WorldWideScience

Sample records for catheters wires tubes

  1. Catheters, wires, tubes and drains on postoperative radiographs of pediatric cardiac patients: the whys and wherefores

    Energy Technology Data Exchange (ETDEWEB)

    Teele, Sarah A.; Thiagarajan, Ravi R. [Children' s Hospital Boston, Department of Cardiology, Boston, MA (United States); Harvard Medical School, Department of Pediatrics, Boston, MA (United States); Emani, Sitaram M. [Children' s Hospital Boston, Department of Cardiac Surgery, Boston, MA (United States); Harvard Medical School, Department of Surgery, Boston, MA (United States); Teele, Rita L. [Harvard Medical School, Department of Radiology, Boston, MA (United States); Starship Children' s Hospital, Department of Radiology, Grafton (New Zealand)

    2008-10-15

    Surgical treatment of congenital heart disease has advanced dramatically since the first intracardiac repairs in the mid-20th century. Previously inoperable lesions have become the focus of routine surgery and patients are managed successfully in intensive care units around the world. As a result, increasing numbers of postoperative images are processed by departments of radiology in children's hospitals. It is important that the radiologist accurately documents and describes the catheters, wires, tubes and drains that are present on the chest radiograph. This article reviews the reasons for the placement and positioning of perioperative equipment in children who have surgical repair of atrial septal defect, ventricular septal defect or transposition of the great arteries. Also included are a brief synopsis of each cardiac anomaly, the surgical procedure for its correction, and an in-depth discussion of the postoperative chest radiograph including illustrations of catheters, wires, tubes and drains. (orig.)

  2. Catheters, wires, tubes and drains on postoperative radiographs of pediatric cardiac patients: the whys and wherefores.

    Science.gov (United States)

    Teele, Sarah A; Emani, Sitaram M; Thiagarajan, Ravi R; Teele, Rita L

    2008-10-01

    Surgical treatment of congenital heart disease has advanced dramatically since the first intracardiac repairs in the mid-20th century. Previously inoperable lesions have become the focus of routine surgery and patients are managed successfully in intensive care units around the world. As a result, increasing numbers of postoperative images are processed by departments of radiology in children's hospitals. It is important that the radiologist accurately documents and describes the catheters, wires, tubes and drains that are present on the chest radiograph. This article reviews the reasons for the placement and positioning of perioperative equipment in children who have surgical repair of atrial septal defect, ventricular septal defect or transposition of the great arteries. Also included are a brief synopsis of each cardiac anomaly, the surgical procedure for its correction, and an in-depth discussion of the postoperative chest radiograph including illustrations of catheters, wires, tubes and drains.

  3. THE KISSING BALLOON TECHNIQUE WITH 2 OVER-THE-WIRE BALLOON CATHETERS THROUGH A SINGLE 8-FRENCH GUIDING CATHETER

    NARCIS (Netherlands)

    DENHEIJER, P; BERNINK, PJLM; VANDIJK, RB; TWISK, SPM; LIE, KI

    1991-01-01

    Some of the newer over-the-wire coronary angioplasty catheters have shaft sizes of 3.0 French (F) or less. The inner diameter of modern 8-F guiding catheters is large enough to accommodate two of such balloon catheters. We report a kissing balloon procedure with two over-the-wire catheters through a

  4. THE KISSING BALLOON TECHNIQUE WITH 2 OVER-THE-WIRE BALLOON CATHETERS THROUGH A SINGLE 8-FRENCH GUIDING CATHETER

    NARCIS (Netherlands)

    DENHEIJER, P; BERNINK, PJLM; VANDIJK, RB; TWISK, SPM; LIE, KI

    Some of the newer over-the-wire coronary angioplasty catheters have shaft sizes of 3.0 French (F) or less. The inner diameter of modern 8-F guiding catheters is large enough to accommodate two of such balloon catheters. We report a kissing balloon procedure with two over-the-wire catheters through a

  5. Open Surgical Insertion of Tenkchoff Straight Catheter Without Guide Wire

    Institute of Scientific and Technical Information of China (English)

    Shi-feng Yang; Wu-jun Xue; Ai-ping Yin; Li-yi Xie; Wan-hong Lu

    2013-01-01

    Objective To compare the clinical outcomes of open surgical peritoneal dialysiscatheter(PDC) insertion with guide wireand the outcomesof PDC insertion without guide wire.Methods Data of the patients receiving open surgical Tenkchoff straight catheter insertion in our department from January 2005 to January 2011 were retrospectively analyzed.The 117 patients in whom PDC insertion was conducted with the guidance of guide wire were enrolled into group A, and the 121 cases receiving PDC insertion without guide wire wereenrolled into group B.The incidences of post-operative complications (catheter obstruction,catheter displacement, bloody dialysate, and dialysate leakage), catheter survival, and patientsurvival rates were compared between the 2 groups.Results The baseline characteristics (gender, age, body mass index, prothrombin time,activated partialthromboplastin time,platelet count,serum creatinine,follow-up time,primarydiseases, and outcomes) of the 2 groups were comparable (allP>0.05). In post-operativecomplications, only the incidence of early bloody dialysate showed significant difference, being16.2% in groupA and 7.4% in group B (P=0.04). Catheter and patient survival rates werenot significantly different between the two groups. Overweight patientsshowed a higherincidence of catheter obstruction compared with normal weight patients [16.0% (4/25) vs. 3.3% (7/213),P=0.02], but no differencesin post-operative complications werefound among overweight patientsbetween the 2 groups.Conclusions Open surgical Tenkchoff straightcatheterinsertion without guide wire does not lead to higher risk of post-operative complications and catheter removal. It may be an alternativeoption when guide wire is not available.

  6. Optimization of the Single Staggered Wire and Tube Heat Exchanger

    OpenAIRE

    Arsana I Made; Susianto; Budhikarjono Kusno; Altway Ali

    2016-01-01

    Wire and tube heat exchanger consists of a coiled tube, and wire is welded on the two sides of it in normal direction of the tube. Generally,wire and tube heat exchanger uses inline wire arrangement between the two sides, whereas in this study, it used staggered wire arrangement that reduces the restriction of convection heat transfer. This study performed the optimization of single staggered wire and tube heat exchanger to increase the capacity and reduce the mass of the heat exchanger. Opti...

  7. Optimization of the Single Staggered Wire and Tube Heat Exchanger

    Directory of Open Access Journals (Sweden)

    Arsana I Made

    2016-01-01

    Full Text Available Wire and tube heat exchanger consists of a coiled tube, and wire is welded on the two sides of it in normal direction of the tube. Generally,wire and tube heat exchanger uses inline wire arrangement between the two sides, whereas in this study, it used staggered wire arrangement that reduces the restriction of convection heat transfer. This study performed the optimization of single staggered wire and tube heat exchanger to increase the capacity and reduce the mass of the heat exchanger. Optimization was conducted with the Hooke-Jeeves method, which aims to optimize the geometry of the heat exchanger, especially on the diameter (dw and the distance between wires (pw. The model developed to present heat transfer correlations on single staggered wire and tube heat exchanger was valid. The maximum optimization factor obtained when the diameter wire was 0.9 mm and the distance between wires (pw was 11 mm with the fref value = 1.5837. It means that the optimized design only using mass of 59,10 % and could transfer heat about 98,5 % from the basis design.

  8. A clever technique for placement of a urinary catheter over a wire

    Directory of Open Access Journals (Sweden)

    Joel E Abbott

    2015-01-01

    Conclusion: Placing urinary catheters over a wire is standard practice for urologists, however, use of this technique gives the freedom of performing wire-guided catheterization in more situations than a council-tip allows. This technique facilitates successful transurethral catheterization over wire in the setting of DUC for all catheter types and styles aiding in urologic management of patients at a cost benefit to the health care system.

  9. 21 CFR 870.4210 - Cardiopulmonary bypass vascular catheter, cannula, or tubing.

    Science.gov (United States)

    2010-04-01

    ... Devices § 870.4210 Cardiopulmonary bypass vascular catheter, cannula, or tubing. (a) Identification. A cardiopulmonary bypass vascular catheter, cannula, or tubing is a device used in cardiopulmonary surgery to... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass vascular catheter,...

  10. A new design of wire locators for drift tubes

    CERN Document Server

    Ilgner, C

    2004-01-01

    Every position-sensitive wire detector needs to solve the problem of wire positioning with a defined accuracy all over its sensitive volume. In particular, thin-walled drift tubes ("straws"), which are currently being attached to large detector units of several tens of square meters of surface, need to be equipped with wire locators along their signal wires. A wire locator has been developed together with an insertion device, especially for medium-sized drift tube systems, which significantly reduces the production time and avoids the danger of applying epoxy glue to the signal wire. The wire locator is being inserted in one single time-saving production step together with the signal wire itself. The proposed design is being compared to the rigid wire locators in use in the COMPASS straw tracking system at CERN. The investigation comprises both wire- centering capability and influence on the efficiency of adjacent detector regions, demonstrating the competitive performance of the proposed new system. Its suff...

  11. Foley Catheters as Temporary Gastrostomy Tubes: Experience of a Nurse-Led Service.

    Science.gov (United States)

    Metussin, Adli; Sia, Rusanah; Bakar, Suriawati; Chong, Vui Heng

    2016-01-01

    Percutaneous endoscopic gastrostomy tube is the modality of choice for long-term enteral nutrition. In the event that replacement tubes are not available, urinary catheters can be used to maintain patency of the gastrostomy tract. This study reports our experience in a nurse-led service using Foley catheters as temporary gastrostomy tubes and the associated complications. Patients who had used Foley catheter as gastrostomy tube over a 2-year period (Jan 2011 to December 2012) were studied. Twenty-one patients had used Foley catheters as a temporary gastrostomy tube, and 12 (57.4%) did not experience any complications, including three patients who were still using Foley catheters at a median of 15 months (range 3-18). Two patients preferred the Foley catheter as feeding tubes. Six patients had replacements with formal balloon replacement tubes, and two patients did not require replacement. Complications occurred in nine (42.6%) patients: repeated burst Foley catheter balloon with peristomal leakage (n = 4), lumen blockage (n = 1), and catheter migration resulting in small bowel obstruction (n = 4). All complications were successfully managed with tube replacements. We showed that in a nurse-led service, using a Foley catheter as a temporary feeding gastrostomy tube is safe, but requires monitoring for complications.

  12. The Forgotten Guide Wire: A Rare Complication of Hemodialysis Catheter Insertion

    Directory of Open Access Journals (Sweden)

    Said Abuhasna

    2011-01-01

    Full Text Available A rare complication of a hemodialysis catheter insertion is the loss of the complete guide wire into the circulation. A complete guide wire in the circulation may not necessarily produce symptoms, and it may remain unnoticed for a significant period of time. We present a rare case where a complete guide wire was lost into the circulation during insertion of a hemodialysis catheter into the right femoral vein in a 19-year-old female with systemic lupus erythromatosis. The patient remained asymptomatic through two plasmapheresis treatments over a period of 2 days. The guide wire was eventually retrieved without complications. The factors leading to the wire being forgotten will be reviewed, and the measures initiated to prevent any future occurrence will be addressed.

  13. Nelaton catheter assisted versus standard nasogastric tube insertion: a randomized, clinical trial.

    Science.gov (United States)

    Ghaemi, M; Mousavinasab, N; Jalili, S

    2014-01-09

    It is sometimes difficult to insert a nasogastric tube in an anaesthetized patient. We evaluated the benefit of reinforcing the distal portion of the nasogastric tube with a Nelaton catheter: 8 and 10 French Nelaton catheters were inserted into 16 and 18 French nasogastric tubes respectively through the first proximal holes of tubes up to their tips. The patients anaesthetized were randomly allocated into either the control or the Nelaton groups, and nasogastric tube was inserted as deeply as the catheter length, then the catheter was withdrawn and the tube was inserted farther to reach the stomach. Eighty patients (40 in each group) were included in this study. The success rate of nasogastric tube insertion was 90% in the Nelaton group and 57% in the control group (P = 0.001). The mean insertion time was 80 (SD 43) and 92 (SD 35) seconds in the Nelaton and the control groups respectively.

  14. The effect of condensate inundation on steam condensation heat transfer to wire-wrapped tubing

    Science.gov (United States)

    Kanakis, G. D.

    1983-06-01

    Steam condensation heat transfer measurements were made in a 5-tube test condenser having an additional perforated tube to simulate up to 30 active tubes. Results were obtained for smooth tubes and roped tubes wrapped with wire. A Sieder-Tate equation was used to correlate the inside heat-transfer coefficient. For smooth tubes, a leading coefficient of 0.029 was found, while it was 0.061 for the roped tubes. The average condensing coefficient measured for 30 smooth tubes was 0.59 times the Nusselt coefficient calculated for the first tube. When the smooth tubes were wrapped with wire, this ratio increased up to 0.86. Further, roped tubes without wire experienced a ratio of 0.63, while roped tubes wrapped with wire resulted in a ratio of 0.86. These preliminary data show that wire-wrapped tubes may lead to a significant reduction in condenser surface area.

  15. Absorbed Dose Distributions in Irradiated Plastic Tubing and Wire Insulation

    DEFF Research Database (Denmark)

    Miller, Arne; McLaughlin, W. L.

    1979-01-01

    Plastic tubing and wire insulation were simulated by radiochromic dye dosimeter films having electron absorbing properties similar to the materials of interest (polyethylene and PVC). A 400-keV electron accelerator was used to irradiate from 1, 2, 3 and 4 sides simulating possible industrial...

  16. Minimally invasive wire-guided balloon catheter puncture for voice prosthesis insertion.

    Science.gov (United States)

    Tobed Secall, Marc; Bores, Toni; Sambola, Ignacio; Lop, Joan; García Rica, Eduardo; Lluansi, Jordi

    2017-07-01

    Tracheoesophageal puncture is an effective and reliable method for voice restoration after total laryngectomy that may be performed as a primary or secondary procedure. We describe our technique for secondary tracheoesophageal puncture using a wire-guided balloon catheter in an office setting. A 72-year-old patient with a total laryngectomy performed 2 years ago was selected for wire-guided balloon catheter puncture and voice prosthesis insertion. Successful tracheoesophageal puncture placement was achieved without complications and the patient tolerated the procedure well. The voice result was satisfactory and immediate. We conclude that balloon catheter tracheoesophageal puncture can be a simple and safe option for secondary voice prosthesis insertion in total laryngectomy for selected patients. It can be performed in an office setting using only local anesthetic for secondary puncture. © 2017 Wiley Periodicals, Inc.

  17. A Coaxial Guide Wire-Catheter Technique to Facilitate Right Adrenal Vein Sampling: Evaluation in 76 Patients.

    Science.gov (United States)

    Andrews, James C; Thompson, Scott M; Young, William F

    2015-12-01

    A technique to facilitate blood sampling from the right adrenal vein is described. Between May 2012 and February 2015, 148 adrenal vein sampling (AVS) procedures were attempted. In 72 procedures, a simple 5-F end-hole catheter was employed. In 76, a coaxial guide wire technique was used when blood could not be aspirated, whereby a 0.018-inch guide wire was passed through the catheter and into a branch of the right adrenal vein and the sample was drawn around the wire by using a side-arm adaptor. Successful sampling was achieved in 71 of the 72 catheter-only procedures (98.6%) and in 75 of the 76 coaxial wire-assisted procedures (98.7%). This simple technique may eliminate the need for multiple catheter exchanges during AVS. Copyright © 2015 SIR. Published by Elsevier Inc. All rights reserved.

  18. Catheter Angiography

    Medline Plus

    Full Text Available ... resonance imaging (MRI) In catheter angiography, a thin plastic tube, called a catheter , is inserted into an ... The catheter used in angiography is a long plastic tube about as thick as a strand of ...

  19. UV-Induced prevention of biofilm formation inside medical tubes and catheters

    DEFF Research Database (Denmark)

    Pedersen, Jens Kristian Mølgaard; Nielsen, Kristian; Bang, Ole

    2014-01-01

    risk connected withthe use of medical tubes and catheters is the direct cause of more than 60% of all infections acquired inEuropean hospitals. Once formed, the biofilm is generally very tough to suppress by either the body’simmunity system or by use of antibiotics, which may even favor the population...... of multi resistant bacteriacultures. Prevention of biofilm formation inside the tube or catheter, without risk of developing multiresistance, may be achieved by creating a UV-exposed environment in the interior. This may be realized bytransforming the tube itself into an optical waveguide supporting UV...

  20. The Pigtail Catheter for Pleural Drainage: A Less Invasive Alternative to Tube Thoracostomy

    Science.gov (United States)

    Gammie, James S.; Banks, Michael C.; Fuhrman, Carl R.; Pham, Si M.; Griffith, Bartley p.; Keenan, Robert J.

    1999-01-01

    Background: Tube thoracostomy remains the standard of care for the treatment of pneumothoraces and simple effusions. This report describes a favorable experience with the 8.3 French pigtail catheter as a less invasive alternative to traditional chest tube insertion. Methods: We retrospectively reviewed 109 consecutive pigtail catheter placements. Catheters were inserted under local anesthesia at the bedside without radiographie guidance. Pre- and post-insertion chest radiographs were reviewed to determine efficacy of drainage. Results: Fifty-one of 109 patients (47%) were mechanically ventilated and 26 patients (24%) had a coagulopathy. There were no complications related to pigtail catheter insertion. Seventy-seven pigtail catheters were placed for pleural effusion and 32 for pneumothorax. Mean effusion volume decreased from 43 to 9 percent, and drainage averaged 2899 ml over 97 hours. Mean pneumothorax size diminished from 38 to 1 percent during an average 71-hour placement. Clinical success rates in the effusion and pneumothorax groups were 86 and 81 percent, respectively. Conclusion: The pigtail catheter offers reliable treatment of pneumothoraces and simple effusions and is a safe and less invasive alternative to tube thoracostomy. PMID:10323171

  1. Micro catheter Balloon Pinning technique to facilitate wiring of a left circumflex CTO.

    Science.gov (United States)

    Oguayo, Kevin N; Oguayo, Chris C; Vallabhan, Ravi; Choi, James W

    2017-07-27

    Coronary chronic total occlusions (CTOs) are commonly encountered during diagnostic angiograms. With recent advances, especially in experienced centers, success rates with CTO percutaneous coronary intervention (PCI) have approached 80% or higher. It is important to note that despite these advancements in techniques, CTOs remain difficult to treat. We present a case of a left circumflex artery (LCX) CTO that was successfully revascularized using a microcatheter balloon pinning technique that allowed additional wire support. A 77-year-old woman status post 2 vessel coronary artery bypass graft surgery presented with new onset angina at rest and was found to have a patent graft to the left anterior descending artery, and an unrevascularized proximal LCX CTO. PCI was attempted with a micro catheter using an antegrade approach. This approach was unsuccessful due to the lack of support and the left circumflex angle. As a result, we used a balloon to pin the microcatheter to the wall of the left main to allow for successful wiring of the LCX. A stent was successfully deployed in the LCX. and the patient was discharged from the hospital two days later. At follow-up, the patient was asymptomatic and returned to her usual activity. After conducting a thorough literature search, it appears that this is the first case that a microcatheter has been pinned with a balloon. We believe that in LCX CTOs that require support, the microcatheter pinning technique can provide adequate support in wiring CTO's. LCX CTOs can be very difficult to treat, we present a case of a LCX CTO that required the use of the microcatheter balloon pinning technique to allow additional wire support for successful wiring and ultimately treatment. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  2. Low vacuum and discard tubes reduce hemolysis in samples drawn from intravenous catheters.

    Science.gov (United States)

    Heiligers-Duckers, Connie; Peters, Nathalie A L R; van Dijck, Jose J P; Hoeijmakers, Jan M J; Janssen, Marcel J W

    2013-08-01

    In-vitro hemolysis is a great challenge to emergency departments where blood is drawn from intravenous catheters (IVCs). Although high quality samples can be obtained by straight needle venipuncture, IVCs are preferred for various reasons. The aim of this study was to identify blood collection practices that reduce hemolysis while using IVC. The study was conducted at an emergency department where blood is drawn in ≥ 90% of patients from IVC. Hemolysis, measured spectrophotometrically, was compared between syringe and vacuum tubes. The following practices were tested in combination with vacuum collection; a Luer-slip adapter, a Luer-lock adapter, discard tubes and low vacuum tubes. Each intervention lasted 1 week and retrieved 154 to 297 samples. As reference, hemolysis was also measured in vacuum tubes retrieved from departments where only straight needle venipuncture is performed. Vacuum collection led to more hemolytic samples compared with syringe tubes (24% versus 16% respectively, p=0.008). No difference in hemolysis was observed between the Luer-slip and the Luer-lock adapter. The use of discard (17% hemolytic, p=0.045) and low vacuum tubes (12% hemolytic, pvacuum tubes reduce hemolysis while drawing blood from IVC. Of these practices the use of a low vacuum tube is preferred considering the less volume of blood and the amount of tubes drawn. Copyright © 2013 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  3. Experimental Study on Heat Transfer Characteristics of Shell and Tube Heat Exchanger Using Hitran Wire Matrix Turbulators As Tube Inserts.

    Directory of Open Access Journals (Sweden)

    Manoj

    2014-06-01

    Full Text Available Shell and tube heat exchangers are extensively used in boilers, oil coolers, pre-heaters, condensers etc. They are also having special importance in process application as well as refrigeration and air conditioning industries. The present paper emphasizes on heat transfer characteristics of shell and tube heat exchangers with the aid of hiTRAN wire matrix inserts is been studied. Investigations were made on effect of mass flow rate of water on heat transfer characteristics in case of plain tube without inserts. When hiTRAN wire matrix tube inserts are used, which effectively increases the turbulence of tube side flow due to the hydrodynamic and thermal agitation of boundary layer in turns increases additional pressure drop is available in the system. This results in increase in the wall shear, reduced wall temperature which enhances substantial increase in tube side heat transfer characteristics. Heat and cooling processes streams is a standard operation in many industries this operation is often performed in heat exchangers where the heated or cold fluid flows under laminar conditions inside the tubes the mechanisms of under those flow conditions are complex poorly understood since they can involve both forced and natural convection making accurate prediction for heat exchanger. Heat transfer in laminar flow regimes is low by default but can be greatly increased by the use of passive heat transfer enhancement such as tube inserts. The present analysis the hiTRAN wire matrix turbulators were used and increased heat transfer characteristics as expected outcomes.

  4. Pigtail Catheters Versus Traditional Chest Tubes for Pneumothoraces in Premature Infants Treated in a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Yi-Hsuan Wei

    2014-10-01

    Conclusion: Pigtail catheters are a safe and effective alternative to traditional chest tubes for premature infants receiving treatment for pneumothoraces in a neonatal intensive care unit. Placement of pigtail catheters is an easy and quick bedside procedure and is particularly useful for premature infants who require immediate air drainage.

  5. Distribution of Energy Deposited in Plastic Tubing and Copper-Wire Insulation by Electron Beam Irradiation

    DEFF Research Database (Denmark)

    Pedersen, Walther Batsberg; Miller, Arne; Pejtersen, K.

    1978-01-01

    Scanned electron beam treatment is used to improve the physical properties of certain polymers, such as shrinkable plastic tubing and insulated wire and cable. Tubing or wires are passed at high speed under the beam scanner, and the material is irradiated to absorbed doses of several Mrad...... as uniformly as possible, usually by means of a multipass arrangement. In the present study, using irradiation by a scanned 0.4 MeV electron beam, measurements were made of high-resolution distributions of absorbed dose in polyethylene tubing and copper wire coated with polyethylene, nylon, or polyvinyl...... chloride insulation. Radiochromic dye films equivalent to the insulating materials were used as accurate dosimeters having a response independent of dose rate. Irradiations were in various geometries, wire and plastic thicknesses, positions along the beam scan, and with different backing materials near...

  6. Nursing student medication errors involving tubing and catheters: a descriptive study.

    Science.gov (United States)

    Wolf, Zane Robinson; Hicks, Rodney W; Altmiller, Geralyn; Bicknell, Patricia

    2009-08-01

    This retrospective case study examined reports (N=27) of medication errors made by nursing students involving tubing and catheter misconnections. Characteristics of misconnection errors included attributes of events recorded on MEDMARX error reports of the United States Pharmacopeia. Two near miss errors or Category B errors (medication error occurred, did not reach patient) were identified, with 21 Category C medication errors (occurred, with no resulting patient harm), and four Category D errors (need for increased patient monitoring, no patient harm) reported. Reported intravenous tubing errors were more frequent than other type of tubing errors and problems with clamps were present in 12 error reports. Registered nurses discovered most of the errors; some were implicated in the mistakes along with the students.

  7. Endoscopic placement of flatus tube using "lasso" technique with snare wire.

    Science.gov (United States)

    Gatenby, Piers Anthony Cheyne; Elton, Colin

    2006-09-28

    A 55-year old man presented with acute sigmoid volvulus. The distal level of obstruction was above the level which could be reached by the rigid sigmoidoscope to allow decompression, and so a flatus tube was "lassoed" onto the side of a flexible endoscope which allowed accurate placement under direct vision. This technique allows accurate placement of catheters, feeding tubes and other devices endoscopically, which cannot be placed through the instrument channel of the endoscope.

  8. Endoscopic placement of flatus tube using "lasso" technique with snare wire

    OpenAIRE

    Gatenby, P.A.C.; Elton, C

    2006-01-01

    A 55-year old man presented with acute sigmoid volvulus. The distal level of obstruction was above the level which could be reached by the rigid sigmoidoscope to allow decompression, and so a flatus tube was "lassoed" onto the side of a flexible endoscope which allowed accurate placement under direct vision. This technique allows accurate placement of catheters, feeding tubes and other devices endoscopically, which cannot be placed through the instrument channel of the endoscope. (C) 2006 The...

  9. "Lose the Tube": A Choosing Wisely initiative to reduce catheter-associated urinary tract infections in hospitalist-led inpatient units.

    Science.gov (United States)

    Cho, Hyung J; Khalil, Steve; Poeran, Jashvant; Mazumdar, Madhu; Bravo, Nathaniel; Wallach, Fran; Markoff, Brian; Lee, Nathan; Dunn, Andrew S

    2017-03-01

    We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.

  10. Repositioning a displaced tracheostomy tube with an Aintree intubation catheter mounted on a fibre-optic bronchoscope.

    Science.gov (United States)

    Rajendram, R; McGuire, N

    2006-10-01

    Although tracheostomy tube displacement is uncommon, the management is often difficult and the associated mortality is high. It is important to ensure that the airway is secure and then either replace or reposition the tracheostomy tube. This case report describes the use of an Aintree intubation catheter (C-CAE-19.0-56-AIC, William Cook Europe, Denmark) mounted on an intubating fibre-optic bronchoscope (11302BD1, Karl Storz Endoskope, Germany) to reposition a partially displaced tracheostomy tube.

  11. Using the cathode surface of straw tube for measuring the track coordinates along the wire

    CERN Document Server

    Baranov, V A; Kravchuk, N P; Korenchenko, A S; Kuchinskiy, N A; Khomutov, N V; Movchan, S A; Smirnov, V S; Zyazyulya, F E

    2011-01-01

    Currently, the coordinate detectors based on straw tubes are widely used in high energy physics. This is caused by a high accuracy of the radial coordinate measurement using the drift time and a small amount of matter in the way of the measured particles. So far, the remaining problem is the measurement of the coordinate along the wire. This paper proposes a method for measuring the hit coordinates along the wire in a straw tube detector using the signals from the cathodes of the detector.

  12. Movement analysis on steel wire rope of continuous conveyor with disc-tube assembly

    Institute of Scientific and Technical Information of China (English)

    LUAN Li-jun; SHI Shu-lin; REN Li-yi

    2004-01-01

    The steel wire rope of continuous conveyor with disc-tube assembly is droved by the driving wheel. When the driving wheel rotates, the gear is combined to the connection disc in turn, promoting the connection disc to move in succession. Turning the whirling torque of driving wheel into the straight-line traction force. When the steel wire rope is winded by the driving wheel some winded along the circumference, others winded along the straight line. Used motion subject law, this article analyses the change of the velocity and the acceleration of the steel wire rope in the straight movement, and observe the mathematics' model of velocity and acceleration.

  13. Catheter Angiography

    Medline Plus

    Full Text Available ... using: x-rays with catheters computed tomography (CT) magnetic resonance imaging (MRI) In catheter angiography, a thin plastic tube, ... blood flow to the brain and cause a stroke. identify a small aneurysm or arteriovenous malformation (abnormal ...

  14. Reduction of gross hemolysis in catheter-drawn blood using Greiner Holdex tube holder.

    Science.gov (United States)

    Lippi, Giuseppe; Avanzini, Paola; Aloe, Rosalia; Cervellin, Gianfranco

    2013-01-01

    Blood collection through intravenous lines frequently causes spurious hemolysis. Due to specific structure, the tube holder Holdex (Greiner Bio-One GmbH, Kremsmuenster, Austria) is supposed to prevent erythrocyte injury in samples collected from catheters, so that we planned a specific study to support this hypothesis. Blood was collected from emergency department (ED) patients with 20-gauge catheter. In patients with odd order numbers, first and second tubes were collected with conventional holder (BD Vacutainer One Use Holder, Becton Dickinson, Milan, Italy) and the third with Holdex, whereas in even patients first and second tubes were drawn with Holdex and the third using BD Vacutainer One Use Holder. The first tube was discarded, whereas the second and third were centrifuged and serum was tested for potassium, lactate dehydrogenase (LD) and hemolysis index. The final study population consisted in 60 ED patients. Concentrations of potassium (4.25 vs. 4.16 mmol/L; P = 0.031), LD (498 vs. 459 U/L; P = 0.039) and cell-free hemoglobin (0.42 vs. 0.22 g/L; P = 0.042) were higher in samples collected with BD Vacutainer One Use Holder than with Holdex. The mean bias of cell-free hemoglobin was -0.4 g/L in samples collected with Holdex. Although the frequency of samples with cell-free hemoglobin > 0.5 g/L was identical (17/60 vs. 17/60; P = 1.00), the frequency of those with concentrations > 3.0 g/L was higher using BD Vacutainer One Use Holder than Holdex (4/60 vs. 0/60; P = 0.042). The use of Holdex for drawing blood from intravenous lines may be effective for reducing gross hemolysis.

  15. Reduction of gross hemolysis in catheter-drawn blood using Greiner Holdex® tube holder

    Science.gov (United States)

    Lippi, Giuseppe; Avanzini, Paola; Aloe, Rosalia; Cervellin, Gianfranco

    2013-01-01

    Introduction: Blood collection through intravenous lines frequently causes spurious hemolysis. Due to specific structure, the tube holder Holdex® (Greiner Bio-One GmbH, Kremsmuenster, Austria) is supposed to prevent erythrocyte injury in samples collected from catheters, so that we planned a specific study to support this hypothesis. Materials and methods: Blood was collected from emergency department (ED) patients with 20-gauge catheter. In patients with odd order numbers, first and second tubes were collected with conventional holder (BD Vacutainer One Use Holder, Becton Dickinson, Milan, Italy) and the third with Holdex, whereas in even patients first and second tubes were drawn with Holdex and the third using BD Vacutainer One Use Holder. The first tube was discarded, whereas the second and third were centrifuged and serum was tested for potassium, lactate dehydrogenase (LD) and hemolysis index. Results: The final study population consisted in 60 ED patients. Concentrations of potassium (4.25 vs. 4.16 mmol/L; P = 0.031), LD (498 vs. 459 U/L; P = 0.039) and cell-free hemoglobin (0.42 vs. 0.22 g/L; P = 0.042) were higher in samples collected with BD Vacutainer One Use Holder than with Holdex. The mean bias of cell-free hemoglobin was −0.4 g/L in samples collected with Holdex. Although the frequency of samples with cell-free hemoglobin > 0.5 g/L was identical (17/60 vs. 17/60; P = 1.00), the frequency of those with concentrations >3.0 g/L was higher using BD Vacutainer One Use Holder than Holdex (4/60 vs. 0/60; P = 0.042). Conclusions: The use of Holdex for drawing blood from intravenous lines may be effective for reducing gross hemolysis. PMID:24266299

  16. Percutaneous pigtail catheter versus tube thoracostomy for pediatric empyema: A comparison of outcomes.

    Science.gov (United States)

    Petel, Dara; Li, Patricia; Emil, Sherif

    2013-10-01

    Randomized trials have shown no benefit to thoracoscopic decortication over pleural drainage with fibrinolytic installation for pediatric empyema. However, the optimal method of pleural drainage has not been defined. The present study compares outcomes of 8.5-Fr soft pigtail catheters (PC) placed via Seldinger technique with larger caliber, stiff chest tubes (12- to 24-Fr) placed via tube thoracostomy (TT). A retrospective review of all pediatric patients treated for empyema during a 5-year period (2006-2011) was conducted. Clinical, therapeutic, and outcomes data from patients treated by PC were compared with those treated by TT. Treatment failure, the primary outcome, was defined as need for an additional invasive thoracic procedure (second tube or catheter or thoracoscopic decortication). We treated 43 patients, 21 by PC and 22 by TT. Fibrinolytics were used in 71% of the PC and 64% of the TT groups. Baseline clinical parameters were not different between the 2 groups. Treatment failure was significantly higher in the PC group (43% vs 14%; P = .045). When the analysis was limited to patients who received fibrinolytics, the failure rate was greater in the PC group (40% vs 14%; P = .129), and duration of illness was shorter (18.3 ± 1.0 vs 25.6 ± 3.5 days; P = .048). Soft PCs are associated with higher failure rates but shorter total duration of illness in the treatment of pediatric empyema. The ideal method for draining pediatric empyema may be a small-caliber, stiff chest tube placed percutaneously. Copyright © 2013 Mosby, Inc. All rights reserved.

