The Effect of Compression Force Uniformity on Bipolar Tissue Welding

2017 ◽  
Vol 139 (5) ◽  
Author(s):  
Xiaoran Li ◽  
Russel Borduin ◽  
Roland K. Chen ◽  
Wei Li
Keyword(s):  
Power Distribution ◽  
Electrical Power ◽  
Welding Process ◽  
Compression Force ◽  
Tissue Impedance ◽  
Tissue Welding ◽  
The Difference ◽  
Joint Quality ◽  
Tissue Mimicking Material

Bipolar forceps are a type of electrosurgical device (ESD) widely used for tissue welding in modern surgeries. ESDs have many advantages over traditional surgical tools including reduced blood loss, improved efficiency, and lower surgeon fatigue. However, these devices suffer from tissue sticking and damage due to overheating which leads to poor tissue joint quality. The problem is potentially caused by uneven power distribution due to nonuniform compression applied by the bipolar forceps. In this study, the effect of compression force uniformity was investigated with an experimental setup to achieve a uniform and consistent compression force at the jaws of bipolar forceps. Comparative tissue welding experiments were conducted under both uniform and nonuniform compression force conditions with tissue mimicking material. In situ welding process parameters including compression force, electrical voltage, and current were collected and analyzed to understand the effect of compression force uniformity. The results indicate that tissue impedance is lower due to increased tool–tissue contact area; the electrical power is initially higher during the first few milliseconds of welding. The experimental device developed in this study provides an important platform to understand the difference of tissue welding process under uniform and nonuniform compression force conditions.

An Experimental Study on the Effect of Compression Force Uniformity in Electrosurgical Tissue Welding

2016 ◽  
Author(s):  
Xiaoran Li ◽  
Russell Borduin ◽  
Roland Chen ◽  
Wei Li
Keyword(s):  
Power Distribution ◽  
Electrical Power ◽  
Welding Process ◽  
Compression Force ◽  
Uniform Compression ◽  
Tissue Impedance ◽  
Tissue Welding ◽  
The Difference ◽  
Joint Quality ◽  
Tissue Mimicking Material

Bipolar forceps are a type of electrosurgical device (ESD) widely used for tissue welding in modern surgeries. ESDs have many advantages over traditional surgical tools including reduced blood loss, improved efficiency and lower surgeon fatigue. However, these devices suffer from tissue sticking and damage due to overheating which leads to poor tissue joint quality. The problem is potentially caused by uneven power distribution due to non-uniform compression applied by the bipolar forceps. In this study, the effect of compression force uniformity was investigated with an experimental setup to achieve a uniform and consistent compression force at the jaws of bipolar forceps. Comparative tissue welding experiments were conducted under both uniform and non-uniform compression force conditions with tissue mimicking material. In situ welding process parameters including compression force, electrical voltage, and current were collected and analyzed to understand the effect of compression force uniformity. Comparing the uniform to non-uniform compression force cases, the results indicate that tissue impedance is lower due to increased tissue contact area; the electrical power is initially higher during the first few milliseconds, but becomes lower for the rest of the welding process recorded. The experimental device developed in this study provides an important platform to understand the difference of tissue welding process under uniform and non-uniform compression force conditions.

Comparison of Mammography and Ultrasonography for Tumor Size of DCIS of Breast Cancer

2019 ◽  
Vol 15 (2) ◽  
pp. 209-213
Author(s):  
Yu Wang ◽  
Jiantao Wang ◽  
Haiping Wang ◽  
Xinyu Yang ◽  
Liming Chang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Correlation Coefficient ◽  
Tumor Size ◽  
Ductal Carcinoma ◽  
Pearson Correlation ◽  
Dense Breast ◽  
Pathological Examination ◽  
Negative Group ◽  
The Difference

Objective: Accurate assessment of breast tumor size preoperatively is important for the initial decision-making in surgical approach. Therefore, we aimed to compare efficacy of mammography and ultrasonography in ductal carcinoma in situ (DCIS) of breast cancer. Methods: Preoperative mammography and ultrasonography were performed on 104 women with DCIS of breast cancer. We compared the accuracy of each of the imaging modalities with pathological size by Pearson correlation. For each modality, it was considered concordant if the difference between imaging assessment and pathological measurement is less than 0.5cm. Results: At pathological examination tumor size ranged from 0.4cm to 7.2cm in largest diameter. For mammographically determined size versus pathological size, correlation coefficient of r was 0.786 and for ultrasonography it was 0.651. Grouped by breast composition, in almost entirely fatty and scattered areas of fibroglandular dense breast, correlation coefficient of r was 0.790 for mammography and 0.678 for ultrasonography; in heterogeneously dense and extremely dense breast, correlation coefficient of r was 0.770 for mammography and 0.548 for ultrasonography. In microcalcification positive group, coeffient of r was 0.772 for mammography and 0.570 for ultrasonography. In microcalcification negative group, coeffient of r was 0.806 for mammography and 0.783 for ultrasonography. Conclusion: Mammography was more accurate than ultrasonography in measuring the largest cancer diameter in DCIS of breast cancer. The correlation coefficient improved in the group of almost entirely fatty/ scattered areas of fibroglandular dense breast or in microcalcification negative group.

