Sharif Digital Repository

Purpose - The purpose of this paper is to present an improved methodology for design of custom-made hip prostheses, through integration of advanced image processing, computer aided design (CAD) and additive manufacturing (AM) technologies. Design/methodology/approach - The proposed methodology for design of custom-made hip prostheses is based on an independent design criterion for each of the intra-medullary and extra-medullary portions of the prosthesis. The intra-medullar part of the prosthesis is designed using a more accurate and detailed description of the 3D geometry of the femoral intra-medullary cavity, including the septum calcar ridge, so that an improved fill and fit performance... 

Image based registration of rigid objects has been frequently addressed in the literature to obtain an object's motion parameters. In this paper, a new approach of joint segmentation-rigid registration, within the variational framework of the phase field approximation of the Mumford-Shah's functional, is proposed. The defined functional consists of two Mumford-Shah equations, extracting the discontinuity set of the reference and target images due to a rigid spatial transformation. Multiscale minimization of the proposed functional after finite element discretization provided a sub-pixel, robust algorithm for edge extraction as well as edge based rigid registration. The implementation... 

Multi-sensor tracking is widely used for augmentation of tracking accuracy using data fusion. A basic requirement for such applications is the real time temporal synchronization and spatial registration of two sensory data. In this study a new method for time and space coordination of two tracking sensor measurements has been presented. For spatial registration we used a body coordinate system and then applied the effect of the level arm. The time synchronization was done based on least mean square (LMS) error method. This method was implemented to synchronize the position and orientation of an object using Inertial (1IMU) and Optical (Optotrak) tracking systems. The results of synchronized... 

This paper introduces three geometric features, from deformed shape of a soft tissue, which demonstrate good correlation with probing force and maximum local stress. Using FEM simulation, 2D and 3D model of an in vivo porcine liver was built for different probing tasks. Maximum deformation angle, maximum deformation depth and width of displacement constraint of the reconstructed shape of the deformed body were calculated. Two neural networks were trained from these features and the calculated interaction forces. The features are shown to have high potential to provide force estimation either for haptic devices or to assess the damage to the tissue in large deformations of up to 40%  

The actuation mechanism of the tip of an endoscopic instrument is a major problem in designing miniature scale motorized instruments, especially when a high level of functionality and multi degrees of freedom (DOF) are concerned. We evaluated the different possible actuation methods for an endoscopic needle holder and proposed a new design of hybrid local-actuation, including a micro DC motor and a piezoelectric (PZT) actuator. The DC motor provided the long movement course required for opening-closing function of the gripper while the PZT guaranteed the high gripping force required for holding the needle. A compact serial configuration was considered for the actuators, producing an overall... 

This study proposes a new technique for registration of complicated freeform surfaces. The relationship between the initial and transferred location/orientation of a points cloud is formulated and then generalized within the framework of the influence surface modeling approach using least squares method. Results of case studies for estimation of the transformation matrix of articular surface of the knee joint in two scenes of MR images indicated high accuracies of ±1 mm and ±1 degree  

A robotic system with 6 DOF mobility was proposed for reduction of femoral shaft fractures based on Stewart platform. A plan for implementing the platform on bone fragments was introduced and a step by step strategy for performing the reduction procedure, based on the system's inverse kinematic solution, was proposed. The efficacy of the system was evaluated in some case studies and it was shown that it can be locked to act as an external fixator  

Different experimental techniques which have been developed to obtain data related to force-deformation behaviour of soft tissues play an important role in realistically simulating surgery processes as well as medical diagnoses and minimally invasive procedures. Indeed, an adequate quantitative description of soft-tissue-mechanical-behaviour requires high-quality experimental data to be obtained and analysed. In this review article we will first scan the motivations and basic technical issues on surgery simulation. Then, we will concentrate on different experimental techniques developed for recording force-deformation (stress-strain) behaviour of soft tissues with focussing on the in-vivo... 

Kinematic and dynamic parameters of robot manipulators are difficult to measure exactly. Also, time varying unknown dynamical parameters of human arm, during interaction with the master robot and unknown parameters of environment during interaction with the slave robot, in teleoperation systems, insert further uncertainties. Furthermore, unknown parameters, unmodeled dynamics of master/slave robots, human arm model and environment introduce more uncertainties. In this paper, a robust adaptive master-slave teleoperation control strategy is introduced which require neither the exact knowledge about the parameters of the master/slave robots, human arm and environment, because of the... 

By utilizing predictive simulations, it becomes possible to generate natural human movements without relying on the experimental data. Nevertheless, accurately predicting motion still presents a considerable obstacle due to the complex nature of comprehending and replicating human motor control. In this research, a muscle-driven musculoskeletal model was employed, along with a direct collocation optimization method, to synthesize the squat-to-stand motion. We employed seven different single-term cost functions during the process and compared the resulting joint angle and velocities and the muscle activation patterns, with those healthy subjects. In general, the cost function minimizing the... 

