury from the dissection event. Human aortic tissues stiffen at advanced age, in contradistinction to those of aged animals (porcine).

Combining clinical and bioengineering perspectives yields a more complete and correlative understanding of the genesis of thoracic aortic dissection.

十多年来,耶鲁大学主动脉研究所的研究小组一直与佐治亚理工大学孙伟博士的生物工程团队密切合作。本文介绍了这种合作的成果。我们通过描述胸主动脉夹层及其起源作为生物工程发现的前奏来提供临床背景。我们讨论了主动脉夹层的起源,从基本的潜在遗传异常,通过主动脉退行性过程,到急性刺激因素和夹层事件本身。刺激因素通常是由劳累或情绪引起的极端高血压发作。生物工程结果包括:主动脉壁在周向比纵向更强。二尖瓣主动脉瓣和牛主动脉弓形态不影响主动脉强度。双轴测试显示主动脉组织的非线性应力应变响应。随着时间的推移,剥离的组织变得更强,这反映了纤维化结缔组织在剥离事件造成的严重组织损伤下向内生长的反应。与年老动物(猪)不同,人的主动脉组织在年老时变硬。结合临床和生物工程的观点,对胸主动脉夹层的发生有了更完整和相关的认识。
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引用次数: 0
Artificial intelligence framework to predict wall stress in abdominal aortic aneurysm 预测腹主动脉瘤壁应力的人工智能框架
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100104
Timothy K. Chung , Nathan L. Liang , David A. Vorp

Abdominal aortic aneurysms (AAA) have been rigorously investigated to understand when their risk of rupture - which is the 13th leading cause of death in the US – exceeds the risks associated with repair. Clinical intervention occurs when an aneurysm diameter exceeds 5.5 cm, but this “one-size fits all” criterion is insufficient, as it has been reported thatup to a quarter of AAA smaller than 5.5 cm do rupture. Therefore, there is a need for a more reliable, patient-specific, clinical tool to aide in the management of AAA. Biomechanical assessment of AAA is thought to provide critical physical insights to rupture risk, but clinical translataion of biomechanics-based tools has been limited due to the expertise, time, and computational requirements. It was estimated that through 2015, only 348 individual AAA cases have had biomechanical stress analysis performed, suggesting a deficient sample size to make such analysis relevant in the clinic. Artificial intelligence (AI) algorithms offer the potential to increase the throughput of AAA biomechanical analyses by reducing the overall time required to assess the wall stresses in these complex structures using traditional methods. This can be achieved by automatically segmenting regions of interest from medical images and using machine learning models to predict wall stresses of AAA. In this study, we present an automated AI-based methodology to predict the biomechanical wall stresses for individual AAA. The predictions using this approach were completed in a significantly less amount of time compared to a more traditional approach (∼4 hours vs 20 seconds).

腹主动脉瘤(AAA)已被严格调查,以了解其破裂的风险何时超过修复的风险。腹主动脉瘤是美国第13大死亡原因。当动脉瘤直径超过5.5 cm时,需要进行临床干预,但这种“一贯性”的标准是不够的,因为据报道,小于5.5 cm的AAA动脉瘤破裂的比例高达四分之一。因此,需要一种更可靠的、针对患者的临床工具来帮助管理AAA。AAA的生物力学评估被认为可以为破裂风险提供关键的物理见解,但由于专业知识、时间和计算要求,基于生物力学的工具的临床翻译受到限制。据估计,截至2015年,只有348例AAA病例进行了生物力学应力分析,这表明样本量不足,无法使这种分析在临床中具有相关性。人工智能(AI)算法通过减少使用传统方法评估这些复杂结构中管壁应力所需的总时间,为提高AAA生物力学分析的吞吐量提供了潜力。这可以通过自动分割医学图像中的感兴趣区域并使用机器学习模型来预测AAA的壁应力来实现。在本研究中,我们提出了一种基于人工智能的自动化方法来预测单个AAA的生物力学壁应力。与更传统的方法相比,使用这种方法的预测在更短的时间内完成(~ 4小时对20秒)。
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引用次数: 4
Asymptotic series solution for plane poroelastic model with non-penetrating crack driven by hydraulic fracture 水力裂缝驱动非穿透性裂纹平面孔弹性模型的渐近级数解
Pub Date : 2022-06-01 DOI: 10.1016/j.apples.2022.100089
Hiromichi Itou , Victor A. Kovtunenko , Nyurgun P. Lazarev

A new class of coupled poroelastic problems describing fluid-driven cracks (called fractures) subjected to non-penetration conditions between opposite crack faces (fracture walls) is considered in the incremental form. The nonlinear crack problem for a plane isotropic setting in a two-phase medium is expressed in polar coordinates as a variational inequality with respect to the solid phase displacement and the pore pressure. Applying nonlinear methods, the asymptotic theory and Fourier analysis, a semi-analytic solution given as the power series in the sector of angle 2π is proven using rigorous expansions with respect to the distance to the crack-tip. Here no logarithmic terms occur in the asymptotic expansion. Consequently, a square-root singularity for the poroelastic medium with a non-penetrating crack is derived, and the integral formulas for calculating the corresponding stress intensity factors are obtained.

以增量形式考虑了一类新的耦合孔隙弹性问题,该问题描述了相对裂缝面(裂缝壁)之间受非穿透条件影响的流体驱动裂缝(称为裂缝)。平面各向同性两相介质的非线性裂纹问题在极坐标中表示为关于固相位移和孔隙压力的变分不等式。应用非线性方法、渐近理论和傅立叶分析,用关于裂纹尖端距离的严格展开式证明了角2π扇形上幂级数的半解析解。这里的渐近展开式中没有对数项。由此推导了含非穿透性裂纹的多孔弹性介质的平方根奇异性,并得到了相应应力强度因子的积分计算公式。
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引用次数: 2
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Applications in engineering science
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