scholarly journals Comparison of In-Situ and Retrospective Self-Reports on Assessing Hearing Aid Outcomes

2020 ◽  
Author(s):  
Yu-Hsiang Wu ◽  
Elizabeth Stangl ◽  
Octav Chipara ◽  
Anna Gudjonsdottir ◽  
Jacob Oleson ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Outcome Data ◽  
Self Report ◽  
Data Collection And Analysis ◽  
Self Reports ◽  
Outcome Difference ◽  
The Difference ◽  
Ecological Momentary

Abstract Background Ecological momentary assessment (EMA) is a methodology involving repeated surveys to collect in-situ self-reports that describe respondents' current or recent experiences. Audiology literature comparing in-situ and retrospective self-reports is scarce. Purpose To compare the sensitivity of in-situ and retrospective self-reports in detecting the outcome difference between hearing aid technologies, and to determine the association between in-situ and retrospective self-reports. Research Design An observational study. Study Sample Thirty-nine older adults with hearing loss. Data Collection and Analysis The study was part of a larger clinical trial that compared the outcomes of a prototype hearing aid (denoted as HA1) and a commercially available device (HA2). In each trial condition, participants wore hearing aids for 4 weeks. Outcomes were measured using EMA and retrospective questionnaires. To ensure that the outcome data could be directly compared, the Glasgow Hearing Aid Benefit Profile was administered as an in-situ self-report (denoted as EMA-GHABP) and as a retrospective questionnaire (retro-GHABP). Linear mixed models were used to determine if the EMA- and retro-GHABP could detect the outcome difference between HA1 and HA2. Correlation analyses were used to examine the association between EMA- and retro-GHABP. Results For the EMA-GHABP, HA2 had significantly higher (better) scores than HA1 in the GHABP subscales of benefit, residual disability, and satisfaction (p = 0.029–0.0015). In contrast, the difference in the retro-GHABP score between HA1 and HA2 was significant only in the satisfaction subscale (p = 0.0004). The correlations between the EMA- and retro-GHABP were significant in all subscales (p = 0.0004 to <0.0001). The strength of the association ranged from weak to moderate (r = 0.28–0.58). Finally, the exit interview indicated that 29 participants (74.4%) preferred HA2 over HA1. Conclusion The study suggests that in-situ self-reports collected using EMA could have a higher sensitivity than retrospective questionnaires. Therefore, EMA is worth considering in clinical trials that aim to compare the outcomes of different hearing aid technologies. The weak to moderate association between in-situ and retrospective self-reports suggests that these two types of measures assess different aspects of hearing aid outcomes.

scholarly journals Tuning Single-Molecule Conductance by Controlled Electric Field-Induced trans-to-cis Isomerisation

2021 ◽  
Vol 11 (8) ◽  
pp. 3317
Author(s):  
C.S. Quintans ◽  
Denis Andrienko ◽  
Katrin F. Domke ◽  
Daniel Aravena ◽  
Sangho Koo ◽  
...  
Keyword(s):  
Electric Field ◽  
Electric Fields ◽  
Single Molecule ◽  
Quantum Interference ◽  
Single Molecule Level ◽  
Wet Chemical Synthesis ◽  
Single Molecule Junctions ◽  
Tunnelling Microscopy ◽  
The Difference

External electric fields (EEFs) have proven to be very efficient in catalysing chemical reactions, even those inaccessible via wet-chemical synthesis. At the single-molecule level, oriented EEFs have been successfully used to promote in situ single-molecule reactions in the absence of chemical catalysts. Here, we elucidate the effect of an EEFs on the structure and conductance of a molecular junction. Employing scanning tunnelling microscopy break junction (STM-BJ) experiments, we form and electrically characterize single-molecule junctions of two tetramethyl carotene isomers. Two discrete conductance signatures show up more prominently at low and high applied voltages which are univocally ascribed to the trans and cis isomers of the carotenoid, respectively. The difference in conductance between both cis-/trans- isomers is in concordance with previous predictions considering π-quantum interference due to the presence of a single gauche defect in the trans isomer. Electronic structure calculations suggest that the electric field polarizes the molecule and mixes the excited states. The mixed states have a (spectroscopically) allowed transition and, therefore, can both promote the cis-isomerization of the molecule and participate in electron transport. Our work opens new routes for the in situ control of isomerisation reactions in single-molecule contacts.

