lumbar puncture safety tool
TRANSCRIPT
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LUMBAR PUNCTURE SAFETY TOOLRS02-Dr Ravi Selvaganapathy
By Daniel Ebere
Long Yao
PUNCHEON RESEARCH
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LUMBAR PUNCTURE
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Introduction● Lumbar puncture (LP)
is a procedure that extracts cerebrospinal fluid (CSF) from the subarachnoid space from the spinal space in the lumbar region of the lower back. ● The current problem is to control the insertion depth to protect injury due to over penetration.
● This project is improves the manual control to automatic control in the depth of insertion which will decrease the possibility of injury in lumbar puncture.
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Original Objectives● Control the distance of insertion and the
force applied on the lumbar puncture needle.
● Automatic stop of the insertion to protect the nerve system.
● Move back mechanism to avoid over penetration due to the bounce of the dura mater.
● Minimize the weight of the lumbar puncture needle to better handle.
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Objectives Achieved
● Emergency button to move the needle backwards
● Control the distance of insertion and the force applied on the lumbar puncture needle.
● Automatic stop of the insertion to protect the nerve system.
● Move back mechanism to avoid over penetration due to the bounce of the dura mater.
● Minimize the weight of the lumbar puncture needle to better handle.
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Design criteria
Requirement Value Unit
No. Of DOF 1 -
Force range 0-20 N
Response time 51 ms
Speed 0-10 mm/s
Overshoot distance 0-8 [3] mm
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Design details● Coaxial needle design made up of an
inner and outer needle.● The inner needle experiences the cutting
force ● The outer needle experiences the shear
force from surrounding tissues
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Ft = Cutting forceFa = Actuator forceFs= Shear force from surrounding tissuesFh= Handling force
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Procedure Points
● The cutting force should change as the inner needle goes through several tissues.
● Force sensor at the end of the hub of the cutting needle reads the force changes
● Outer needle takes the shear force● Force drops as the CSF area is reached● Brake is activated.● Tube is connected to the hub of the outer
needle to collect the CSF fluid when it
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SIGNAL FLOW DIAGRAM
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Testing
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Summary of testingTest Number of test made
Motor Test 5
Force sensor Test 4
Force drop Test 4
Final assembly test 6
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Step Motor Test Result● The stepper motor is
tested on its performance on acceleration , velocity and angular velocity.
● The relationship between actual velocity and angular velocity which is y = 0.314*x + 0.1163, where y is the angular velocity in rad/s and x is the actual velocity input in steps/s.
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Force Sensor Test Result● The benefits of the dead
band compensation are that it can reduce the settling time and lower the steady state error.
● The calibration equation is y = 0.1943*x, where x is the sensor output and y is the value in N.
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Final Assembly Test Result (Styrofoam)
● The insertion automatically stops when it penetrates the styrofoam plate. The overshoot distances are different for each sample.
Sample A Sample B Sample C
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Final Assembly Test Result● The overshoot
distance should be with 8 mm. so sample A and sample C are accepted as successful insertion. So the successful rate is 75% in the 6 tests.
● The setting of the deadweight in the programing code is too large that decrease the sensitivity of the force sensor.
Overshoot distance of each sample
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Societal and Economic ImpactsSocial Economic
● �USA-400,000 lumbar punctures per year
● �1/1000 injured every year
● �Reduced to 1/300,000● �Health-adjusted life
expectancy
● �Reduces public spending on health care
● �Increases disposal income of patients
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Questions ?
Thank you for Listening