Grinding Wheel Motion and Force During Plaque Removal by Rotational Atherectomy in Angulated Coronary Artery

Author(s):  
Yihao Zheng ◽  
Jingxuan Lyu ◽  
Yang Liu ◽  
Jason Lo ◽  
Ata Susamaz ◽  
...  

Rotational atherectomy (RA) utilizes a high-speed diamond grinding wheel to remove the calcified atherosclerotic plaque off the vessel wall via a catheter inside an artery for blood flow restoration and treatment of cardiovascular diseases. RA in angulated lesions is challenging due to the geometric constrains on the wheel motion, potentially leading to vessel dissection and perforation. To understand the grinding wheel motion and force during RA in curved arteries, experiments were conducted based on 3D printed anatomically accurate coronary artery phantoms with plaster coating as the plaque surrogate, a high-speed camera, and a multi-axis force transducer. Results showed that the grinding wheel did not orbit inside right coronary artery phantom which led to a highly biased ground region aligned with several contact points between the guidewire and the arterial wall. The grinding wheel orbital motion facilitated an even treatment of several segments in left anterior descending coronary artery phantom. The grinding force, ranging from 0.05 to 0.20 N, increased with the wheel rotational speed when the wheel orbited and was insensitive to the wheel speed without wheel orbital motion. This study explained the clinically observed guidewire bias from the engineering perspective and further revealed the RA mechanism of action in angulated artery, which may assist to improve the device design and the operating technique.

1995 ◽  
Vol 26 (3) ◽  
pp. 731-736 ◽  
Author(s):  
Andrew I. MacIsaac ◽  
Theodore A. Bass ◽  
Maurice Buchbinder ◽  
Michael J. Cowley ◽  
Martin B. Leon ◽  
...  

2021 ◽  
pp. 146808742110080
Author(s):  
Jamshid Malekmohammadi Nouri ◽  
Ioannis Vasilakos ◽  
Youyou Yan

A new engine block with optical access has been designed and manufactured capable of running up to 3000 r/min with the same specification as the unmodified engine. The optical window allowed access to the full length of the liner over a width of 25 mm to investigate the lubricant flow and cavitation at contact point between the rings and cylinder-liner. In addition, it allowed good access into the combustion chamber to allow charged flow, spray and combustion visualisation and measurements using different optical methods. New custom engine management system with build in LabView allowed for the precise full control of the engine. The design of the new optical engine was a great success in producing high quality images of lubricant flow, cavitation formation and development at contact point at different engine speeds ranging from 208 to 3000 r/min and lubricant temperatures (30°C–70°C) using a high-speed camera. The results under motorised operation confirmed that there was no cavitation at contact points during the intake/exhaust strokes due to low in-cylinder presure, while during compression/expansion strokes, with high in-cylinder pressure, considerable cavities were observed, in particular, during the compression stroke. Lubricant temperatures had the effect of promoting cavities both in their intensity and covered ring area up to 50°C as expected. Beyond that, although the cavitation intensity increases further with temperature, its area reduces due to possible collapse of the cavitating bubbles at higher temperature. The change of engine speed from 208 to 800 r/min increased cavitating area considerably by 52% of the ring area and was further increased by 19% at 1000 r/min. After that, the results showed very small increase in cavitation area (1.3% at 2000 r/min) with similar intensity and distribution across the ring.


2009 ◽  
Vol 407-408 ◽  
pp. 577-581
Author(s):  
Shi Chao Xiu ◽  
Zhi Jie Geng ◽  
Guang Qi Cai

During cylindrical grinding process, the geometric configuration and size of the edge contact area between the grinding wheel and workpiece have the heavy effects on the workpiece surface integrity. In consideration of the differences between the point grinding and the conventional high speed cylindrical grinding, the geometric and mathematic models of the edge contact area in point grinding were established. Based on the models, the numerical simulation for the edge contact area was performed. By means of the point grinding experiment, the effect mechanism of the edge contact area on the ground surface integrity was investigated. These will offer the applied theoretic foundations for optimizing the point grinding angles, depth of cut, wheel and workpiece speed, geometrical configuration and size of CBN wheel and some other grinding parameters in point grinding process.


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