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Reducing accidental injuries during surgery

Journal of Long-Term Effects of Medical Implants 2003年第1期13卷 1-10页

作者： Edlich, Richard F. Wind, Tyler C. Hill, Lisa G. Thacker, John G. McGregor, Walter Plastic Surgery Research Program University of Virginia Health System Charlottesville VA United States Department of Mechanical Engineering Charlottesville VA United States Biomark Technology Inc. Flemington NJ United States 16155 NW Jenne Lake Ct. Beaverton OR 97006 United States

Extensive clinical investigations have demonstrated that double-gloves and blunt-tipped surgical needles dramatically reduced the risk of accidental injuries during surgery. During the last decade, double-glove hole puncture indication systems have been developed that reduce the clinical risk of accidental needlestick injuries as well as detect the presence of glove hole puncture in the presence of fluids. When the outer glove is punctured, the colored underglove becomes apparent through the translucent outer glove, necessitating glove removal, hand washing, and donning of another double-glove hole puncture Indicator™ system. This article presents the first biomechanical performance study that documents the puncture resistance of blunt surgical needles in latex and nonlatex single gloves and double-glove hole puncture indication systems. The technique for measuring glove puncture resistance simulates the standard test for material resistance to puncture outlined by the American Society for Testing and Materials. The maximum puncture resistance force was measured by the compression load cell and recorded in grams with a strip chart recorder. Ten puncture resistance measurements for the taper point needle, blunt taper point needle, and blunt needle were taken from five samples of the Biogel® Indicator™ underglove, Biogel® Super-Sensitive™ glove, Biogel® glove, Biogel® Skinsense™ N Universal underglove, and Biogel® Skinsense™ Polyisoprene glove;and the Biogel®, Biogel® Super-Sensitive™, and Biogel® Skinsense™ Polyisoprene double-glove hole puncture indication systems. The magnitude of puncture resistance forces recorded was influenced by several factors: glove material, number of glove layers, and type of surgical needle. For each type of curved surgical needle, the resistance to needle penetration by the nonlatex gloves was significantly greater than those encountered by the latex glove materials. The resistance to needle puncture of all three

关键词： Surgery

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Biochemical performance of new cardiovascular needles

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Journal of Long-Term Effects of Medical Implants 2001年第1-2期11卷 55-63页

作者： Thacker, John G. Ferguson Jr., Robert E. H. Rodeheaver, George T. Edlich, Richard F. Department of Mechanical and Aerospace Engineering University of Virginia Charlottesville VA United States Department of Plastic Surgery University of Virginia School of Medicine Box 800376 Charlottesville VA 22908 United States Plastic Surgery Research Program University of Virginia Health System P.O. Box 801351 Charlottesville VA 22908-1351 United States Trauma Specialists LLP Legacy Emanuel Hospital 22500 NE 128th Circle Brush Prairie WA 98606 United States

Cardiovascular needles are now being manufactured from new stainless steel alloys containing high concentrations of nickel, Surgalloy™ and Ethalloy™. The purpose of this study was to compare the biomechanical performance of a cardiovascular needle made of Surgalloy with a comparably sized needle made of Ethalloy. The parameters of biomechanical performance included sharpness, maintenance of sharpness, resistance to bending, and ductility. Because the biomechanical performance of these needles was remarkably similar, cardiovascular needles made of either the Surgalloy or Ethalloy alloys are recommended for cardiovascular surgery.

关键词： Cardiovascular system

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Acquisition of the enhanced Maritime Prepositioning Force, MPF(E), Ship

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NAVAL ENGINEERS JOURNAL 1999年第1期111卷 15-26页

