scholarly journals Solving periprosthetic leakage with a novel prosthetic device

2018 ◽  
Vol 129 (10) ◽  
pp. 2299-2302
Author(s):  
Japke F. Petersen ◽  
Liset Lansaat ◽  
Frans Hilgers ◽  
Michiel Brekel
Author(s):  
C Cosenza ◽  
V Niola ◽  
S Savino

The development of suitable models for mechanical fingers, whether they are part of prosthetic device or of a robotic hand, is a powerful tool to predict the behaviour of their components since the early stages of design, especially for underactuated mechanisms. Experimental data can improve the reliability of such models and promote their application to build proper control strategies especially for prosthetic hands. Here, we have developed a multi-jointed model of a mechanical finger. The finger is part of the Federica hand: an underactuated mechanical hand that was conceived for prosthetic purpose. The model accounts for friction phenomena in the finger and it is tuned with experimental data acquired through a digital image correlation device. The model allowed us to write kinematics relations of the phalanges and evaluate finger configurations in relation to the closure velocity. Moreover, it was possible to estimate the tendon force and the work analysis occurring during the closure tasks, both in free mode and in presence of objects.


2021 ◽  
pp. 019459982098334
Author(s):  
Claudio Parrilla ◽  
Ylenia Longobardi ◽  
Jacopo Galli ◽  
Mario Rigante ◽  
Gaetano Paludetti ◽  
...  

Objective Periprosthetic leakage represents the most demanding long-term complication in the voice prosthesis rehabilitation. The aim of this article is to discuss the various causes of periprosthetic leakage and to propose a systematic management algorithm. Study Design Retrospective cohort study. Setting Otolaryngology clinic of the University Polyclinic A. Gemelli–IRCCS Foundation. Methods The study included 115 patients with voice prosthesis who were treated from December 2014 to December 2019. All patients who experienced periprosthetic leakage were treated with the same step-by-step therapeutic approach until it was successful. Incidence, management, and success rate of every attempt are analyzed and discussed. Results Periprosthetic leakage was reported 330 times by 82 patients in 1374 clinic accesses. Radiotherapy, timing of tracheoesophageal puncture, and type of total laryngectomy (primary or salvage) did not influence the incidence of periprosthetic leakage. Salvage total laryngectomy increases the risk of more clinically relevant leakages. Conclusion By using a systematic algorithm with a step-by-step standardized approach, periprosthetic leakage management could become a less treacherous issue.


2011 ◽  
Vol 5 (2) ◽  
Author(s):  
Jinming Sun ◽  
Philip A. Voglewede
Keyword(s):  

Biomechanics ◽  
1969 ◽  
pp. 27-38
Author(s):  
Lloyd L. Salisbury ◽  
Albert B. Colman

Author(s):  
Raquel M. Martinez ◽  
Thomas R. Bowen ◽  
Michael A. Foltzer
Keyword(s):  

2020 ◽  
Author(s):  
Robin Bekrater-Bodmann

Prostheses are used to at least partly restore the body after limb amputation. Making the user accepting the prosthetic device as part of his or her body, i.e., inducing prosthesis embodiment, has been identified as major aim of prosthetic treatment. However, up to now, there is no consensus about the psychometric nature of prosthesis embodiment in limb amputees. In the present study, 118 unilateral lower limb amputees using a prosthesis were asked to complete an online questionnaire targeting prosthesis embodiment. Principal axis factoring revealed the factor structure of prosthesis embodiment, i.e., Ownership/Integrity, Agency, and Anatomical Plausibility, which resembles the embodiment structure previously found in normally-limbed participants. The majority of amputees achieved substantial embodiment of the prosthesis as assessed with the final version of the newly developed Prosthesis Embodiment Scale. Internal consistency was excellent, and test-retest reliability was acceptable, while the instrument was also sensitive for new prosthetic supply. Validation on the basis of relationships to locomotor capability, prosthesis satisfaction, and prosthesis adjustment was performed. The Prosthesis Embodiment Scale could be a valuable tool for the phenomenological assessment of successful body-prosthesis interaction in rehabilitative and research contexts, the latter which might further benefit from the comparability of psychometrically evaluated data.


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