2 research outputs found
Sensor capacitivo para a monitorizaĆ§Ć£o da interface osso-implante
Mestrado em Engenharia MecĆ¢nicaOs implantes Ć³sseos usados atualmente nĆ£o sĆ£o capazes de substituir
integralmente a articulaĆ§Ć£o onde sĆ£o aplicadas. A redistribuiĆ§Ć£o da carga
no osso origina o efeito stress-shielding, o que pode provocar perda de
massa Ć³ssea e migraĆ§Ć£o do implante. O desgaste das componentes
integrais do implante tambƩm causa alteraƧƵes na interface ossoimplante.
Os pacientes com estas complicaƧƵes, podem ser submetidos
a operaƧƵes de revisĆ£o, onde o risco de insucesso e infeƧƵes Ć© elevado.
Para prevenir tais casos, recentemente foi proposto o conceito de
Implante Instrumentado para dotar esta tecnologia com: sistemas de
atuaĆ§Ć£o (sobre a interface osso-implante), monitorizaĆ§Ć£o da integraĆ§Ć£o
osso-implante, sistemas de comunicaĆ§Ć£o implante-exterior e sistemas de
geraĆ§Ć£o autĆ³noma de energia. No entanto, uma revisĆ£o da literatura
mostrou que os sistemas de monitorizaĆ§Ć£o propostos nĆ£o sĆ£o viĆ”veis
para serem incorporados em implantes instrumentados. Este Ć© um
estudo preliminar que visa propor um sistema de monitorizaĆ§Ć£o
capacitivo com configuraĆ§Ć£o em co-superfĆcie listrado integrado num
circuito ressonante RLC. Foi desenvolvido um aparato experimental para
o teste do sistema in vitro usando estruturas de osso porcino.
Observaram-se variaƧƵes de 0,2 fF da capacitĆ¢ncia por cada Ī¼m de
deslocamento relativo entre a estrutura Ć³ssea e o sistema de
monitorizaĆ§Ć£o. Embora preliminar, este estudo apresenta resultados
promissores para a monitorizaĆ§Ć£o de diferentes interfaces osso-implante
usando em sistemas capacitivos em co-superfĆcie.The prostheses currently used, are not able to fully replace the joint where
they are applied. The redistribution of the load in the bone causes stressshielding,
which origins loss of bone mass, and migration of the implant.
Also, the wear of the integral components of the prosthesis causes
changes between the interface of the bone and the implant. Patients with
these complications can be submitted to review surgeries, where the risk
of failure and infection is high. To prevent such cases, instrumented
prosthesis have been recently proposed, to enhance this technology with:
actuation systems (over the bone-implant interface), osseointegration
monitoring, communication systems between implant-exterior and
systems capable of generating energy autonomously. However, a review
over these technologies showed that the proposed monitoring systems
are not feasible to be incorporated into instrumented implants. This is a
preliminary study which aims to advocate a monitoring capacitive system
with a cosurface stripe pattern integrated in a RLC resonant circuit. An
experimental apparatus was developed to test the system in vitro using a
porcine bone. Variations of 0,2 fF in the capacitance were observed, for
each Ƭm of relative movement between the bone and the monitoring
system. Although preliminary, this study presents promising result for
monitoring different bone-implant interfaces using a cosurface capacitive
system
Analysis of orthopaedic device development in South Africa: Mapping the landscape and understanding the drivers of knowledge development and knowledge diffusion through networks
An orthopaedic medical device refers to a part, implant, prosthetic or orthotic which is used to address damage to the body's musculoskeletal system, primarily by providing stability and mobility. Orthopaedic medical devices play a role in injury-related disorders, which have been highlighted as a key element of the quadruple burden of disease in South Africa. In this thesis, orthopaedic devices are conceptualised as a technological field and a technological innovation system (TIS) framework is applied to understand orthopaedic device development in South Africa. Knowledge development and knowledge diffusion are fundamental components of any innovation system. The thesis hypothesises that the functions āknowledge developmentā and āknowledge diffusion through networksā of the orthopaedic devices TIS are influenced by contextual factors. The objectives of the study are: to identify the actors who generate knowledge for orthopaedic device development and to characterise the relationships between them; to identify focus areas of orthopaedic device development; to provide insight into the drivers and barriers to knowledge development and diffusion in the TIS; and to identify the contextual factors that influence knowledge dynamics in the TIS. These objectives are investigated using social network analysis based on bibliometric data (scientific publications and patents), keyword networks, a review of institutions, and a set of case studies where the primary data source are interviews with actors. Actors producing knowledge were from the university, healthcare, industry and science council sectors, although science councils played a small role. International actors were shown to bring new ideas into the TIS. The networks were fragmented, illustrating that knowledge diffusion through the networks was limited. This was especially the case in the patent networks as many actors patent in isolation. The keyword networks highlighted unrealised collaboration potential between actors based on their common research interests. The case studies revealed features of cross-sector interaction for orthopaedic device development not evident from network analysis based on bibliometric data. Drivers of knowledge development and knowledge diffusion were: inter-sectoral collaboration; the availability of resources; the affordability of available devices; and the positive externalities of allied TISs. The main barrier to knowledge development and diffusion was in the form of barriers to intersectoral collaboration. These include unmatched expectations from partners in collaboration, different views on intellectual property ownership, and burdensome university administrative processes. The orthopaedic devices TIS was structurally coupled to the embedded TIS and sectoral contexts, and externally linked and structurally coupled to its political context. Knowledge development and diffusion was found to be positively enhanced by innovation in the additive manufacturing TIS, with shared structural elements and resources. Knowledge development and diffusion was influenced by sectoral dynamics of the university, healthcare and industry sectors. This thesis makes the following contributions. First, it applies the TIS framework to a new focus area, namely medical device development, in a developing country context. Second, it makes two unique methodological contributions: it presents an index to capture the extent of sectoral collaboration in a network; and it develops a method for determining the collaboration potential of actors in a network based on cognitive distance