作者： Mazumdar, T Sandison, J DuFlocq, R Thpan Mazurndar:is a Deputy Ship Design Manager from Naval Surface Warfare Center Carderock Division. He was the Design Manager for the Engineering and Design Phase ofthe Enhanced Maritime Prepositioning Fme Ship (MPF(E)). Cuwently Mt: M2.zumdar is Deputy Ship Design Manager in NAVSEA 030 for the LHD and LSD classes of ships. Mr. Mazumdar was awarded a BSE in Naval Architecture and Marine Engineering from the University of Michigan in 1981 and an MS in Computer Science fiom Virginia Tech in 1988. He also possesses an International ChiejEngineer License (Motot unlimited). Mr. Mancmdar has been an Associate Member of WAME since 1981. James C. Sandison:is a Senior Ship Design Manager (SDM) for surface ships in the Nawl Sea Systems Command (NAVSEA03D3C). He has a long tem practical background in design construction and testing of surface ships. Starting in NAVSEC as a diving and salvage systems engineer for the Bathyscaph TRIESTE he has been involved with most ofthe Nays Mine Warfare and Auxiliary ships from naval architect to the present Senior Ship Design Manager for the Strategic Sealift Program. Mr: Sandison entered the U.S. Navy in 1956 in the (diesel) Submarine Service. Afterward he “went to sea in sailing ships and completed an apprenticeship as a wooden shipbuildex. In 1971 he graduated from the University of Michigan with a BSE in Naval Architecture and Marine Engineering and was employed by NAVSEC. His latest additional duties have been as engineering coordinator on board the USS CONSTITUTION for her 200th anniversary sail. Mr. Sandison is a member of SNAME ASNE and the U.S. Naval Institute. Rick DuFlocq has over 24 years of combined project management mechanical system and general awangmmt design and design documentation experience the last 14 years urith Advance Marine Enterprises (AME). He has fmjmned this wurk on a wide variety of ships and auxiliary crafl including submarines primarily for the U.S. Navy and the Military Sealift Command (MSC). He has worked for both shiprards and marine eng

The paper will describe the streamlined acquisition process involved in the procurement, and conversion, of the first two of three Enhanced Maritime Prepositioning Force (MPF(E)) ships. This program was one of the first programs undertaken within the Government's new policy of Acquisition Reform, which resulted in the development of "performance based" requirements for these ships. This program is notable in that one prime contractor is responsible for the accomplishment of all phases, and that the contractors participating were not shipyards as is usually the fashion for Government ship acquisition programs. Also of note, was that after the conversion contracts were awarded, responsibility for the conduct of detail design, conversion, and operation and maintenance of the ship was transferred from the NAVSEA Sealift program Office (PMS 385) to the Military Sealift Command (MSC). The first part of the paper will describe the basic mission of the MPF(E) ships, and a description of the origin of the program requirements. The second part of the paper will chronicle in detail the portions of the engineering design and specification development process, which will include descriptions of the unique digital data recording and tracking systems developed by the Government MPF(E) Design Support Team to support the acquisition phases of the procurement. The third and final part of the paper will elaborate on the conversion contract awards and the transition of the program from PMS 385 to MSC.

关键词： Naval vessels

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Applying fuzzy functions and sequential coordination to optimization of machinery arrangement and pipe routing

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NAVAL ENGINEERS JOURNAL 1998年第6期110卷 43-54页

作者： Wu, BC Young, GS Schmidt, W Choppella, K Dr. Bi-Chu Wu:received a PhD in Mechanical Engineering from the University of Maryland College Park in 1991. She has worked on projects involving naval architecture design optimization solid mechanics and database development. Presently a senwr engineer with Angle Incorporated Dr Wu's research interests are in design optimization and fuzzy logic applications. Dr. Gin-Shu Young: a senior engineer with Angle Incorporated holds a PhD in Mechanical Engineering from the University of Maryland College Park. As a guest researcher with National Institute of Standards and Technologies from 1990 to 1993 he worked on vision-based navigation for autonomous vehicles. His experience also includes applications of optimization fuzzy logic neural network and genetic algorithm methods to engineering system design Mr. William Schmidt:co-founded Angle Incorporated in 1990 and has served as Vice PresidentlChiefScientist during this tame. He holds a B.Sc. in Applied Science from the Naval Acadt?my and an M.Sc. in Physics from the Naval Post Graduate School. He has cner 20 years experience in technical leadership material and personnel management. He has led the application of computer aided design (CAD) and Product Model Information Exchange to the shipbuilding industry. His experience also includes leading the amlication of model based operational analysis to support the Live Fire Test Program for DDG 51 Class Destroyers. Mr. Krishna M. Choppella:is a Sofware Engineer at Eidea Laboratories Incotporated where he works on componentbased distributed enterpvise frameworks. He has been involved in creating data analysis tools for the US Nay by integrating CAD modeis databases and graphical front ends. His work in the Masters degree program in Mechanical Engineering at the University of Texas at Austin was in di0ddase.r spectroscopy of combustion products in porous-matri burners. He received his Bachelors degree in Electrical Engineering in India. He was a Research Associate at the Centre for Laser Technology and Project Engi

Ship design is often multidisciplinary involving several design elements with various types of objectives and constraints (O/C) some easily described as mathematical formulas, others better modeled as descriptive assertions. This paper describes a method based on fuzzy functions and an integrated performance index to model O/C using descriptive assertions to be used with mathematical formulas in optimization. Another issue addressed in this paper concerns the coordination of design elements when sequentially coupled, that is, when one leads the other and the performance of the follower depends greatly on the design of the leader. Based on neuro-fuzzy techniques, the method described here coordinates and optimizes sequentially coupled elements. The two methods are applied to machinery arrangement (MA) and pipe routing (PR). Preliminary models for optimization of MA and PR are described considering convenience, producibility: engine room size, interference and location as factors in the O/C set. Some test results from MA/PR applications are presented and discussed. The methods are generic and can be extended to other elements in ship design. They are mutually independent and may be used separately Two advantages of their use are an improvement in overall performance and a reduction in the need for redesign of elements.