  17. Whole shaft visibility and mechanical performance for active MR catheters using copper-nitinol braided polymer tubes

    Directory of Open Access Journals (Sweden)

    McVeigh Elliot R

    2009-08-01

    Full Text Available Abstract Background Catheter visualization and tracking remains a challenge in interventional MR. Active guidewires can be made conspicuous in "profile" along their whole shaft exploiting metallic core wire and hypotube components that are intrinsic to their mechanical performance. Polymer-based catheters, on the other hand, offer no conductive medium to carry radio frequency waves. We developed a new "active" catheter design for interventional MR with mechanical performance resembling braided X-ray devices. Our 75 cm long hybrid catheter shaft incorporates a wire lattice in a polymer matrix, and contains three distal loop coils in a flexible and torquable 7Fr device. We explored the impact of braid material designs on radiofrequency and mechanical performance. Results The incorporation of copper wire into in a superelastic nitinol braided loopless antenna allowed good visualization of the whole shaft (70 cm in vitro and in vivo in swine during real-time MR with 1.5 T scanner. Additional distal tip coils enhanced tip visibility. Increasing the copper:nitinol ratio in braiding configurations improved flexibility at the expense of torquability. We found a 16-wire braid of 1:1 copper:nitinol to have the optimum balance of mechanical (trackability, flexibility, torquability and antenna (signal attenuation properties. With this configuration, the temperature increase remained less than 2°C during real-time MR within 10 cm horizontal from the isocenter. The design was conspicuous in vitro and in vivo. Conclusion We have engineered a new loopless antenna configuration that imparts interventional MR catheters with satisfactory mechanical and imaging characteristics. This compact loopless antenna design can be generalized to visualize the whole shaft of any general-purpose polymer catheter to perform safe interventional procedures.

  18. Observation of silicone tube double-passage annular lacrimal intubation and epidural catheter for repairing the traumatic lacrimal rupture

    Directory of Open Access Journals (Sweden)

    Jiang Zhu

    2016-01-01

    Full Text Available AIM:To evaluate the efficacy and characteristics of silicone tube double-passage annular lacrimal intubation and epidural catheter for repairing the traumatic lacrimal rupture. METHODS:Retrospective case study. Sixty-two cases(62 eyeswith traumatic lacrimal rupture were involved in the study from January 2009 to December 2013. Thirty-two cases(32 eyeswere treated with silicone tube double-passage annular lacrimal intubation, 30 cases(30 eyeswith epidural catheter. All cases were underwent anastomosis surgery successfully after having searched for the broken ends of canaliculus by operation microscope. The operation time, postoperative reaction, efficacy, complications and so on were retrospectively analyzed between two methods.RESULTS:The operation time of silicone tube double-passage annular lacrimal intubation group was 55~120(85.17±15.05min and epidural catheter group was 30~70(49.83±10.71min. Four cases(12.5%in silicone tube double-passage annular lacrimal intubation group happened postoperative anastomotic inflammation in 1wk and 24 cases(80%happened in epidural catheter group. Thirty-one cases(97%in silicone tube double-passage annular lacrimal intubation group and 26 case(87%in epidural catheter group were anastomosed successfully 1wk after the stents was removed. At 6mo after surgeries, in silicone tube double-passage annular lacrimal intubation group, 2 cases(6%were accompanied by lower eyelid ectropion and 1 case(3%were accompanied by lacrimal puncta laceration. And in epidural catheter group, 10 cases(33%were accompanied by lower eyelid ectropion and 5 case(17%were accompanied by lacrimal puncta laceration. CONCLUSION:A good result can be obtained by using the silicone tube double-passage annular lacrimal intubation and epidural catheter for repairing the traumatic lacrimal rupture. But in silicone tube double-passage annular lacrimal intubation group, postoperative reaction is lighter and complications can be less. In epidural

  19. Preparation of Electrospun Polymer Fibers Using a Copper Wire Electrode in a Capillary Tube

    Science.gov (United States)

    Shinbo, Kazunari; Onozuka, Shintaro; Hoshino, Rikiya; Mizuno, Yoshinori; Ohdaira, Yasuo; Baba, Akira; Kato, Keizo; Kaneko, Futao

    2010-04-01

    Polymer fibers were prepared by an electrospinning method utilizing a copper wire electrode in a capillary tube. The morphology of electrospun poly(vinyl alcohol) (PVA) fibers was observed, and was found to be dependent on the wire electrode tip position in the capillary tube, the concentration of the polymer solution, the distance between the electrodes, and the applied voltage. By using the wire electrode, the experimental setup is simple and the distance between the electrodes and the applied voltage can be easily reduced. Furthermore, the preparation of poly(3-hexylthiophene) (P3HT) fibers was carried out. P3HT fibers were successfully prepared by mixing poly(ethylene oxide) (PEO) in P3HT solution. Orientation control was also carried out by depositing the fibers on a rotating collector electrode, and the alignment of the P3HT:PEO fibers was confirmed. Anisotropy of the optical absorption spectra was also observed for the aligned fibers.

  20. Accuracy of targeted wire guided tube thoracostomy in comparison to classical surgical chest tube placement - A clinical study.

    Science.gov (United States)

    Protic, Alen; Barkovic, Igor; Ivancic, Aldo; Kricka, Ozren; Zuvic-Butorac, Marta; Sustic, Alan

    2015-11-01

    Chest tube malfunction, after the tube thoracostomy, is often the result of an inappropriate chest tube tip position. The aim of this study was to analyse the precision of chest tube placement using the targeted wire guide technique (TWG technique) with curve dilator and to compare it to the classical surgical technique (CS technique). In this clinical study 80 patients with an indication for thoracic drainage, due to pneumothorax or pleural effusion were included. Experimental group contained 39 patients whose chest tube was placed using the TWG technique. The control group contained 41 patients whose chest tube was placed using the CS technique. The comparison of the outcomes of the two techniques applied suggests that the TWG technique was significantly more successful in achieving adequate (precise) chest tube placement, irrespective of patient diagnosis (TWG vs. CS in all patients, 78.4% vs. 36.6%, p<0.001). In the pleural effusion group, TWG and CS had success rates of 78.2% and 37.5% (p=0.005), respectively, while in pneumothorax group, TWG and CS had success rates of 78.6% and 35.3% (p=0.029), respectively. Using a curved dilator and the TWG technique for the thoracic drainage procedure we found statistically significant advantage to the TWG technique in comparison to the CS technique (78% vs. 37%) regarding precise chest tube placement within the pleural cavity. Introducing the materials and technique used in this clinical trial into clinical practice may improve the quality of thoracic drainage, including residual volume of air and/or fluid, poor functioning of the chest tube, and, as a consequence of both, prolonged hospitalisation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. [TS-1 therapy via intestinal catheter used for tube feeding in a patient with gastric cancer after total gastrectomy].

    Science.gov (United States)

    Hagiike, Masanobu; Tsuboi, Yuka; Akamoto, Shintaro; Yachida, Shinichi; Izuishi, Kunihiko; Karasawa, Yukihiko; Goda, Fuminori; Okada, Setsuo; Usuki, Hisashi; Maeta, Hajime

    2005-07-01

    The patient was a 76-year-old man having gastric cancer with peritoneal dissemination. He underwent total gastrectomy for resection of the primary tumor and improvement of the oral intake. He developed ileus and peritonitis after the surgery, which necessitated two additional operations. An intestinal stoma was thus therefore created using a catheter for tube feeding, and tube feeding was initiated after the surgery. Nutrients, as well as TS-1 (taken out of the capsule; 80 mg/day) were administered via the catheter for tube feeding. This therapy was followed by a reduction in tumor marker levels and improvement of the patient's performance status (PS), after which the patient could be discharged. He stayed at home for about 8 months, with a much-improved quality of life during this period. We concluded that the TS-1 therapy via the catheter used for alimentation was effective for the treatment of cancer in this patient. We report our experience with this case, in which tube feeding became necessary after total gastrectomy, but administration of TS-1 via the same catheter used for alimentation improved the patient's PS and made it possible for him to receive chemotherapy at home.

  2. 312 Times Without a Guide Wire Guided by the Ultrasonic Skin Colostomy Single J Tube Catheter Clinical Analysis%312次无导丝引导下经输尿管皮肤造口单J管置管临床分析

    Institute of Scientific and Technical Information of China (English)

    汤利萍; 熊柱凤; 张宝珍

    2016-01-01

    通过总结造口治疗师对输尿管皮肤造口患者312次无导丝引导下单J管置管技术,分析和总结无导丝引导下输尿管皮肤造口单J管置管的经验和教训,形成无导丝引导下单J管置管流程,总结无导丝引导下单J管置管的注意事项与难点,旨在为患者提供更优的服务质量提供参考依据。%By summing up colostomy therapists to ureteral skin colostomy patients 312 times without a thread guide order J tube insertion technique, analyzes and summarizes no thread guide under ureter skin colostomy experiences and lessons of the single J tube, forming no thread guide order J tube insertion process, summed up without thread guide order matters needing attention and the difficulty of the J tube, aims to provide patients with better quality of service to provide the reference basis.

  3. Use of Flexible Cystoscopy to Insert a Foley Catheter over a Guide Wire in Spinal Cord Injury Patients: Special Precautions to be Observed

    Directory of Open Access Journals (Sweden)

    Subramanian Vaidyanathan

    2011-01-01

    Full Text Available When urethral catheterisation is difficult or impossible in spinal cord injury patients, flexible cystoscopy and urethral catheterisation over a guide wire can be performed on the bedside, thus obviating the need for emergency suprapubic cystostomy. Spinal cord injury patients, who undergo flexible cystoscopy and urethral catheterisation over a guide wire, may develop potentially serious complications. (1 Persons with lesion above T-6 are susceptible to develop autonomic dysreflexia during cystoscopy and urethral catheterisation over a guide wire; nifedipine 5–10 milligrams may be administered sublingually just prior to the procedure to prevent autonomic dysreflexia. (2 Spinal cord injury patients are at increased risk for getting urine infections as compared to able-bodied individuals. Therefore, antibiotics should be given to patients who get haematuria or urethral bleeding following urethral catheterisation over a guide wire. (3 Some spinal cord injury patients may have a small capacity bladder; in these patients, the guide wire, which is introduced into the urinary bladder, may fold upon itself with the tip of guide wire entering the urethra. If this complication is not recognised and a catheter is inserted over the guide wire, the Foley catheter will then be misplaced in urethra despite using cystoscopy and guide wire.

  4. Structure of Polymer Fibers Fabricated by Electrospinning Method Utilizing a Metal Wire Electrode in a Capillary Tube

    Science.gov (United States)

    Onozuka, Shintaro; Hoshino, Rikiya; Mizuno, Yoshinori; Shinbo, Kazunari; Ohdaira, Yasuo; Baba, Akira; Kato, Keizo; Kaneko, Futao

    We fabricated electrospun poly (vinylalcohol) (PVA) fibers using a copper wire electrode in Teflon capillary tube, and the SEM images were observed. The apparatus in this method is reasonable, and needed volume of polymer solution and distance between the electrodes can be largely reduced compared to conventional method. The wire electrode tip position in the capillary tube is also important in this method and should be close to the polymer solution surface.

  5. Fluoroscopy guided percutaneous catheter drainage of pneumothorax in good mid-term patency with tube drainage

    Energy Technology Data Exchange (ETDEWEB)

    Park, Ga Young; Oh, Joo Hyung; Yoon, Yup; Sung, Dong Wook [Kyung Hee University Hospital, Seoul (Korea, Republic of)

    1995-10-15

    To evaluate efficacy and the safety of percutaneous catheter drainage in patients with pneumothorax that is difficult to treat with closed thoracotomy. We retrospectively reviewed effectiveness of percutaneous catheter drainage (PCD) in 10 patients with pneumothorax. The catheter was inserted under fluoroscopic guidance. Seven patients had spontaneous pneumothorax caused by tuberculosis (n =4), reptured bullae (n = 2), and histiocytosis-X (n = 1). Three patients had iatrogenic pneumothorax caused by trauma (n = 1) and surgery (n = 2). All procedures were performed by modified Seldinger's method by using 8F-20F catheter. All catheter were inserted successfully. In 9 of 10 patients, the procedure was curative without further therapy. Duration of catheter insertion ranged from 1 day to 26 days. In the remaining 1 patient in whom multiple pneumothorax occurred after operation, catheter insertion was performed twice. Percutaneous catheter drainage under fluoroscopic guidance is effective and safe procedure for treatment of pneumothorax in patients with failed closed thoracotomy.

  6. Restoring contaminated wires, removing gas contaminants, and aging studies of drift tube chambers

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, Thomas E-mail: marshall@fnal.gov

    2003-12-01

    The original muon detection system of the Fermilab D0 colliding beam experiment contained 12,000 drift cells 10 cmx5 cm in cross-section and up to 580 cm in length. The gas mixture used was Ar/CF{sub 4}/CO{sub 2} (90:6:4). There was one recycling gas system for all the chambers. During the first year of operation, it was discovered that inefficient cells, all in regions of high radiation, had a contaminating shell of crud coating their wires. The source of the contaminant was outgassing of the cathode pads, which were made from a laminate of fiberglass and epoxy/polyester resin, with a copper cladding on one surface. The vapor formed a brittle sheath on the wires, but only in regions of high current discharge due to radiation from the accelerator and colliding beams. A method for cleaning wires in place was devised. By heating the wire quickly to a temperature close to the melting temperature of gold, the sheath was ripped to shreds and blown away. The procedure for 'zapping' wires and for removing the contaminating vapor is presented. The upgraded D0 experiment now uses Iarocci-type mini-drift tubes for the forward muon system. The results of aging tests for these chambers are also presented.

  7. Study of pigtail catheter and chest tube in management of secondary spontaneous pneumothorax

    Directory of Open Access Journals (Sweden)

    Rabieh M.M. Hussein

    2017-01-01

    Conclusion: Pigtail catheter drainage is nearly effective as ICT drainage of first episode of SSP. Pigtail catheter offers a safe, tolerable method for draining SSP with a shorter duration of drainage and hospital stay more than ICT. Increasing BMI is associated with drainage failure of SSP, where obesity is considered as a risk factor with high specificity for pigtail catheter drainage failure.

  8. Numeric Simulation of Heat Transfer from a Single Round Tube Shielded with Wire Mesh

    Directory of Open Access Journals (Sweden)

    Dymo B.V.

    2015-08-01

    Full Text Available This paper presents the results of development and investigation of heat transfer at transverse flow of round tube with wire screen using the software ANSYS Fluent 3D-model. Selection of optimal parameters of the finite element model, in particular, transition shear stress transport model as well and boundary conditions are realized. Instructed and combined net is used at numerical calculations. This net is built with the help of generators grid-torus ANSYS CFX Mesh 14.0. The problem of verification of conformity of the numerical model of the heat transfer of a single screen-covered round tubes according to physical experiment for the same tubes in the range of Reynolds numbers Re = (5000...35000 was studied. We established that discrepancy between physical experiments and numerical simulation results not exceeds 5% with respect to the data of physical experiment.

  9. Interaction between plastic catheter tubings and regular insulin preparations used for continuous subcutaneous insulin-infusion therapy.

    Science.gov (United States)

    Chantelau, E; Lange, G; Gasthaus, M; Boxberger, M; Berger, M

    1987-01-01

    In search of possible interactions between plastic tubings used for insulin-pump treatment and commercial regular insulin preparations, various catheter sets made from polyvinyl chloride (PVC), polyethylene (PE), and nylon plastics were perfused at 30 degrees C in a laboratory setting for up to 72 h. The perfused insulin solutions were analyzed by high-performance liquid chromatography and atomic absorption spectroscopy. Although no plasticizer, e.g., dioctyl phthalate, or nickel or chromium ions were found in the perfusates, substantial interactions between the plastics and the insulin solutions were detected, extraction of bacteriostatic additives from the insulin solutions in particular. The PVC retained up to 88% of the bacteriostatics from the insulin preparations, whereas PE tubings retained only 10-15%. Whether the loss of preservatives during perfusion through PVC catheters predisposes to cutaneous infections during insulin-pump therapy remains to be shown.

  10. Sonographic guidance for tunneled central venous catheters insertion in pediatric oncologic patients:guided punctures and guide wire localization

    Institute of Scientific and Technical Information of China (English)

    Gehad T. Meselhy; Kareem R. Sallam; Maged M. Elshafiey; Amal Refaat; Ahmad Samir; Alaa A. Younes

    2012-01-01

    Objective: Totally implantable devices (TIDs) and external tunneled catheters (ETCs) became a basic requirement in the treatment of pediatric oncologic patients. Techniques for implantation and confirmation of proper position vary among different centers. The article presented different techniques for sonographic guided puncture of the target central vein and confirmation of the proper position of tunneled catheters. Methods: This was an observational study with a single crossover phase, in which operators initially used the open cut down technique and subsequently converted to the ultrasound guided technique. Internal jugular vein (IJV) was used in all cases. Results: In ultrasound guided group, TIDs were inserted in 121cases while ETCs were inserted in 13 cases. Ultrasound was successful in guiding IJV puncture from the first trial in all cases and in guide-wire localization in the right atrium in 132 cases. There were no reported cases of hematoma, pneumothorax,hemothorax, catheter malposition or surgical-site infection (SSI) in the perioperative period. In the open cut down group, TIDs were inserted in 119 cases. Two patients developed post operative hematoma and one of them developed SSI. The mean time of ultrasound guided TIDs was (30.04 ± 1.1) minutes which was significantly lower than the mean time of cases done by theopen cut down technique (45.4 ± 3.1) minutes (P < 0.0001). Conclusion: Ultrasound guidance is helpful for insertion of TIDs and ETCs in the IJV in pediatric oncologic patients. It minimizes the need for open cut downs and fluoroscopy.

  11. Antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis.

    Science.gov (United States)

    Chigerwe, Munashe; Mavangira, Vengai; Byrne, Barbara A; Angelos, John A

    2017-05-01

    Tube cystostomy is a surgical method used for managing obstructive urolithiasis and involves placement of a Foley catheter into the urinary bladder. We identified and evaluated the antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis. Urine samples collected over a 10-y period from catheter tips at the time of removal were submitted for bacteriologic culture and antibiotic susceptibility testing. Resistance patterns to antibiotics, trends in the resistance patterns over the study period, and the probability of a bacterial isolate being resistant as a function of the identity of the isolate and antibiotic tested were determined. A total of 103 urine samples from 103 male goats with obstructive urolithiasis managed surgically with tube cystostomy were included in the study. Aerococcus (36.9%) and Enterococcus (30.1%) were isolated most frequently. The susceptibility patterns of all bacteria isolated did not change over the study period ( p > 0.05). Proportions of isolates resistant to 1, 2, and ≥3 antibiotics were 36.9%, 18.5%, and 23.3%, respectively. Thus, 41.8% of bacterial isolates were resistant to 2 or more antibiotics tested. The probability of Aerococcus spp., Escherichia coli, and Pseudomonas aeruginosa isolates to be resistant to ampicillin, ceftiofur, erythromycin, penicillin, or tetracycline ranged from 0.59 to 0.76.

  12. Current-driven vortex domain wall motion in wire-tube nanostructures

    Energy Technology Data Exchange (ETDEWEB)

    Espejo, A. P. [Departamento de Física, Universidad de Santiago de Chile (USACH), Av. Ecuador 3493, 9170124 Santiago (Chile); Institute of Nanostructure and Solid State Physics, University of Hamburg, Jungiusstrasse 11, D-20355 Hamburg (Germany); Vidal-Silva, N. [Departamento de Física, Universidad de Santiago de Chile (USACH), Av. Ecuador 3493, 9170124 Santiago (Chile); López-López, J. A. [Departamento de Física, Universidad Técnica Federico Santa María, Av. España 1680, Valparaíso (Chile); Goerlitz, D.; Nielsch, K. [Institute of Nanostructure and Solid State Physics, University of Hamburg, Jungiusstrasse 11, D-20355 Hamburg (Germany); Escrig, J. [Departamento de Física, Universidad de Santiago de Chile (USACH), Av. Ecuador 3493, 9170124 Santiago (Chile); Center for the Development of Nanoscience and Nanotechnology (CEDENNA), Av. Ecuador 3493, 9170124 Santiago (Chile)

    2015-03-30

    We have investigated the current-driven domain wall motion in nanostructures comprised of a pair of nanotube and nanowire segments. Under certain values of external magnetic fields, it is possible to pin a vortex domain wall in the transition zone between the wire and tube segments. We explored the behavior of this domain wall under the action of an electron flow applied in the opposite direction to the magnetic field. Thus, for a fixed magnetic field, it is possible to release a domain wall pinned simply by increasing the intensity of the current density, or conversely, for a fixed current density, it is possible to release the domain wall simply decreasing the magnetic external field. When the domain wall remains pinned due to the competition between the current density and the magnetic external field, it exhibits a oscillation frequency close to 8 GHz. The amplitude of the oscillations increases with the current density and decreases over time. On the other hand, when the domain wall is released and propagated through the tube segment, this shows the standard separation between a steady and a precessional regime. The ability to pin and release a domain wall by varying the geometric parameters, the current density, or the magnetic field transforms these wire-tube nanostructures in an interesting alternative as an on/off switch nano-transistor.

  13. Micro catheter using Ti-Mo-Sn shape memory alloy tube%Ti-Mo-Sn形状记忆合金管在微导尿管上的应用

    Institute of Scientific and Technical Information of China (English)

    山口 清

    2005-01-01

    Recently, minimally invasive surgeries using guide-wire, catheter, stent etc, have spread rapidly as the diagnosis and the medical treatmentfor a cancer, a disease in a circulatory organ etc. Currently, further maneuverability and functionability of those devices are strongly desired in order to be used widely and safely. Although Ti-Ni shape memory alloys have been used in medical devices such orthodontic wire, guide-wire, it has been suspected that Ni is allergenic and carcinogenic to the human body. Thus the development of Ni-free shape memory alloys has been strongly required. Recently, several Ni-free beta-titanium alloys such as Ti-Mo-Al, Ti-Mo-Ga, Ti-Nb-Al have been developed as new-type shape memory alloys. We have been studying Ti-Mo based beta-titanium alloys and Ti-Mo-Sn alloy has constantly super elasticity of 3 %.The purpose of present study is to propose the micro catheter with thin wall and high flexibility using To-Mo-Sn alloys tube on the basis of its mechanical properties.

  14. Heat transfer enhancement in smooth tube with wire coil insert in laminar and transitional non-newtonian flow

    OpenAIRE

    García Pinar, Alberto; Solano Fernández, Juan Pedro; Viedma Robles, Antonio; Martínez Hernández, David Sebastián

    2010-01-01

    This work presents an experimental study on the heat transfer enhancement by means of a tube with wire-coil insert,for non-Newtonian laminar and transitional flow. The dimensionless pitch and wire diameter (based on the plain tube inner diameter) were chosen as p/D= 1 and e/D=0.09. Two pseudoplastic test fluids have been used: 1% by weight aqueous solutions of carboxymethyl cellulose (CMC) with high viscosity and medium viscosity. A wide range of flow conditions has been covered: Reynolds ...

  15. Assessing the effects of manual dexterity and playing computer games on catheter-wire manipulation for inexperienced operators.

    Science.gov (United States)

    Alsafi, Z; Hameed, Y; Amin, P; Shamsad, S; Raja, U; Alsafi, A; Hamady, M S

    2017-09-01

    To investigate the effect of playing computer games and manual dexterity on catheter-wire manipulation in a mechanical aortic model. Medical student volunteers filled in a preprocedure questionnaire assessing their exposure to computer games. Their manual dexterity was measured using a smartphone game. They were then shown a video clip demonstrating renal artery cannulation and were asked to reproduce this. All attempts were timed. Two-tailed Student's t-test was used to compare continuous data, while Fisher's exact test was used for categorical data. Fifty students aged 18-22 years took part in the study. Forty-six completed the task at an average of 168 seconds (range 103-301 seconds). There was no significant difference in the dexterity score or time to cannulate the renal artery between male and female students. Students who played computer games for >10 hours per week had better dexterity scores than those who did not play computer games: 9.1 versus 10.2 seconds (p=0.0237). Four of 19 students who did not play computer games failed to complete the task, while all of those who played computer games regularly completed the task (p=0.0168). Playing computer games is associated with better manual dexterity and ability to complete a basic interventional radiology task for novices. Copyright © 2017 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  16. Decompression Device Using a Stainless Steel Tube and Wire for Treatment of Odontogenic Cystic Lesions: A Technical Report.

    Science.gov (United States)

    Jung, Eun-Joo; Baek, Jin-A; Leem, Dae-Ho

    2014-11-01

    Decompression is considered an effective treatment for odontogenic cystic lesions in the jaw. A variety of decompression devices are successfully used for the treatment of keratocystic odontogenic tumors, radicular cysts, dentigerous cysts, and ameloblastoma. The purpose of these devices is to keep an opening between the cystic lesion and the oral environment during treatment. The aim of this report is to describe an effective decompression tube using a stainless steel tube and wire for treatment of jaw cystic lesions.

  17. Usefulness of multifunctional gastrointestinal coil catheter for colorectal stent placement

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Tae-Hyung; Shin, Ji Hoon; Kim, Jin Hyoung; Lim, Jin-Oh; Kim, Kyung Rae [Asan Medical Center, Radiology and Research Institute of Radiology, Seoul (Korea); Song, Ho-Young [Asan Medical Center - Radiology, Songpa-gu, Seoul (Korea); Park, In Kook [Dongguk University, Life Science, Seoul (Korea); Choi, Eugene K. [Weill Medical College of Cornell University, New York, NY (United States)

    2008-11-15

    The purpose of this study was to evaluate the usefulness of a multifunctional gastrointestinal coil catheter for stent placement in 98 patients with colorectal strictures. The catheter was used in 98 consecutive patients for stent placement in the rectum (n = 24), recto-sigmoid (n = 13), sigmoid (n = 38), descending (n = 6), transverse (n = 11), splenic flexure (n = 3), hepatic flexure (n = 2), and ascending (n = 1) colon. The catheter was made of a stainless steel coil (1.3 mm in inner diameter), a 0.4-mm nitinol wire, a polyolefin tube, and a hemostasis valve. Usefulness of the catheter was evaluated depending on whether the catheter could pass a stricture over a guide wire and whether measurement of the stricture length was possible. The passage of the catheter over a guide wire beyond the stricture was technically successful and well tolerated in 93 (94.9%) of 98 patients. In the failed five patients, it was not possible to negotiate the guide wire due to presence of nearly complete small bowel obstruction. The average length of stricture was 6.15 cm (range, 3 cm to 20 cm) in patients with the colorectal stricture. There were no procedure-related complications. In conclusion, the multifunctional coil catheter seems to be useful in colorectal stent placement. (orig.)

  18. Urinary catheters

    Science.gov (United States)

    ... incontinence. There is no tube placed inside the penis. Instead, a condom-like device is placed over the penis. A tube leads from this device to a ... too small Bladder spasms Constipation The wrong balloon size Urinary tract infections POSSIBLE COMPLICATIONS Complications of catheter ...

  19. A UVC Device for Intra-luminal Disinfection of Catheters: In Vitro Tests on Soft Polymer Tubes Contaminated with Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli and Candida albicans

    DEFF Research Database (Denmark)

    Bak, Jimmy; Begovic, Tanja; Bjarnsholt, Thomas

    2011-01-01

    light is possible. In this paper we present dose-response results using a newly developed UVC disinfection device, which can be connected to a Luer catheter hub. The device was tested on soft polymer tubes contaminated with a pallet of microorganisms, including Candida albicans, Staphylococcus aureus...

  20. Experimental Study of Heat Transfer Enhancement in a Heated Tube Caused by Wire-Coil and Rings

    Directory of Open Access Journals (Sweden)

    Saeed Vahidifar

    2015-01-01

    Full Text Available This study investigates heat transfer characteristics and the pressure drop of a horizontal double pipe heat exchanger with wire coil inserts. The amplification of convection heat transfer coefficient in the heat exchanger reduces the weight, size and cost of heat exchanger. One way of augmenting the heat transfer is to disturb the boundary layer. When an object is placed in a boundary layer, it affects the flow structure and alters the velocity and thermal profiles. The change is affected by the formation of jets and wakes in the boundary layer as it alters modifies transfer and friction coefficients on the wall. This paper studies the characteristics of the heat transfer and the pressure drop of a double pipe horizontal tube heat exchanger with an inserted wire coil and rings. Wire coil acts as a swirl flow, which increases turbulence and roughness whereas rings increase heat transfer as a promoter of turbulence and roughness. The experimental data sets were extracted from wire coils and rings tested within a geometrical range with a pitch of (P/D=1, 2, 4 and wire diameter of (d/D=0.05, 0.07, 0.11. For wire coil with d/D=0.11, P/D =1 and Reynolds number of 10000, the overall enhancement efficiency amounted to 128%.

  1. Fabrication and characterization of iron pnictide wires and bulk materials through the powder-in-tube method

    Energy Technology Data Exchange (ETDEWEB)

    Ma Yanwei, E-mail: ywma@mail.iee.ac.c [Key Laboratory of Applied Superconductivity, Institute of Electrical Engineering, Chinese Academy of Sciences, P.O. Box 2703, Beijing 100190 (China); Gao Zhaoshun; Qi Yanpeng; Zhang Xianping; Wang Lei; Zhang Zhiyu; Wang Dongliang [Key Laboratory of Applied Superconductivity, Institute of Electrical Engineering, Chinese Academy of Sciences, P.O. Box 2703, Beijing 100190 (China)

    2009-05-01

    The recent discovery of superconductivity in the iron-based superconductors with very high upper critical fields presents a new possibility for practical applications, but fabricating fine-wire is a challenge because of mechanically hard and brittle powders and the toxicity and volatility of arsenic. In this paper, we report the synthesis and the physical characterization of iron pnictide wires and bulks prepared by the powder-in-tube method (PIT). A new class of high-T{sub c} iron pnictide composite wires, such as LaFeAsO{sub 1-x}F{sub x}, SmFeAsO{sub 1-x}F{sub x} and Sr{sub 1-x}K{sub x}FeAs, has been fabricated by the in situ PIT technique using Fe, Ta and Nb tubes. Microscopy and X-ray analysis show that the superconducting core is continuous, and retains phase composition after wire drawing and heat treatment. Furthermore, the wires exhibit a very weak J{sub c}-field dependence behavior even at high temperatures. The upper critical field H{sub c2}(0) value can exceed 100 T, surpassing those of MgB{sub 2} and all the low temperature superconductors and indicating a strong potential for applications requiring very high field. These results demonstrate the feasibility of producing superconducting pnictide composite wire. We also applied the one-step PIT method to synthesize the iron-based bulks, due to its convenience and safety. In fact, by using this technique, we have successfully discovered superconductivity at 35 K and 15 K in Eu{sub 0.7}Na{sub 0.3}Fe{sub 2}As{sub 2} and SmCoFeAsO compounds, respectively. These clearly suggest that the one-step PIT technique is unique and versatile and hence can be tailored easily for other rare earth derivatives of novel iron-based superconductors.

  2. Fabrication and characterization of iron pnictide wires and bulk materials through the powder-in-tube method

    Science.gov (United States)

    Ma, Yanwei; Gao, Zhaoshun; Qi, Yanpeng; Zhang, Xianping; Wang, Lei; Zhang, Zhiyu; Wang, Dongliang

    2009-05-01

    The recent discovery of superconductivity in the iron-based superconductors with very high upper critical fields presents a new possibility for practical applications, but fabricating fine-wire is a challenge because of mechanically hard and brittle powders and the toxicity and volatility of arsenic. In this paper, we report the synthesis and the physical characterization of iron pnictide wires and bulks prepared by the powder-in-tube method (PIT). A new class of high- Tc iron pnictide composite wires, such as LaFeAsO 1-xF x, SmFeAsO 1-xF x and Sr 1-xK xFeAs, has been fabricated by the in situ PIT technique using Fe, Ta and Nb tubes. Microscopy and X-ray analysis show that the superconducting core is continuous, and retains phase composition after wire drawing and heat treatment. Furthermore, the wires exhibit a very weak Jc-field dependence behavior even at high temperatures. The upper critical field Hc2(0) value can exceed 100 T, surpassing those of MgB 2 and all the low temperature superconductors and indicating a strong potential for applications requiring very high field. These results demonstrate the feasibility of producing superconducting pnictide composite wire. We also applied the one-step PIT method to synthesize the iron-based bulks, due to its convenience and safety. In fact, by using this technique, we have successfully discovered superconductivity at 35 K and 15 K in Eu 0.7Na 0.3Fe 2As 2 and SmCoFeAsO compounds, respectively. These clearly suggest that the one-step PIT technique is unique and versatile and hence can be tailored easily for other rare earth derivatives of novel iron-based superconductors.

  3. Finite element modeling of the powder-in- tube process for manufacture of BSCCO-2212 superconducting wires

    Science.gov (United States)

    Shah, R.; Tangrila, S.; Rachakonda, S.; Thirukkonda, M.

    1995-12-01

    High-temperature superconductors have recently attracted a great deal of attention owing to their potential use in a variety of applications including power generators, superconducting magnets for mine sweepers or ship propulsion motors, and magnetic levitation transportation systems. The powder-in-tube (PIT) process has emerged as one of the most promising and economically feasible techniques to produce long lengths high-Tc oxide based superconducting wires. The PIT method involves multi-pass wire drawing followed by rolling and heat treatment. This work focuses on the development of finite element models to simulate the PIT drawing process for fabrication of silver sheathed Bi-2212 superconducting wires. The numerical models were used to predict the density of the oxide powder, the wire drawing forces, and the silver-oxide ratio during drawing. A cap-type pressure dependent constitutive equation was implemented in the model to simulate the powder behavior. The model incorporated experimentally obtained material data for the silver and powder. Data from wire drawing experiments were used to verify model predictions.

  4. Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein

    Directory of Open Access Journals (Sweden)

    Md Abu Masud Ansari

    2016-10-01

    Full Text Available Central venous Catheterization (CVC is a commonly performed procedure for venous access. It is associated with several complications. We report a rare case of extra luminal entrapment of guide wire during CVC placement in right jugular vein. We report a case of 28 years old female patient presented in our emergency with history of entrapped guide wire in right side of neck during CVC. X-ray showed coiling of guide wire in neck. CT Angiography showed guide wire coursing in between common carotid artery and internal jugular vein (IJV, closely abutting the wall of both vessels. The guide wire was coiled with end coursing behind the esophageal wall. Guide wire was removed under fluoroscopic guide manipulation under local anesthesia. We want to emphasize that even though CVC placement is common and simple procedure, serious complication can occur in hands of untrained operator. The procedure should be performed under supervision, if done by trainee. Force should never be applied to advance the guide wire if resistance is encountered.

  5. Comparing intra-abdominal pressures in different body positions via a urinary catheter and nasogastric tube: a pilot study.