Fall is a common event among elderly people which can cause significant injury and even death. Investigating the most common fall scenarios can lead to a better understanding of their differences and similarities and unveil their specific discriminative features. Triaxial acceleration signals were captured during the simulated falls of 1 elderly and 10 young persons, using a single Inertial Measurement Unit (IMU) mounted on their waist. In total, 12 different fall scenarios (direction/activity) were examined and their acceleration signals within a fall window, defined between 50 milliseconds before and after the main peak (range: 2-10 g), were compared via ANOVA test. Results indicated... 

Background An automated instrument tracking procedure was designed and developed for autonomous control of a cameraman robot during laparoscopic surgery. Material and methods The procedure was based on an innovative marker-free segmentation algorithm for detecting the tip of the surgical instruments in laparoscopic images. A compound measure of Saturation and Value components of HSV color space was incorporated that was enhanced further using the Hue component and some essential characteristics of the instrument segment, e.g., crossing the image boundaries. The procedure was then integrated into the controlling system of the RoboLens cameraman robot, within a triple-thread parallel... 

A transverse-plane hyperelastic micromechanical model of brain white matter tissue was developed using the embedded element technique (EET). The model consisted of a histology-informed probabilistic distribution of axonal fibers embedded within an extracellular matrix, both described using the generalized Ogden hyperelastic material model. A correcting method, based on the strain energy density function, was formulated to resolve the stiffness redundancy problem of the EET in large deformation regime. The model was then used to predict the homogenized tissue behavior and the associated localized responses of the axonal fibers under quasi-static, transverse, large deformations. Results... 

This study proposes a computer modeling approach to find the optimal damping coefficients of the viscoelastic ankle-foot prostheses for each specific amputee. A two-dimensional locomotion model was developed for a transtibial amputee and personalized using his body measures and the reference gait pattern of an equivalent able-bodied subject. By employing the forward dynamic simulation, the amputee’s locomotion was synthesized for different prosthetic settings to find the optimal damping coefficients, based on a kinematics and a total work cost function. Results indicated a good agreement between the model predictions and the experimental observations. © 2018, © 2018 RESNA  

This study proposes a computer modeling approach to find the optimal damping coefficients of the viscoelastic ankle-foot prostheses for each specific amputee. A two-dimensional locomotion model was developed for a transtibial amputee and personalized using his body measures and the reference gait pattern of an equivalent able-bodied subject. By employing the forward dynamic simulation, the amputee’s locomotion was synthesized for different prosthetic settings to find the optimal damping coefficients, based on a kinematics and a total work cost function. Results indicated a good agreement between the model predictions and the experimental observations. © 2018, © 2018 RESNA  

To help walking, using assistive devices can be considered to reduce the loads caused by weight and to effectively decrease the propulsive forces. In this study, a mobility Saddle-Assistive Device (S-AD) supporting body weight while walking was evaluated on two healthy volunteers. This device is based on the support of body weight against gravity with the help of a saddle, which is not used in other passive mobility assistive devices. To prove the efficiency of this device, the experimental results obtained while walking with this device were compared with those related to walking without the assistive device. The results showed that this device could significantly reduce the forces and... 

This paper presents a bi-directional closed-form analytical solution, in the framework of nonlinear soft composites mechanics, for top-down hyperelastic characterization of brain white matter tissue components, based on the directional homogenized responses of the tissue in the axial and transverse directions. The white matter is considered as a transversely isotropic neo-Hookean composite made of unidirectional distribution of axonal fibers within the extracellular matrix. First, two homogenization formulations are derived for the homogenized axial and transverse shear moduli of the tissue, based on definition of the strain energy density function. Next, the rule of mixtures and... 

The majority of the people with incomplete spinal cord injury lose their walking ability, due to the weakness of their muscle motors in providing torque. As a result, developing assistive devices to improve their conditionis of great importance. In this study, a combined application of the saddle-assistive device (S-AD) and mechanical medial linkage or thosis was evaluated to improve the walking ability in patients with spinal cord injury in the gait laboratory. This mobile assistive device is called the saddle-assistive device equipped with medial linkage or thosis (S-ADEM). In this device, a mechanical orthosis was used in a wheeled walker as previously done in the literature. Initially,... 

Physical problems caused by fractures, aging, stroke, and accidents can reduce foot power; these, in the long term, can dwindle the muscles of the waist, thighs, and legs. These conditions provide the basis for the invalidism of the harmed people. In this study, a saddle-walker was designed and evaluated to help people suffering from spinal cord injury and patients with lower limb weakness. This S-AD works based on body weight support against the previously report designs. This saddle-walker consisted of a non-powered four-wheel walker helping to walk and a powered mechanism for the sit-to-stand (STS) transfer. A set of experiments were done on the STS in the use of the standard walker and... 

Background: An effective master robot for haptic tele-surgery applications needs to provide a solution for the inversed movements of the surgical tool, in addition to sufficient workspace and manipulability, with minimal moving inertia. Method: A novel 4+1-DOF mechanism was proposed, based on a triple parallelogram linkage, which provided a Remote Center of Motion (RCM) at the back of the user's hand. The kinematics of the robot was analyzed and a prototype was fabricated and evaluated by experimental tests. Results: With a RCM at the back of the user's hand the actuators far from the end effector, the robot could produce the sensation of hand-inside surgery with minimal moving inertia. The...