关键词： Optimization

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Soft computing algorithms for intelligent control of a mobile robot for service use

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Soft Computing 1997年第2期1卷 99-106页

作者： Tanaka, T. Ohwi, J. Litvintseva, L. V. Yamafuji, K. Ulyanov, S. V. Department of Mechanical and Control Engineering The University of Electro-Communications Chofu Tokyo 182 Japan JP Artificial Intelligence Research Centre of Program System Institute Russian Academy of Sciences Botik Pereslavl-Zallesky 152140 Russia RU

The arrangement principles and design methodology on soft computing for complex control framework of AI control system in Part 1 of this paper are developed. The basis of this methodology is computer simulation of dynamics for mechanical robotic system with the help of qualitative physics and search for possible solutions by genetic algorithms (GA). In Part 2 optimal solutions for navigation with avoidance of obstacles and technological operations as opening of door with a manipulator on GA and fuzzy neural network (FNN) are obtained and knowledge base (KB) for fuzzy controller is formed. Fuzzy qualitative simulation, GA and hierarchical node map (HN), and FNN have demonstrated their effectiveness for path planning of a mobile robot for service use. The results of fuzzy robot control simulation, monitoring, and experimental investigations are described.

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Meeting the 21st century with SMART mission flexibility

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NAVAL ENGINEERS JOURNAL 1997年第3期109卷 341-346页

作者： Alexander, RK Olmstead, L Ronald K. Alexander P.E.:received his B.S. degree in mechnaical engineering from Purdue University and his M.S. degree in mechanical engineering from the Naval Postgraduate School. He is currently manager quality programs at RGE Engineering Service Company where he provides technical support to the ATC Program in the area of combat system modularity design. lhe is a member of ASNE and the Surface Navy Association. Larry Olmstead:received his B.L.S. degree in mathematics and computer scienc from Mary Washington College in 1982 and his M.S. degree in system management from the University of Southern California in 1986. He chaired the C'I Modular Implementation Wroking Group (MIWG) from its inception in September 1993 to December 1996 as a combat system engineer in the PEO CLA Engineering management Office (Code PMS307). He is currently employed at Science Application International Corporation.

A revolution is underway in the design, production and installation of the Navy/Marine Corps team's command, control, communications, computers and intelligence ((CI)-I-4) vision and strategies, which is significantly reducing costs, and dramatically improving the battle readiness of tomorrow's forward deployers. A strong emphasis on research and development has enabled the design, development and installation of the Shipboard Modular Arrangement Reconfiguration Technology (SMART) systems in ships. SMART is a methodology for installing equipment in shipboard spaces that will provide the fleet with enhanced mission flexibility. The heart of this technology is a track rail system, similar to that used by the aircraft industry, which enables equipment to be bolted to the deck, bulkheads or overhead, and meets all shipboard shock and vibration requirements. The fleet can reconfigure designated spaces to receive new systems, install equipment upgrades, position cross-decked systems, or rearrange work areas with minimal industrial work (welding, grinding, lagging, painting, etc.), and maximum cost savings. Key (CI)-I-4 spaces such as Tactical Flag Command Center (TFCC), Joint Operations Center (JOC), Communication Centers, etc., can be reconfigured as required. Thereby, new technology insertion can enable rapid deployment of state-of-the-art technologies much faster than the standard method of welding foundations in place to support various equipment installations. The SMART system includes a foundation track system, modular-connectorized power and lighting, and modular workstations.