    Science.gov (United States)

    Rooban, Nirooshan; Regli, Adrian; Davis, Wendy A; De Keulenaer, Bart L

    2012-07-05

    Intra-abdominal pressure (IAP) is most commonly measured via the bladder with the patient in the supine position. In the ICU, patients are nursed with the head of the bed elevated at 30° (HOB30) to reduce the risk of ventilator-associated pneumonia. This study investigated whether gastric pressure at HOB30 can be used as a surrogate measure of IAP via the bladder in the supine position. A prospective observational study was conducted in a single-centre intensive care unit. A total of 20 patients were included. IAP was recorded simultaneously via the bladder catheter (bladder pressure, IBP) and via nasogastric tube (gastric pressures, IGP) in the supine and HOB30 position. Each patient had three sets of IAP measurements performed at least 4 h apart. In the supine position, mean IBP was 12.3 ± 4.5 mmHg compared to IGP of 11.8 ± 4.7 mmHg. The bias between the two groups was 0.5 and precision of 3.7 (LA, -6.8 to 7.5 mmHg). At 30 degrees, mean IBP was 15.8 ± 4.9 mmHg compared to IGP of 13.1 ± 6.1 mmHg. The bias between both groups was 2.7 with a precision of 5.5 (LA, -8.0 to 13.5). Comparing IBP in the supine position with IGP at 30° showed a bias of -0.8 and precision of 5.6 (LA, -10.1 to 11.6 mmHg). IAP measured via a nasogastric tube was less influenced by changing the body position from supine to HOB30 than was bladder pressure.

  6. High critical current density in powder-in-tube processed MgB2/Ta/Cu wire

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The magnetization of dense MgB2/Ta/Cu wires prepared by the powder-in-tube method is measured by a SQUID magnetometer. The results indicate that the critical temperature of MgB2/Ta/Cu is around 38.4 K with a sharp transition width of 0.6 K. The MgB2/Ta/Cu wire shows a strong flux pinning and the critical current density is higher than 105 A/cm2 (5 K, self-field) and 104 A/cm2 (20 K, 1 T). Also, the irreversibility field of the sample reaches 6.6 T at 5 K.

  7. Titanium-Nickel Shape Memory Alloy Spring Actuator for Forward-Looking Active Catheter

    Directory of Open Access Journals (Sweden)

    Takahiro Namazu

    2011-01-01

    Full Text Available The fabrication and characterization of forward-looking active catheter actuated by titanium-nickel (Ti-Ni shape memory alloy (SMA springs are described. The catheter has been designed for wide-range observation of an affected area inside a blood vessel when the blood vessel is occluded. The developed active catheter consists of eight Ti-Ni SMA spring actuators for actuation of catheter tip, an ultrasonic transducer for forward-looking, a guide wire, a polyurethane tube for coating, and spiral wirings for realization of various flexure motions of catheter tip using Ti-Ni SMA actuators. The size of the catheter is 3.5 mm in diameter and 60 mm in length of the sum of transducer and actuator sections. Ti-Ni SMA springs were fabricated from a Ti-50.9at.%Ni sheet by electrochemical etching with a mixed solution of ethanol and lithium chloride. The catheter was assembled by hand under a stereomicroscope. The tip of the produced catheter was able to move in parallel toward at least eight directions by controlling an applied current to Ti-Ni SMA springs. We have confirmed that the active catheter was able to observe an object settled in the front.

  8. A statistical approach to understand the role of inclusions on the fatigue resistance of superelastic Nitinol wire and tubing.

    Science.gov (United States)

    Robertson, Scott W; Launey, Maximilien; Shelley, Oren; Ong, Ich; Vien, Lot; Senthilnathan, Karthike; Saffari, Payman; Schlegel, Scott; Pelton, Alan R

    2015-11-01

    Superelastic wires and diamond-shaped stent surrogates were manufactured from Nitinol rods and tubing, respectively, from five different mill product suppliers - Standard VAR, Standard VIM, Standard VIM+VAR, Process-Optimized VIM+VAR, and High-Purity VAR. High-cycle fatigue tests up to 10(7) cycles were conducted under tension-tension conditions for wires and bending conditions for diamonds. These materials were compared under both testing methods at 37°C with 6% prestrain and 3% mean strain (unloading plateau) with a range of alternating strains. The High-Purity VAR material outperformed all alloys tested with a measured 10(7)-fatigue alternating strain limit of 0.32% for wire and 1.75% for diamonds. Process-Optimized VIM+VAR material was only slightly inferior to the High Purity VAR with a diamond alternating bending strain limit of 1.5%. These two "second generation" Nitinol alloys demonstrated approximately a 2× increase in 10(7)-cycle fatigue strain limit compared to all of the Standard-grade Nitinol alloys (VAR, VIM, and VIM+VAR) that demonstrated virtually indistinguishable fatigue performance. This statistically-significant increase in fatigue resistance in the contemporary alloys is ascribed to smaller inclusions in the Process-Optimized VIM+VAR material, and both smaller and fewer inclusions in the High-Purity VAR Nitinol.

  9. Development of Powder-in-Tube Processed Iron Pnictide Wires and Tapes

    KAUST Repository

    Ma, Yanwei

    2011-06-01

    The development of PIT fabrication process of iron pnictide superconducting wires and tapes has been reviewed. Silver was found to be the best sheath material, since no reaction layer was observed between the silver sheath and the superconducting core. The grain connectivity of iron pnictide wires and tapes has been markedly improved by employing Ag or Pb as dopants. At present, critical current densities in excess of 3750 A /cm 2 (I c = 37.5 A) at 4.2 K have been achieved in Ag-sheathed SrKFeAs wires prepared with the above techniques, which is the highest value obtained in iron-based wires and tapes so far. Moreover, Ag-sheathed Sm-1111 superconducting tapes were successfully prepared by PIT method at temperatures as low as ̃ 900 °C, instead of commonly used temperatures of ̃ 1200 °C. These results demonstrate the feasibility of producing superconducting pnictide composite wires, even grain boundary properties require much more attention. © 2010 IEEE.

  10. Advanced Imaging Catheter: Final Project Report

    Energy Technology Data Exchange (ETDEWEB)

    Krulevitch, P; Colston, B; DaSilva, L; Hilken, D; Kluiwstra, J U; Lee, A P; London, R; Miles, R; Schumann, D; Seward, K; Wang, A

    2001-07-20

    Minimally invasive surgery (MIS) is an approach whereby procedures conventionally performed with large and potentially traumatic incisions are replaced by several tiny incisions through which specialized instruments are inserted. Early MIS, often called laparoscopic surgery, used video cameras and laparoscopes to visualize and control the medical devices, which were typically cutting or stapling tools. More recently, catheter-based procedures have become a fast growing sector of all surgeries. In these procedures, small incisions are made into one of the main arteries (e.g. femoral artery in the thigh), and a long thin hollow tube is inserted and positioned near the target area. The key advantage of this technique is that recovery time can be reduced from months to a matter of days. In the United States, over 700,000 catheter procedures are performed annually representing a market of over $350 million. Further growth in this area will require significant improvements in the current catheter technology. In order to effectively navigate a catheter through the tortuous vessels of the body, two capabilities must exist: imaging and positioning. In most cases, catheter procedures rely on radiography for visualization and manual manipulation for positioning of the device. Radiography provides two-dimensional, global images of the vasculature and cannot be used continuously due to radiation exposure to both the patient and physician. Intravascular ultrasound devices are available for continuous local imaging at the catheter tip, but these devices cannot be used simultaneously with therapeutic devices. Catheters are highly compliant devices, and manipulating the catheter is similar to pushing on a string. Often, a guide wire is used to help position the catheter, but this procedure has its own set of problems. Three characteristics are used to describe catheter maneuverability: (1) pushability -- the amount of linear displacement of the distal end (inside body) relative to

  11. Formation of Bi2Sr2CaCu2O x /Ag multifilamentary metallic precursor powder-in-tube wires

    Science.gov (United States)

    Zhang, Yun; Koch, Carl C.; Schwartz, Justin

    2016-12-01

    Previously, a metallic precursor (MP) approach to synthesizing Bi2Sr2CaCu2O x (Bi2212), with a homogeneous mixture of Bi, Sr, Ca, Cu and Ag was produced by mechanical alloying. Here, Bi2212/Ag round multifilamentary wire is manufactured using a metallic precursor powder-in-tube (MPIT) process. The MP powders were packed into a pure Ag tube in an Ar atmosphere and then sealed. After deformation, multifilamentary round wires and rolled tapes were heat treated in flowing oxygen through three stages: oxidation, conversion and partial-melt processing (PMP). Processing-microstructure-property relationships on 20-50 mm long multifilamentary round wires and rolled tapes were studied extensively. It is shown that conventional wire deformation processes, optimized for oxide-powder-in-tube wires, are not effective for deforming MPIT wires, and that as with prior studies of MPIT Bi2Sr2Ca2Cu3O y conductors, hot extrusion is required for obtaining a multifilamentary structure with fine filaments. As a result, the Bi2212 MPIT wires reported here have low engineering critical current density. Nonetheless, by focusing on sections of wires that remain intact after deformation, it is also shown that the first heat treatment stage, the oxidation stage, plays a crucial role in chemical homogeneity, phase transformation, and microstructural evolution and three reaction pathways for MP oxidation are presented. Furthermore, it is found the Bi2212 grain alignment within an MPIT filament is significantly different from that found in OPIT filaments after PMP, indicating the formation of highly dense filaments containing Bi2212 fine grains and Ag particles before PMP aids the formation of large, c-axis textured Bi2212 filaments during PMP. These results show that, with improved wire deformation, high critical current density may be obtained via a MPIT process.

  12. Prediction of the heat transfer rate of a single layer wire-on-tube type heat exchanger using ANFIS

    Energy Technology Data Exchange (ETDEWEB)

    Hayati, Mohsen [Electrical Engineering Department, Faculty of Engineering, Razi University, Tagh-E-Bostan, Kermanshah 67149 (Iran); Computational Intelligence Research Center, Razi University, Tagh-E-Bostan, Kermanshah 67149 (Iran); Rezaei, Abbas; Seifi, Majid [Electrical Engineering Department, Faculty of Engineering, Razi University, Tagh-E-Bostan, Kermanshah 67149 (Iran)

    2009-12-15

    In this paper, we applied an Adaptive Neuro-Fuzzy Inference System (ANFIS) model for prediction of the heat transfer rate of the wire-on-tube type heat exchanger. Limited experimental data was used for training and testing ANFIS configuration with the help of hybrid learning algorithm consisting of backpropagation and least-squares estimation. The predicted values are found to be in good agreement with the actual values from the experiments with mean relative error less than 2.55%. Also, we compared the proposed ANFIS model to an ANN approach. Results show that the ANFIS model has more accuracy in comparison to ANN approach. Therefore, we can use ANFIS model to predict the performances of thermal systems in engineering applications, such as modeling heat exchangers for heat transfer analysis. (author)

  13. [Rotational stability of angiography catheters].

    Science.gov (United States)

    Schröder, J; Weber, M

    1992-10-01

    Rotatory stability is a parameter that reflects the ability of a catheter to transmit a rotation applied at the outer end to the catheter tip for the purpose of selective probing. A method for measuring the rotatory stability is described, and the results of rotatory stability measurements of 70 different commercially available catheters are reported. There is an almost linear correlation between the rotatory stability and the difference between the respective fourth power of the external and internal diameter or, approximately, to the fourth power of the external diameter for catheters without wire reinforcement. With the same cross-sectional dimensions, the rotatory stability of teflon, polyethylene, and nylon catheters has an approximate ratio of 1:2:4. Wire reinforcement increases rotatory stability by an average factor of about 3. For catheters of calibers 5 F and 6 F, a correlation between the rotatory stability and the weight of the reinforcing wire mesh is apparent.

  14. Effects of drawing and high-pressure sintering on the superconducting properties of (Ba,K)Fe2As2 powder-in-tube wires

    Science.gov (United States)

    Pyon, Sunseng; Yamasaki, Yuji; Kajitani, Hideki; Koizumi, Norikiyo; Tsuchiya, Yuji; Awaji, Satoshi; Watanabe, Kazuo; Tamegai, Tsuyoshi

    2015-12-01

    The evolution of the superconducting properties of round wires of (Ba,K)Fe2As2 fabricated by the powder-in-tube (PIT) method is systematically studied. After establishing the method to obtain the largest transport critical current density (J c) in round wires using the hot isostatic press technique, we investigated how the transition temperature (T c), J c, and microstructures change at each step of the wire fabrication. Unexpectedly, we find that superconducting properties of the wire core are significantly damaged by the drawing process. Systematic measurements of J c and T c of the core superconductor after each drawing and sintering process clarified the evolution of degradation by the drawing process and recovery by heat treatment.

  15. Improvement in microstructure and superconducting properties of single-filament powder-in-tube MgB2 wires by cold working with a swaging machine

    Science.gov (United States)

    Saito, Yusuke; Murakami, Masato; Matsumoto, Akiyoshi; Kumakura, Hiroaki

    2017-06-01

    We investigated the influence of the mechanical deformation method of wire fabrication on the microstructure and superconducting properties of single-filament in situ powder-in-tube (PIT) MgB2 wires. We employed three deformation methods to fabricate the wires: only swaging, groove rolling + roller drawing, and groove rolling + conventional drawing. We found that cold working by swaging has three advantages over the groove rolling + drawing method: (1) improved uniformity of the MgB2 core along the longitudinal direction; (2) higher mass density of the Mg + B (MgB2) core before (after) heat treatment (HT); and (3) well-developed fiber structures of Mg (MgB2) before (after) HT. These three factors greatly enhanced the critical current density (J c) values of PIT MgB2 wires. The highest J c values were obtained through mechanical deformation by swaging for both pure and carbon-doped wires. A J c value of 3.5 × 104 A cm-2 and an engineering critical current density (J e) of 1.1 × 104 A cm-2 were recorded at 4.2 K and 10 T for a swaged wire of 4.5%-carbon-coated boron powder heat-treated at 600 °C for 1 h.

  16. Experimental studies on effect of wire coiled coil matrix turbulators with and without bonding on the wall of the test section of concentric tube heat exchanger

    Directory of Open Access Journals (Sweden)

    Selvam S.

    2012-01-01

    Full Text Available This paper presents the effect of bonding and without bonding of wire coiled coil matrix turbulator on the heat transfer for a fully developed turbulent flow. Experiments are conducted by maintaining constant wall temperature. Tests are performed on 3 different wire coiled coil matrix turbulators of different pitches of 5, 10 and 15 mm without bonding of the turbulator. Three similar types of heat exchangers are fabricated and the wire coiled coil matrix turbulators with different pitches of 5, 10 and 15mm are inserted in the heat exchangers and bonding is done on the surface of the tube section. Results have indicated that the heat transfer rate enhances inversely with the pitch of the wire coiled coil matrix turbulator with bonding. With a pitch of 5 mm, the turbulators without bonding have resulted in almost 25.4% enhancement when compared with plain tube. On the other hand, for pitches of 10 mm and 15 mm the enhancement were 20.7% and 16.8%, respectively. The empirical correlations developed for turbulators with and without bonding results in ±6% deviation for Nusselt number and ±3% for friction factor. Similarly with a pitch of 5 mm, the turbulators with bonding have resulted in almost 42% enhancement. For pitches of 10mm and 15mm the enhancements were 34.7% and 25%, respectively.

  17. Architectural Analyses and Developments of 1 mm Diameter Micro Forceps for Catheter Surgery

    Science.gov (United States)

    Nokata, Makoto; Hashimoto, Yusuke; Obayashi, Takumi

    Blockage in a blood vessel due to cardiovascular disease such as arteriosclerosis or aneurysms requires minimally invasive placement of a mesh tube or platinum coil stent via a catheter to open the affected area. Stents are positioned using a guide wire via a catheter, but the stent may be dropped on the way to its destination and requires much time in surgery, increasing the burden on the patient. Medical apparatuses are thus desired having a mechanism to grasp artifacts securely in blood vessels. We designed prototype microforceps for use on the end of a catheter for grasping operation in blood vessels and to contribute to medical apparatuses in this field. The microforceps we designed using a minimum number of parts uses metal injection molding (MIM) to realize strong mass production. Microforceps installed in the tip of a catheter. Stress analysis verified its capability to grasp, bend and turn within the confines of a blood vessels model.

  18. Electrifying catheters with light

    NARCIS (Netherlands)

    M. Pekař (Martin); J. Van Rens (Jeannet); M.B. van der Mark (Martin)

    2017-01-01

    textabstractSmart minimally invasive devices face a connectivity challenge. An example is found in intracardiac echocardiography where the signal transmission and supply of power at the distal end require many thin and fragile wires in order to keep the catheter slim and flexible. We have built a

  19. Catheter Angiography

    Medline Plus

    Full Text Available ... use of a catheter makes it possible to combine diagnosis and treatment in a single procedure. Catheter ... use of a catheter makes it possible to combine diagnosis and treatment in a single procedure. An ...

  20. Catheter Angiography

    Medline Plus

    Full Text Available ... few millimeters) in the skin where the catheter can be inserted into an artery. The catheter is ... need for surgery. If surgery remains necessary, it can be performed more accurately. Catheter angiography presents a ...

  1. Experimental investigation on thermo-physical properties and overall performance of MWCNT-water nanofluid flow inside horizontal coiled wire inserted tubes

    Science.gov (United States)

    Akhavan-Behabadi, M. A.; Shahidi, Mohamad; Aligoodarz, M. R.; Ghazvini, Mohammad

    2017-01-01

    The present study is aimed to measure and analyze the thermo-physical properties and overall performance of MWCNT-water nanofluid in turbulent flow regimes under constant heat flux conditions inside horizontal coiled wire inserted tubes. For this purpose, stable MWCNT-water nanofluids with different particle weight fractions of 0.05, 0.1 and 0.2 % as well as deionized water were utilized as the working fluids. It was found that the existing theoretical models could not predict the thermo-physical property values accurately, especially in case of specific heat capacity. Therefore, new empirical correlations are presented based on the obtained experimental results to predict such properties for the nanofluids. In addition, the overall performance of heat transfer techniques considered in this paper was evaluated based on thermal performance factor. The results revealed that thermal performance factor for all cases are greater than unity which indicate that simultaneous usage of nanofluids and wire coil inserts enhances the heat transfer without huge penalty in pumping power. Hence, using nanofluids as the working fluid in combination with coiled wire inserted tubes can be considered for some practical applications.

  2. Ga N nano wires and nano tubes growth by chemical vapor deposition method at different NH{sub 3} flow rate

    Energy Technology Data Exchange (ETDEWEB)

    Li, P.; Liu, Y.; Meng, X. [Wuhan University, School of Physics and Technology, Key Laboratory of Artificial Micro and Nanostructures of Ministry of Education, Wuhan 430072 (China)

    2016-11-01

    Ga N nano wires and nano tubes have been successfully synthesized via the simple chemical vapor deposition method. NH{sub 3} flow rate was found to be a crucial factor in the synthesis of different type of Ga N which affects the shape and the diameter of generated Ga N nano structures. X-ray diffraction confirms that Ga N nano wires grown on Si(111) substrate under 900 degrees Celsius and with NH{sub 3} flow rate of 50 sc cm presents the preferred orientation growth in the (002) direction. It is beneficial to the growth of nano structure through catalyst annealing. Transmission electron microscopy and scanning electron microscopy were used to measure the size and structures of the samples. (Author)

  3. Performance of water source heat pump system using high-density polyethylene tube heat exchanger wound with square copper wire

    Directory of Open Access Journals (Sweden)

    Xin Wen Zhang

    2015-07-01

    Full Text Available Surface water source heat pump system is an energy-efficient heat pump system. Surface water heat exchanger is an important part of heat pump system that can affect the performance of the system. In order to enhance the performance of the system, the overall heat transfer coefficient (U value of the water exchanger using a 32A square copper coiled high-density polyethylene tube was researched. Comparative experiments were conducted between the performance of the coiled high-density polyethylene tube and the 32A smooth high-density polyethylene tube. At the same time, the coefficient of performance of the heat pump was investigated. According to the result, the U value of the coiled tube was 18% higher than that of the smooth tube in natural convection and 19% higher in forced convection. The coefficient of performance of the heat pump with the coiled tube is higher than that with the smooth tube. The economic evaluation of the coiled tube was also investigated.

  4. GMDH-type neural network modeling and genetic algorithm-based multi-objective optimization of thermal and friction characteristics in heat exchanger tubes with wire-rod bundles

    Science.gov (United States)

    Rahimi, Masoud; Beigzadeh, Reza; Parvizi, Mehdi; Eiamsa-ard, Smith

    2016-08-01

    The group method of data handling (GMDH) technique was used to predict heat transfer and friction characteristics in heat exchanger tubes equipped with wire-rod bundles. Nusselt number and friction factor were determined as functions of wire-rod bundle geometric parameters and Reynolds number. The performance of the developed GMDH-type neural networks was found to be superior in comparison with the proposed empirical correlations. For optimization, the genetic algorithm-based multi-objective optimization was applied.

  5. Electrifying catheters with light.

    Science.gov (United States)

    Pekař, Martin; van Rens, Jeannet; van der Mark, Martin B

    2017-04-17

    Smart minimally invasive devices face a connectivity challenge. An example is found in intracardiac echocardiography where the signal transmission and supply of power at the distal end require many thin and fragile wires in order to keep the catheter slim and flexible. We have built a fully functional bench-top prototype to demonstrate that electrical wires may be replaced by optical fibers. The prototype is immediately scalable to catheter dimensions. The absence of conductors will provide intrinsic galvanic isolation as well as radio frequency (RF) and magnetic resonance imaging (MRI) compatibility. Using optical fibers, we show signal transfer of synthetic aperture ultrasound images as well as photo-voltaic conversion to supply all electronics. The simple design utilizes only off the shelf components and holds a promise of cost effectiveness which may be pivotal for translation of these advanced devices into the clinic.

  6. 加金属丝水平单圆管蓄冰数值模拟%Ice Storage Numerical Simulation of Horizontal Single Circular Tube Added with Wire

    Institute of Scientific and Technical Information of China (English)

    钟亮; 潘阳

    2011-01-01

    Shortcomings of the ice-on-coil thermal storage heat appear in the ice. Adding some metal wire around the tube may improve freezing efficiency. In order to describe the result of freezing process on extended surface, regarding wire and water mixing region as porous media, reasonable mathematical physical model is established and theoretical calculation is conducted. Density variation with temperature is used to study influence of the water natural convection on the freezing process. Calculation finds that effect of natural convection on the temperature distribution is achieved mainly through circulation of natural convection. The ice shape is achieved mainly by the microcirculation near the icing region. Both the ice storage system with wire and the one without wire appear the shape of inverted pear. Due to the wire, the shape of inverted pear is less clear than the ice storage system without wire.%盘管式蓄冰传热瓶颈出现在冰层处,考虑在管外加入一些金属丝来促进管外换热从而提高蓄冰效率.为了描述管外扩展表面给结冰过程带来的影响,把管外金属丝和水的混合区域考虑为多孔介质区域,建立了合理的数学物理模型,进行了理论计算,并采用了密度随温度接近抛物线变化来研究水的自然对流对结冰过程的影响.通过计算,发现自然对流对温度分布的影响主要通过自然对流大循环来实现的,但对结冰形状的影响主要是通过在结冰区域附近的微循环来实现的.加丝蓄冰系统与不加丝蓄冰系统结冰形状均呈倒梨形.但加丝系统因为丝网的存在,倒梨形状不如不加丝系统明显.

  7. Experience of Nursing Care for "Three Catheters" Therapy of Patients with Biliary Fistula Caused by Removal of T Tube%T管拔除后胆瘘患者“三管”疗法的护理

    Institute of Scientific and Technical Information of China (English)

    李慧萍

    2014-01-01

    目的:总结T管拔除致胆瘘患者行“三管”保守疗法的护理体会。方法:选取7例T管拔除致胆瘘患者作为研究对象,在T管拔除前后,经留置T管的窦道插入硬麻导管、普通导尿管、气囊导尿管,行胆瘘“三管”保守治疗,对患者进行恰当的护理措施,观察其效果。结果:本组7例患者采用“三管”疗法,经恰当的护理措施,均未经开腹手术,保守治疗成功。结论:胆瘘及时发现、早期正确处理,辅以得当的护理措施,可避免再次手术给患者生理心理带来的重创,“三管”保守疗法切实减轻患者各项负担,效果确切。%Objective:To summary the experience of nursing care for "three catheters" conservative therapy in patients with biliary fistula caused by removal of T tube.Method:7 patients with biliary fistula caused by removal of T tube were selected, the patients’ sious of biliary fistula inserted epidural anesthesia catheter, ordinary catheter, balloon catheters around T tube were pulled out and received conservative therapy, and taken appropriate nursing.The effect of the patients were observed.Result:By used "three catheters" trerapy, 7 cases were success by appropriate nursing, and without laparotomy.Conclusion:Biliary fistula timely detection, early treatment, right with proper nursing measures, can avoid reoperation on patients' physiological and psychological blow, "three catheters" conservative therapy can lightens the burden of the patients, has a exact effect.

  8. Catheter Angiography

    Medline Plus

    Full Text Available ... What are the limitations of Catheter Angiography? What is Catheter Angiography? Angiography is a minimally invasive medical ... them appear bright white. top of page How is the procedure performed? This examination is usually done ...

  9. Catheter Angiography

    Medline Plus

    Full Text Available ... it will make the rest of the procedure pain-free. You will not feel the catheter in ... nurse if you notice any bleeding, swelling or pain at the site where the catheter entered the ...

  10. Catheter Angiography

    Medline Plus

    Full Text Available ... an artery through a small incision in the skin. Once the catheter is guided to the area ... small incision (usually a few millimeters) in the skin where the catheter can be inserted into an ...

  11. Catheter Angiography

    Medline Plus

    Full Text Available ... an artery through a small incision in the skin. Once the catheter is guided to the area ... small incision (usually a few millimeters) in the skin where the catheter can be inserted into an ...

  12. Catheter Angiography

    Medline Plus

    Full Text Available ... should inform the nurse if you notice any bleeding, swelling or pain at the site where the ... Rarely, the catheter punctures the artery, causing internal bleeding. It also is possible that the catheter tip ...

  13. Catheter Angiography

    Medline Plus

    Full Text Available ... most cases, the kidneys will regain their normal function within five to seven days. Rarely, the catheter ... limitations of Catheter Angiography? Patients with impaired kidney function, especially those who also have diabetes, are not ...

  14. Experimental Study of Heat Transfer Enhancement in a Heated Tube Caused by Wire-Coil and Rings

    OpenAIRE

    Saeed Vahidifar; M. Kahrom

    2015-01-01

    This study investigates heat transfer characteristics and the pressure drop of a horizontal double pipe heat exchanger with wire coil inserts. The amplification of convection heat transfer coefficient in the heat exchanger reduces the weight, size and cost of heat exchanger. One way of augmenting the heat transfer is to disturb the boundary layer. When an object is placed in a boundary layer, it affects the flow structure and alters the velocity and thermal profiles. The change is affected by...

  15. Feasibility of Shape-Memory Ni/Ti Alloy Wire Containing Tube Elevators for Transcrestal Detaching Maxillary Sinus Mucosa: Ex Vivo Study

    Directory of Open Access Journals (Sweden)

    Yanfeng Li

    2016-12-01

    Full Text Available Background: Osteotome sinus floor elevation is a less invasive approach to augment an insufficient alveolar bone at the posterior maxilla for dental implantation. However, this approach has some limitations due to the lack of sinus lift tools available for clinical use and the small transcrestal access to the maxillary sinus floor. We recently invented shape-memory Ni/Ti alloy wire containing tube elevators for transcrestal detaching maxillary sinus mucosa, and developed goat ex vivo models for direct visualizing the effectiveness of detaching sinus mucosa in real time during transcrestal maxillary sinus floor elevation. Methods: We evaluated our invented elevators, namely elevator 012 and elevator 014, for their effectiveness for transcrestal detaching maxillary sinus mucosa using the goat ex vivo models. We measured the length of sinus mucosa detached in mesial and distal directions or buccal and palatal directions, and the space volume created by detaching maxillary sinus mucosa in mesial, distal, buccal and palatal directions using the invented elevators. Results: Elevator 012 had a shape-memory Ni/Ti alloy wire with a diameter of 0.012 inch, while elevator 014 had its shape-memory Ni/Ti alloy wire with a diameter of 0.014 inch. Elevator 012 could detach the goat maxillary sinus mucosa in the mesial or distal direction for 12.1±4.3 mm, while in the buccal or palatal direction for 12.5±6.7 mm. The elevator 014 could detach the goat maxillary sinus mucosa for 23.0±4.9 mm in the mesial or distal direction, and for 19.0±8.1 mm in the buccal or palatal direction. An average space volume of 1.7936±0.2079 ml was created after detaching the goat maxillay sinus mucosa in both mesial/distal direction and buccal/palatal direction using elevator 012; while the average space volume created using elevator 014 was 1.8764±0.2366 ml. Conclusion: Both two newly invented tube elevators could effectively detach the maxillary sinus mucosa on the goat ex

  16. 缠绕钨丝CVD钨管的组织及性能%Structure and Properties of CVD Tungsten Tube Wound by Tungsten Wire

    Institute of Scientific and Technical Information of China (English)

    马捷; 李辉; 张永志; 魏建忠; 张姗

    2012-01-01

    为了提高CVD钨的强度和韧性,采用自制化学气相沉积装置,以WF6和H2为反应气体,在化学气相沉积钨过程中周期性地在基体上缠绕钨丝,沉积制备了钨丝- CVD钨复合材料.使用金相显微镜和扫描电镜(SEM)分别对沉积制备的钨丝-CVD钨复合材料涂层的显微组织和断口形貌进行观察和分析,使用X射线衍射仪(XRD)、电子能谱仪、密度测量仪、显微硬度仪和万能材料试验机分别测试分析了涂层的结构、成分、密度、显微硬度及压溃强度.结果表明:与不缠钨丝的CVD钨管相比,缠绕钨丝的CVD钨管中CVD钨晶粒得到了细化,择优取向基本消失;钨丝-CVD钨复合材料涂层具有较高纯度和致密度;钨丝-CVD钨管的压溃强度显著提高,断口形貌发生了明显的变化.%To improve the strength and toughness of CVD tungsten, the tungsten wire-CVD tungsten composite materials were fabricated by winding tungsten wire on the matrix periodically in the CVD process using the homemade CVD device, with WF6 and H2 applied as the reaction gases. The microstructure and fracture morphology of the composite materials were observed and analyzed by optical metallographic microscope and scanning electron microscopy (SEM). The structure, component, density, micro - hardness and crushing strength of the coating of composite materials were tested and analyzed by X-ray diffraction (XRD), energy dispersive spectroscopy(EDS), density measuring instrument, micro - hardness tester and universal material testing machine. The results show that the grains of CVD tungsten tubes wound by tungsten wire are refined compared with conventional CVD tungsten tubes, and their preferred orientation disappear. The coatings of the composite materials possess high purity and density, the crushing strength increases significantly, and the fracture morphology changes significantly.

  17. Microstructure of MgB{sub 2} superconducting wire prepared by internal magnesium diffusion and in-situ powder-in-tube processes – Secondary phase intergrain nanolayers as an oxygen content indicator

    Energy Technology Data Exchange (ETDEWEB)

    Rosová, A., E-mail: alica.rosova@savba.sk; Kováč, P.; Hušek, I.; Brunner, B.; Dobročka, E.

    2015-09-15

    Highlights: • We compared microstructure of undoped MgB{sub 2} wires made by in-situ PIT and IMD. • The main differences were in MgB{sub 2} density and volume ratio of amorphous MgO. • Thin oriented layers of secondary phases were observed between MgB{sub 2} plate grains. • Only MgO or only Mg oriented layers were in the PIT or IMD samples, resp. • High MgB{sub 2} density and low MgO{sub 2} content caused higher J{sub c} of IMD wire. - Abstract: We analyzed microstructure of two undoped MgB{sub 2} single core wires prepared by two different technologies – in-situ powder-in-tube (PIT) technology and internal magnesium diffusion (IMD) processes. Their microstructure showed mainly different densities of superconducting material, corresponding content of pores and the volume ratio of amorphous MgO phase. We observed a special microstructural feature – thin oriented secondary phase layers on grain boundaries of plate-shaped MgB{sub 2} grains. The significant decrease of oxygen content in IMD wire was reflected in the presence of thin oriented Mg layers while in PIT wire thin oriented MgO layers were observed. The microstructure difference is reflected in increased critical current density J{sub c} of the IMD wire in comparison to the PIT one.

  18. Effect of closed endotracheal tube suction method, catheter size, and post-suction recruitment during high-frequency jet ventilation in an animal model.

    Science.gov (United States)

    Hepponstall, J Michele; Tingay, David G; Bhatia, Risha; Loughnan, Peter M; Copnell, Beverley

    2012-08-01

    High-frequency jet ventilation (HFJV) is often used to treat infants with pathologies associated with gas trapping and abnormal lung mechanics, who are sensitive to the adverse effects of suction. This study aimed to investigate the effect of closed suction (CS), catheter size, and the use of active post-suction sighs on tracheal pressure (P(trach)), and global and regional end-expiratory lung volume (EELV) during HFJV. Six anaesthetized and muscle-relaxed adult rabbits were stabilized on HFJV. CS was performed using all permutations of three CS methods (Continual negative pressure, negative pressure applied during Withdrawal, and HFJV in Standby) and 6 French gauge (6 FG) and 8 French gauge (8 FG) catheter, randomly assigned. The sequence was repeated using post-suction sighs. P(trach), absolute (respiratory inductive plethysmography) and regional (electrical impedance tomography; expressed as percentage of vital capacity for the defined region of interest, %Z(VCroi) ) EELV were measured before, during and 60 sec post-suction. CS methods exerted no difference on ΔP(trach), ΔEELV(RIP), or Δ%Z(VCroi) . 8FG catheter resulted in a mean (95%CI) 20.0 (17.9,22.2) cm H(2)O greater loss of P(trach) during suction compared to 6FG (Bonferroni post-test). Mean (± SD) ΔEELV(RIP) was -6(±3) and -2(±1) ml/kg with the 8 and 6 FG catheters (P suction recruitment required to restore EELV. In this animal model receiving HFJV, ΔP(trach), ΔEELV, and need for post-suction recruitment during CS were most influenced by catheter size. Volume changes within the lung were uniform. Copyright © 2012 Wiley Periodicals, Inc.