scholarly journals Non-isolated load sharing direct current system operation with use of the auctioneering diodes

2019 ◽  
Vol 28 ◽  
pp. 01037 ◽  
Author(s):  
Maciej Kozak
Keyword(s):  
Power Distribution ◽  
Distribution System ◽  
Heat Dissipation ◽  
Current System ◽  
Electrical Power ◽  
Experimental System ◽  
Laboratory System ◽  
Simulation Studies ◽  
Power Distribution System ◽  
Electrical Systems

The paper presents the background and results of numerical simulation and experimental research of a system using auctioneering diodes used to distribute the electrical power between two power converters connected with intermediate circuits in parallel, direct connection. Presented non-isolated power distribution system which utilizes blocking diodes placed in DC branches are used in the selected ship's electrical systems, however, they create problems related to control and handling ground faults. Another issue occurring during the operation of this type of systems is increased heat dissipation while diodes switching. Selected problems related to the operation of experimental system have been identified by means of simulation studies and experiments carried out in a 11 kVA laboratory system and the theoretical basis along with results are provided in the article.

scholarly journals Investigation of the Impact of Large-Scale Integration of Electric Vehicles for a Swedish Distribution Network

Energies ◽  
2019 ◽  
Vol 12 (24) ◽  
pp. 4717 ◽  
Author(s):  
Sylvester Johansson ◽  
Jonas Persson ◽  
Stavros Lazarou ◽  
Andreas Theocharis
Keyword(s):  
Electric Vehicles ◽  
Power Distribution ◽  
Large Scale ◽  
Electrical Power ◽  
Distribution Network ◽  
Transport Sector ◽  
Smart Charging ◽  
Large Scale Integration ◽  
Scale Integration ◽  
The Impact

Social considerations for a sustainable future lead to market demands for electromobility. Hence, electrical power distribution operators are concerned about the real ongoing problem of the electrification of the transport sector. In this regard, the paper aims to investigate the large-scale integration of electric vehicles in a Swedish distribution network. To this end, the integration pattern is taken into consideration as appears in the literature for other countries and applies to the Swedish culture. Moreover, different charging power levels including smart charging techniques are examined for several percentages of electric vehicles penetration. Industrial simulation tools proven for their accuracy are used for the study. The results indicate that the grid can manage about 50% electric vehicles penetration at its current capacity. This percentage decreases when higher charging power levels apply, while the transformers appear overloaded in many cases. The investigation of alternatives to increase the grid’s capabilities reveal that smart techniques are comparable to the conventional re-dimension of the grid. At present, the increased integration of electric vehicles is manageable by implementing a combination of smart gird and upgrade investments in comparison to technically expensive alternatives based on grid digitalization and algorithms that need to be further confirmed for their reliability for power sharing and energy management.

Cold Metal Transfer Spot Joining of AA6061-T6 to Galvanized DP590 Under Different Modes

2015 ◽  
Vol 137 (5) ◽  
Author(s):  
HaiYang Lei ◽  
YongBing Li ◽  
Blair E. Carlson ◽  
ZhongQin Lin
Keyword(s):  
Heat Input ◽  
Mechanical Performance ◽  
Welding Process ◽  
High Strength ◽  
Metal Transfer ◽  
Cold Metal Transfer ◽  
Spot Joining ◽  
Predrilled Hole ◽  
Joint Quality ◽  
Cold Metal

In order to meet the upcoming regulations on greenhouse gas emissions, aluminum use in the automotive industry is increasing. However, this increase is now seen as part of a multimaterial strategy. Consequently, dissimilar material joints are a reality, which poses significant challenges to conventional fusion joining processes. To address this issue, cold metal transfer (CMT) spot welding process was developed in the current study to join aluminum alloy AA6061-T6 as the top sheet to hot dip galvanized (HDG) advanced high strength steel (AHSS) DP590 as the bottom sheet. Three different welding modes, i.e., direct welding (DW) mode, plug welding (PW) mode, and edge plug welding (EPW) mode were proposed and investigated. The DW mode, having no predrilled hole in the aluminum top sheet, required concentrated heat input to melt through the Al top sheet and resulted in a severe tearing fracture, shrinkage voids, and uneven intermetallic compounds (IMC) layer along the faying surface, leading to poor joint properties. Welding with the predrilled hole, PW mode, required significantly less heat input and led to greatly reduced, albeit uneven, IMC layer thickness. However, it was found that the EPW mode could homogenize the welding heat input into the hole and thus produce the most stable welding process and best joint quality. This led to joints having an excellent joint morphology characterized by the thinnest IMC layer and consequently, best mechanical performance among the three modes.

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