关键词： Naval vessels

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Developing a prototype concurrent design tool for composite topside structures

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NAVAL ENGINEERS JOURNAL 1997年第3期109卷 279-290页

作者： Dirlik, S Hambric, S Azarm, S Marquardt, M Hellman, A Bartlett, S Castelli, V Steve Dirlik:began his career at the Naval Surface Warfare Center Carderock Division in 1981 as an aerospace engineer co-op student. He completed his bachelor of science degree in aeropace and ocean engineering from Virginia Polytechnic Institute and State University in 1985 and his master of science degree in aerospace engineering from the University of Maryland in 1990. Mr. Dirlik recently completed a master of science program in applied physics at The Johns Hopins University and currently works in the Radar Cross Section and Target Physics Branch of the Signatures Directorate at the Naval Surface Warfare Center Corderoke Division. He has worked on Navy low observable programs since 1990. Stephen Hambric:is a research associate at the Applied Research Laboratory at The Pennsylvania State University. He received his B. S. and M.S. degree in mechanical engineering from Virginia Polytechnic Institute and State University and his D. Sc. in mechnical engineering from the George Washington University. He has worked on several computer aided multidiscikplinary design and optimization projects over the years including an automated propeller design system and a structural acoustic optimization capability. Dr. Shpour Azarm:is currently working as an associate professor with the Design and Manufacturing Group of the Department of Mechanical Engineering at the University of maryland at College Park. Dr Azarm's expertise is in the areas of optimization-based designed and concurrent design and optimization of multidisciplinary systems. He was a consultant at Black & Decker Corporation (summer 1996) and worked as a Navy senior summer faculty fellow (summer 1995) and a NASA summer faculty fellow (summer 1994). He was a visiting scientist at NASA Langley Research Center for Multidisciplinary Analysis and Applied Structural Optimzatiom at the University of Siegen in Germany (spring 1992) and the Design Institute of the Technical University of Denmark (summer 1990). Dr Azarm was an associate technical editor of the ASME Jour

A prototype concurrent engineering tool has been developed for the preliminary design of composite topside structures for modern navy warships. This tool, named GELS for the Concurrent engineering of Layered Structures, provides designers with an immediate assessment of the impacts of their decisions on several disciplines which are important to the performance of a modern naval topside structure, including electromagnetic interference effects (EMI), radar cross section (RCS), structural integrity, cost, and weight. Preliminary analysis modules in each of these disciplines are integrated to operate from a common set of design variables and a common materials database. Performance in each discipline and an overall fitness function for the concept are then evaluated. A graphical user interface (GUI) is used to define requirements and to display the results from the technical analysis modules. Optimization techniques, including feasible sequential quadratic programming (FSQP) and exhaustive search are used to modify the design variables to satisfy all requirements simultaneously. The development of this tool, the technical modules, and their integration are discussed noting the decisions and compromises required to develop and integrate the modules into a prototype conceptual design tool.

关键词： Warships

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Intelligent Control of a Mobile Robot for Service Use in Office Buildings and Its Soft Computing Algorithms

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Journal of Robotics and Mechatronics 1996年第6期8卷 538-554页

作者： Tanaka, Takayuki Ohwi, Junji Litvintseva, Ludmila V. Yamafuji, Kazuo Ulyanov, Sergei V. Department of Mechanical and Control Engineering The University of Electro-Communications Chofu Tokyo182 Japan Artificial Intelligence Research Centre of Program System Institute Russian Academy of Science Botik Pereslavl-Zallesky 152140 Russia

The arrangement principles and design methodology on soft computing for complex control framework of AI control system are introduced. The basis of this methodology is computer simulation of dynamics for mechanical robotic system with the help of qualitative physics and search for possible solutions by genetic algorithms (GA). On fuzzy neural network (FNN) optimal solutions for navigation with avoidance of obstacles and technological operations as opening of door with a manipulator are obtained and knowledge base (KB) for fuzzy controller is formed. Fuzzy qualitative simulation, GA and hierarchical node map (HN), and FNN have demonstrated their effectiveness for path planning of a mobile robot for service use. New approach for direct human-robot communication with natural language and cognitive graphics is introduced. The results of fuzzy robot control simulation, monitoring, and experimental investigations are presented. © Fuji Technology Press Ltd.

关键词： Mobile robots

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Modeling and simulation in the sealift program

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NAVAL ENGINEERS JOURNAL 1996年第6期108卷 27-39页