  19. Potential In Vivo UVC Disinfection of Catheter Lumens: Estimation of the Doses Received by the Blood Flow Outside the Catheter Tip Hole

    DEFF Research Database (Denmark)

    Bak, Jimmy; Jørgensen, Thomas Martini; Helfmann, Jurgen

    2011-01-01

    We have demonstrated that it is possible to launch UVC LED light into bacterial contaminated polymer tubes/catheters and disinfect the intraluminal space of these tubes. This can be achieved by UVC treatment of the catheters on a regular basis. Catheters are in the distal end equipped with an exi...

  20. Potential In Vivo UVC Disinfection of Catheter Lumens: Estimation of the Doses Received by the Blood Flow Outside the Catheter Tip Hole

    DEFF Research Database (Denmark)

    Bak, Jimmy; Jørgensen, Thomas Martini; Helfmann, Jurgen;

    2011-01-01

    We have demonstrated that it is possible to launch UVC LED light into bacterial contaminated polymer tubes/catheters and disinfect the intraluminal space of these tubes. This can be achieved by UVC treatment of the catheters on a regular basis. Catheters are in the distal end equipped with an exi...

  1. Catheter Angiography

    Medline Plus

    Full Text Available ... of page What are some common uses of the procedure? Catheter angiography is used to examine blood ... an hour away. top of page What does the equipment look like? The equipment typically used for ...

  2. Catheter Angiography

    Medline Plus

    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... Angiography (CTA) X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety Images related to Catheter Angiography Sponsored ...

  3. Catheter Angiography

    Medline Plus

    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a ... iodine. If angiography is essential, a variety of methods is used to decrease risk of allergy: You ...

  4. Catheter Angiography

    Medline Plus

    Full Text Available ... atherosclerosis (plaque). The use of a catheter makes it possible to combine diagnosis and treatment in a ... the aorta in the chest or abdomen or its major branches. show the extent and severity of ...

  5. Catheter Angiography

    Medline Plus

    Full Text Available ... may also be asked to remove jewelry, removable dental appliances, eye glasses and any metal objects or ... it will make the rest of the procedure pain-free. You will not feel the catheter in ...

  6. Catheter Angiography

    Medline Plus

    Full Text Available ... injection of contrast material to examine blood vessels in key areas of the body for abnormalities such ... makes it possible to combine diagnosis and treatment in a single procedure. Catheter angiography produces very detailed, ...

  7. Catheter Angiography

    Medline Plus

    Full Text Available ... a catheter, x-ray imaging guidance and an injection of contrast material to examine blood vessels in ... technologies and, in most cases, a contrast material injection is needed to produce pictures of blood vessels ...

  8. Catheter Angiography

    Medline Plus

    Full Text Available ... X-rays are a form of radiation like light or radio waves. X-rays pass through most ... catheter angiography to lessen the risk of allergic reaction. Another option is to undergo a different exam ...

  9. Catheter Angiography

    Medline Plus

    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a ... these links. About Us | Contact Us | FAQ | Privacy | Terms of Use | Links | Site Map Copyright © 2017 Radiological ...

  10. Catheter Angiography

    Medline Plus

    Full Text Available ... you are pregnant and discuss any recent illnesses, medical conditions, medications you're taking and allergies, especially ... is Catheter Angiography? Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical ...

  11. Catheter Angiography

    Medline Plus

    Full Text Available ... atherosclerosis (plaque). The use of a catheter makes it possible to combine diagnosis and treatment in a ... the aorta in the chest or abdomen or its major branches. show the extent and severity of ...

  12. Catheter Angiography

    Medline Plus

    Full Text Available ... of page What are some common uses of the procedure? Catheter angiography is used to examine blood ... an hour away. top of page What does the equipment look like? The equipment typically used for ...

  13. Numerical modeling of the thermal-hydraulic behavior of wire-on-tube condensers operating with HFC-134a using homogeneous equilibrium model: evaluation of some void fraction correlations

    Science.gov (United States)

    Guzella, Matheus dos Santos; Cabezas-Gómez, Luben; da Silva, José Antônio; Maia, Cristiana Brasil; Hanriot, Sérgio de Morais

    2016-02-01

    This study presents a numerical evaluation of the influence of some void fraction correlations over the thermal-hydraulic behavior of wire-on-tube condensers operating with HFC-134a. The numerical model is based on finite volume method considering the homogeneous equilibrium model. Empirical correlations are applied to provide closure relations. Results show that the choice of void fraction correlation influences the refrigerant charge and pressure drop calculations, while no influences the heat transfer rate.

  14. A prototype catheter designed for ultraviolet C disinfection

    DEFF Research Database (Denmark)

    Bak, Jimmy; Begovic, Tanja

    2013-01-01

    Background Disinfection of the intraluminal space of single-lumen polymer tubes can be obtained by ultraviolet C (UVC) light exposure from an external light source. In existing catheters UVC disinfection is hampered by the design of the catheter hub and tube connector. Aim To demonstrate...... that it is possible to design a single-lumen catheter with a hub, tube connector and tube parts that can be UVC-disinfected throughout its entire lumen. Methods Two single-lumen catheters were designed: one control and one for UVC exposure. They were contaminated with Pseudomonas aeruginosa (104–105 cfu/mL) before...... UVC light exposure, sampling and plate counting. Findings Two minutes of UVC exposure was sufficient to obtain 4 log10 disinfection for the full-length prototype catheter. This exposure corresponds to ∼40 mJ/cm2 at the catheter tip and indicates that even shorter exposure times can be achieved...

  15. For reliable urine cultures in the detection of complicated urinary tract infection, do we use urine specimens obtained with urethral catheter or a nephrostomy tube?

    Science.gov (United States)

    Dede, Gülay; Deveci, Özcan; Dede, Onur; Utanğac, Mazhar; Dağgulli, Mansur; Penbegül, Necmettin; Hatipoğlu, Namık Kemal

    2016-01-01

    Objective The aim of this study was to compare the results of urine cultures obtained either from urethral, and percutaneous nephrostomy (PCN) catheters. Materials and methods This study included 328 consecutive patients that underwent PCN at our institution with complicated urinary tract infections (UTIs) between July 2010 and April 2015. Results of urine cultures obtained from the urethral and nephrostomy catheters were compared. Results This study included 152 male and 176 female patients. Mean age of the patients was 46.2±24.3 years. The main indications were obstructive uropathy due to urolithiasis complicated with pyonephrosis 145 (44%), malignant disease (n=87; 26%), pregnancy (n=26; 8%), and anatomical abnormality (n=23; 7%). One hundred and twenty three patients had diabetes mellitus. The most common causative organisms were Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa. Blood cultures showed the same results for the PCN and bladder urine cultures. The bladder urine culture was positive in 304 patients, while the PCN urine culture in 314 patients. Conclusion PCN is an important treatment for the management of pyonephrosis. Cultures from the PCN yield valuable information that is not available from urethral urine cultures, and is a guiding tool for antibiotic therapy selection. PMID:27909624

  16. Integration of a capacitive pressure sensing system into the outer catheter wall for coronary artery FFR measurements

    Science.gov (United States)

    Stam, Frank; Kuisma, Heikki; Gao, Feng; Saarilahti, Jaakko; Gomes Martins, David; Kärkkäinen, Anu; Marrinan, Brendan; Pintal, Sebastian

    2017-05-01

    The deadliest disease in the world is coronary artery disease (CAD), which is related to a narrowing (stenosis) of blood vessels due to fatty deposits, plaque, on the arterial walls. The level of stenosis in the coronary arteries can be assessed by Fractional Flow Reserve (FFR) measurements. This involves determining the ratio between the maximum achievable blood flow in a diseased coronary artery and the theoretical maximum flow in a normal coronary artery. The blood flow is represented by a pressure drop, thus a pressure wire or pressure sensor integrated in a catheter can be used to calculate the ratio between the coronary pressure distal to the stenosis and the normal coronary pressure. A 2 Fr (0.67mm) outer diameter catheter was used, which required a high level of microelectronics miniaturisation to fit a pressure sensing system into the outer wall. The catheter has an eccentric guidewire lumen with a diameter of 0.43mm, which implies that the thickest catheter wall section provides less than 210 microns height for flex assembly integration consisting of two dies, a capacitive MEMS pressure sensor and an ASIC. In order to achieve this a very thin circuit flex was used, and the two chips were thinned down to 75 microns and flip chip mounted face down on the flex. Many challenges were involved in obtaining a flex layout that could wrap into a small tube without getting the dies damaged, while still maintaining enough flexibility for the catheter to navigate the arterial system.

  17. Catheter Angiography

    Medline Plus

    Full Text Available ... Español More Info Images/Videos About Us News Physician Resources Professions Site Index A-Z Catheter Angiography ... may eliminate the need for surgery. Tell your doctor if there's a possibility you are pregnant and ...

  18. Catheter Angiography

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician ... Catheter Angiography? Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical conditions. ...

  19. Catheter Angiography

    Medline Plus

    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a regular x-ray ... any possibility that they are pregnant. See the Safety page for more information about pregnancy and x- ...

  20. Catheter Angiography

    Medline Plus

    Full Text Available ... images are captured using a small dose of ionizing radiation ( x-rays ). top of page What are some common uses of the procedure? Catheter angiography is used to examine blood vessels in key areas of the body, including the: brain neck heart chest abdomen (such as the kidneys ...

  1. Catheter Angiography

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician ... Catheter Angiography? Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical conditions. ...

  2. Separation of stimulating catheters for continuous peripheral regional anesthesia during their removal – two case reports and a critical appraisal of the use of steel-coil containing stimulating catheters

    Directory of Open Access Journals (Sweden)

    Wiesmann T

    2015-06-01

    Full Text Available Thomas Wiesmann,1 Pascal Wallot,1 Laura Nentwig,1 Alisha-Viktoria Beermann,1 Hinnerk Wulf,1 Martin Zoremba,1 Turfa Al-Dahna,1 Daphne Eschbach,2 Thorsten Steinfeldt11Department of Anesthesia and Intensive Care Medicine, University Hospital Marburg, Marburg, Germany; 2Department of Trauma, Hand and Reconstructive Surgery, University Hospital Marburg, Marburg, GermanyPurpose: Stimulating catheters are widely used for continuous peripheral nerve block techniques in regional anesthesia. The incidence of reported complications is somewhat similar to that for non-stimulating catheters. However, as many stimulating catheters contain a coiled steel wire for optimal stimulation, they may cause specific complications.Clinical features: In this report, we present two cases of complicated removals of stimulating catheters. During both removals, a part of the metal wire was left “decoiled” next to the supraclavicular and interscalene plexus, respectively. The strategies used to determine steel wire localization and a description of the successful removal of these steel wires are included in this report.Conclusion: Catheter separation and problems with residual metal wire components of stimulating catheters seem to be a rare but specific problem during removal. Anesthesiologists should strictly avoid catheter shearing during insertion, adhere to the manufacturer’s instructions, and take care during catheter removal. Manufacturers should focus on technical solutions to avoid rare but relevant complications such as catheter tip decoiling and separation of stimulating catheters during removal.Keywords: stimulating catheter, catheter separation, complication, peripheral nerve block, perineural catheter

  3. Superconducting properties of granular SmFeAsO{sub 1-x}F{sub x} wires with T{sub c} = 52 K prepared by the powder-in-tube method

    Energy Technology Data Exchange (ETDEWEB)

    Gao Zhaoshun; Wang Lei; Qi Yanpeng; Wang Dongliang; Zhang Xianping; Ma Yanwei [Key Laboratory of Applied Superconductivity, Institute of Electrical Engineering, Chinese Academy of Sciences, PO Box 2703, Beijing 100190 (China); Yang Huan; Wen Haihu [Institute of Physics, Chinese Academy of Sciences, Beijing 100190 (China)], E-mail: ywma@mail.iee.ac.cn

    2008-11-01

    We report the fabrication of Ta-sheathed superconducting SmFeAsO{sub 1-x}F{sub x} wires by the powder-in-tube method for the first time. The transition temperature of the SmFeAsO{sub 0.65}F{sub 0.35} wires was confirmed to be as high as 52 K. High critical fields H{sub c2}(0){>=}120 T as well as current density J{sub c} of 3900 A cm{sup -2} at 5 K were also demonstrated. It should be noted that the J{sub c} exhibits a very weak field dependence behavior, indicating a very encouraging prospect for application of the new superconductors. (rapid communication)

  4. 内置螺旋线圈换热管换热分析及数值模拟%Thermal Analysis and Numerical Simulation for Heat Exchange Tube with Wire Coil Internally Installed

    Institute of Scientific and Technical Information of China (English)

    徐志明; 刘枫; 朱宏娟

    2014-01-01

    概述了螺旋线圈装置的强化传热原理。通过建立光管和内置螺旋线圈换热管的三维流动模型,利用Fluent软件以黏性流体变压器油为研究对象对换热管内速度场、温度场、压力场以及换热过程进行了数值模拟。对比两种模拟结果表明,内置螺旋线圈的换热管内流体流动比较复杂,流体在近壁面处呈明显的螺旋流动,流体的径向速度和切向速度都有提高。总的来说,换热管内布置了螺旋线圈以后流体在其中的流动比在光管内有更强的湍流度,且能够打破流体的速度边界层,增强了流体的对流换热,极大提高了传热系数。%The strengthening heat transfer principle of the wire coil equipment is summarized. The three-di-mensional simulation of the plain tube and heat exchange tube with wire coil has been performed using the FLUENT software. The velocity,temperature and pressure distribution as well as thermal process is obtained. The results showed that the flow characteristics in the heat exchange tube with wire coil was more complex than that in the plain one and the fluid near the wall presented apparent spiral flow. Meanwhile,the radial and tan-gential velocity both increased obviously. In general,the turbulence intensity was strengthened in the heat ex-change tube with wire coil. Moreover,the velocity boundary layer was broken,and the heat convection was en-hanced. So,the heat coefficient was improved tremendously.

  5. 经皮肾镜术后肾造瘘管和导尿管不同拔除顺序临床观察%Order of Removing Nephrostomy Tube and Catheter after Percutaneous Nephrolithotomy

    Institute of Scientific and Technical Information of China (English)

    高峥岩; 郑新民; 刘同族

    2014-01-01

    目的:观察经皮肾镜术后肾造瘘管与导尿管不同拔除顺序的术后并发症发生情况。方法我科2013年1月~2014年2月,双侧或单侧鹿角形肾结石患者,建立 F22标准经皮肾镜手术通道,标准肾镜下四代超声气压弹道(EMS)碎石,选取不能耐受留置导尿管而先于肾造瘘管拔除者25例作为观察组,术后1~3 d拔除导尿管,复查腹部平片(KUB)或双肾 CT 后再行拔除肾造瘘管。选取45例同期病例作为对照组,术后3~5 d 先拔除肾造瘘管,1~2 d 后再拔除导尿管。均留置双 J 管4~6周,术后随访2个月。结果观察组25例平均住院(8.88±1.09)d,拔管后发热8例(33.33%),尿外渗4例(15.56%),再次导尿8例(33.33%),肾周穿刺引流3例(8.89%)。与对照组比较,观察组住院天数和拔管后发热、尿外渗、再次导尿及肾周穿刺引流例数均增加或上升(P ﹤0.05),但未影响迟发性出血的发生率(P ﹥0.05)。2组随访2个月肾功能损害无统计学差异(P ﹥0.05)。结论经皮肾镜术后先拔除肾造瘘管后再行拔除导尿管是安全、可行的。%Objective To compare postoperative complications caused by order of removing nephrostomy tube and catheter after percutaneous nephrolithotomy. Methods Patients with bilateral or unilateral staghorn calculi who underwent F22 standard percutaneous nephrolithotomy( PCNL),standard fourth generation Swiss Lithoclast Master (EMS)in our hospital from Jan. 2013 to Feb. 2014 were analyzed retrospectively. 25 patients who were intolerant to the urethral catheter were enrolled to the observation group. Catheter was removed 1 ~ 3 days after operation and ne-phrostomy tube was removed after a evaluation by KUB or renal CT. 45 patients in the same period served as the con-trol group. Nephrostomy tube was removed 3 ~ 5 days after operation and catheter was removed 1 ~ 2 days later. Double J tube was kept for 4 ~ 6 weeks and

  6. Effect of domestic wire-reinforced epidural catheter on occurrence of adverse events during epidural block%国产钢丝加强型硬膜外导管对硬膜外阻滞实施中不良事件发生的影响

    Institute of Scientific and Technical Information of China (English)

    戚志超; 朱小兵; 刘志群; 吴论; 彭学强; 邹伟伟; 周克亭; 郑伟

    2012-01-01

    目的 评价国产钢丝加强型硬膜外导管对硬膜外阻滞实施中不良事件发生的影响.方法 选择拟行脊椎-硬膜外联合阻滞的择期手术患者300例,年龄18~64岁,体重41~ 78 kg,ASA分级Ⅰ或Ⅱ级.采用随机数字表法,将其随机分为3组(n=100):普通聚氯乙烯硬膜外导管组(A组)、进口钢丝加强型硬膜外导管组(B组)和国产钢丝加强型硬膜外导管组(C组).常规行脊椎-硬膜外联合阻滞,各组置入相应的硬膜外导管.记录硬膜外置管通畅情况、置管时感觉异常、回抽见血或脑脊液、穿刺误入血管、注药遇阻、拔除硬膜外导管难易情况、拔管后出血、术后感觉异常及术后1周内硬膜外血肿的发生情况.结果 与A组比较,B组和C组硬膜外置管时感觉异常、回抽见血或脑脊液、注药遇阻和术后感觉异常的发生率降低(P<0.05),其余指标差异无统计学意义(P>0.05);B组和C组各指标比较差异无统计学意义(P>0.05).结论 国产钢丝加强型硬膜外导管可降低置管损伤神经及血管的发生机率,其效果与进口钢丝加强型硬膜外导管相似.%Objective To evaluate the effect of domestic wire-reinforced epidural catheter on the occurrence of adverse events during epidural block.Methods Three hundred ASA Ⅰ or Ⅱ patients of both sexes,aged 18-64 yr,weighing 41-78 kg,scheduled for elective operations under combined spinal-epidural anesthesia,were randomly divided into 3 groups (n =100 each):polyvinyl chloride epidural catheter group (group A),imported wire-reinforced epidural catheter group (group B) and domestic wire-reinforced epidural catheter group (group C).Combined spinal-epidural anesthesia was performed routinely.The corresponding epidural catheter was inserted in each group.The catheterization without difficulty,paresthesia during catheterization,the number of patients in whom blood or cerebrospinal fluid was withdrawn from the epidural catheter

  7. Application of PTCA steerable guide wire for abdominal and peripheral interventional angiography

    Energy Technology Data Exchange (ETDEWEB)

    Kuribayashi, Sachio; Ootaki, Makoto; Iwata, Yoshirou; Harada, Tsumio; Tsuji, Makoto; Matsuyama, Seiya

    1988-06-01

    Steerable guide wire used in PTCA was applied for various abdominal and peripheral interventional angiographies in eight patients. In embolization procedures, this wire was used with coaxial catheter system. The steerable wire facilitated superselective catheterization of distal branches in mesenteric, renal and hepatic artery embolizations. This wire was also useful for traversing severe stenoses in renal and peripheral angioplasties.

  8. A breakthrough technique for the removal of a hemodialysis catheter stuck in the central vein: endoluminal balloon dilatation of the stuck catheter.

    Science.gov (United States)

    Hong, Joon Ho

    2011-01-01

    Hemodialysis (HD) catheters can get stuck in the central vein after long-term use and their removal might become difficult especially in patients with fibrosed or occluded central veins. Herein, a breakthrough technique is reported for the easy removal of a stuck HD catheter from the central vein. Attempts were made to remove a tunneled double-lumen HD catheter from the central vein of a 74-year-old woman, only to find that the catheter was stuck. The patient was transferred to the operating room and a skin incision was made in the neck and the subcutaneous portion of the HD catheter was retrieved from the tunnel. Under fluoroscopy, a guide wire was inserted into one lumen of the HD catheter and advanced into the right atrium beyond the catheter tip. A 5 mm × 4 cm balloon angioplasty catheter was then inserted into the HD catheter lumen over the guide wire and advanced into the jugular vein junction of the HD catheter around the thoracic inlet. The balloon was inflated to its maximum dimension and pressure. This endoluminal dilatation of the HD catheter was continued by deflating the balloon and then pushing the angioplasty catheter 4 cm at a time towards the tip of the HD catheter in the right atrium. After a second balloon angioplasty catheter of 6 mm × 4 cm was used to expand the entire segment of the other lumen, the HD catheter was pulled out easily from the central vein without any resistance. The endoluminal balloon dilatation of the HD catheter not only separates the stuck HD catheter from the adherent vein by breaking the adhesions between them, but also expands the vein simultaneously, thus enabling easy removal of the HD catheter.

  9. Central venous catheter insertion problem solving using intravenous catheter: technical communication

    Directory of Open Access Journals (Sweden)

    Alemohammad M

    2013-02-01

    Full Text Available Insertion of central venous catheter is an accepted method for hemodynamic monitor-ring, drug and fluid administration, intravenous access, hemodialysis and applying cardiac pace-maker in hospitalized patients. This procedure can be associated with severe complications. The aim of this article is to provide a practical approach to prevent catheter malposition in states that the guide wire will not pass freely.During central venous insertion in internal jugular vein using modified seldinger technique, when after venous insertion, the passage of the guide wire shows difficulties and don’t pass freely, insertion of an intravenous cannula over the wire and re-insertion of the wire can help to prevent malposition of the wire and the catheter. Use of an intravenous cannula over the guide, in situations that the guide wire cannot pass freely among the needle inserted in internal jugular vein, and re-insertion of the guide can probably prevent or reduce the tissue or vascular trauma and the associated complica-tions. This simple maneuver can be helpful in difficult cases especially in cardiac surgery patients who receive high dose heparin and it is necessary to avoid traumatize-tion of carotid artery.

  10. Plasma chemistry in wire chambers

    Energy Technology Data Exchange (ETDEWEB)

    Wise, J.

    1990-05-01

    The phenomenology of wire chamber aging is discussed and fundamentals of proportional counters are presented. Free-radical polymerization and plasma polymerization are discussed. The chemistry of wire aging is reviewed. Similarities between wire chamber plasma (>1 atm dc-discharge) and low-pressure rf-discharge plasmas, which have been more widely studied, are suggested. Construction and use of a system to allow study of the plasma reactions occurring in wire chambers is reported. A proportional tube irradiated by an {sup 55}Fe source is used as a model wire chamber. Condensable species in the proportional tube effluent are concentrated in a cryotrap and analyzed by gas chromatography/mass spectrometry. Several different wire chamber gases (methane, argon/methane, ethane, argon/ethane, propane, argon/isobutane) are tested and their reaction products qualitatively identified. For all gases tested except those containing methane, use of hygroscopic filters to remove trace water and oxygen contaminants from the gas resulted in an increase in the average molecular weight of the products, consistent with results from low-pressure rf-discharge plasmas. It is suggested that because water and oxygen inhibit polymer growth in the gas phase that they may also reduce polymer deposition in proportional tubes and therefore retard wire aging processes. Mechanistic implications of the plasma reactions of hydrocarbons with oxygen are suggested. Unresolved issues in this work and proposals for further study are discussed.

  11. Magnetic-field navigation for catheters: integrated chip for triple blood sampling

    NARCIS (Netherlands)

    Mols, B.

    2004-01-01

    Catheters are semi-rigid, hollow plastic tubes that are indispensable when it comes to local surgery inside the heart,brain,arms, legs, or lungs. But how can a surgeon tell whether the catheter is going the right way? Most hospitals still use x-ray methods to check the catheters progress. To

  12. Magnetic-field navigation for catheters: integrated chip for triple blood sampling

    NARCIS (Netherlands)

    Mols, B.

    2004-01-01

    Catheters are semi-rigid, hollow plastic tubes that are indispensable when it comes to local surgery inside the heart,brain,arms, legs, or lungs. But how can a surgeon tell whether the catheter is going the right way? Most hospitals still use x-ray methods to check the catheters progress. To navigat

  13. Hemodialysis Tunneled Catheter Noninfectious Complications

    Science.gov (United States)

    Miller, Lisa M.; MacRae, Jennifer M.; Kiaii, Mercedeh; Clark, Edward; Dipchand, Christine; Kappel, Joanne; Lok, Charmaine; Luscombe, Rick; Moist, Louise; Oliver, Matthew; Pike, Pamela; Hiremath, Swapnil

    2016-01-01

    Noninfectious hemodialysis catheter complications include catheter dysfunction, catheter-related thrombus, and central vein stenosis. The definitions, causes, and treatment strategies for catheter dysfunction are reviewed below. Catheter-related thrombus is a less common but serious complication of catheters, requiring catheter removal and systemic anticoagulation. In addition, the risk factors, clinical manifestation, and treatment options for central vein stenosis are outlined.

  14. Effect of transurethral double-J tubes withdrawing of female by metal catheter stents%利用金属导尿管支架经女性尿道取出双 J 管的效果研究

    Institute of Scientific and Technical Information of China (English)

    黄锐; 陈景宇

    2015-01-01

    Objectives:To evaluate the feasibility and safety of transurethral double -J tubes withdrawing of female by metal catheter stents.Methods:The clinical data of 310 female patients with urinary surgery indwell-ing double J tubes after surgery,from March 2012 to September 2014,were analyzed retrospectively and divided into group A (by metal catheter stents,140 cases)and group B (under the cystoscopy,170 cases).Operation time and incidence rate of complications of the two groups were compared.Results:Successful primary removal rate was 98. 6% (138 cases)in group A,including 3 cases of gross hematuria (2.1%),63 cases of irritation signs of bladder (45.7%),with the average operation time of (3.3 ±0.5)min,the evaluation of postoperative pain of 1.95 ±1.28) points and average expenditure of (37.8 ±9.2)yuan.The recovery time was (4.8 ±1.2)days in average.Compared with group B,group A had a relatively short operation time,lower pain degree,less expenditure and recovery time (P<0.05).There were no significant differences between two groups in the incidence rate of irritation signs of bladder and gross hematuria.Conclusions:The use of metal catheter stents in withdrawing double J tubes through female ure-thra can directly increase the success rate,with no significant complications,and decrease the patients’economic burden and the influence of sexual life,as well as simplifying operations which is worth being generalized.%目的:探讨金属导尿管支架经女性尿道取出双 J 管的可行性及安全性。方法:回顾性分析我院泌尿外科2012年3月至2014年9月住院手术后留置双 J 管的女性患者310例,其中利用金属导尿管尿管支架经女性尿道拔除双 J 管患者140例(A 组),与同期行经膀胱镜双 J 管取出女性患者170例(B 组)进行对比,比较两组操作时间及并发症发生率。结果:A 组一次性取管138例,成功率98.6%,操作时间(3.3±0.5)min,术后并发肉眼血尿3

  15. Wire Chamber

    CERN Multimedia

    Magnetoscriptive readout wire chamber. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  16. wire chamber

    CERN Multimedia

    1967-01-01

    Magnetoscriptive readout wire chamber.Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  17. wire chamber

    CERN Multimedia

    Proportional multi-wire chamber. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle. Proportional wire chambers allow a much quicker reading than the optical or magnetoscriptive readout wire chambers.

  18. Novel use of the "buddy"wire.

    LENUS (Irish Health Repository)

    O'Hare, A

    2008-12-29

    Summary: During interventional procedures the tortuosity of the vasculature hampers catheter stability. The buddy wire may be used to aid and maintain vascular access.We describe a case of acute subarachnoid haemorrhage secondary to dissecting aneurysm of the vertebral artery.We discuss the value of the buddy wire during balloon occlusion of the vertebral artery not as it is typically used, but to actually prevent the balloon repeatedly entering the posterior inferior cerebellar artery during the procedure.

  19. Composite conductor containing superconductive wires

    Energy Technology Data Exchange (ETDEWEB)

    Larson, W.L.; Wong, J.

    1974-03-26

    A superconductor cable substitute made by coworking multiple rods of superconductive niobium--titanium or niobium--zirconium alloy with a common copper matrix to extend the copper and rods to form a final elongated product which has superconductive wires distributed in a reduced cross-section copper conductor with a complete metallurgical bond between the normal-conductive copper and the superconductor wires contained therein is described. The superconductor cable can be in the form of a tube.

  20. Method of manufacturing superconductor wire

    Science.gov (United States)

    Motowidlo, Leszek

    2014-09-16

    A method for forming Nb.sub.3Sn superconducting wire is provided. The method employs a powder-in-tube process using a high-tin intermetallic compound, such as MnSn.sub.2, for producing the Nb.sub.3Sn. The use of a high-tin intermetallic compound enables the process to perform hot extrusion without melting the high-tin intermetallic compound. Alternatively, the method may entail drawing the wire without hot extrusion.

  1. Different mechanical properties in Seldinger guide wires

    Directory of Open Access Journals (Sweden)

    Wolfram Schummer

    2015-01-01

    Full Text Available Background and Aims: Most central venous catheters are placed using Seldinger guide wires. EN ISO 11070 is the guideline for testing guide wire flexing performance and tensile strength, and we can safely assume that guide wires in use meet these requirements. Unfortunately, EN ISO 11070 guidelines do not reflect the clinical requirements and we continue to see mechanical failures and their associated complications. Material and Methods: This in vitro study was performed in an accredited laboratory. With regard to flexing, we: (1 Established the minimum flexing performance needed to meet clinical requirements, (2 developed flexing performance tests which mimic clinical requirement, and (3 evaluated the mechanical properties of various guide wires relative to these requirements. With regard to tensile strength, we used the testing method prescribed in ISO 11070, but did not end the test at 5 Newton (N. We continued until the guide wire was damaged, or we reached maximum tractive force. We then did a wire-to-wire comparison. We examined two basic wire constructions, monofil and core and coil. Results: Tensile strength: All wires tested, except one, met EN ISO 11070 requirements for 5 N tensile strength. The mean of the wire types tested ranged from 15.06 N to 257.76 N. Flexing performance: None of the wires kinked. The monofil had no evidence of bending. Two core/coil wires displayed minor bending (angle 1.5°. All other wires displayed bending angles between 22.5° and 43.0°. Conclusion: We recommend that: (1 Clinicians use guide wires with high-end mechanical properties, (2 EN ISO 11070 incorporate our flexing test into their testing method, raise the flexing requirement to kink-proof, (3 and raise the tensile strength requirement to a minimum of 30 N, and (3 all manufacturers and suppliers be required to display mechanical properties of all guide wire, and guide wire kits sold.

  2. Central venous catheters and catheter locks in children with cancer

    DEFF Research Database (Denmark)

    Handrup, Mette Møller; Møller, Jens Kjølseth; Schrøder, Henrik

    2013-01-01

    To determine if the catheter lock taurolidine can reduce the number of catheter-related bloodstream infections (CRBSI) in pediatric cancer patients with tunneled central venous catheters (CVC).......To determine if the catheter lock taurolidine can reduce the number of catheter-related bloodstream infections (CRBSI) in pediatric cancer patients with tunneled central venous catheters (CVC)....

  3. A new modified Seldinger technique for 2- and 3-French peripherally inserted central venous catheters.

    Science.gov (United States)

    Wald, Martin; Happel, Christoph M; Kirchner, Lieselotte; Jeitler, Valerie; Sasse, Michael; Wessel, Armin

    2008-11-01

    This study describes a modified Seldinger technique for 2- and 3-French peripherally inserted central venous catheters: A device similar to that used in heart catherisation with a standard micro-introducer serving as sheath and an arterial catheter serving as inner dilator was pushed forward over a wire guide that had before been inserted via a peripheral venous catheter. With this method 2-and 3-French catheters could be safely inserted into peripheral veins of 14 paediatric patients. In conclusion successful insertion of a small peripheral venous catheter offers in most cases a possibility for the placement of a central venous line.

  4. [Central venous catheterization complication by a guide wire].

    Science.gov (United States)

    Araki, Yoshiyuki; Fukuda, Isao; Hirano, Masato; Matsuoka, Nobuhiro; Kazama, Tomiei

    2009-03-01

    Central venous catheterization using the Seldinger technique is a well known and often used method. On the other hand, there are also well known complications by needle puncture or by indwelling catheter, there are few reports about a guide wire which got hung up around the tricuspid valve. We report a case in which a guide wire got hung up to the chordae tendineae of the tricuspid valve. To insert the AVA 3Xi (Edwards life science Co. Iervine) from the right internal jugular vein, we inserted a guide wire without ease. Resistance appeared when we tried to remove the wire for 20 cm from the inserted state. The X-ray and the transesophageal echocardiography, showed the guide wire in the right ventricle. As actions to be taken, we advanced the central vein catheter of the EXCV catheter kit (Nippon Sherwood Medical Industries Co., Ltd.) to the tip, and a the guide wire was easily removed. There are many reports of the complication by the central venepuncture, but there are few reports about the guide wire which was entrapped in the vicinity of a tricuspid valve. The tip of the guide wire in this case was bent excessively, but the cause of the damage did not become clear by investigation. When a guide wire became hard to withdraw, we should never withdraw a guide wire blindly, but should search a cause and we should use the material which was matched with the cause.

  5. Central venous catheter - flushing

    Science.gov (United States)

    ... during cancer treatment Bone marrow transplant - discharge Central venous catheter - dressing change Peripherally inserted central catheter - flushing Sterile technique Surgical wound care - open Review Date 9/22/2016 Updated by: ...

  6. Deflation of the ′obstinate′ Foley′s urinary catheter balloon : a new technique.

    Directory of Open Access Journals (Sweden)

    Ramakantan R

    1989-01-01

    Full Text Available We have successfully deflated "obstinate" Foley′s urinary catheter balloons in 15 cases in the last six months with the help of a simple bedside procedure using an angiographic guide-wire.

  7. wire chamber

    CERN Multimedia

    Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  8. wire chamber

    CERN Multimedia

    Was used in ISR (Intersecting Storage Ring) split field magnet experiment. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  9. Wire chamber

    CERN Multimedia

    Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  10. wire chamber

    CERN Multimedia

    1985-01-01

    Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  11. A prospective, randomized comparison of an in-line heat moisture exchange filter and heated wire humidifiers: rates of ventilator-associated early-onset (community-acquired) or late-onset (hospital-acquired) pneumonia and incidence of endotracheal tube occlusion.

