Equipment Failure Analysis

We study theI-Vcharacteristic of mesoscopic systems or quantum dot (QD) attached to a pair of superconducting leads. Interaction effects in the QD are considered through the charging energy of the QD; that is, the treatment of current transport under a voltage bias is performed within a coupled Poisson nonequilibrium Green function (PNEGF) formalism. We derive the expression for the current in full generality but consider only the regime where transport occurs only via a single particle current. We show for this case and for various charging energies valuesU0and associated capacitances of the QD the effect on theI-Vcharacteristic. Also the influence of the coupling constants on theI-Vcharacteristic is investigated. Our approach puts forward a novel interpretation of experiments in the strong Coulomb regime.

A remote magnetic navigation system (MNS) is available and has been used with a 4-mm-tip magnetic catheter for radiofrequency (RF) ablation of some supraventricular and ventricular arrhythmias; however, it has not been evaluated for the ablation of cavotricuspid isthmus-dependent right atrial flutter (AFL). The present study evaluates the feasibility and efficiency of this system and the newly available 8-mm-tip magnetic catheter to perform RF ablation in patients with AFL. Twenty-six consecutive patients (23 men, mean age 64.6 +/- 9.6 years) underwent RF ablation using a remote MNS. RF ablation was performed with an 8-mm-tip magnetic catheter (70 degrees C, maximum power 70 W, 90 seconds). The endpoint of ablation was complete bidirectional isthmus block. To assess a possible learning curve, procedural data were compared between the first 14 (group 1) and the rest (group 2) of the patients. The initial rhythm during ablation was AFL in 20 (19 counterclockwise and 1 clockwise) and s...

Matrix coils are based on Gugliemi detachable coils (GDC) but are covered with polyglycolic/polylactic acid. We present our experience regarding the immediate posttreatment results of aneurysm embolization using the 2 coil systems. We embolized 219 aneurysms in 187 patients with the use of GDCs and 145 aneurysms in 120 patients with the use of Matrix coils. Age, sex distribution, unruptured aneurysm cases, and multiple aneurysm cases were similar in the 2 groups. The percentage of patients in severe clinical condition was significantly higher in the Matrix group. The mean aneurysm size was slightly larger in the GDC group but the mean neck size was larger in the Matrix group. Satisfactory occlusion (at least 90%) was achieved in 95.9% of GDC-treated aneurysms and in 98.6% of Matrix-treated aneurysms. Procedure-related complications occurred in 19.6% of GDC procedures and in 15.6% of the Matrix ones resulting in procedure-related mortality and morbidity of 3.7% and 2.7% for the GDC g...

Biological debris between modular components using Morse tapers in hip arthroplasty can lead to weakening of the implant construct. We conducted a study to determine the effect of blood and fat within the taper interface. Tapers were divided into groups 1 (clean), 2 (surface covered with blood and fat), and 3 (blood and fat wiped off). Each taper was impacted and disassembled 5 times. There was a difference in mean disassembly force between pulls within group 2. Thus, blood and fat contamination can have a significant effect on the potential for disassembly.

In this paper, we present preliminary results showing the response of glucose-sensitive hydrogels, confined in micro-pressure sensors, to the changes in environmental glucose concentration. The glucose concentrations were incrementally varied between 20 and 0mM in 0.15M PBS solution at 7.4 pH and bovine serum at 7.4 pH at room temperature and response of the sensor was recorded. The micro sensors demonstrate a response time of 10 minutes in both PBS and serum. Tissue response after 55 days of subcutaneous implantation of a EtO sterilized sensor in mice is presented. The preliminary analysis of the surrounding tissue shows inflammation which is believed not to interfere with the sensor performance.

Recently, several theoretical papers have derived relationships for fiber-optic transmission system performance in terms of associated physical layer parameters. At the same time, a large number of detailed experiments have been and continue being performed that demonstrate increasing capacities and unregenerated reach. We use this wealth of experimental data to validate the aforementioned relationships, and to propose a set of simple scaling rules for performance. We find that, despite substantial differences in experimental configurations, overall performance in terms of spectral efficiency and unregenerated reach is well explained by scaling rules. These scaling rules will be useful to carriers seeking to understand what they should expect to see in terms of network performance using deployed or easily accessible technology, which may be radically different from hero experiment results. These rules will also be useful to design engineers seeking cost effective tradeoffs to achiev...

This study investigated the removal efficiency and mechanisms of water contaminants (mainly N-nitrosamines) during municipal wastewater reclamation by a membrane bioreactor (MBR) and nanofiltration (NF) hybrid system. The removal of bulk water contaminants was governed by the microbial activities in the MBR and molecular weight cut-off (MWCO) of the NF membranes. The removal of N-nitrosamines by the MBR was primarily attributed to biodegradation by aerobic bacteria, which can be determined by the reactivity of the amine functional groups with the catabolic enzymes (removal efficiency=45-84%). Adsorption and formation of membrane fouling can enhance the removal of N-nitrosamines by the NF membranes. However, size-exclusion is found to play a major role in the removal of N-nitrosamines by the NF membranes since the removal efficiencies of N-nitrosamines varied significantly depending on molecular weight of the N-nitrosamines and MWCO of the NF membranes (removal efficiency: NE90>NE...