作者： Edinberg, D Back, K McVeigh, J David Edinberg is a senior naval architect with Advanced Marine Enterprises in Arlington Virginia. His experience in ship design includes dynamic analysis of ship's deck systems intact and damaged stability calculations trim and stability support during ship designs and structural design. For the last two years he has led a team of engineers in the dynamic analysis of the sideport ramp system employed on the Navy's new sealift ships. He graduated in 1979 with a B.S. degree in naval architecture and marine engineering from the University of Michigan. Keith Back is a senior engineer with Advanced Marine Enterprises in Arlington Virginia. He is currently the section chief for the Advanced Visualization Group. He has more than ten years experience developing and using CAD models in the ship design environment. For the past two years he has led the development of visualization techniques and models for use in simulations for current ship design programs. He graduated in 1985 with a B.S. degree in aerospace and ocean engineering from Virginia Polytechnic Institute and State University. USA Lt. Col. Joe McVeigh USA is currently deputy program manager (Army) for PMS 385 the Strategic Sealift Office at NavSea. As the senior U.S. Army officer on staff he is responsible for interfacing with the program's primary customer in addition to his assignment as T&E director. Lt. Col. McVeigh graduated with a B.Sc. from the United States Military Academy in 1978 after which he received his 2nd lieutenant's commission in the U.S. Army Transportation Corps. In 1991 he received M.S. degrees in mechanical engineering and naval architecture and marine engineering from MIT. Lt. Col. McVeigh's previous assignments have included: platoon leader/XO 870th Terminal Transfer Company program support officer/XO/contract administrator DLA operations staff officer/Exercise Branch chief. Special Forces Europe company commander 598th Medium Truck Company commander Movement Control Team Mannheim and Army watercraft systems engineer U.S.

The Navy's Sealift program had several unique problems associated with it which have been addressed using innovative modeling and simulation tech niques. These techniques fall under two categories: visualization and dynamic analysis. This paper will discuss the employment of these techniques and the impact their application has had in the program. Also examined will be various difficulties that were encountered in the application of these techniques. Commercial-off-the-shelf (COTS) visualization tools were used to model the interior Ro/Ro spaces on the four classes of new construction and conversion ships now being procured. These models were employed for vehicle maneuvering simulations, operator familiarization and visualization of the results of an analysis of the loading and unloading of Ro/Ro vehicles. A COTS dynamic analysis system was used to simulate dynamic behavior during the assembly/deplopment and retrieval/disassembly of the side port ramp using the ships' cranes. These analyses supported reviews of design configurations, proposed handling procedures, and in conjunction with extensive post-processing, operability assessments for system operation. In a parallel effort, an interactive crane simulator was developed to support on-going engineering studies, indoctrination, and test and evaluation purposes. Lessons learned have been applied to other activities at the Naval Sea systems Command. Critical areas were the validation and maintenance of up-to-date configuration data for the visual models, adaptive levels of detail to meet the requirements of each study objective, and the need to provide comprehensive documentation of models.

关键词： Marine engineering

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COMBAT system MAINTENANCE CENTRAL (CSMC)

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NAVAL ENGINEERS JOURNAL 1994年第1期106卷 47-53页

作者： SACKETT, WH DORMAN, ML Colonel William H. Sackett:served over 30 years in the United States Marine Corps earning during his career a BS degree in mechanical engineering through a transitory combination of university studies and military schools. During the period June 1976 to December 1988 he participated as a principal member of the RCA AEGIS Ship Combat System Readiness Development Team. His activities included the conduct of feasibility studies and the identification of physical characteristics in the development of a combat system readiness concept for implementation in the Combat System Maintenance Central of the AEGIS ship. Marshall L. Dorman Jr.:received his BS degree in mechanical engineering from the University of Washington in 1959. He worked at the Boeing Company in Seattle on various airplane/missile programs and the Navy's PHM hydrofoil program. He was employed by RCA on the Aegis program from June 1976 until February 1988 as a lead engineer in arrangements for the Aegis CG 47 class cruisers the CGN-42 proposal and the strike cruiser proposal. For efforts in this position he received the Aegis Excellence Award. Following the Aegis program he returned to Boeing and was employed in system engineering as a configurator on the Navy E-6 AW ACS and the F22 advanced tactical fighter programs. Marshall a life member of ASNE the Naval Institute and the Navy League was a qualified engineering duty officer in the Naval Reserve and served several training duty tours with NavSea in Washington DC. He is also a registered professional engineer in Washington State and was a registered professional engineer while at RCA in New Jersey.

Combat system maintenance central (CSMC) is an innovative manned space concept. New to the Navy, it is proving to be a major asset to the AEGIS cruisers and destroyers. ''The primary mission of the CSMC is to provide an organized environment for the coordination and control of operability testing and maintenance, and the collection, evaluation, and timely dissemination of combat system operational readiness information. CSMC grew from a minimal size, ''broom closet'' concept (see Figure 1) to one of a critically manned operating area. The growth and evolution of the concept was a major challenge. Several iterations were subjected to intensive design reviews until the CSMC concept was finally fully approved by the Navy (see Figure 2). Combat system contractor personnel working closely with NavSea PMS 400, Aegis program office, personnel were responsible for the development of the CSMC. The space was configured to meet and has met all operational requirements imposed.

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