    Science.gov (United States)

    Kirton, O C; DeHaven, B; Morgan, J; Morejon, O; Civetta, J

    1997-10-01

    To compare the performance of an in-line heat moisture exchanging filter (HMEF) (Pall BB-100; Pall Corporation; East Hills, NY) to a conventional heated wire humidifier (H-wH) (Marquest Medical Products Inc., Englewood, Colo) in the mechanical ventilator circuit on the incidence of ventilator-associated pneumonia (VAP) and the rate of endotracheal tube occlusion. This report describes a prospective, randomized trial of 280 consecutive trauma patients in a 20-bed trauma ICU (TICU). All intubated patients not ventilated elsewhere in the medical center prior to their TICU admission were randomized to either an in-line HMEF or a H-wH in the breathing circuit. Ventilator circuits were changed routinely every 7 days, and closed system suction catheters were changed every 3 days. HMEFs were changed every 24 h, or more frequently if necessary. A specific endotracheal tube suction and lavage protocol was not employed. Patients were dropped from the HMEF group if the filter was changed more than three times a day or the patient was placed on a regimen of ultra high-frequency ventilation. The Centers for Disease Control and Prevention (CDC) criteria for diagnosis of pneumonia were used; early-onset, community-acquired pneumonia was defined if CDC criteria were met in 3 days. Laboratory and chest radiograph interpretation were blinded. The patient ages ranged from 15 to 95 years in the HMEF group and 16 to 87 years in the H-wH group (p=not significant), with a mean age of 46 years and 48 years, respectively. The male to female ratio ranged between 78 to 82%/22 to 18%, respectively, and 55% of all admissions were related to blunt trauma, 40% secondary to penetrating trauma, and 5% to major burns. There was no difference in Injury Severity Score (ISS) between the two groups. Moreover, there was no significant difference in mean ISS among those who did not develop pneumonia and those patients who developed either early-onset, community-acquired or late-onset, hospital

  12. The transfer of atmospheric-pressure ionization waves via a metal wire

    Energy Technology Data Exchange (ETDEWEB)

    Xia, Yang; Liu, Dongping, E-mail: Dongping.liu@dlnu.edu.cn [Liaoning Key Lab of Optoelectronic Films & Materials, School of Physics and Materials Engineering, Dalian Nationalities University, Dalian 116600 (China); School of Physics and Optoelectronic Technology, Dalian University of Technology, Dalian 116024 (China); Wang, Wenchun [School of Physics and Optoelectronic Technology, Dalian University of Technology, Dalian 116024 (China); Peng, Yifeng; Niu, Jinhai; Bi, Zhenhua; Ji, Longfei; Song, Ying; Wang, Xueyang; Qi, Zhihua [Liaoning Key Lab of Optoelectronic Films & Materials, School of Physics and Materials Engineering, Dalian Nationalities University, Dalian 116600 (China)

    2016-01-15

    Our study has shown that the atmospheric-pressure He ionization waves (IWs) may be transferred from one dielectric tube (tube 1) to the other one (tube 2) via a floating metal wire. The propagation of IWs along the two tubes is not affected by the diameter of a floating metal wire, however, their propagation is strongly dependent on the length of a floating metal wire. The propagation of one IW along the tube 1 may result in the second IW propagating reversely inside the tube in vicinity of a floating metal wire, which keeps from their further propagation through the tube 1. After they merge together as one conduction channel inside the tube 1, the transferred plasma bullet starts to propagate along the tube 2. The propagation of transferred plasma bullets along the tube 2 is mainly determined by the capacitance and inductance effects, and their velocity and density can be controlled by the length of a floating metal wire.

  13. Critical review and meta-analysis of spurious hemolysis in blood samples collected from intravenous catheters.

    Science.gov (United States)

    Lippi, Giuseppe; Cervellin, Gianfranco; Mattiuzzi, Camilla

    2013-01-01

    A number of preanalytical activities strongly influence sample quality, especially those related to sample collection. Since blood drawing through intravenous catheters is reported as a potential source of erythrocyte injury, we performed a critical review and meta-analysis about the risk of catheter-related hemolysis. We performed a systematic search on PubMed, Web of Science and Scopus to estimate the risk of spurious hemolysis in blood samples collected from intravenous catheters. A meta-analysis with calculation of Odds ratio (OR) and Relative risk (RR) along with 95% Confidence interval (95% CI) was carried out using random effect mode. Fifteen articles including 17 studies were finally selected. The total number of patients was 14,796 in 13 studies assessing catheter and evacuated tubes versus straight needle and evacuated tubes, and 1251 in 4 studies assessing catheter and evacuated tubes versus catheter and manual aspiration. A significant risk of hemolysis was found in studies assessing catheter and evacuated tubes versus straight needle and evacuated tubes (random effect OR 3.4; 95% CI = 2.9-3.9 and random effect RR 1.07; 95% CI = 1.06-1.08), as well as in studies assessing catheter and evacuated tubes versus catheter and manual aspiration of blood (OR 3.7; 95% CI = 2.7-5.1 and RR 1.32; 95% CI = 1.24-1.40). Sample collection through intravenous catheters is associated with significant higher risk of spurious hemolysis as compared with standard blood drawn by straight needle, and this risk is further amplified when intravenous catheter are associated with primary evacuated blood tubes as compared with manual aspiration.

  14. Recanalization of a Heavily Calcified Chronic Total Occlusion in a Femoropopliteal Artery Using a Wingman Crossing Catheter

    Science.gov (United States)

    Inoue, Naoto; Tanaka, Akiko

    2016-01-01

    We present a 77-year-old female with heavily calcified chronic total occlusions (CTO) in a superficial femoral artery treated by endovascular therapy using a Wingman crossing catheter, which is an over-the-wire catheter with a metallic blade, controlled manually. The blade could probe and track the calcified cap of CTO, wherein any hydrophilic guidewires or looped wires could not penetrate. Moreover, the Wingman could proceed through the occlusion and introduce a guidewire into distal intramedial lumen as a support catheter. Finally, wire crossing was achieved using a bi-directional approach. The Wingman can be a simple solution for crossing calcified peripheral CTO. PMID:27375810

  15. Crossing the bends: Support-catheter based left ventricular lead placement in challenging cardiac resynchronization therapy device implantation

    Directory of Open Access Journals (Sweden)

    Amit Kumar Malik, MBBS, MD

    2012-08-01

    Full Text Available The combined use of an Amplatz guiding catheter and support catheter creates a progressively supportive rail to implant the left ventricular (LV lead in difficult cardiac resynchronization therapy device implantation. We describe the case of a 32-year-old male with non-ischaemic cardiomyopathy, left bundle-branch block, and an LV ejection fraction of 30%, who was referred to our centre for a repeat attempt at an LV lead implant. Previously, the implanter had been unable to advance different guide catheters over the wire to the desired tributary of the coronary sinus (CS. At our centre, the CS was cannulated with a 6-Fr AL2 coronary guiding catheter. A 135-cm support catheter (Spectranetics Quick-Cross was advanced via AL2 guiding over the 0.035 in. guide wire to the distal CS. The proximal luer fitting of the support catheter was cut and an inner sheath (Medtronic ATTAIN SELECT II advanced over the support catheter into the CS. A 4-Fr over-the-wire LV lead was advanced through the inner sheath over a 0.014 in. percutaneous transluminal coronary angioplasty wire after removal of the support catheter. The use of a support catheter serves as rail for the placement of the inner sheath deep in the CS and facilitates implantation of the LV pacing lead. This technique is safe and easily applied.

  16. [Intubation with a tube exchanger on an intubation trainer. Influence of tube tip position on successful intubation].

    Science.gov (United States)

    Kemper, M; Haas, T; Imach, S; Weiss, M

    2014-07-01

    Securing the airway using a tube exchanger catheter is an important and useful technique in anesthesia. Its success is mainly hampered by tube tip impingement of laryngeal structures. Advancing the tracheal tube along its normal curvature via a tube exchanger catheter has a high risk of tube tip impingement mainly of right laryngeal structures. The authors achieved successful clinical experience by rotating the tracheal tube 90° anticlockwise (ventral tube tip position) before railroading the tube via a tube exchanger catheter or a fiber optic bronchoscope through the larynx. The aim of the study was to investigate the influence of the tracheal tube tip position while intubating an airway trainer over a tube exchange catheter. Volunteer anesthetists with varying years of professional experience were asked to intubate an intubation mannequin (Laerdal Airway Management Trainer) using the orotracheal route with an established tube exchange catheter (Cook Airway Exchange Catheter, 11F). Two different brands of tracheal tubes (Rüsch and Covidien, ID 7.0 mm) were used in a randomized order, each with the tracheal tube tip at first positioned right (90°), then ventrally (0°), left (270°) and finally dorsally (180°), resulting in eight intubation attempts for each participant. To ensure the correct tube tip position the tube was withdrawn before every intubation attempt until the tube tip position was visualized. The oropharnyx, larynx, trachea and tube were sufficiently lubricated with silicon spray (Rüsch Silikospray). The tube and airway exchange catheter size selection were made according to the clinical trial of Loudermilk et al. Successful endotracheal intubation without resistance was recorded for each tube tip position and tracheal tube brand. In total 20 anesthetists (13 consultants and 7 residents) with a median of 9.5 years (range 3-37 years) of professional experience participated in the study. Overall 160 intubation attempts were performed, 2

  17. Indwelling urethral catheters in adults

    OpenAIRE

    Calleja, Edward

    2012-01-01

    This article focuses on indwelling urethral catheters in adults, their indications for the short and long term use, the types of urinary catheters available in Malta, an overview of the basic structure of a catheter, and the complications of urinary catheter insertion and maintenance. An attempt has been made to address in some depth the most common complication of indwelling catheterscatheter associated urinary tract infection in terms of pathophysiology and its management. Simple but cru...

  18. [The bladder catheter].

    Science.gov (United States)

    Pestalozzi, D M

    1996-09-01

    The benefit of the transurethral catheter to protect or measure renal function is well accepted. Urethral stricture and infection of the lower urinary tract as the complications should lead to a cautious use of catheters. A careful placement, the choice of the best material and a correct management help to avoid complications. Alternatives are discussed.

  19. 经桡动脉路径介入治疗时应用经皮冠状动脉介入治疗导丝和球囊辅助指引导管成功跨越痉挛段33例分析%Feasibility study of guiding catheter passing through spasmodic vess els during percutaneous coronary intervention via radial artery access by the aid of PCI guiding wire and balloon

    Institute of Scientific and Technical Information of China (English)

    倪祝华; 迟永辉; 张大鹏; 邓俊萍; 王益民; 刘广军; 张小良; 赵建红; 张继强; 刘佳胜; 祁树莹; 王乐丰; 杨新春; 王红石; 徐立; 李惟铭; 夏昆; 刘宇; 何冀芳

    2016-01-01

    目的:探讨经桡动脉路径行经皮冠状动脉介入治疗( percutaneous coronary intervention , PCI)血管通路痉挛应用PCI导丝和球囊辅助跨越痉挛段血管的安全性和可行性。方法回顾性分析2014年1月至2015年6月首都医科大学附属北京朝阳医院、临汾市人民医院、晋城心脑血管病医院、临汾市第二人民医院和烟台海港医院经桡动脉路径PCI伴有桡动脉和(或)肱动脉痉挛应用PCI导丝和球囊辅助成功越过痉挛段的33例冠心病患者( A组),并与同期其他术者用常规方法处理痉挛的38例患者( B组)进行比较。观察两种方法指引导管通过痉挛段的成功率以及并发症的发生率等指标,以了解两种方法的优劣。结果两组患者痉挛部位比较,差异无统计学意义( P=0.150),但肱动脉痉挛的发生率均较桡动脉高。 A组指引导管通过率显著高于B组[33例(100.0%)比15例(39.5%),P=0.000];对于指引导管成功通过痉挛段的两组患者,A组较B组所需时间更短( P=0.000),A、B组指引导管通过时间≤5 min的患者分别为30例(90.9%)和2例(13.3%),5~15 min的患者分别为3例(9.1%)和7例(46.7%),>15 min的患者分别为0和6例(40.0%)。 A组患者前臂血肿发生率较B组降低[(2例(6.1%)比7例(18.4%)],但差异无统计学意义( P=0.113)。结论经桡动脉路径PCI血管痉挛应用PCI导丝和球囊辅助可非常安全有效地使指引导管跨越痉挛和(或)夹层段,较应用抗痉挛药物这一常规方法更为安全可行。%Objective To explore the safety and feasibility of guiding catheter passing through spasmodic vessels in patients undergoing percutaneous coronary intervention (PCI) via radial artery access by the aid of PCI guiding wire and balloon .Methods The clinical data of 33 coronary artery disease (CAD

  20. Percutaneous retrieval of malpositioned, kinked and unraveled guide wire under fluoroscopic guidance during central venous cannulation

    Directory of Open Access Journals (Sweden)

    Gopal Krishan Jalwal

    2014-01-01

    Full Text Available The placement of central venous catheter using Seldinger′s technique, remains a commonly performed procedure with its own risks and benefits. Various complications have been reported with the use of guide wire as well as catheter. We report a unique problem during subclavian vein cannulation due to guidewire malposition which led to its kinking and difficult retrieval requiring removal in fluoroscopy suit. The probable mechanism of guide wire entrapment and possible bedside management of similar problems is described.

  1. REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN).

    Science.gov (United States)

    Too, Chow Wei; Sayani, Raza; Lim, Elvin Yuan Ting; Leong, Sum; Gogna, Apoorva; Teo, Terence K

    2016-08-01

    To describe a technique involving REcanalisation and Balloon-Oriented puncture for Re-insertion of dialysis catheter in Nonpatent central veins (REBORN) and to report long-term results. This is a retrospective study of ten subjects in whom dialysis catheters were inserted using the REBORN technique from March 2012 to October 2014 and followed up till April 2016. Data on the duration of catheter usage, complications and reasons for removal were obtained. Seven patients had partially occluded lower internal jugular veins (IJV) recanalised in an antegrade fashion via a more cranial puncture. The balloon was then inflated at usual puncture site with an 18G needle. The collapsed balloon was cannulated with a guide wire, and both balloon and guide wire were advanced together into the superior vena cava. This was followed by tunnelled catheter placement using standard techniques. Two patients had catheters placed in the subclavian vein using a similar antegrade technique, and one patient had catheter placed via the left IJV following retrograde recanalisation from a right femoral puncture. Mean duration of catheter use was 278 days (range 32-503). Three catheters were removed due to matured arteriovenous accesses. Four patients had successful catheter change over the same subcutaneous track due to catheter malfunction. One catheter was removed after 7 months because of sepsis. No complications were reported. The REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis.

  2. A simple catheter-vessel model for MR assessment of drug distribution in arteries and optimization of catheter design for intraarterial infusion therapy.

    Science.gov (United States)

    Yoshikawa, Takeshi; Uchida, Koji; Ohno, Yoshiharu; Hirota, Shozo; Nakamura, Tomonori; Yoshizako, Takeshi; Ishida, Jun; Kitagaki, Hajime

    2007-05-01

    To investigate the efficacy of a new catheter-vessel model for MRI to evaluate drug distribution and to optimize catheter design for intraarterial infusion therapy The model consisted of a hepatic artery simulant tube through which blood simulant water flowed continuously and a water cistern. Catheters were inserted into the tube and a gadolinium contrast medium was injected at rates suitable for angiographic or computed tomographic evaluation and commensurate with the clinical drug infusion rate. Axial images of the tube were obtained with a 0.2-T scanner and gradient echo technique. Preliminary studies and catheter tests were conducted. The points at which drug and water were completely mixed were defined as the site with uniform enhancement nearest the catheter tip. Flip angle and gadolinium concentrations were optimized at 90 degrees, and at 62.5 and 500 mM for the high and low infusion rates, respectively. Drug distribution near the catheter tips was clearly visualized. The drug was mixed in shorter distances via the slit side-hole than the end- or side-hole catheters, and the smaller diametrical than the larger at either rate. This model appeared to be effective for evaluation of drug distribution and optimization of catheter design. (c) 2007 Wiley-Liss, Inc.

  3. Airway support using a pediatric intubation tube in adult patients with atrial fibrillation: A simple and unique method to prevent heart movement during catheter ablation under continuous deep sedation

    Directory of Open Access Journals (Sweden)

    Masateru Takigawa, MD

    2017-08-01

    Conclusion: This unique airway management technique using a pediatric intubation tube for CA procedures performed in adult patients with AF under continuous deep sedation was easy, safe, and effective.

  4. Development and application of a falloposcope for transvaginal endoscopy of the fallopian tube.

    Science.gov (United States)

    Kerin, J; Surrey, E; Daykhovsky, L; Grundfest, W S

    1990-01-01

    A small flexible microendoscope with an outside diameter (OD) of 0.5 mm has been developed for effective visualization of the entire length of the human fallopian tube. Using a transvaginal approach, a small flexible operating hysteroscope with an OD ranging from 3.3 to 4.5 mm, was used to visualize the uterotubal ostium (UTO) for cannulation of the tube. A coaxial technique, incorporating guidewire cannulation, placement of an "over the wire" Teflon catheter, and replacement of the guidewire with a falloposcope, for video documentation of endotubal surface anatomy has been carried out without complication in 55 women who had a total of 84 tubes available for tubal endoscopy. Characterization of normal and abnormal epithelial changes has been documented for the intramural, isthmic, ampullary, and fimbrial tube. Technical difficulties related to failure to negotiate the entire tubal lumen in the absence of obstructive disease occurred in 9 (11%) of the 84 endoscopy cases. These technical difficulties have been partly overcome by the incorporation of smaller directional guidewires, softer distortion-free Teflon catheters, improved microendoscopes, and the acquisition of new surgical skills necessary for safe and successful endoscopy of the fallopian tube. Minor difficulties were experienced in 7 (8%) of 84 endoscopies due to ostial spasm secondary to attempted guidewire cannulation. Cannulation was successful once spasm ceased. Of the 75 (89%) remaining successful tubal endoscopies, documentation of endotubal lesions ranging from accumulated debris, nonobstructive intraluminal adhesions, stenosis, polyps, to total fibrotic obstruction were observed in 43 (57%) examinations. The majority (70%) of these lesions were confined to the medial third of the tube, between the UTO and ampullary isthmic junction (AIJ). The tubal lumen was considered to be endoscopically normal in 32 (42%) examinations. Techniques of tubal aquadissection (TA), guidewire cannulation (GC), wire

  5. Using an indwelling catheter for the domiciliary management of malignant effusions

    Directory of Open Access Journals (Sweden)

    Ramkumar P

    2003-01-01

    Full Text Available Background: Many patients with malignant pleural effusions and ascites require repeated hospital visits for paracentesis. Materials and Methods: Patients and caregivers were taught to drain malignant effusions at home, using an indwelling catheter inserted into the pleural/ peritoneal cavity. The catheter, (ARROW 14 wire gauge with three additional side holes made to prevent blockage was inserted using the Seldenger technique for central venous cannulation and secured with a stitch. A three way stopcock was used to regulate fluid drainage. The caregiver was taught to do biweekly dressings with antiseptic ointment. Results: The catheter has been used in 200 patients over a period of five years. Two patients developed infections in the pleural cavity, which were managed with antibiotics. Two patients needed catheter change because of blockage. Other patients retained the catheter till last follow up or death. The procedure can be carried out as a day case. This article describes practical guidelines for inserting and maintaining the catheter.

  6. Restoration of patency in failing tunneled hemodialysis catheters: a comparison of catheter exchange, exchange and balloon disruption of the fibrin sheath, and femoral stripping.

    Science.gov (United States)

    Janne d'Othée, Bertrand; Tham, Jacques C; Sheiman, Robert G

    2006-06-01

    To compare median patency times after treatment of malfunctioning tunneled hemodialysis catheters by one of three techniques: over-the-wire catheter exchange (CE), fibrin sheath stripping (FSS) from a femoral vein approach, and over-the-wire catheter removal with balloon dilation of fibrin sheath (DFS) followed by catheter replacement with use of the same tract. Retrospective study was conducted of 66 consecutive procedures performed over a period of 47 months for poor flow through tunneled hemodialysis catheters despite tissue plasminogen activator infusion trials (CE, n=33; FSS, n=18; DFS, n=15). Baseline parameters (time since initial catheter placement, number of previous catheter interventions, catheter access site, and patient age and sex) were recorded to identify possible pretreatment differences among groups. Outcome comparison was based on duration of adequate catheter function on dialysis during follow-up. No significant differences in baseline parameters were identified among the three groups (P>.05). Mean follow-up duration (67+/-89 days; range, 0-398 d) was similar among the three groups. The immediate technical success rate was 100%, and there were no complications. Cumulative catheter patency rates were 73% (CE), 72% (FSS), and 65% (DFS) at 1 month; 43% (CE), 60% (FSS), and 39% (DFS) at 3 months; and 28% (CE), 45% (FSS), and 39% (DFS) at 6 months. Median duration of patency was similar among groups (P=.60). All three therapies were equivalent in terms of immediate technical success, complication rates, and durability of catheter function during later follow-up. Hence, when one technique is chosen over another, factors other than the period of secondary patency should be considered, such as cost and patient and physician preference.

  7. Steerable Catheter Microcoils for Interventional MRI: Reducing Resistive Heating

    Science.gov (United States)

    Bernhardt, Anthony; Wilson, Mark W.; Settecase, Fabio; Evans, Leland; Malba, Vincent; Martin, Alastair J.; Saeed, Maythem; Roberts, Timothy P. L.; Arenson, Ronald L.; Hetts, Steven W.

    2010-01-01

    PURPOSE To assess resistive heating of microwires used for remote catheter steering in interventional magnetic resonance imaging. To investigate the use of alumina to facilitate heat transfer to saline flowing in the catheter lumen. MATERIALS AND METHODS A microcoil was fabricated using a laser lathe onto polyimide-tipped or alumina-tipped endovascular catheters. In vitro testing was performed in a 1.5 T MR system using a vessel phantom, body RF coil, and steady state pulse sequence. Resistive heating was measured with water flowing over a polyimide tip catheter, or saline flowing through the lumen of an alumina-tip catheter. Preliminary in vivo testing in porcine common carotid arteries was conducted with normal blood flow or after arterial ligation when current was applied to an alumnia-tip catheter for up to 5 minutes. RESULTS After application of up to 1 W of DC power, clinically significant temperature increases were noted with the polyimide-tip catheter: 23°C/W at zero flow, 13°C/W at 0.28 cc/s, and 7.9°C/W at 1 cc/s. Using the alumina-tip catheter, the effluent temperature rise using the lowest flow rate (0.12 cc/s) was 2.3°C/W. In vivo testing demonstrated no thermal injury to vessel walls at normal and zero arterial flow. CONCLUSION Resistive heating in current carrying wire pairs can be dissipated by saline coolant flowing within the lumen of a catheter tip composed of material that facilitates heat transfer. PMID:21075017

  8. Suprapubic catheter care

    Science.gov (United States)

    ... urine bag only a few times a day. Caring for Your Skin Near your Catheter Follow these ... Bethesda, MD 20894 U.S. Department of Health and Human Services National Institutes of Health Page last updated: ...

  9. Urethral catheter insertion forces: a comparison of experience and training

    Directory of Open Access Journals (Sweden)

    Benjamin K. Canales

    2009-02-01

    Full Text Available Purpose: This study was undertaken to evaluate the insertion forces utilized during simulated placement of a urethral catheter by healthcare individuals with a variety of catheter experience. Materials and Methods: A 21F urethral catheter was mounted to a metal spring. Participants were asked to press the tubing spring against a force gauge and stop when they met a level of resistance that would typically make them terminate a catheter placement. Simulated catheter insertion was repeated fives times, and peak compression forces were recorded. Healthcare professionals were divided into six groups according to their title: urology staff, non-urology staff, urology resident/ fellow, non-urology resident/ fellow, medical student, and registered nurse. Results: A total of fifty-seven healthcare professionals participated in the study. Urology staff (n = 6 had the lowest average insertion force for any group at 6.8 ± 2.0 Newtons (N. Medical students (n = 10 had the least amount of experience (1 ± 0 years and the highest average insertion force range of 10.1 ± 3.7 N. Health care workers with greater than 25 years experience used significantly less force during catheter insertions (4.9 ± 1.8 N compared to all groups (p < 0.01. Conclusions: We propose the maximum force that should be utilized during urethral catheter insertion is 5 Newtons. This force deserves validation in a larger population and should be considered when designing urethral catheters or creating catheter simulators. Understanding urethral catheter insertion forces may also aid in establishing competency parameters for health care professionals in training.

  10. Ear Tubes

    Science.gov (United States)

    ... ENTCareers Marketplace Find an ENT Doctor Near You Ear Tubes Ear Tubes Patient Health Information News media ... and throat specialist) may be considered. What are ear tubes? Ear tubes are tiny cylinders placed through ...

  11. Tracheostomy tubes and related appliances.

    Science.gov (United States)

    Hess, Dean R

    2005-04-01

    Tracheostomy tubes are used to administer positive-pressure ventilation, to provide a patent airway, to provide protection from aspiration, and to provide access to the lower respiratory tract for airway clearance. They are available in a variety of sizes and styles, from several manufacturers. The dimensions of tracheostomy tubes are given by their inner diameter, outer diameter, length, and curvature. Differences in length between tubes of the same inner diameter, but from different manufacturers, are not commonly appreciated but may have important clinical implications. Tracheostomy tubes can be angled or curved, a feature that can be used to improve the fit of the tube in the trachea. Extra proximal length tubes facilitate placement in patients with large necks, and extra distal length tubes facilitate placement in patients with tracheal anomalies. Several tube designs have a spiral wire reinforced flexible design and have an adjustable flange design to allow bedside adjustments to meet extra-length tracheostomy tube needs. Tracheostomy tubes can be cuffed or uncuffed. Cuffs on tracheostomy tubes include high-volume low-pressure cuffs, tight-to-shaft cuffs, and foam cuffs. The fenestrated tracheostomy tube has an opening in the posterior portion of the tube, above the cuff, which allows the patient to breathe through the upper airway when the inner cannula is removed. Tracheostomy tubes with an inner cannula are called dual-cannula tracheostomy tubes. Several tracheostomy tubes are designed specifically for use with the percutaneous tracheostomy procedure. Others are designed with a port above the cuff that allows for subglottic aspiration of secretions. The tracheostomy button is used for stoma maintenance. It is important for clinicians caring for patients with a tracheostomy tube to understand the nuances of various tracheostomy tube designs and to select a tube that appropriately fits the patient.

  12. Wire Chamber

    CERN Multimedia

    1986-01-01

    Two wire chambers made originally for the R807 Experiment at CERN's Intersecting Storage Rings. In 1986 they were used for the PS 201 experiment (Obelix Experiment) at LEAR, the Low Energy Antiproton Ring. The group of researchers from Turin, using the chambers at that time, changed the acquisition system using for the first time 8 bit (10 bit non linear) analog to digital conversion for incoming signals from the chambers. The acquisition system was controlled by 54 CPU and 80 digital signal processors. The power required for all the electronics was 40 kW. For the period, this system was one of the most powerful on-line apparatus in the world. The Obelix Experiment was closed in 1996. To find more about how a wire chamber works, see the description for object CERN-OBJ-DE-038.

  13. Method for producing a tube

    Science.gov (United States)

    Peterson, Kenneth A.; Rohde, Steven B.; Pfeifer, Kent B.; Turner, Timothy S.

    2007-01-02

    A method is described for producing tubular substrates having parallel spaced concentric rings of electrical conductors that can be used as the drift tube of an Ion Mobility Spectrometer (IMS). The invention comprises providing electrodes on the inside of a tube that are electrically connected to the outside of the tube through conductors that extend between adjacent plies of substrate that are combined to form the tube. Tubular substrates are formed from flexible polymeric printed wiring board materials, ceramic materials and material compositions of glass and ceramic, commonly known as Low Temperature Co-Fired Ceramic (LTCC). The adjacent plies are sealed together around the electrode.

  14. Concept of porous wire anemometer

    Energy Technology Data Exchange (ETDEWEB)

    Afgan, N.H.; Pereira, J.C. [Inst. Superior Tecnico, Lisbon (Portugal); Leontiev, A.I.; Puzach, S.V. [Moscow Technical Univ. (Russian Federation)

    1997-05-01

    The paper presents a new scheme of the anemometer sensing element for the gas mean and fluctuation velocity measurement. The sensing element is a porous tube with gas suction through porous tube wall. The outside surface of the porous tube is at the gas temperature. The analysis, based on the heat balance at steady and unsteady state is performed in order to define the sensitivity and time constant of the porous sensing element. Two cases are considered, namely, the constant current and constant temperature anemometer. Comparison is made with the solid wire anemometer and shown that the proposed porous sensing element can have sensitivity four times higher than the standard hot wire anemometer with the same geometrical dimensions. With the respective selection of the physical properties of the sensing element, it could be possible to obtain higher frequency range of the measurement. Particular attention is devoted to the low gas velocity measurement. It is recognized that the minimum gas velocity to be measured with the solid hot wire anemometer is determined by the local heat transfer coefficient. For the low gas velocity, it was proved that the minimum is around .20 cm/sec. The proposed concept of the sensing element can be used for the very low velocity measurement due to the higher sensitivity obtained by the porous sensing element.

  15. Pericardial tamponade and death from Hickman catheter perforation.

    Science.gov (United States)

    Murray, B H; Cohle, S D; Davison, P

    1996-12-01

    In February 1995, a 56-year-old female was taken to the operating room for routine placement of a Hickman catheter. Her internist planned palliative chemotherapy for metastatic breast cancer. Using the Seldinger technique, the right subclavian vein was entered and a Hickman catheter was placed. Shortly after extubation and arrival in the postoperative recovery unit, the patient had respiratory and cardiac arrest. Resuscitative efforts, including chest tube placement and pericardiocentesis, were unsuccessful. Autopsy findings included perforation of the superior vena cava, with extension of the catheter in the pericardial sac and associated effusion. Despite the low reported incidence of perforation during placement of central venous catheters, we recommend confirmation of placement by fluoroscopy and instillation of radiopaque dye because of the high mortality associated with this complication.

  16. 21 CFR 876.5090 - Suprapubic urological catheter and accessories.

    Science.gov (United States)

    2010-04-01

    ... with the aid of a trocar and cannula. The device is used to pass fluids to and from the urinary tract... instrument, suprapubic drainage tube, and the suprapubic cannula and trocar. (b) Classification. (1) Class II (performance standards). (2) Class I for the catheter punch instrument, nondisposable cannula and trocar,...

  17. Dedicated radial ventriculography pigtail catheter

    Energy Technology Data Exchange (ETDEWEB)

    Vidovich, Mladen I., E-mail: miv@uic.edu

    2013-05-15

    A new dedicated cardiac ventriculography catheter was specifically designed for radial and upper arm arterial access approach. Two catheter configurations have been developed to facilitate retrograde crossing of the aortic valve and to conform to various subclavian, ascending aortic and left ventricular anatomies. The “short” dedicated radial ventriculography catheter is suited for horizontal ascending aortas, obese body habitus, short stature and small ventricular cavities. The “long” dedicated radial ventriculography catheter is suited for vertical ascending aortas, thin body habitus, tall stature and larger ventricular cavities. This new design allows for improved performance, faster and simpler insertion in the left ventricle which can reduce procedure time, radiation exposure and propensity for radial artery spasm due to excessive catheter manipulation. Two different catheter configurations allow for optimal catheter selection in a broad range of patient anatomies. The catheter is exceptionally stable during contrast power injection and provides equivalent cavity opacification to traditional femoral ventriculography catheter designs.

  18. Development and Manufacture of Bi-2223 Wires

    Science.gov (United States)

    Kobayashi, Shin-Ichi

    This chapter reviews Ag-sheathed (Bi, Pb)2Sr2Ca2Cu3Ox (Bi-2223) wire made by the powder-in-tube technique (PIT). The currently leading high-temperature superconductors (HTS) wire technology for practical use is Bi-2223 wire, made by the controlled over-pressure (CT-OP) sintering process. The CT-OP process uses pressures up to 30MPa during heat treatment. The technique densifies the Bi-2223 filaments and enhances the uniformity of the electrical and mechanical performance in the Bi-2223 wire. Today, Bi-2223 wires are used in most HTS applications, such as power cables, many kinds of magnets, and motors for ship propulsion and electric vehicles.

  19. Physarum wires: Self-growing self-repairing smart wires made from slime mould

    CERN Document Server

    Adamatzky, Andrew

    2013-01-01

    We report experimental laboratory studies on developing conductive pathways, or wires, using protoplasmic tubes of plasmodium of acellular slime mould Physarum polycephalum. Given two pins to be connected by a wire, we place a piece of slime mould on one pin and an attractant on another pin. Physarum propagates towards the attract and thus connects the pins with a protoplasmic tube. A protoplasmic tube is conductive, can survive substantial over-voltage and can be used to transfer electrical current to lightning and actuating devices. In experiments we show how to route Physarum wires with chemoattractants and electrical fields. We demonstrate that Physarum wire can be grown on almost bare breadboards and on top of electronic circuits. The Physarum wires can be insulated with a silicon oil without loss of functionality. We show that a Physarum wire self-heals: end of a cut wire merge together and restore the conductive pathway in several hours after being cut. Results presented will be used in future designs ...

  20. 针刺技术对吞咽障碍伴心功能不全鼻饲置管临床探讨%To Explore the Acupuncture Technique for Nasal Feeding Cathetering in Clinical of Dysphagia Nasogastric Tube With Heart Failure

    Institute of Scientific and Technical Information of China (English)

    黄利珍; 于宪玲; 刘英才

    2015-01-01

    Objective To explore the effect of acupuncture on dysphagia clinical manifestations of heart failure during nasogastric tube.Methods Selected 50 cases with dysphagia combined with heart failure in our hospital, were randomly divided into two groups, each group had 25 cases. The control group took sitting position nasogastric tube, the observation group received acupuncture nasogastric tube joint sitting position. compared patient satisfaction, compliance and adverse events.Results After treatment, the observation group patient satisfaction, compliance were better than the control group, and adverse events was lower,P<0.05, had difference statistically significance.Conclusion Acupuncture off tsusanli joint sitting position nasogastric catheter technique in the treatment of dysphagia with heart failure patient outcomes better.%目的 探讨针刺对吞咽障碍伴心功能不全鼻饲置管过程中患者的临床表现.方法 选取我院收治的50例吞咽障碍伴心功能不全患者,随机分为两组,各25例.对照组采取端坐位鼻饲置管,观察组采用针刺联合端坐位鼻饲置管.比较两组患者的满意度、依从性及不良反应发生情况.结果 治疗后,观察组的满意度、依从性均优于对照组,且不良反应发生情况也较低,P<0.05,差异具有统计学意义.结论 针刺内关足三里联合端坐位鼻饲置管技术治疗吞咽障碍伴心功能不全患者治疗效果较好.