With the technological advancement in body area sensor networks (BASNs), low cost high quality electrocardiographic (ECG) diagnosis systems have become important equipment for healthcare service providers. However, energy consumption and data security with ECG systems in BASNs are still two major challenges to tackle. In this study, we investigate the properties of compressed ECG data for energy saving as an effort to devise a selective encryption mechanism and a two-rate unequal error protection (UEP) scheme. The proposed selective encryption mechanism provides a simple and yet effective security solution for an ECG sensor-based communication platform, where only one percent of data is encrypted without compromising ECG data security. This part of the encrypted data is essential to ECG data quality due to its unequally important contribution to distortion reduction. The two-rate UEP scheme achieves a significant additional energy saving due to its unequal investment of communication energy to the outcomes of the selective encryption, and thus, it maintains a high ECG data transmission quality. Our results show the improvements in communication energy saving of about 40%, and demonstrate a higher transmission quality and security measured in terms of wavelet-based weighted percent root-mean-squared difference.

Purpose The aim of this study was to improve the uniformity of the axial spatial resolution and sensitivity in pinhole single-photon emission computed tomography (SPECT) and to extend the axial field of view, by using a dedicated three-pinhole collimator. Methods A rectangular tungsten plate with three pinhole apertures of 1.5 mm diameter was designed to image a cylindrical field of view of 55 mm diameter and 160 mm axial length using a clinical gamma camera. To evaluate the non-uniformity of spatial resolution and noise, a multiple-disk phantom was built. The phantom was filled with Tc-99m, and data were acquired using a circular orbit and reconstructed with a dedicated iterative reconstruction algorithm. The axial spatial resolution together with the noise was measured in each disk. These measurements were compared to a single-pinhole system using an identical acquisition geometry and reconstruction. Results At the central slice, a spatial resolution of 2.7 mm was observed for both the three-pinhole and single-pinhole geometries. At 17.5 mm from the central slice, the axial spatial resolution deteriorated to 10.3 mm when using a single pinhole, while the spatial resolution remained 2.7 mm for the three-pinhole system. In the central slice, 19% noise was observed for both geometries. At 31.5 mm from this central slice, the noise remained 19% for the three-pinhole geometry, while it increased to 32% using a single pinhole. Conclusion The presented three-pinhole collimator improves the uniformity of the axial spatial resolution and sensitivity in pinhole SPECT and consequently extends the axial field of view, a requirement for whole-body small-animal imaging.

Aims:  To describe the process of designing a new surgical safety checklist for the prevention of wrong patient and wrong site/side surgery using ‘failure mode and effects analysis’ (FMEA), and to carry out a compliance audit on the use of the new checklist in a surgical department.Methods:  Using FMEA as a tool, a multidisciplinary team of medical professionals in the New Territories East Cluster of the Hospital Authority sought to identify key steps at-risk associated with a patient's journey through elective surgery. The whole process was redesigned and incorporated into a new safety checklist with a view to preventing wrong patient and wrong site/side surgery. A compliance audit was carried out after implementation of the checklist.Results:  The newly designed safety checklist, known as ‘123-Surgical Safety-123’, involved a longitudinal series of checkpoints from upstream to downstream with repeated/redundant cross-checking at key steps. The checkpoints included consenting process, sending of patient to the theatre, theatre reception, sign-in, time-out, and sign-out. At each step, one designated person (either a doctor or a nurse) was responsible for checking the correctness of those items listed on the checklist. The new checklist was implemented in February 2009. A compliance audit on the use of the checklist was carried out between 13 February and 17 April 2009. A total of 322 patients were operated on during the study period. The overall compliance rate was 95%.Conclusion:  By using FMEA as a platform, a new surgical safety checklist for prevention of wrong patient and wrong site/side surgery was designed and successfully implemented in a surgical department. A high compliance rate was achieved. However, whether or not the implementation of this new checklist will improve the outcome of surgical patients still awaits further evaluation.

The mild inflammatory response against stented bioprosthetic heart valves in the sheep model is often opposed by a more distinct response in failing human implants. With the emergence of stentless root prostheses with their significantly larger proportion of tissue interacting with the immune system of the host, a more relevant animal model than the sheep may be needed. Valved, porcine aortic roots of 5 cm length were fixed in 0.2% glutaraldehyde and implanted in the upper descending aorta of Merino sheep (n = 5; 43+/-3 kg) and Chacma baboons (n = 5; 17+/-3 kg). After 6 weeks of tissue calcification, pannus outgrowth and inflammation were assessed by atomic absorption spectrophotometry, histologic damage scoring (0 to 3), image analysis, and transmission electron microscopy. The main difference between the two animal models was in aortic wall calcification (64.8+/-39.8 microg/mg in the sheep model versus 4.1+/-5.9 microg/mg in the primate model; p > 0.005). In both models, leaflet calcification was negligible (2.6+/-2.4 microg/mg in the sheep versus 2.5+/-1.9 microg/mg in the primate), and the overall extent of inflammation was comparable (1.2+/-0.8 versus 0.98+/-0.7; p = 0.18 in the sheep and the primate, respectively). Qualitatively, the sheep demonstrated a macrophage-dominated reaction whereas the inflammatory demarcation often resembled a granulocyte-dominated xenograft response in the primate. Pannus outgrowth was comparable in length (8.4+/-2.3 mm versus 9.1+/-4.3 mm proximally and 7.1+/-3.4 mm versus 7.4+/-5.1 mm distally, in the sheep and baboon, respectively; p > 0.05). Our results confirm the sheep as a significantly stronger calcification model for stentless aortic heart valves than the primate. Remaining antigenicity of porcine tissue as a result of incomplete cross-linking, however, elicits a distinctly stronger xenograft-type reaction in the primate model.

The paper presents a novel control approach for the robot-assisted motion augmentation of disabled subjects during the standing-up manoeuvre. The main goal of the proposal is to integrate the voluntary activity of a person in the control scheme of the rehabilitation robot. The algorithm determines the supportive force to be tracked by a robot force controller. The basic idea behind