  1. A refinement of Hong's technique for the removal of stuck dialysis catheters: an easy solution to a complex problem.

    Science.gov (United States)

    Quaretti, Pietro; Galli, Franco; Fiorina, Ilaria; Moramarco, Lorenzo Paolo; Spina, Monica; Forneris, Giacomo; Torresi, Mario; Bellazzi, Roberto

    2014-01-01

    A long-term tunneled hemodialysis catheter can be difficult or impossible to pull out if a fibrin sleeve has attached it to the venous wall. We report the outcome of a refinement of Hong's technique for removing incarcerated catheters aimed at improving its feasibility and safety. We applied a modification of Hong's technique in four patients (two males, age ranging from 51 to 68 years) with jugular twin hemodialysis catheters (five of eight lines incarcerated). Hong pioneered the technique of endoballooning to expand a stuck central venous catheter, thus freeing it from adhesions. In our technical refinement, we cut the catheter close to its venous entry point in order to facilitate pullout and inserted a valved introducer as access for guide wires as well as for inflations of the catheter balloon. A stiff guide wire was placed in the inferior vena cava to avoid potential damage to heart cavities. Dilation was monitored under fluoroscopy with constrictions showing points where the catheter was incarcerated. If adhesions persisted through the same introducer, endoluminal dilations were repeated with a larger diameter balloon until the catheter was released. New catheters can be positioned using the stiff guide wire already in place. All removals were carried out under local anesthesia in an angiographic room by interventional radiologists. All catheters were successfully removed without complications. Average fluoroscopy time for removal was 12 minutes. In the case of a Tesio catheter removed after 12 years because of infection, a computed tomography scan 2 months later revealed persistence of a calcified fibrin sleeve in the vessel. Hong's technique was confirmed to be a simple, safe and highly effective way to remove incarcerated long-term central venous catheters. The refinements we adopted made the procedure more flexible and possibly less prone to complications. By properly using ordinary tools available anywhere, Hong's technique could be considered Columbus

  2. SU-E-T-574: Fessiblity of Using the Calypso System for HDR Interstitial Catheter Reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Li, J S; Ma, C [Fox Chase Cancer Center, Philadelphia, PA (United States)

    2014-06-01

    Purpose: It is always a challenge to reconstruct the interstitial catheter for high dose rate (HDR) brachytherapy on patient CT or MR images. This work aims to investigate the feasibility of using the Calypso system (Varian Medical, CA) for HDR catheter reconstruction utilizing its accuracy on tracking the electromagnetic transponder location. Methods: Experiment was done with a phantom that has a HDR interstitial catheter embedded inside. CT scan with a slice thickness of 1.25 mm was taken for this phantom with two Calypso beacon transponders in the catheter. The two transponders were connected with a wire. The Calypso system was used to record the beacon transponders’ location in real time when they were gently pulled out with the wire. The initial locations of the beacon transponders were used for registration with the CT image and the detected transponder locations were used for the catheter path reconstruction. The reconstructed catheter path was validated on the CT image. Results: The HDR interstitial catheter was successfully reconstructed based on the transponders’ coordinates recorded by the Calypso system in real time when the transponders were pulled in the catheter. After registration with the CT image, the shape and location of the reconstructed catheter are evaluated against the CT image and the result shows an accuracy of 2 mm anywhere in the Calypso detectable region which is within a 10 cm X 10 cm X 10 cm cubic box for the current system. Conclusion: It is feasible to use the Calypso system for HDR interstitial catheter reconstruction. The obstacle for its clinical usage is the size of the beacon transponder whose diameter is bigger than most of the interstitial catheters used in clinic. Developing smaller transponders and supporting software and hardware for this application is necessary before it can be adopted for clinical use.

  3. Entanglement due to Delayed Removal of a Buddy Wire

    Directory of Open Access Journals (Sweden)

    Marc Vorpahl

    2014-01-01

    Full Text Available A buddy wire is often used to aid in the delivery of balloons and stents when negotiating tortuous or calcified vessels. We present a planned two-stent mini-crush intervention complicated by entanglement of the buddy wire with the second stent and subsequent distortion of the stent within the guiding catheter. Based on this case, we suggest removing the buddy wire immediately after successful positioning of the first stent, because entrapment with a second stent is possible and may lead to challenging situations in a simultaneous two-stent strategy.

  4. Process for producing fine and ultrafine filament superconductor wire

    Energy Technology Data Exchange (ETDEWEB)

    Kanithi, Hem C. (15 Briar Ct., Chesire, CT 06410)

    1992-01-01

    A process for producing a superconductor wire made up of a large number of round monofilament rods is provided for, comprising assembling a multiplicity of round monofilaments inside each of a multiplicity of thin wall hexagonal tubes and then assembling a number of said thin wall hexagonal tubes within an extrusion can and subsequently consolidating, extruding and drawing the entire assembly down to the desired wire size.

  5. Optoacoustic sensing for target detection inside cylindrical catheters

    Science.gov (United States)

    Tavakoli, Behnoosh; Guo, Xiaoyu; Taylor, Russell H.; Kang, Jin U.; Boctor, Emad M.

    2014-03-01

    Optoacoustic sensing is a hybrid technique that combines the advantages of high sensing depth of ultrasound with contrast of optical absorption. In this study a miniature optoacoustic probe that can characterize the target properties located at the distal end of a catheter is investigated. The probe includes an optical fiber to illuminate the target with the pulsed laser light and a hydrophone to detect the generated optoacoustic signal. The probe is designed for the forwardsensing and therefore the acoustic signal propagates along the tube before being detected. Due to the circular geometry, the waves inside the tube are highly complex. A three dimensional numerical simulation is performed to model the optoacoustic wave generation and propagation inside the water filled cylindrical tubes. The effect of the boundary condition, tube diameter and target size on the detected signal is systematically evaluated. A prototype of the probe is made and tested for detecting an absorbing target inside a 2mm diameter tube submerged in water. The preliminary experimental results corresponding to the simulation is acquired. Although many different medical applications for this miniature probe may exist, our main focus is on detecting the occlusion inside the ventricular shunts. These catheters are used to divert the excess cerebrospinal fluid to the absorption site and regulate inter cranial pressure of hydrocephalous patients. Unfortunately the malfunction rate of these catheters due to blockage is very high. This sensing tool could locate the occluding tissue non-invasively and can potentially characterize the occlusion composites by scanning at different wavelengths of the light.

  6. Central venous catheter - dressing change

    Science.gov (United States)

    ... during cancer treatment Bone marrow transplant - discharge Central venous catheter - flushing Peripherally inserted central catheter - flushing Sterile technique Surgical wound care - open Review Date 9/17/2016 Updated by: ...

  7. Disinfection of Biofilms in Tubes with Ultraviolet Light

    DEFF Research Database (Denmark)

    Bak, Jimmy; Begovic, Tanja

    2009-01-01

    Bacterial biofilms on long-term catheters are a major source of infection. We demonstrate here the potential of UVC light emitting diodes (LED) for disinfection purposes in catheter like tubes contaminated with biofilm. We show that UVC Light propagation is possible through teflon tubes using...... that the UVC light attenuation inside the tube can be described by an exponential function depending of tube length and various loss mechanisms. The disinfection efficiency of the UVC diodes is demonstrated on tubes contaminated artificially with a Pseudomonas aeruginosa biofilm. The tubes were connected...... the liquid light guiding principle. If the refractive index of the liquid is higher than that of the tube material light is guided inside the tube by internal reflections. To obtain a high refractive index of the liquid sodium chloride in high concentrations is added to the aqueous solution. It is shown...

  8. The Hunter pulmonary angiography catheter for a brachiocephalic vein approach.

    Science.gov (United States)

    Rosen, Galia; Kowalik, Karen J; Ganguli, Suverano; Hunter, David W

    2006-01-01

    The purpose of this work was to describe our experience in performing pulmonary angiography using the Hunter pulmonary catheter, manufactured by Cook, Inc., which is a modified 6F pigtail catheter with a "C-shaped" curve, designed for a brachiocephalic vein approach. One hundred twenty-three patients underwent pulmonary angiograms using the Hunter catheter between August 1997 and January 2002. Operator comments were gathered in 86 (70%) of the cases. The operator was, if possible, the most junior resident on the service. Thirty-nine operators participated in the survey. Efficacy, safety, and ease of use of the catheter were determined by operators' comments and ECG observations during the procedure. Corroborating clinical data were gathered from medical records. In 68 (79%) of the procedures that were commented upon, the operator described insertion into the pulmonary artery (PA) as easy; only 2 (2%) indicated difficulty in accessing the PA. In 41 (63%) of the bilateral angiograms that were commented upon, the operator described accessing the left PA from the right PA as easy; only 6 (9%) rated it as difficult and all were with an older technique in which the catheter was withdrawn to the pulmonary bifurcation without a wire or with only the soft tip of the wire in the pigtail and then rotated to the left main pulmonary artery. Thirty-one of the 41 patients who demonstrated premature ventricular contractions (PVCs) had a previous history of heart disease. Nineteen of the 39 patients who did not have PVCs had a history of heart disease (p = 0.018). The maneuverability and shape of the Hunter catheter make pulmonary angiography an easy procedure, even for operators with minimal experience and limited technical proficiency. PVCs demonstrated a statistically significant correlation with a positive patient history for cardiac disease, rather than being a universal risk.

  9. Fantoni’s Tracheostomy using Catheter High Frequency Jet Ventilation

    Directory of Open Access Journals (Sweden)

    P. Török

    2012-01-01

    Full Text Available Background: It has been shown previously that conventional ventilation delivered through a long cuffed endotracheal tube is associated with a high flow-resistance and frequent perioperative complications. Aim: We attempted to supersede the conventional ventilation by high-frequency jet ventilation through a catheter (HFJV-C and assess safety of the procedure. Material and methods: Using a translaryngeal tracheostomy kit, we performed a translaryngeal (Fantoni tracheostomy (TLT. Subsequently, we introduced a special 2-way prototype ventilatory catheter into the trachea via the TLT under bronchoscopic control. Satisfactory HFJV-C ventilation through the catheter was achieved in 218 patients. Results: There were no significant adverse effects on vital signs observed in the cohort during the study. The pH, SpO2, PaO2, and PaCO2 did not change significantly following the HFJV-C. The intrinsic PEEPi measured in trachea did not exceed 4—5 cm H2O during its application, which was significantly less than during the classical ventilation via the endotracheal tube fluctuating between 12 and 17 cm H2O. No serious medical complications occurred. Conclusion: The HFJV during Fantoni’s tracheostomy using the catheter HFJV-C proved to be a safe and effective method of lung ventilation at the intensive care unit. Key words: Translaryngeal tracheostomy, HFJV via catheter.

  10. Pleural controversy: optimal chest tube size for drainage.

    Science.gov (United States)

    Light, Richard W

    2011-02-01

    In recent years, a higher and higher percentage of patients with pleural effusions or pneumothorax are being treated with small-bore (10-14 F) chest tubes rather than large-bore (>20 F). However, there are very few randomized controlled studies comparing the efficacy and complication rates with the small- and large-bore catheters. Moreover, the randomized trials that are available have flaws in their design. The advantages of the small-bore catheters are that they are easier to insert and there is less pain with their insertion while they are in place. The placement of the small-bore catheters is probably more optimal when placement is done with ultrasound guidance. Small-bore chest tubes are recommended when pleurodesis is performed. The success of the small-bore indwelling tunnelled catheters that are left in place for weeks documents that the small-bore tubes do not commonly become obstructed with fibrin. Patients with complicated parapneumonic effusions are probably best managed with small-bore catheters even when the pleural fluid is purulent. Patients with haemothorax are best managed with large-bore catheters because of blood clots and the high volume of pleural fluid. Most patients with pneumothorax can be managed with aspiration or small-bore chest tubes. If these fail, a large-bore chest tube may be necessary. Patients on mechanical ventilation with barotrauma induced pneumothoraces are best managed with large-bore chest tubes.

  11. Numerical analysis of astigmatism correction in gradient refractive index lens based optical coherence tomography catheters

    NARCIS (Netherlands)

    T. Wang (Teng); A.F.W. van der Steen (Ton); G. van Soest (Gijs)

    2012-01-01

    textabstractEndoscopic optical coherence tomography (OCT) catheters comprise a transparent tube to separate the imaging instrument from tissues. This tube acts as a cylindrical lens, introducing astigmatism into the beam. In this report, we quantified this negative effect using optical simulations o

  12. Technical considerations in the use of external condom catheter systems.

    Science.gov (United States)

    deHoll, J D; Williams, L A; Steers, W D; Rodeheaver, G T; Clark, M M; Edlich, R F

    1992-01-01

    Since the advent of rehabilitation engineering new advances have been made that have revolutionized condom catheter drainage systems (CCDS). An innovative CCDS has been designed that ensures unobstructed urine flow. Its condom catheter has several unique design features. It has a double row of convolutions near the catheter tip that prevent kinking and twisting so that the pathway remains open. The condom catheter features a unique inner flap that fits snugly on the glans to prevent backflow of urine on the shaft. This condom catheter is connected to a vented leg bag that eliminates the development of a partial vacuum in the connecting tube. This vacuum can create siphoning, which in turn interferes with urine flow into the leg bag. In addition, a new rechargeable battery-operated clipper has been developed that makes nick-free hair removal from the genitals exceptionally easy. This atraumatic hair removal eliminates the pubic hair that becomes trapped under the condom catheter. The clinical impact of these new advances in CCDS requires further investigation.

  13. JUGULAR CENTRAL VENOUS CATHETER PLACEMENT THROUGH A MODIFIED SELDINGER TECHNIQUE FOR LONG-TERM VENOUS ACCESS IN CHELONIANS.

    Science.gov (United States)

    Pardo, Mariana A; Divers, Stephen

    2016-03-01

    Long-term or repeated venous access in chelonians is difficult to obtain and manage, but can be critically important for administration of medications and blood sampling in hospitalized patients. Jugular catheterization provides the most rapid and secure route for vascular access, but catheters can be difficult to place, and maintaining catheter patency may be challenging. Long multilumen polyurethane catheters provide flexibility and sampling access, and minimize difficulties, such as catheter displacement, that have been encountered with traditional over-the-needle catheters. We describe placement of 4 Fr. 13-cm polyurethane catheters in three chelonians with the use of a modified Seldinger technique. Venous access was obtained with the use of an over-the-needle catheter, which allowed placement of a 0.018-in.-diameter wire, over which the polyurethane catheter was placed. Indwelling time has ranged between 1 and 4 mo currently. All tortoises were sedated for this procedure. Polyurethane central catheters provide safe, long-term venous access that allows clinicians to perform serial blood sampling as well as intravenous administration of medications, anesthetic agents, and fluids. A jugular catheter can also allow central venous pressure measurement. Utilization of central line catheters was associated with improvements in diagnostic efficiency and therapeutic case management, with minimal risks and complications.

  14. Large or small bore, push or pull: a comparison of three classes of percutaneous fluoroscopic gastrostomy catheters.

    Science.gov (United States)

    Kuo, Yuo-Chen; Shlansky-Goldberg, Richard D; Mondschein, Jeffrey I; Stavropoulos, S William; Patel, Aalpen A; Solomon, Jeffrey A; Soulen, Michael C; Kwak, Andrew; Itkin, Maxim; Chittams, Jesse L; Trerotola, Scott O

    2008-04-01

    To compare the tube performance and complication rates of small-bore, large-bore push-type, and large-bore pull-type gastrostomy catheters. A total of 160 patients (74 men, 86 women; mean age, 66.9 years, range, 22-95 y) underwent percutaneous fluoroscopic gastrostomy placement between January 2004 and March 2006. Choice of catheter was based on the preference of the attending radiologist. Data were collected retrospectively with institutional review board approval. Radiology reports provided information on the catheter, indication for gastrostomy, technical success, and immediate outcome. Chart review provided data on medical history, postprocedural complications, progress to feeding goal, and clinical outcomes. Statistical analysis was performed to compare the three classes of gastrostomy catheters. All 160 catheters were placed successfully. Patients who received small-bore catheters (14 F; n = 88) had significantly more tube complications (17% vs 5.6%) and were less likely to meet their feeding goal (P = .035) compared with patients with large-bore catheters (20 F; n = 72). No difference was observed in terms of major or minor complications. Large-bore push-type (n = 14) and pull-type catheters (n = 58) were similar in terms of complication rates. Patients who received large-bore push-type catheters achieved their feeding goals in significantly less time than those with large-bore pull-type catheters (average, 3.8 days vs 6.0 days; P = .04). Patients who received small-bore gastrostomy catheters are significantly more prone to tube dysfunction. Large-bore catheters should be preferentially used, with push-type catheters performing better with regard to the time to achieve feeding goal.

  15. Modified Seldinger technique for the insertion of standard chest tubes.

    Science.gov (United States)

    Altman, E; Ben-Nun, A; Curtis, W; Best, L A

    2001-04-01

    Closed tube thoracostomy is a standard procedure for the evacuation of air, blood, or other materials from the pleural space. This paper describes a modification of the Seldinger technique that facilitates chest tube insertion. Either a Nelaton or Thieman catheter is threaded into the side drainage hole and out the tip of a standard Argyle-type chest tube. After using the clamp to insert the catheter into the pleural space through a previously dissected tract, the catheter serves as a guide over which the chest tube is inserted. The technique is simple to use, effective, and safe. It employs standard, inexpensive materials to insert chest tubes in such a way as to minimize the potential traumatic complications inherent in other techniques.

  16. The effect of condensate inundation on steam condensation heat transfer in a tube bundle

    OpenAIRE

    Brower, Steven K.

    1985-01-01

    Approved for public release; distribution is unlimited Steam-condensation heat-transfer measurements were made using a 5-tube in-line test condenser with an additional perforated tube to simulate up to 30 active tubes. Results were obtained for smooth tubes, wire-wrapped tubes and dropwise-coated tubes. The average outside heat-transfer coefficient for 30 smooth tubes was 0.64 times the Nusselt coefficient for the first tube. A total of eight wirediameter and wire-pitc...

  17. Development of a balloon volume sensor for pulsating balloon catheters.

    Science.gov (United States)

    Nolan, Timothy D C; Hattler, Brack G; Federspiel, William J

    2004-01-01

    Helium pulsed balloons are integral components of several cardiovascular devices, including intraaortic balloon pumps (IABP) and a novel intravenous respiratory support catheter. Effective use of these devices clinically requires full inflation and deflation of the balloon, and improper operating conditions that lead to balloon under-inflation can potentially reduce respiratory or cardiac support provided to the patient. The goal of the present study was to extend basic spirographic techniques to develop a system to dynamically measure balloon volumes suitable for use in rapidly pulsating balloon catheters. The dynamic balloon volume sensor system (DBVSS) developed here used hot wire anemometry to measure helium flow in the drive line from console to catheter and integrated the flow to determine the volume delivered in each balloon pulsation. An important component of the DBVSS was an algorithm to automatically detect and adjust flow signals and measured balloon volumes in the presence of gas composition changes that arise from helium leaks occurring in these systems. The DBVSS was capable of measuring balloon volumes within 5-10% of actual balloon volumes over a broad range of operating conditions relevant to IABP and the respiratory support catheter. This includes variations in helium concentration from 70-100%, pulsation frequencies from 120-480 beats per minute, and simulated clinical conditions of reduced balloon filling caused by constricted vessels, increased driveline, or catheter resistance.

  18. Bacterial profile and antimicrobial susceptibility pattern in catheter related nosocomial infections.

    Directory of Open Access Journals (Sweden)

    Tullu M

    1998-01-01

    Full Text Available This prospective study was carried out over a period of 6 months in the Paediatric Intensive Care Unit (PICU of a tertiary care teaching hospital. The aim of the study was to determine the organisms causing catheter related nosocomial infections in the PICU and to study their antimicrobial susceptibility pattern. Patients with endotracheal intubation, indwelling urinary catheters and central venous catheters (CVC/venous cutdown catheters were included in the study. Colonization of the endotracheal tube, urinary catheter related infections (UCRI and colonization of the CVC/venous cutdown catheters was studied. E. coli was the commonest organism colonizing the endotracheal tube tip with maximum susceptibility to cefotaxime and amikacin. E. coli was also was the commonest organism causing UCRI with maximum susceptibility to nitrofurantoin and amikacin. Acinetobacter was the commonest organism colonizing the CVC/venous cutdown catheters with maximum susceptibility to ciprofloxacin. All these sites of catheter related infections considered together, E. coli and Klebsiella were the commonest nosocomial organisms. Both had maximum susceptibility to amikacin. Methicillin resistant Staphylococcus aureus (MRSA was isolated only from one culture. All the organisms had a poor susceptibility to cefazolin and amoxycillin. A knowledge of the resident microbial flora and their antimicrobial susceptibility pattern is necessary for formulating a rational antibiotic policy in an ICU.

  19. 30 CFR 75.1003 - Insulation of trolley wires, trolley feeder wires and bare signal wires; guarding of trolley...

    Science.gov (United States)

    2010-07-01

    ... wires and bare signal wires; guarding of trolley wires and trolley feeder wires. 75.1003 Section 75.1003... Insulation of trolley wires, trolley feeder wires and bare signal wires; guarding of trolley wires and trolley feeder wires. Trolley wires, trolley feeder wires, and bare signal wires shall be insulated...

  20. Nasal jejunal tube and nasogastric tube of two different catheter ways in improving the severe craniocerebral injury and the low temperature condition compared the curative effect of early enteral nutrition support%鼻空肠置管与鼻胃置管两种不同置管方式在改善重型颅脑损伤亚低温状态下早期肠内营养支持中的疗效比较

    Institute of Scientific and Technical Information of China (English)

    李振良; 刘亚玲; 李友谊

    2013-01-01

    目的 探讨鼻空肠置管与鼻胃置管两种不同置管方式在改善重型颅脑损伤亚低温状态下早期肠内营养支持中的作用,并比较其临床疗效.方法 选择120例进行常规亚低温治疗的重型颅脑损伤患者,按简单随机抽样法分为鼻空肠置管肠内营养(鼻空肠置管组)60例及鼻胃置管肠内营养(鼻胃置管组)60例,实施鼻胃置管及鼻空肠置管后,使用肠内营养要素膳和/或肠内高营养多聚合剂实施早期肠内营养支持,两组患者在肠功能存在条件下48 h内开始肠内营养,比较两组各项营养指标以及不良反应、并发症和格拉斯哥昏迷量表(GCS)评分、急性生理学与慢性健康状况Ⅱ(APACHEⅡ)评分等.结果 两组患者经过早期肠内营养,营养指标均有改善,入院第14、28天,鼻空肠置管组患者的肱三头肌皮褶厚度、上臂肌围、血清白蛋白、前白蛋白、转铁蛋白、血红蛋白等指标上升幅度均明显高于鼻胃置管组,差异有统计学意义(P<0.05).鼻空肠置管组患者腹泻、腹胀、呕吐、胃内容物潴留及反流发生率明显低于鼻胃置管组[5.0%(3/60)比18.3%(11/60)、10.0%(6/60)比21.7%(13/60)、5.0%(3/60)比21.7%(13/60)、15.0%(9/60)比16.7%(10/60)、11.7% (7/60)比48.3%(29/60)、8.3%(5/60)比21.7%(13/60)],差异有统计学意义(P<0.05).鼻空肠置管组并发症发生率低于鼻胃置管组[16.7%(10/60)比76.7%(46/60)],差异有统计学意义(P<0.05).鼻空肠置管组GCS评分、APACHEⅡ评分均较鼻胃置管组明显改善,差异有统计学意义(P<0.05).结论 早期鼻空肠置管肠内营养对于重型颅脑损伤后亚低温状态下临床肠内营养实施是可行的、合理的,与鼻胃置管比较,能明显减少肠内营养的并发症,较早地达到目标营养治疗量,可以改善预后.%Objective To investigate the application of nasal jejunal tube and nasogastric tube of two different catheter ways in

  1. Disinfection of Biofilms in Tubes with Ultraviolet Light

    DEFF Research Database (Denmark)

    Bak, Jimmy; Begovic, Tanja

    2009-01-01

    Bacterial biofilms on long-term catheters are a major source of infection. We demonstrate here the potential of UVC light emitting diodes (LED) for disinfection purposes in catheter like tubes contaminated with biofilm. We show that UVC Light propagation is possible through teflon tubes using...... that the UVC light attenuation inside the tube can be described by an exponential function depending of tube length and various loss mechanisms. The disinfection efficiency of the UVC diodes is demonstrated on tubes contaminated artificially with a Pseudomonas aeruginosa biofilm. The tubes were connected....../ml. The disinfection rates obtained were to close to 100 % (detection limit: 10 CFU/ml). Based on the our investigations we conclude that there is a potential of using LED UVC light sources for disinfection of tubes with thin or transparent biofilms....

  2. Tunneled dialysis catheter exchange with fibrin sheath disruption is not associated with increased rate of bacteremia.

    Science.gov (United States)

    Valliant, Amanda M; Chaudhry, Muhammad K; Yevzlin, Alexander S; Astor, Brad; Chan, Micah R

    2015-01-01

    Tunneled dialysis catheters are the most common form of vascular access among incident dialysis patients in the United States. Fibrin sheath formation is a frequent cause of late catheter dysfunction requiring an exchange procedure with balloon disruption of the fibrin sheath. It is unknown whether fibrin sheath disruption is associated with increased incidence of bacteremia or catheter failure. We reviewed all tunneled dialysis catheter exchange procedures at the University of Wisconsin between January 2008 and December 2011. The primary outcome was incidence of bacteremia, defined as positive blood cultures within 2 weeks of the procedure. Catheter failure, requiring intervention or replacement, was examined as a secondary outcome. Baseline characteristics examined included diabetic status, gender, race and age. A total of 163 procedures were reviewed; 67 (41.1%) had fibrin sheath disruption and 96 did not. Bacteremia occurred in 4.5% (3/67) of those with and 3.1% (3/97) of those without fibrin sheath disruption (p=0.65). Fibrin sheath disruption was not significantly associated with the risk of catheter failure (adjusted hazard ratio [aHR]=1.34; 95% confidence interval [CI]: 0.87-2.10; p=0.18). Diabetes was associated with greater risk of catheter failure (aHR=1.88; 95% CI: 1.19-2.95; p=0.006), whereas higher age was associated with a lower risk of catheter failure (aHR per 10 years=0.83; 95% CI: 0.72-0.96; p=0.01). This study demonstrates that there is no significant increase in bacteremia and subsequent catheter dysfunction rates after fibrin sheath disruption compared to simple over the wire exchange. These results are encouraging given the large numbers of patients utilizing tunneled catheters for initial hemodialysis access and the known rates of fibrin sheath formation leading to catheter failure.

  3. Standard surface grinder for precision machining of thin-wall tubing

    Science.gov (United States)

    Jones, A.; Kotora, J., Jr.; Rein, J.; Smith, S. V.; Strack, D.; Stuckey, D.

    1967-01-01

    Standard surface grinder performs precision machining of thin-wall stainless steel tubing by electrical discharge grinding. A related adaptation, a traveling wire electrode fixture, is used for machining slots in thin-walled tubing.

  4. Longitudinal stent elongation during retraction of entrapped jailed guidewire in a side branch with balloon catheter support: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Taniguchi, Norimasa; Mizuguchi, Yukio; Takahashi, Akihiko, E-mail: a-takahashi@wine.ocn.ne.jp

    2015-01-15

    A 72-year-old man underwent primary percutaneous coronary intervention for a subtotal occlusion in the mid-portion of the left anterior descending artery involving a large diagonal branch. After successful stenting with a 3.0/24 mm bare metal stent, during which, the diagonal branch was protected with a coronary guidewire, conventional retrieval of the jailed guide wire was impossible. Subsequently, several attempts at a strong retraction of the wire with the support of a balloon catheter enabled retrieval of the trapped wire. Optical coherence tomography performed after post-dilatation, revealed that the stent was elongated to the left main coronary artery, and the structure of the strut had become coarse in the proximal portion. The stent was believed to have become entangled with the balloon catheter when the guidewire was being pulled. This case suggests that retrieving the jailed guidewire with a balloon catheter carries a potential risk of entrapment in the deformed stent.

  5. Results from some anode wire aging tests

    Energy Technology Data Exchange (ETDEWEB)

    Juricic, I.; Kadyk, J.A.

    1986-01-01

    Using twin setups to test anode wire aging in small gas avalanche tubes, a variety of different gas mixtures were tried and other parameters were varied to study their effects upon the gain drop, nomalized to charge transfer: - 1/Q dI/I. This was found to be quite sensitive to the purity of the gases, and also sensitive to the nominal gain and the gas flow rate. The wire surface material can also significantly affect the aging, as can additives, such as ethanol or water vapor. Certain gas mixtures have been found to be consistent with zero aging at the sensitivity level of this technique.

  6. Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

    OpenAIRE

    Sankalp Dwivedi; Fayez Siddiqui; Milan Patel; Shaun Cardozo

    2016-01-01

    Central venous catheter (CVC) insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ) central venous catheter (CVC) insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE) revealed a pericardial effusion with tamponade. An emergent bedside ...

  7. Application of intravenous electrocardiography for insertion of central veins dialysis catheters

    Directory of Open Access Journals (Sweden)

    Beigi Ali

    2009-01-01

    Full Text Available One fifth of the inserted dialysis catheters in the internal jugular or subclavian veins may be misplaced. Appropriate positioning of the catheter tip is sometimes difficult. We attempted to use intravenous electrocardiography (ECG to guide catheter tip positioning in 30 hemodialysis patients (17 (57% were men, and the mean age was 43 ± 12 years. who required vascular accesses for dialysis by insertion of double lumen temporary catheters via the jugular veins. Before cathe-terization, standard ECG on the long lead D II was performed and P-wave height was recorded. P-wave voltage was also measured via the blue (venous and red (arterial lumens, using the guide wire as an electrical conductor. After confirmation of the appropriate position of the catheter tip at the superior vena cava (SVC-right atrial junction using chest radiography, the ECG lead corres-ponding to the right hand was connected to the guide wire lodged inside the lumen of the blue catheter. P-wave height in the long lead D II was recorded. The guide wire was withdrawn so as to bring its tip tangent to the tip of the red catheter. ECG was performed on the long lead D II in a similar manner, and the P-wave height was recorded. The mean P-wave voltage in normal ECG and intravenous ECG (red and blue catheter tips measured 1.27 ± 0.38 mm, 3.10 ± 0.95 mm, and 5.42 ± 1.76 mm, respectively. The difference between the mean P-wave voltages measured in standard and intravenous ECG (blue and red catheter tips was statistically significant (P< 0.05. We conclude that the dialysis catheter tip can be positioned appropriately via the measurement of the P-wave height by intravenous ECG and using the sinoatrial node as an accurate landmark. This method can complement the chest radiography in the appropriate placement of the central vein catheters.

  8. Multi-wire plaque crushing as a novel technique in treating chronic total occlusions

    Institute of Scientific and Technical Information of China (English)

    HAN Ya-ling; WANG Dong-mei; LI Yi; WANG Shou-li; JING Quan-min; MA Ying-yan; WANG Geng; LUAN Bo; WANG Bin; WANG Zhu-lu

    2008-01-01

    Background Failure of balloon catheter passing through the occluded segment accounts for 10%-15% of all procedures during percutaneous coronary intervention(PCI)for chronic total occlusion(CTO).We sought to investigate an original technique for facilitating balloon catheter passing by multi-wire plaque crushing.Methods Between July 2000 and October 2007,152 patients with 164 CTO lesions who had failed balloon passing were treated by multi-wire plaque crushing technique.The main process of this technique was to insert 1 or 2 wires along with the original wire located in the true lumen of CTO lesions after balloon failure for plaque crushing and then to withdraw the crushing wires to get an enlarged lumen inside of the occlusion segment,thus facilitating the balloon passing.Results Both overall lesion and technique success rates were 91.5%(150/164).A total of 211 crushing wires were used during PCI,including 1 crushing wire for 117(71.3%)lesions and 2 crushing wires for 47(28.7%)lesions.Approximately 57.3%(121/211)of all crushing wires were those already used in the same procedure.Technique failure occurred in 14 lesions(8.5%).Technique failure was due to crushing wires entering false lumen(92.9%,13/14)and coronary perforation(7.1%,1/14).Major procedural complications included coronary perforation(1 case)and severe coronary dissection(2 cases),all of which were successfully treated.Conclusions Multi-wire plaque crushing technique is effective in facilitating balloon catheter passing during CTO PCI.It is feasible,economical and relatively safe with a low rate of procedural complications.

  9. Reusable Hot-Wire Cable Cutter

    Science.gov (United States)

    Pauken, Michael T.; Steinkraus, Joel M.

    2010-01-01

    During the early development stage of balloon deployment systems for missions, nichrome wire cable cutters were often used in place of pyro-actuated cutters. Typically, a nichrome wire is wrapped around a bundle of polymer cables with a low melting point and connected to a relay-actuated electric circuit. The heat from the nichrome reduces the strength of the cable bundle, which quickly breaks under a mechanical load and can thus be used as a release mechanism for a deployment system. However, the use of hand-made heated nichrome wire for cutters is not very reliable. Often, the wrapped nichrome wire does not cut through the cable because it either pulls away from its power source or does not stay in contact with the cable being cut. Because nichrome is not readily soldered to copper wire, unreliable mechanical crimps are often made to connect the nichrome to an electric circuit. A self-contained device that is reusable and reliable was developed to sever cables for device release or deployment. The nichrome wire in this new device is housed within an enclosure to prevent it from being damaged by handling. The electric power leads are internally connected within the unit to the nichrome wire using a screw terminal connection. A bayonet plug, a quick and secure method of connecting the cutter to the power source, is used to connect the cutter to the power leads similar to those used in pyro-cutter devices. A small ceramic tube [0.25-in. wide 0.5-in. long (.6.4-mm wide 13-mm long)] houses a spiraled nichrome wire that is heated when a cable release action is required. The wire is formed into a spiral coil by wrapping it around a mandrel. It is then laid inside the ceramic tube so that it fits closely to the inner surface of the tube. The ceramic tube provides some thermal and electrical insulation so that most of the heat generated by the wire is directed toward the cable bundle in the center of the spiral. The ceramic tube is cemented into an aluminum block, which

  10. Wire bonding in microelectronics

    CERN Document Server

    Harman, George G

    2010-01-01

    Wire Bonding in Microelectronics, Third Edition, has been thoroughly revised to help you meet the challenges of today's small-scale and fine-pitch microelectronics. This authoritative guide covers every aspect of designing, manufacturing, and evaluating wire bonds engineered with cutting-edge techniques. In addition to gaining a full grasp of bonding technology, you'll learn how to create reliable bonds at exceedingly high yields, test wire bonds, solve common bonding problems, implement molecular cleaning methods, and much more. Coverage includes: Ultrasonic bonding systems and technologies, including high-frequency systems Bonding wire metallurgy and characteristics, including copper wire Wire bond testing Gold-aluminum intermetallic compounds and other interface reactions Gold and nickel-based bond pad plating materials and problems Cleaning to improve bondability and reliability Mechanical problems in wire bonding High-yield, fine-pitch, specialized-looping, soft-substrate, and extreme-temperature wire bo...

  11. Wire harness twisting aid

    Science.gov (United States)

    Casey, E. J.; Commadore, C. C.; Ingles, M. E.

    1980-01-01

    Long wire bundles twist into uniform spiral harnesses with help of simple apparatus. Wires pass through spacers and through hand-held tool with hole for each wire. Ends are attached to low speed bench motor. As motor turns, operator moves hand tool away forming smooth twists in wires between motor and tool. Technique produces harnesses that generate less radio-frequency interference than do irregularly twisted cables.

  12. Agile and Bright Intracardiac Catheters

    NARCIS (Netherlands)

    M. Pekař (Martin)

    2017-01-01

    markdownabstractIntracardiac imaging catheters represent unique instruments to diagnose and treat a diseased heart. While there are imminent advances in medical innovation, many of the commercially available imaging catheters are outdated. Some of them have been designed more than 20 years and

  13. Water Desalination with Wires

    NARCIS (Netherlands)

    Porada, S.; Sales, B.B.; Hamelers, H.V.M.; Biesheuvel, P.M.

    2012-01-01

    We show the significant potential of water desalination using a novel capacitive wire-based technology in which anode/cathode wire pairs are constructed from coating a thin porous carbon electrode layer on top of electrically conducting rods (or wires). By alternately dipping an array of electrode

  14. Tracheostomy tubes.

    Science.gov (United States)

    Hess, Dean R; Altobelli, Neila P

    2014-06-01

    Tracheostomy tubes are used to administer positive-pressure ventilation, to provide a patent airway, and to provide access to the lower respiratory tract for airway clearance. They are available in a variety of sizes and styles from several manufacturers. The dimensions of tracheostomy tubes are given by their inner diameter, outer diameter, length, and curvature. Differences in dimensions between tubes with the same inner diameter from different manufacturers are not commonly appreciated but may have important clinical implications. Tracheostomy tubes can be cuffed or uncuffed and may be fenestrated. Some tracheostomy tubes are designed with an inner cannula. It is important for clinicians caring for patients with a tracheostomy tube to appreciate the nuances of various tracheostomy tube designs and to select a tube that appropriately fits the patient. The optimal frequency of changing a chronic tracheostomy tube is controversial. Specialized teams may be useful in managing patients with a tracheostomy. Speech can be facilitated with a speaking valve in patients with a tracheostomy tube who are breathing spontaneously. In mechanically ventilated patients with a tracheostomy, a talking tracheostomy tube, a deflated cuff technique with a speaking valve, or a deflated cuff technique without a speaking valve can be used to facilitate speech. Copyright © 2014 by Daedalus Enterprises.

  15. 75 FR 42685 - Steel Wire Garment Hangers From the People's Republic of China: Initiation of Anti-Circumvention...

    Science.gov (United States)

    2010-07-22

    ... the most fundamental aspect of the production process--the forming/shaping of drawn steel wire into a... paper capes and tubes but rather the steel wire rod drawing process and hanger forming process. See, e.g... hanger was drawn from wire rod and formed in the PRC. D. Value of Merchandise Produced in PRC Petitioner...

  16. Effect of wire shape on wire array discharge

    Energy Technology Data Exchange (ETDEWEB)

    Shimomura, N.; Tanaka, Y.; Yushita, Y.; Nagata, M. [University of Tokushima, Department of Electrical and Electronic Engineering, Tokushima (Japan); Teramoto, Y.; Katsuki, S.; Akiyama, H. [Kumamoto University, Department of Electrical and Computer Engineering, Kumamoto (Japan)

    2001-09-01

    Although considerable investigations have been reported on z-pinches to achieve nuclear fusion, little attention has been given from the point of view of how a wire array consisting of many parallel wires explodes. Instability existing in the wire array discharge has been shown. In this paper, the effect of wire shape in the wire array on unstable behavior of the wire array discharge is represented by numerical analysis. The claws on the wire formed in installation of wire may cause uniform current distribution on wire array. The effect of error of wire diameter in production is computed by Monte Carlo Method. (author)

  17. PS wire chamber

    CERN Multimedia

    1970-01-01

    A wire chamber used at CERN's Proton Synchrotron accelerator in the 1970s. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  18. Distributed parameter statics of magnetic catheters.

    Science.gov (United States)

    Tunay, Ilker

    2011-01-01

    We discuss how to use special Cosserat rod theory for deriving distributed-parameter static equilibrium equations of magnetic catheters. These medical devices are used for minimally-invasive diagnostic and therapeutic procedures and can be operated remotely or controlled by automated algorithms. The magnetic material can be lumped in rigid segments or distributed in flexible segments. The position vector of the cross-section centroid and quaternion representation of an orthonormal triad are selected as DOF. The strain energy for transversely isotropic, hyperelastic rods is augmented with the mechanical potential energy of the magnetic field and a penalty term to enforce the quaternion unity constraint. Numerical solution is found by 1D finite elements. Material properties of polymer tubes in extension, bending and twist are determined by mechanical and magnetic experiments. Software experiments with commercial FEM software indicate that the computational effort with the proposed method is at least one order of magnitude less than standard 3D FEM.

  19. A new route to process diamond wires

    Directory of Open Access Journals (Sweden)

    Marcello Filgueira

    2003-06-01

    Full Text Available We propose an original route to process diamond wires, denominated In Situ Technology, whose fabrication involves mechanical conformation processes, such as rotary forging, copper tubes restacking, and thermal treatments, such as sintering and recrystallisation of a bronze 4 wt.% diamond composite. Tensile tests were performed, reaching an ultimate tensile strength (UTS of 230 MPa for the diameter of Æ = 1.84 mm. Scanning electron microscopy showed the diamond crystals distribution along the composite rope during its manufacture, as well as the diamond adhesion to the bronze matrix. Cutting tests were carried out with the processed wire, showing a probable performance 4 times higher than the diamond sawing discs, however its probable performance was about 5 to 8 times less than the conventional diamond wires (pearl system due to the low abrasion resistance of the bronze matrix, and low adhesion between the pair bronze-diamond due to the use of not metallised diamond single crystals.

  20. Disinfection of Pseudomonas aeruginosa biofilm contaminated tube lumens with ultraviolet C light emitting diodes

    DEFF Research Database (Denmark)

    Bak, Jimmy; Ladefoged, Søren D; Tvede, Michael

    2010-01-01

    Bacterial biofilms on long-term catheters are a major source of infection. Exposure to ultraviolet C (UVC - 265 nm) light was shown in an earlier study to reduce the number of bacteria substantially on ex vivo treated urinary patient catheters. Very large doses (long treatment times) should......, however, be applied to obtain 99.9% disinfection rates. The major reason was that besides cells the mature biofilm contained absorbing and scattering particulates, which made the biofilm opaque. The potential of UVC light emitting diodes (LED) for disinfection purposes in catheter-like tubes contaminated...... with biofilm was investigated. It was shown that UVC light propagation was possible through both Teflon and catheter tubes (silicone). The disinfection efficiency of the diodes was demonstrated on tubes contaminated artificially with a Pseudomonas aeruginosa biofilm. The tubes were connected to a flow system...

  1. Usefulness of a Biliary Manipulation Catheter in Percutaneous Transhepatic Biliary Drainage

    Energy Technology Data Exchange (ETDEWEB)

    Paek, Auh Whan [Dept. of Radiology, Virginia University Heath Center, Charlottesville (United States); Won, Je Hwan; Lee, Jei Hee; Sun, Joo Sung; Kwak, Kyu Sung; Bae, Jae Ik [Dept. of Radiology, Ajou University School of Medicine, Suwon (Korea, Republic of)

    2011-04-15

    To evaluate usefulness of a manipulation catheter in percutaneous transhepatic biliary drainage (PTBD). A biliary manipulation catheter was used for the aspiration of retained bile and lesion crossing during an initial PTBD in 91 consecutive patients over a 6 month period. This catheter allowed for a 0.035 inch guide wire made of 5F short steel braided polyurethane. The terminal 1 cm segment was tapered and 45 degree angulated. Two side holes were made in the terminal segment to facilitate the aspiration of bile. The safety of this procedure was evaluated based on whether the catheters caused complications during insertion and manipulation, and whether cholangitis was aggravated after the procedure. Effectiveness of the procedure was evaluated based on the ability to aspirate retained bile and to cross the lesion. Both the insertion of a 0.035 inch hydrophilic guide wire and aspiration of sufficient retained bile were successful with the catheter. Crossing the common bile duct (CBD) lesion had a 98.1% success rate during the initial PTBD. Crossing the hilar obstruction lesion was had a 94.7% success rate to the CBD and 92.1% to the contralateral lobe. Cholangitis improved in 97% of cases, and aggravated transiently in only 3% of cases after PTBD.

  2. 30 CFR 77.1802 - Insulation of trolley wires, trolley feeder wires and bare signal wires; guarding of trolley...

    Science.gov (United States)

    2010-07-01

    ... wires and bare signal wires; guarding of trolley wires and trolley feeder wires. 77.1802 Section 77.1802... Wires and Trolley Feeder Wires § 77.1802 Insulation of trolley wires, trolley feeder wires and bare..., and bare signal wires shall be adequately guarded: (a) At all points where men are required to work or...

  3. Use of a remotely steerable "robotic" catheter in a branched endovascular aortic graft.

    Science.gov (United States)

    Carrell, Tom; Dastur, Neville; Salter, Richard; Taylor, Peter

    2012-01-01

    We report the use of a remotely steerable catheter to treat kinked renal bridging stents 8 months after branched endovascular repair of a type III thoracoabdominal aortic aneurysm. Conventional techniques using single, coaxial, and manually steerable sheaths proved too unstable to provide the support required to pass a wire against resistance through the kinked stent. A remotely steerable "robotic" catheter provided sufficient precision and stability to cross the kink and reline it with an additional stent, restoring renal perfusion. This technology can help achieve precise and stable introducer sheath position. Further evaluation is necessary to understand the wider applications.

  4. Recent developments on superconducting magnesium diboride wires and tapes

    Directory of Open Access Journals (Sweden)

    S Soltanian

    2009-08-01

    Full Text Available  MgB2 wire and tape were prepared using the powder in tube and reaction in-situ technique. All samples were characterized using the XRD, SEM, TEM, as well as transport and magnetic measurements. High transport and magnetic critical current density values have been obtained for metal-clad wires and tapes. Different sheath materials have been examined, but Fe appears to be the best sheath for MgB2 superconductors. In addition to wires and tapes we also attempt to prepare superconducting coils. Results on transport Jc of solenoid coils up to 100 turns fabricated with Cu-sheathed MgB2 wires using a wind-reaction in-situ technique are reported. The results indicate that the MgB2 wires have potential for large scale applications.

  5. Central Venous Catheter (Central Line)

    Science.gov (United States)

    ... connect a person with kidney failure to a hemodialysis machine that clears the body of wastes and extra fluid. ■ ■ As part of the procedure of inserting a right heart catheter (also known as a pulmonary artery or Swan ...

  6. Vibrating wire alignment technique

    CERN Document Server

    Xiao-Long, Wang; lei, Wu; Chun-Hua, Li

    2013-01-01

    Vibrating wire alignment technique is a kind of method which through measuring the spatial distribution of magnetic field to do the alignment and it can achieve very high alignment accuracy. Vibrating wire alignment technique can be applied for magnet fiducialization and accelerator straight section components alignment, it is a necessary supplement for conventional alignment method. This article will systematically expound the international research achievements of vibrating wire alignment technique, including vibrating wire model analysis, system frequency calculation, wire sag calculation and the relation between wire amplitude and magnetic induction intensity. On the basis of model analysis this article will introduce the alignment method which based on magnetic field measurement and the alignment method which based on amplitude and phase measurement. Finally, some basic questions will be discussed and the solutions will be given.

  7. Hydrodynamics of catheter biofilm formation

    CERN Document Server

    Sotolongo-Costa, Oscar; Rodriguez-Perez, Daniel; Martinez-Escobar, Sergio; Fernandez-Barbero, Antonio

    2009-01-01

    A hydrodynamic model is proposed to describe one of the most critical problems in intensive medical care units: the formation of biofilms inside central venous catheters. The incorporation of approximate solutions for the flow-limited diffusion equation leads to the conclusion that biofilms grow on the internal catheter wall due to the counter-stream diffusion of blood through a very thin layer close to the wall. This biological deposition is the first necessary step for the subsequent bacteria colonization.

  8. Wire + Arc Additive Manufacturing

    OpenAIRE

    Williams, Stewart W.; Martina, Filomeno; Addison, Adrian C.; Ding, Jialuo; Pardal, Goncalo; Colegrove, Paul A.

    2016-01-01

    Depositing large components (>10 kg) in titanium, aluminium, steel and other metals is possible using Wire + Arc Additive Manufacturing. This technology adopts arc welding tools and wire as feedstock for additive manufacturing purposes. High deposition rates, low material and equipment costs, and good structural integrity make Wire+Arc Additive Manufacturing a suitable candidate for replacing the current method of manufacturing from solid billets or large forgings, especially with regards to ...

  9. Novel use of an exchange catheter to facilitate intubation with an Aintree catheter in a tall patient with a predicted difficult airway: a case report

    Directory of Open Access Journals (Sweden)

    Gruenbaum Shaun E

    2012-04-01

    Full Text Available Abstract Introduction The Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA has been shown to successfully facilitate difficult intubations when other methods have failed. The Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA has a fixed length of 56 cm, and it has been suggested in the literature that it may be too short for safe use in patients who are tall. Case presentation We present the case of a 32-year-old, 180 cm tall Caucasian woman with a predicted difficult airway who presented to our facility for an emergency cesarean section. After several failed intubation attempts via direct laryngoscopy, an airway was established with a laryngeal mask airway. After delivery of a healthy baby, our patient's condition necessitated tracheal intubation. A fiber-optic bronchoscope loaded with an Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA was passed through the laryngeal mask airway into the trachea until just above the carina, but was too short to safely allow for the passage of an endotracheal tube. Conclusions We present a novel technique in which the Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA was replaced with a longer (100 cm exchange catheter, over which an endotracheal tube was passed successfully into the trachea.

  10. Prospective study of peripheral arterial catheter infection and comparison with concurrently sited central venous catheters.

    Science.gov (United States)

    Koh, David Boon Chai; Gowardman, John R; Rickard, Claire M; Robertson, Iain K; Brown, Andrew

    2008-02-01

    Peripheral arterial catheters are perceived as having low infective potential compared with other catheters and may be overlooked as a cause of catheter-related bloodstream infection. We aimed to measure colonization and rates of catheter-related bloodstream infection in arterial catheters, to investigate risk factors for arterial catheter colonization, and to compare arterial catheter infection rates with those in concurrently sited and managed central venous catheters. Prospective 24-month cohort study. Eight-bed combined general intensive care and high-dependency unit of a 350-bed Australian teaching hospital. Three hundred twenty-one arterial catheters in 252 adult and pediatric patients were observed for 1,082 catheter days, and 618 central venous catheters in 410 patients were observed for 4,040 catheter days. All catheters were inserted in, or presented to, the intensive care unit. Both arterial catheters and central venous catheters were inserted by trained personnel under aseptic conditions, and management was standardized. None. The incidence per 1,000 (95% confidence interval) catheter days of colonization (> or = 15 colonies) and catheter-related bloodstream infection was 15.7 (9.5-25.9) and 0.92 (0.13-6.44) for arterial catheters and 16.8 (13.3-21.3) and 2.23 (1.12-4.44) for central venous catheters. Arterial catheter colonization was not significantly different than that in central venous catheters (hazard ratio, 1.17; 95% confidence interval, 0.41-3.36; p = .77). Arterial catheter colonization increased with dwell time and was similar to central venous catheters over time. Femoral arterial catheters were colonized more often than radial arterial catheters (hazard ratio, 5.08; 95% confidence interval, 0.85, 30.3; p = .075), and colonization was significantly higher when the catheter was inserted in the operating theater or emergency department (hazard ratio, 4.45; 95% confidence interval, 1.42-13.9; p = .01) compared with the intensive care unit. The

  11. Charpak hemispherical wire chamber

    CERN Multimedia

    1970-01-01

    pieces. Mesures are of the largest one. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  12. Photovoltaic Wire Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This Small Business Innovation Research Phase I project will investigate a new architecture for photovoltaic devices based on nanotechnology: photovoltaic wire. The...

  13. On-Wire Lithography

    National Research Council Canada - National Science Library

    Lidong Qin; Sungho Park; Ling Huang; Chad A. Mirkin

    2005-01-01

    .... This procedure, termed on-wire lithography, combines advances in template-directed synthesis of nanowires with electrochemical deposition and wet-chemical etching and allows routine fabrication...

  14. 1998 wire development workshop proceedings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    This report consists of vugraphs of the presentations at the conference. The conference was divided into the following sessions: (1) First Generation Wire Development: Status and Issues; (2) First Generation Wire in Pre-Commercial Prototypes; (3) Second Generation Wire Development: Private Sector Progress and Issues; (4) Second Generation Wire Development: Federal Laboratories; and (5) Fundamental Research Issues for HTS Wire Development.

  15. Intra-vesical knot of bladder catheter in an extremely low birthweight neonate: A case report

    Directory of Open Access Journals (Sweden)

    Paula M.Y. Tang

    2015-07-01

    Full Text Available Premature and extremely low birth weight (ELBW neonates are at high risk of developing multiple co-morbidities and often require urinary catheterization for various medical indications. Intra-vesical knotting of bladder catheter is a known but uncommon complication of this procedure. We report a case of an ELBW baby boy with a knotted bladder catheter requiring surgical retrieval. After an elective operation for the closure of patent ductus arteriosus, a 4 French urinary catheter was inserted into an ELBW baby boy for urine output monitoring and left in-situ. Resistance was encountered in attempt to remove the urinary catheter. Abdominal X Ray confirmed intra-vesical knotting of the tube. Knot unravelling by interventional radiology was attempted but was unsuccessful. Open extra-peritoneal bladder exploration was performed for the retrieval of the tightly knotted catheter. A 6 French transurethral Foley catheter was inserted for bladder drainage. Upon removal of the Foley's catheter on day 5 post op, the baby was able to void spontaneously. With literature review, we postulated the potential risk factors resulting in this potentially avoidable iatrogenic unusual complication. Recommendations were suggested to avoid further incidences.

  16. Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax

    Directory of Open Access Journals (Sweden)

    Mohamed Sharaf-Eldin

    2016-01-01

    Full Text Available Background and Aims. Treatment of hepatic hydrothorax is a clinical challenge. Chest tube insertion for hepatic hydrothorax is associated with high complication rates. We assessed the use of pigtail catheter as a safe and practical method for treatment of recurrent hepatic hydrothorax as it had not been assessed before in a large series of patients. Methods. This study was conducted on 60 patients admitted to Tanta University Hospital, Egypt, suffering from recurrent hepatic hydrothorax. The site of pigtail catheter insertion was determined by ultrasound guidance under complete aseptic measures and proper local anesthesia. Insertion was done by pushing the trocar and catheter until reaching the pleural cavity and then the trocar was withdrawn gradually while inserting the catheter which was then connected to a collecting bag via a triple way valve. Results. The use of pigtail catheter was successful in pleural drainage in 48 (80% patients with hepatic hydrothorax. Complications were few and included pain at the site of insertion in 12 (20% patients, blockage of the catheter in only 2 (3.3% patients, and rapid reaccumulation of fluid in 12 (20% patients. Pleurodesis was performed on 38 patients with no recurrence of fluid within three months of observation. Conclusions. Pigtail catheter insertion is a practical method for treatment of recurrent hepatic hydrothorax with a low rate of complications. This trial is registered with ClinicalTrials.gov Identifier: NCT02119169.

  17. Summary of the First Generation High Temperature Superconducting Wire:Processing, Characterization and Applications

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Silver-clad (Bi,Pb)2Sr2Ca2Cu3O10+x long wires produced by powder-in-tube techniques, which have been recognized as the first generation of the High Temperature Superconducting (HTS) wires, are expected to apply widely especially in strong current applications. In this work, the processing, characterization and application of the silver-clad (Bi,Pb)2Sr2Ca2Cu3O10+x HTS wires are summarized. The HTS wires are fabricated using the combination of powder-in-tube technique, and the resulting wires are fully characterized by the means of chemical analyses, microstructural observation, electrical and magnetic measurements. The relationship among fabrication parameters, chemical and microstructural characteristics, and electrical and magnetic properties are analyzed. Applications of the HTS wires have also been introduced according to their strong current behaviors with various prototype devices made.

  18. Catheter visualisation in MR tomography: first animal experimental experiences with field inhomogeneity catheters; Kathetervisualisierung in der MR-Tomographie: erste tierexperimentelle Erfahrungen mit Feldinhomogenitaetskathetern

    Energy Technology Data Exchange (ETDEWEB)

    Adam, G. [Technische Hochschule Aachen (Germany). Klinik fue Radiologische Diagnostik; Glowinski, A. [Technische Hochschule Aachen (Germany). Klinik fue Radiologische Diagnostik; Neuerburg, J.; Buecker, A.; Vaals, J.J. van; Hurtak, W.; Guenther, R.W.

    1997-04-01

    Purpose: To assess the feasibility of a new developed field inhomogeneity catheter for interventional MR imaging in vivo. Materials and methods: Three different prototypes of a field inhomogeneity catheter were investigated in 6 pigs. The catheters were introduced in Seldinger technique via the femoral vessels over a guide wire on an interventional MR system (Philips Gyroscan NT combined with a C-arm fluoroscopy unit [Philips BV 212]). Catheters were placed in veins and arteries. The catheter position was controlled by a fast gradient echo sequence (Turbo Field Echo [TEF]). Results: Catheters were introduced over a guide wire without complications in all cases. Using the field inhomogeneity concept, catheters were easily visualised in the inferior vena cava and the aorta by the fast gradient echo technique on MR in all cases. Although aortic branches were successfully cannulated, the catheters were not displayed by the TFE technique due to the complex and tortuous anatomy. All animals survived the experiments without complications. Conclusion: MR guided visualisation of a field inhomogeneity catheter is a simple concept which can be realised on each MR scanner and may allow intravascular MR guided interventions in future. (orig.) [Deutsch] Zielsetzung: Ziel der Untersuchungen war die Ueberpruefung der Tauglichkeit eines neu entwickelten Feldinhomogenitaetskatheters fuer die interventionelle MR-Tomographie in vivo. Material und Methoden: An 6 Schweinen wurden an einem interventionellen MR-Tomographen (Philips Gyroscan NT in Verbindung mit einer C-Bogen-Durchleuchtungseinheit [Philips BV 212]) in Seldinger-Technik ueber die Femoralgefaesse drei verschiedene Prototypen eines neu entwickelten Feldinhomogenitaetskatheters venoes und arteriell plaziert und mittels schneller Gradienten-Echo-Sequenzen (Turbo Field Echo) MR-tomographisch dargestellt. Ergebnisse: Alle Katheter konnten problemlos ueber Fuehrungsdraehte in das Gefaesssystem eingefuehrt werden. Die Darstellung

  19. Placement of an implantable port catheter in the biliary stent: an experimental study in dogs

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Gi Young; Lee, Im Sick; Choi, Won Chan [Asan Medical Center, Seoul (Korea, Republic of)

    2004-04-01

    To investigate the feasibility of port catheter placement following a biliary stent placement. We employed 14 mongrel dogs as test subject and after the puncture of their gaIl bladders using sonographic guidance, a 10-mm in diameter metallic stent was placed at the common duct. In 12 dogs, a 6.3 F port catheter was placed into the duodenum through the common duct and a port was secured at the subcutaneous space following stent placement. As a control group, an 8.5 F drain tube was placed into the gallbladder without port catheter placement in the remaining two dogs. Irrigation of the bile duct was performed every week by injection of saline into the port, and the port catheter was replaced three weeks later in two dogs. Information relating to the success of the procedure, complications and the five-week follow-up cholangiographic findings were obtained. Placement of a biliary stent and a port catheter was technically successful in 13 (93%) dogs, while stent migration (n=3), gallbladder rupture (n=1) and death (n=5) due to subcutaneous abscess and peritonitis also occurred. The follow-up was achieved in eight dogs (seven dogs with a port catheter placement and one dog with a drain tube placement). Irrigation of the bile duct and port catheter replacement were successfully achieved without any complications. Cholangiograms obtained five weeks after stent placement showed diffuse biliary dilation with granulation tissue formation. However, focal biliary stricture was seen in one dog with stent placement alone. Placement of a port catheter following biliary stent placement seems to be feasible. However, further investigation is necessary to reduce the current complications.

  20. Wire Array Photovoltaics

    Science.gov (United States)

    Turner-Evans, Dan

    Over the past five years, the cost of solar panels has dropped drastically and, in concert, the number of installed modules has risen exponentially. However, solar electricity is still more than twice as expensive as electricity from a natural gas plant. Fortunately, wire array solar cells have emerged as a promising technology for further lowering the cost of solar. Si wire array solar cells are formed with a unique, low cost growth method and use 100 times less material than conventional Si cells. The wires can be embedded in a transparent, flexible polymer to create a free-standing array that can be rolled up for easy installation in a variety of form factors. Furthermore, by incorporating multijunctions into the wire morphology, higher efficiencies can be achieved while taking advantage of the unique defect relaxation pathways afforded by the 3D wire geometry. The work in this thesis shepherded Si wires from undoped arrays to flexible, functional large area devices and laid the groundwork for multijunction wire array cells. Fabrication techniques were developed to turn intrinsic Si wires into full p-n junctions and the wires were passivated with a-Si:H and a-SiNx:H. Single wire devices yielded open circuit voltages of 600 mV and efficiencies of 9%. The arrays were then embedded in a polymer and contacted with a transparent, flexible, Ni nanoparticle and Ag nanowire top contact. The contact connected >99% of the wires in parallel and yielded flexible, substrate free solar cells featuring hundreds of thousands of wires. Building on the success of the Si wire arrays, GaP was epitaxially grown on the material to create heterostructures for photoelectrochemistry. These cells were limited by low absorption in the GaP due to its indirect bandgap, and poor current collection due to a diffusion length of only 80 nm. However, GaAsP on SiGe offers a superior combination of materials, and wire architectures based on these semiconductors were investigated for multijunction

  1. Creation of transcatheter aortopulmonary and cavopulmonary shunts using magnetic catheters: feasibility study in swine.

    Science.gov (United States)

    Levi, Daniel S; Danon, Saar; Gordon, Brent; Virdone, Nicky; Vinuela, Fernando; Shah, Sanjay; Carman, Greg; Moore, John W

    2009-05-01

    Surgical shunts are the basic form of palliation for many types of congenital heart disease. The Glenn shunt (superior cavopulmonary connection) and central shunt (aortopulmonary connection) represent surgical interventions that could potentially be accomplished by transcatheter techniques. We sought to investigate the efficacy of using neodymium iron boron (NdFeB) magnetic catheters to create transcatheter cavopulmonary and aortopulmonary shunts. NdFeB magnets were machined and integrated into catheters. "Target" catheters were placed in the pulmonary arteries (PAs), and radiofrequency "perforation" catheters were placed in either the descending aorta (DAo) for central shunts or the superior vena cava (SVC) for Glenn shunts. The magnet technique or "balloon target" method was used to pass wires from the DAo or the SVC into the PA. Aortopulmonary and cavopulmonary connections were then created using Atrium iCAST covered stents. Magnet catheters were used to perforate the left pulmonary artery from the DAo, thereby establishing a transcatheter central shunt. Given the orientation of the vasculature, magnetic catheters could not be used for SVC-to-PA connections; however, perforation from the SVC to the right pulmonary artery was accomplished with a trans-septal needle and balloon target. Transcatheter Glenn or central shunts were successfully created in four swine.

  2. CVC置管在ICU患者中的应用及护理%Application of CVC Catheter and Nursing in ICU Patients

    Institute of Scientific and Technical Information of China (English)

    马婷

    2014-01-01

    对中心静脉导管(CVC)置管在ICU患者中的应用及护理方法进行综述,积极预防置管后各种并发症,合理使用抗生素,以延长CVC置管的拔管时间,发挥置管的最大效用。%On central venous catheter (CVC) tube application and nursing methods in patients with ICU were reviewed, active prevention of complications after placing tube, the rational use of antibiotics, in order to extend the CVC catheter extubation time, maximize the ef ectiveness of catheter.

  3. Unpacking of a Crumpled Wire from Two-Dimensional Cavities.

    Directory of Open Access Journals (Sweden)

    Thiago A Sobral

    Full Text Available The physics of tightly packed structures of a wire and other threadlike materials confined in cavities has been explored in recent years in connection with crumpled systems and a number of topics ranging from applications to DNA packing in viral capsids and surgical interventions with catheter to analogies with the electron gas at finite temperature and with theories of two-dimensional quantum gravity. When a long piece of wire is injected into two-dimensional cavities, it bends and originates in the jammed limit a series of closed structures that we call loops. In this work we study the extraction of a crumpled tightly packed wire from a circular cavity aiming to remove loops individually. The size of each removed loop, the maximum value of the force needed to unpack each loop, and the total length of the extracted wire were measured and related to an exponential growth and a mean field model consistent with the literature of crumpled wires. Scaling laws for this process are reported and the relationship between the processes of packing and unpacking of wire is commented upon.

  4. Unpacking of a Crumpled Wire from Two-Dimensional Cavities.

    Science.gov (United States)

    Sobral, Thiago A; Gomes, Marcelo A F; Machado, Núbia R; Brito, Valdemiro P

    2015-01-01

    The physics of tightly packed structures of a wire and other threadlike materials confined in cavities has been explored in recent years in connection with crumpled systems and a number of topics ranging from applications to DNA packing in viral capsids and surgical interventions with catheter to analogies with the electron gas at finite temperature and with theories of two-dimensional quantum gravity. When a long piece of wire is injected into two-dimensional cavities, it bends and originates in the jammed limit a series of closed structures that we call loops. In this work we study the extraction of a crumpled tightly packed wire from a circular cavity aiming to remove loops individually. The size of each removed loop, the maximum value of the force needed to unpack each loop, and the total length of the extracted wire were measured and related to an exponential growth and a mean field model consistent with the literature of crumpled wires. Scaling laws for this process are reported and the relationship between the processes of packing and unpacking of wire is commented upon.

  5. Compensation for Unconstrained Catheter Shaft Motion in Cardiac Catheters

    Science.gov (United States)

    Degirmenci, Alperen; Loschak, Paul M.; Tschabrunn, Cory M.; Anter, Elad; Howe, Robert D.

    2016-01-01

    Cardiac catheterization with ultrasound (US) imaging catheters provides real time US imaging from within the heart, but manually navigating a four degree of freedom (DOF) imaging catheter is difficult and requires extensive training. Existing work has demonstrated robotic catheter steering in constrained bench top environments. Closed-loop control in an unconstrained setting, such as patient vasculature, remains a significant challenge due to friction, backlash, and physiological disturbances. In this paper we present a new method for closed-loop control of the catheter tip that can accurately and robustly steer 4-DOF cardiac catheters and other flexible manipulators despite these effects. The performance of the system is demonstrated in a vasculature phantom and an in vivo porcine animal model. During bench top studies the robotic system converged to the desired US imager pose with sub-millimeter and sub-degree-level accuracy. During animal trials the system achieved 2.0 mm and 0.65° accuracy. Accurate and robust robotic navigation of flexible manipulators will enable enhanced visualization and treatment during procedures. PMID:27525170

  6. PORTAL VEIN EMBOLIZATION USING AN ADAPTED HYSTEROSALPINGOGRAPHY CATHETER

    Science.gov (United States)

    STEINBRÜCK, Klaus; ALVES, Jefferson; FERNANDES, Reinaldo; ENNE, Marcelo; PACHECO-MOREIRA, Lúcio Filgueiras

    2014-01-01

    Background Portal vein embolization is an accepted procedure that provides hypertrophy of the future remnant liver in order to reduce post-hepatectomy complications. Aim To present a series submitted to portal vein embolization using an adapted hysterosalpingography catheter via transileocolic route. Methods Were performed right portal branch embolization in 19 patients using hysterosalpingography catheter. For embolizing the vessel, was used Gelfoam® powder with absolute alcohol solution. Indications for hepatectomy were colorectal liver metastases in all cases. Results An adequate growth of the future remnant liver was achieved in 15 patients (78.9%) and second time hepatectomy could be done in 14 (73.7%). In one patient (5.2%), tumor progression prevented surgery. One patient presented acute renal failure after portal embolization. Conclusions The hysterosalpingography catheter is easy to handle and can be introduced into the portal vein with a wire guide. There were no major post-embolization complication. Its use is safe, cheap and effective. PMID:25184773

  7. A technique for re-utilizing catheter insertion sites in children with difficult central venous access.

    Science.gov (United States)

    Johnson, S M; Garnett, G M; Woo, R K

    2017-01-01

    Maintenance of central venous access in patients with chronic medical conditions such as short bowel syndrome demands forethought and ingenuity. We describe an innovative technique for re-utilizing central venous access sites in patients who have chronic central venous access needs. Records of patients undergoing this technique were reviewed between August 2012 and December 2015. The technique involves "cutting-down" to the sterile fibrous tunnel that naturally forms around tunneled catheters. The fibrous sheath is then isolated and controlled much as would be done for a venous "cut-down." A separate exit site is then created for the new catheter and it is tunneled to the "cut-down" site per routine. The non-functioning catheter is then removed from the surgical field. The proximal fibrous sheath is finally cannulated either directly with the new catheter or with a wire/dilator system. This technique effectively re-uses the same venous access point while allowing for a complete change of the physical line and external site. Twenty attempts at this technique were made in twelve patients; six patients underwent the site re-utilization procedure multiple times. Re-using the fibrous tunnel to re-cycle the internal catheter site was successful in seventeen of twenty attempts. All patients had chronic conditions leading to difficult long-term central venous access [short bowel syndrome (6), hemophilia (2), cystic fibrosis (1), chronic need for central IV access (3)]. Indications for catheter replacement included catheter occlusion/mechanical failure/breakage (9), dislodgement (6), infection (1), and inadequate catheter length due to patient growth (4). Broviac/Hickman catheter sites were most commonly re-used (13; one failure); re-using a portcath site was successful in 5 of 7 attempts. There were no short term infections or mechanical complications. We describe a novel technique for salvaging tunneled central venous catheter access sites. This technique is well suited

  8. Three-Dimensional Imaging of a Central Venous Dialysis Catheter Related Infected Thrombus

    Directory of Open Access Journals (Sweden)

    Diana Yuan Yng Chiu

    2015-01-01

    Full Text Available Three-dimensional (3D echocardiography is becoming widely available and with novel applications. We report an interesting case of a 68-year-old lady with a central venous thrombosis coincident with both a dialysis catheter infection and a recent pacemaker insertion. Two-dimensional transesophageal echocardiography was unable to delineate whether the thrombosis was involved with the pacemaker wire or due to the tunneled catheter infection. The use of 3D echocardiography was able to produce distinct images aiding diagnosis. This circumvented the need for invasive investigations and inappropriate, high-risk removal of the pacing wire. This case highlights the emerging application of 3D echocardiography in routine nephrology practice.

  9. Three-Dimensional Imaging of a Central Venous Dialysis Catheter Related Infected Thrombus

    Science.gov (United States)

    Chiu, Diana Yuan Yng; Green, Darren; Kalra, Philip A.; Abidin, Nik

    2015-01-01

    Three-dimensional (3D) echocardiography is becoming widely available and with novel applications. We report an interesting case of a 68-year-old lady with a central venous thrombosis coincident with both a dialysis catheter infection and a recent pacemaker insertion. Two-dimensional transesophageal echocardiography was unable to delineate whether the thrombosis was involved with the pacemaker wire or due to the tunneled catheter infection. The use of 3D echocardiography was able to produce distinct images aiding diagnosis. This circumvented the need for invasive investigations and inappropriate, high-risk removal of the pacing wire. This case highlights the emerging application of 3D echocardiography in routine nephrology practice. PMID:26688761

  10. Tunneled central venous catheter exchange: techniques to improve prevention of air embolism.

    Science.gov (United States)

    Rossi, Umberto G; Torcia, Pierluca; Rigamonti, Paolo; Colombo, Francesca; Giordano, Antonino; Gallieni, Maurizio; Cariati, Maurizio

    2016-01-01

    Malfunctioning tunneled hemodialysis central venous catheters (CVCs), because of thrombotic or infectious complications, are frequently exchanged. During the CVC exchanging procedure, there are several possible technical complications, as in first insertion, including air embolism. Prevention remains the key to the management of air embolism. Herein, we emphasize the technical tricks capable of reducing the risk of air embolism in long-term CVC exchange. In particular, adoption of a 5 to 10 degrees Trendelenburg position, direct puncture of the previous CVC venous lumen for guide-wire insertion, as opposed to guide-wire introduction after cutting the CVC, a light manual compression of the internal jugular vein venotomy site after catheter removal. The Valsalva maneuvre in collaborating patients, valved introducers, and correction of hypovolemia are also useful precautions. Principles of air embolism diagnosis and treatment are also outlined in the article.

  11. Bacteriological Profile of Epidural Catheters

    Directory of Open Access Journals (Sweden)

    B. M. Sahay, Sanjot Dahake, D. K Mendiratta*,Vijayshree Deotale*,B. Premendran, P.S.Dhande, Pratibha Narang*

    2010-01-01

    Full Text Available The bacteriological profile of epidural catheters was studied in 88 patients. Skin swabs before catheterizationand before removal of catheter with their controls were cultured in TSB Medium. The catheter hub, theportion at the skin puncture site and at the tip were cultured in TSB Medium. The 1cm of the catheter bitjust before the tip was cultured in TGB medium for anaerobes.Both, the skin controls swabs and theanaerobic culture, were negative. From the remaining, 56 positive cultures were obtained. Staphylococcusepidermidis was the predominant organism in 52% followed by staphylococcus aureus 25%. The remaining23% was shared by Acinetobacter, Pseudomonas, Klebsiella, and E. coli. All the positive cultures fromskin prior to epidural catheterization had turned sterile by 48 hours, indicating continued bactericidal actionof the disinfectant. The likely source of positive skin cultures at 48 hours is hair follicles.The catheter tipculture was positive in 9 specimen, none of which resulted in the formation of epidural abscess. In 3 casesthe cultures of skin puncture site and the tip were identical indicating tracking-in of the organisms.

  12. Thoracic needle decompression for tension pneumothorax: clinical correlation with catheter length

    Science.gov (United States)

    Ball, Chad G.; Wyrzykowski, Amy D.; Kirkpatrick, Andrew W.; Dente, Christopher J.; Nicholas, Jeffrey M.; Salomone, Jeffrey P.; Rozycki, Grace S.; Kortbeek, John B.; Feliciano, David V.

    2010-01-01

    Background Tension pneumothorax requires emergent decompression. Unfortunately, some needle thoracostomies (NTs) are unsuccessful because of insufficient catheter length. All previous studies have used thickness of the chest wall (based on cadaver studies, ultrasonography or computed tomography [CT]) to extrapolate probable catheter effectiveness. The objective of this clinical study was to identify the frequency of NT failure with various catheter lengths. Methods We evaluated the records of all patients with severe blunt injury who had a prehospital NT before arrival at a level-1 trauma centre over a 48-month period. Patients were divided into 2 groups: helicopter (4.5-cm catheter sheath) and ground ambulance (3.2 cm) transport. Success of the NT was confirmed by the absence of a large pneumothorax on subsequent thoracic ultrasonography and CT. Results Needle thoracostomy decompression was attempted in 1.5% (142/9689) of patients. Among patients with blunt injuries, the incidence was 1.4% (101/7073). Patients transported by helicopter (74%) received a 4.5-cm sheath. The remainder (26% ground transport) received a 3.2-cm catheter. A minority in each group (helicopter 15%, ground 28%) underwent immediate chest tube insertion (before thoracic ultrasound) because of ongoing hemodynamic instability. Failure to decompress the pleural space by NT was observed via ultrasound and/or CT in 65% (17/26) of attempts with a 3.2-cm catheter, compared with only 4% (3/75) of attempts with a 4.5-cm catheter (p < 0.001). Conclusion Tension pneumothorax decompression using a 3.2-cm catheter was unsuccessful in up to 65% of cases. When a larger 4.5-cm catheter was used, fewer procedures (4%) failed. Thoracic ultrasonography can be used to confirm NT placement. PMID:20507791

  13. Confocal microlaparoscope for imaging the fallopian tube

    Science.gov (United States)

    Wu, Tzu-Yu; Schafer, Rachel; Rouse, Andrew R.; Gmitro, Arthur F.

    2012-02-01

    Recent evidence suggests that epithelial ovarian cancer may originate in the fimbriated end of the fallopian tube1. Unlike many other cancers, poor access to the ovary and fallopian tubes has limited the ability to study the progression of this deadly disease and to diagnosis it during the early stage when it is most amenable to therapy. We have previously reported on a rigid confocal microlaparoscope system that is currently undergoing a clinical trial to image the epithelial surface of the ovary2. In order to gain in vivo access to the fallopian tubes we have developed a new confocal microlaparoscope with an articulating distal tip. The new instrument builds upon the technology developed for the existing confocal microlaparoscope. It has an ergonomic handle fabricated by a rapid prototyping printer. While maintaining compatibility with a 5 mm trocar, the articulating distal tip of the instrument consists of a 2.2 mm diameter bare fiber bundle catheter with automated dye delivery for fluorescence imaging. This small and flexible catheter design should enable the confocal microlaparoscope to image early stage ovarian cancer arising inside the fallopian tube. Early ex vivo mages of human fallopian tube and in vivo imaging results from recent open surgeries using the rigid confocal microlaparoscope system are presented. Ex vivo images from animal models using the new articulating bare fiber system are also presented. These high quality images collected by the new flexible system are similar in quality to those obtained from the epithelial surface of ovaries with the rigid clinical confocal microlaparoscope.

  14. Novel Method for Exchange of Impella Circulatory Assist Catheter: The "Trojan Horse" Technique.

    Science.gov (United States)

    Phillips, Colin T; Tamez, Hector; Tu, Thomas M; Yeh, Robert W; Pinto, Duane S

    2017-07-01

    Patients with an indwelling Impella may require escalation of hemodynamic support or exchange to another circulatory assistance platform. As such, preservation of vascular access is preferable in cases where anticoagulation cannot be discontinued or to facilitate exchange to an alternative catheter or closure device. Challenges exist in avoiding bleeding and loss of wire access in these situations. We describe a single-access "Trojan Horse" technique that minimizes bleeding while maintaining arterial access for rapid exchange of this percutaneous ventricular assist device.

  15. Prevention of hemolysis in blood samples collected from intravenous catheters.

    Science.gov (United States)

    Lippi, Giuseppe; Avanzini, Paola; Cervellin, Gianfranco

    2013-05-01

    Samples drawn through intravenous catheters are frequently hemolyzed. We planned a prospective, randomized study to establish whether hemolysis in samples drawn from intravenous catheters may be reduced using S-Monovette® tubes collected by manual aspiration as compared with standard vacuum tubes. We studied 52 consecutive patients admitted to the ED. Blood was drawn through a 20-gauge intravenous catheter. A 5.0mL, Becton Dickinson Vacutainer® SST II Plus serum tube was collected and discarded. In the odd group of patients (i.e., n. 1, 3, 5, etc.), a second SST II tube was drawn with vacuum ("BD-V"), followed by a 5.5mL S-Monovette® serum tube collected with manual aspiration ("SD-A") and an identical S-Monovette collected by vacuum ("SD-V"). In the pair group of patients (i.e., n. 2, 4, 6, etc.), the sequence was modified to "SD-A", "SD-V" and "BD-V". Serum was separated and tested for lactate dehydrogenase (LDH), potassium and cell-free hemoglobin. The mean concentration of potassium (+2.7% in BD-V and +1.7% in SD-V, respectively), LDH (+15% in BD-V and +7% in SD-V, respectively) and cell-free hemoglobin was significantly increased when samples were collected with vacuum tubes as compared with manual aspiration. No significant differences were observed between SD-V and BD-V. The frequency of hemolyzed samples was higher when blood was collected with the vacuum as compared with SD-A (i.e., 2%), but did not differ between BD-V and SD-V (i.e., 29 versus 31%; p=0.70). S-Monovette can be used with vacuum or aspiration collection. This latter approach allows blood drawing with limited shear stress and less likelihood of generating spuriously hemolysis. Copyright © 2013 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  16. Catheter-based photoacoustic endoscope

    Science.gov (United States)

    Yang, Joon-Mo; Li, Chiye; Chen, Ruimin; Zhou, Qifa; Shung, K. Kirk; Wang, Lihong V.

    2014-06-01

    We report a flexible shaft-based mechanical scanning photoacoustic endoscopy (PAE) system that can be potentially used for imaging the human gastrointestinal tract via the instrument channel of a clinical video endoscope. The development of such a catheter endoscope has been an important challenge to realize the technique's benefits in clinical settings. We successfully implemented a prototype PAE system that has a 3.2-mm diameter and 2.5-m long catheter section. As the instrument's flexible shaft and scanning tip are fully encapsulated in a plastic catheter, it easily fits within the 3.7-mm diameter instrument channel of a clinical video endoscope. Here, we demonstrate the intra-instrument channel workability and in vivo animal imaging capability of the PAE system.

  17. Vertebral artery origin stenting with buddy wire technique in tortuous subclavian artery

    Energy Technology Data Exchange (ETDEWEB)

    Kizilkilic, Osman [Baskent University Department of Radiology, Adana Teaching and Medical Research Center, 01170 Yuregir-Adana (Turkey)]. E-mail: ebos90@hotmail.com

    2007-01-15

    Catheterization of vessels with severe tortuosity and atherosclerotic changes may represent a technical challenge and is associated with a higher incidence of vascular complications [Putman CM, Chaloupka JC. Use of large-caliber coronary guiding catheters for neurointerventional applications. AJNR Am J Neuroradiol 1996;17:697-704]. Placement of guiding catheter to the tortuous subclavian artery in vertebral artery origin stenting procedure is such a condition with difficulties. In the presence of severe tortuosity of aortic arch and proximal subclavian artery placement of guiding catheter may be difficult and yield poor backup support. We describe a technique that uses a buddy wire to make the guiding catheter stable in its proper position and make possible to perform stenting the vertebral artery origin stenosis.

  18. Gastrostomy Tube (G-Tube)

    Science.gov (United States)

    ... the recovery room, sometimes called the "post-op" (post-operative) room or PACU (post-anesthesia care unit), and ... site; discharge that's yellow, green, or foul-smelling; fever) excessive bleeding or drainage from the tube site ...

  19. FACTORS AND COMPLICATIONS AFFECTING CATHETER AND TECHNIQUE SURVIVAL WITH PERMANENT SINGLE-LUMEN DIALYSIS CATHETERS

    NARCIS (Netherlands)

    DEMEESTER, J; VANHOLDER, R; DEROOSE, J; RINGOIR, S

    1994-01-01

    This long-term study on the outcome of permanent silicone single-lumen dialysis catheters consisted of 43 surgically inserted catheters in 33 patients. All catheters were attached to a pressure-pressure single-cannula dialysis system. Technique and catheter survival were 80 and 59% at 1 year, and 63

  20. The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter.

    Science.gov (United States)

    Turkyilmaz, Atila; Karapolat, Sami; Kilic, Mehmet; Tekinbas, Celal

    2017-02-01

    The perforation of the superior vena cava during the placement of dialysis catheter and consequent hemothorax is a rare serious complication. Dialysis catheter was placed in the left subclavian vein in a 69-year-old male patient with chronic renal insufficiency who was hospitalized for intracerebral hematoma. During hemodialysis a day after the procedure, the patient was noted having right-sided hemothorax, causing lethargy, dyspnea, hypotension, and bradycardia. Right tube thoracostomy was performed and 1500 cc of hemorrhagic fluid was drained. Under general anesthesia, the right posterolateral thoracotomy was performed and the tip of the dialysis catheter was found in the pleural space, penetrating the anteromedial side of the superior vena cava. The perforation area was repaired by suturing with 3-0 prolene, and the dialysis catheter was removed externally. Postoperative period was uneventful, and tube thoracostomy was terminated on day 4. Establishing the diagnosis early and accurately and performing appropriate surgery would be lifesaving in superior vena cava perforation due to dialysis catheter.

  1. Application of enteral nutritional support by needle catheter jejunostomy feeding tube during postoperative adjuvant chemotherapy of staged gastric cancer%延期留置空肠造口管间断肠内营养在进展期胃癌术后辅助化疗中的应用评价

    Institute of Scientific and Technical Information of China (English)

    苏国森; 湛建伟

    2010-01-01

    Objegtive To study the feasibility and clinical effects of enteral nutrition by needle catheter jejunostomy(NCJ)tube in the postoperative adjuvant chemotherapy for patients of staged gastric cancer.Methods Eighty-two patients with staged gastric cancer underwent radical gastrectomy and going to receive chemotherapy were randomly divided into group A(41 cases)and group B(41 cases).All of the patients had been NCJ.Group A received enteral nutrition through the tube during chemotherapy,and group B had been given general diet.A series of parameters were measured post-chemotherapy.And the gastrointestinal complications were carefully observed.Results In post-chemotherapy,the level of hemoglobin,albumin,prealbumin,interleukin-2,natural killer cell activities and CD3+,CDd4+,CD4/CD8 in group A[(106.9±12.0)g/L,(26.2±1.4)g/L,(202.9±32.2)mg/L,(11.9±2.1)μg/L,(21.3±5.2)%,(62.9±3.3)%,(26.1±4.7)%,1.1±0.2]were significantly higher than those in group B(P<0.05 or<0.01).The incidences of vomiting in group A(4.9%,2/41)was significantly lower than that in group B (26.8%,11/41)(P<0.05).The average intake in group A[(1312±114)ml]was significantly more than that in group B[(76.5±186)ml](P<0.05).No severe enteral nutrition related complications occurred in group A.Conclusions It is safe and feasible to enteral nutrition supported by NCJ tube in chemotherapy for patients of staged gastric cancer.It can improve the nutrition status and immune function in the given patients.%目的 研究延期留置空肠造口管间断肠内营养在进展期胃癌术后辅助化疗中应用的可行性及疗效.方法 将进展期胃癌术后行辅助化疗的82例患者按机械抽样法随机分成A、B两组,每组各41例.均于术中放置空肠造口管,A组延期留置空肠造口管至化疗6个疗程结束,每个化疗疗程经空肠造口管给予肠内营养液;B组于化疗前拔除空肠造口管,每个化疗疗程给予普通饮食.比较化疗后两组营养及免疫指

  2. Retrograde Intubation in Temporomandibular Joint Ankylosis-A Double Guide Wire Technique

    Directory of Open Access Journals (Sweden)

    Vitha K Dhulkhed

    2008-01-01

    Full Text Available Intubating a patient with temporomandibular joint ankylosis is always a challenge particularly when fibreoptic laryngo-scope is not available. In a 20-year-old male patient we successfully carried out endotracheal intubation with 7 mm portex cuffed PVC tube with the help of two flexible J tipped guide wires. One guide wire was passed into the airway from cricothyroid puncture site and another from subcricoid site. Both were brought out through the nose. The first guide wire was used for retracting the epiglottis and the second as a guide for passing the endotracheal tube.

  3. 21 CFR 870.1280 - Steerable catheter.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Steerable catheter. 870.1280 Section 870.1280 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Diagnostic Devices § 870.1280 Steerable catheter. (a) Identification. A steerable catheter is...

  4. 21 CFR 882.4100 - Ventricular catheter.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Ventricular catheter. 882.4100 Section 882.4100...) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Surgical Devices § 882.4100 Ventricular catheter. (a) Identification. A ventricular catheter is a device used to gain access to the cavities of the brain for...

  5. Hemodialysis Tunneled Catheter-Related Infections

    Science.gov (United States)

    Miller, Lisa M.; Clark, Edward; Dipchand, Christine; Hiremath, Swapnil; Kappel, Joanne; Kiaii, Mercedeh; Lok, Charmaine; Luscombe, Rick; Moist, Louise; Oliver, Matthew; MacRae, Jennifer

    2016-01-01

    Catheter-related bloodstream infections, exit-site infections, and tunnel infections are common complications related to hemodialysis central venous catheter use. The various definitions of catheter-related infections are reviewed, and various preventive strategies are discussed. Treatment options, for both empiric and definitive infections, including antibiotic locks and systemic antibiotics, are reviewed.

  6. Development of a smart guide wire using an electrostrictive polymer: option for steerable orientation and force feedback.

    Science.gov (United States)

    Ganet, F; Le, M Q; Capsal, J F; Lermusiaux, P; Petit, L; Millon, A; Cottinet, P J

    2015-12-17

    The development of steerable guide wire or catheter designs has been strongly limited by the lack of enabling actuator technologies. This paper presents the properties of an electrostrive actuator technology for steerable actuation. By carefully tailoring material properties and the actuator design, which can be integrated in devices, this technology should realistically make it possible to obtain a steerable guide wire design with considerable latitude. Electromechanical characteristics are described, and their impact on a steerable design is discussed.

  7. Biliary peritonitis due to fistulous tract rupture following a T-tube removal.

    Science.gov (United States)

    Sakorafas, George H; Stafyla, Vania; Tsiotos, Gregory G

    2005-06-24

    We present a patient with biliary peritonitis following a T-tube removal. The patient underwent laparotomy; a rupture of the fistulous tract around the T-tube was found. A Nelaton catheter was inserted through this opening and advanced toward the biliary tree and secured in place by a suture ligature. Postoperative course was uneventful.

  8. Effectiveness of different central venous catheters for catheter-related infections: a network meta-analysis.

    Science.gov (United States)

    Wang, H; Huang, T; Jing, J; Jin, J; Wang, P; Yang, M; Cui, W; Zheng, Y; Shen, H

    2010-09-01

    We aimed to compare the effectiveness of various catheters for prevention of catheter-related infection and to evaluate whether specific catheters are superior to others for reducing catheter-related infections. We identified randomised, controlled trials that compared different types of central venous catheter (CVC), evaluating catheter-related infections in a systematic search of articles published from January 1996 to November 2009 via Medline, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials. Network meta-analysis with a mixed treatment comparison method using Bayesian Markov Chain Monte Carlo simulation was used to combine direct within-trial, between-treatment comparisons with indirect trial evidence. Forty-eight clinical trials (12 828 CVCs) investigating 10 intervention catheters contributed to the analyses. For prevention of CVC colonisation, adjusted silver iontophoretic catheters (odds ratio: 0.58; 95% confidence interval: 0.33-0.95), chlorhexidine and silver sulfadiazine catheters (0.49; 0.36-0.64), chlorhexidine and silver sulfadiazine blue plus catheters (0.37; 0.17-0.69), minocycline-rifampicin catheters (0.28; 0.17-0.43) and miconazole-rifampicin catheters (0.11; 0.02-0.33) were associated with a significantly lower rate of catheter colonisation compared with standard catheters. For prevention of CRBSI, adjusted heparin-bonded catheters (0.20; 0.06-0.44) and minocycline-rifampicin catheters (0.18; 0.08-0.34) were associated with a significantly lower rate of CRBSI with standard catheters. Rifampicin-based impregnated catheters seem to be better for prevention of catheter-related infection compared with the other catheters.

  9. A new modified technique of laparoscopic needle catheter jejunostomy: a 2-year follow-up study

    Directory of Open Access Journals (Sweden)

    Ye P

    2016-01-01

    Full Text Available Peng Ye, Liping Zeng, Fenghao Sun, Zhou An, Zhoubin Li, Jian Hu Department of Thoracic Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China Background: The aim of this study was to establish a modified technique for performing laparoscopic needle catheter jejunostomy. Methods: From May 2011 to October 2013, laparoscopic needle catheter jejunostomy was performed in 21 patients with esophageal cancer. During the procedure, jejunal inflation was performed via a percutaneous 20-gauge intravenous catheter to facilitate the subsequent puncture of the jejunal wall by the catheter needle. The success rate, procedure time, complications, and short-term outcomes were evaluated. Results: All laparoscopic needle catheter jejunostomies were technically successful, with no perioperative mortality or conversion to a laparotomy. The operation required a mean time of 51.4±14.2 (range 27–80 minutes, and operative bleeding range was 5–20 mL. There was one reoperation required for one patient on postoperative day 5, because the feeding tube was accidentally pulled out during sleep, by patient himself, and the second laparoscopic jejunostomy for this patient was performed successfully. One patient had puncture site pain and was successfully treated with oral analgesics. Other complications, such as gastrointestinal bleeding, intestinal perforation, intestinal obstruction, tube dysfunction, pericatheter leakage, and infection at the skin insertion site, were not observed. The 30-day mortality rate was 4.8% (one out of 21, which was not attributed to the procedure. Enteral nutrition was gradually administered 24–48 hours after operation. Conclusion: The novel modified technique of laparoscopic needle catheter jejunostomy is a technically feasible, with a high technical success rate and low complication rate. Its specific advantage is simplicity and safety, and this modified approach can be

  10. Modification of guide wire for 22-gauge safe guide.

    Science.gov (United States)

    Suzuki, T; Nishiyama, J; Hasegawa, J; Ito, K; Takiguchi, M; Takahashi, M; Oda, M

    2001-07-01

    Safe guide is a central venous catheterization kit that serves as both pilot needle and introducer. With a single puncture, a guide wire can be introduced by inserting it through the side port of the 22-gauge needle. The advantage is that this needle can be placed within a blood vessel using no more force than is required to insert a pilot needle. However, the 0.018-inch guide wire is vulnerable to kinks and locking. Because the tip has been shaped into a sharp J-shaped angle, it can kink at the puncture site, and locking sometimes occurs when the guide wire is passed through the side port of the needle, or when the dilator is introduced. In order to resolve these issues, we modified the device by making an experimental guide wire with a gentler angle. In addition, we fortified the body of the wire without altering its thickness. We then investigated the effectiveness of our modifications. The subjects of the study were 120 patients, who required central venous catheterization. They were divided into 2 groups. The original J-type guide wire was used in one group (Group A: n = 60) and the modified guide wire in the other group (Group B: n = 60). Catheters were introduced by right internal jugular vein puncture. We observed the following: 1) incidence of back-flow appearing at withdrawal of the needle without back-flow during advancement, 2) incidence of kinking or locking of the guide wire when it was passed through the side port, 3) incidence of kinking of the guide wire at the puncture site when introducing the dilator, and 4) complications. The results were as follows: 1) back-flow appeared upon withdrawal in 3.4% of both groups; 2) kinking and locking occurred when passing the guide wire through the side port of the Safe guide needle in 16.7% of Group A and 1.7% of Group B; 3) kinking of the guide wire occurred when introducing the dilator in 5 % of Group A in contrast to 0% in Group B; 4) the only complication caused by the passing of the guide wire was

  11. RF safety of wires in interventional MRI: using a safety index.

    Science.gov (United States)

    Yeung, Christopher J; Susil, Robert C; Atalar, Ergin

    2002-01-01

    With the rapid growth of interventional MRI, radiofrequency (RF) heating at the tips of guidewires, catheters, and other wire-shaped devices has become an important safety issue. Previous studies have identified some of the variables that affect the relative magnitude of this heating but none could predict the absolute amount of heating to formulate safety margins. This study presents the first theoretical model of wire tip heating that can accurately predict its absolute value, assuming a straight wire, a homogeneous RF coil, and a wire that does not extend out of the tissue. The local specific absorption rate (SAR) amplification from induced currents on insulated and bare wires was calculated using the method of moments. This SAR gain was combined with a semianalytic solution to the bioheat transfer equation to generate a safety index. The safety index ( degrees C/(W/kg)) is a measure of the in vivo temperature change that can occur with the wire in place, normalized to the SAR of the pulse sequence. This index can be used to set limits on the spatial peak SAR of pulse sequences that are used with the interventional wire. For the case of a straight resonant wire in a tissue with very low perfusion, only about 100 mW/kg/ degrees C spatial peak SAR may be used at 1.5 T. But for wires with an insulation thickness > or =30% of the wire radius that are placed in well-perfused tissues, normal operating conditions of 4 W/kg spatial peak SAR are possible at 1.5 T. Further model development to include the influence of inhomogeneous RF, curved wires, and wires that extend out of the sample are required to generate safety indices that are applicable to common clinical situations. We propose a simple way to ensure safety when using an interventional wire: set a limit on the SAR of allowable pulse sequences that is a factor of a safety index below the tolerable temperature increase.

  12. 26 CFR 48.4073-2 - Exemption of tires with internal wire fastening.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 16 2010-04-01 2010-04-01 true Exemption of tires with internal wire fastening... (CONTINUED) MISCELLANEOUS EXCISE TAXES MANUFACTURERS AND RETAILERS EXCISE TAXES Motor Vehicles, Tires, Tubes, Tread Rubber, and Taxable Fuel Tires, Tubes, and Tread Rubber § 48.4073-2 Exemption of tires...

  13. Cytometric Catheter for Neurosurgical Applications

    Energy Technology Data Exchange (ETDEWEB)

    Evans III, Boyd Mccutchen [ORNL; Allison, Stephen W [ORNL; Fillmore, Helen [ORNL; Broaddus, William C [ORNL; Dyer, Rachel L [ORNL; Gillies, George [ORNL

    2010-01-01

    Implantation of neural progenitor cells into the central nervous system has attracted strong interest for treatment of a variety of pathologies. For example, the replacement of dopamine-producing (DA) neural cells in the brain appears promising for the treatment of patients affected by Parkinson's disease. Previous studies of cell-replacement strategies have shown that less than 90% of implanted cells survive longer than 24 - 48 hours following the implantation procedure. However, it is unknown if these cells were viable upon delivery, or if they were affected by other factors such as brain pathology or an immune response. An instrumented cell-delivery catheter has been developed to assist in answering these questions by facilitating quantification and monitoring of the viability of the cells delivered. The catheter uses a fiber optic probe to perform flourescence-based cytometric measurments on cells exiting the port at the catheter tip. The current implementation of this design is on a 3.2 mm diameter catheter with 245 micrometer diameter optical fibers. Results of fluorescence testing data are presented and show that the device can characterize the quantity of cell densities ranging from 60,000 cells/ml to 600,000 cells/ml with a coefficient of determination of 0.93.

  14. Transhepatic venous catheters for hemodialysis

    Directory of Open Access Journals (Sweden)

    Mohamed El Gharib

    2014-06-01

    Conclusion: Based on our findings, transhepatic hemodialysis catheters have proven to achieve good long-term functionality. A high level of maintenance is required to preserve patency, although this approach provides remarkably durable access for patients who have otherwise exhausted access options.

  15. The relationship between vacuum and hemolysis during catheter blood collection: a retrospective analysis of six large cohorts.

    Science.gov (United States)

    Mrazek, Cornelia; Simundic, Ana-Maria; Wiedemann, Helmut; Krahmer, Florian; Felder, Thomas Klaus; Kipman, Ulrike; Hoppe, Uta; Haschke-Becher, Elisabeth; Cadamuro, Janne

    2017-07-26

    Blood collection through intravenous (IV) catheters is a common practice at emergency departments (EDs). This technique is associated with higher in vitro hemolysis rates and may even be amplified by the use of vacuum collection tubes. Our aim was to investigate the association of five different vacuum tubes with hemolysis rates in comparison to an aspiration system under real-life conditions and to propose an equation to estimate the amount of hemolysis, depending on the vacuum collection tube type. We retrospectively evaluated hemolysis data of plasma samples from our ED, where blood is drawn through IV catheters. Over the past 5 years, we compared 19,001 hemolysis index values amongst each other and against the respective vacuum pressure (Pv) of the collection tubes, which were used within the six observational periods. The highest hemolysis rates were associated with full-draw evacuated tubes. Significantly reduced hemolysis was observed for two kinds of partial-draw tubes. The hemolysis rate of one partial-draw blood collection tube was comparable to those of the aspiration system. Regression analysis of Pv and mean free hemoglobin (fHb) values yielded the formula fHb (g/L)=0.0082*Pv2-0.1143*Pv+ 0.5314 with an R2 of 0.99. If IV catheters are used for blood collection, hemolysis rates directly correlate with the vacuum within the tubes and can be estimated by the proposed formula. By the use of partial-draw vacuum blood collection tubes, hemolysis rates in IV catheter collections can be reduced to levels comparable with collections performed by aspiration systems.

  16. Patency and Complications of Translumbar Dialysis Catheters.

    Science.gov (United States)

    Liu, Fanna; Bennett, Stacy; Arrigain, Susana; Schold, Jesse; Heyka, Robert; McLennan, Gordon; Navaneethan, Sankar D

    2015-01-01

    Translumbar tunneled dialysis catheter (TLDC) is a temporary dialysis access for patients exhausted traditional access for dialysis. While few small studies reported successes with TLDC, additional studies are warranted to understand the short- and long-term patency and safety of TLDC. We conducted a retrospective analysis of adult patients who received TLDC for hemodialysis access from June 2006 to June 2013. Patient demographics, comorbid conditions, dialysis details, catheter insertion procedures and associated complications, catheter patency, and patient survival data were collected. Catheter patency was studied using Kaplan-Meier curve; catheter functionality was assessed with catheter intervals and catheter-related complications were used to estimate catheter safety. There were 84 TLDCs inserted in 28 patients with 28 primary insertions and 56 exchanges. All TLDC insertions were technically successful with good blood flow during dialysis (>300 ml/minute) and no immediate complications (major bleeding or clotting) were noted. The median number of days in place for initial catheter, secondary catheter, and total catheter were 65, 84, and 244 respectively. The catheter patency rate at 3, 6, and 12 months were 43%, 25%, and 7% respectively. The main complications were poor blood flow (40%) and catheter-related infection (36%), which led to 30.8% and 35.9% catheter removal, respectively. After translumbar catheter, 42.8% of the patients were successfully converted to another vascular access or peritoneal dialysis. This study data suggest that TLDC might serve as a safe, alternate access for dialysis patients in short-term who have exhausted conventional vascular access. © 2015 Wiley Periodicals, Inc.

  17. First reported case of Staphylococcus condimenti infection associated with catheter-related bacteraemia

    Directory of Open Access Journals (Sweden)

    Y. Misawa

    2015-01-01

    Full Text Available We report a case of a patient who experienced a catheter-related bloodstream infection caused by Staphylococcus condimenti, which was first isolated from soy sauce mash. This is the first reported case of human infection. Although blood culture isolates and the catheter tip tube did not reveal coagulase or clumping factor, false-positive results were obtained from latex agglutination tests for clumping factor and protein A due to self-agglutination. Care is needed when performing only latex agglutination test without a coagulase test. Further studies are needed to determine the pathogenic potential of S. condimenti based on appropriate identification.

  18. Cavitation during wire brushing

    Science.gov (United States)

    Li, Bo; Zou, Jun; Ji, Chen

    2016-11-01

    In our daily life, brush is often used to scrub the surface of objects, for example, teeth, pots, shoes, pool, etc. And cleaning rust and stripping paint are accomplished using wire brush. Wire brushes also can be used to clean the teeth for large animals, such as horses, crocodiles. By observing brushing process in water, we capture the cavitation phenomenon on the track of moving brush wire. It shows that the cavitation also can affect the surface. In order to take clear and entire pictures of cavity, a simplified model of one stainless steel wire brushing a boss is adopted in our experiment. A transparent organic tank filled with deionized water is used as a view box. And a high speed video camera is used to record the sequences. In experiment, ambient pressure is atmospheric pressure and deionized water temperature is kept at home temperature. An obvious beautiful flabellate cavity zone appears behind the moving steel wire. The fluctuation of pressure near cavity is recorded by a hydrophone. More movies and pictures are used to show the behaviors of cavitation bubble following a restoring wire. Beautiful tracking cavitation bubble cluster is captured and recorded to show.

  19. Copper wire bonding

    CERN Document Server

    Chauhan, Preeti S; Zhong, ZhaoWei; Pecht, Michael G

    2014-01-01

    This critical volume provides an in-depth presentation of copper wire bonding technologies, processes and equipment, along with the economic benefits and risks.  Due to the increasing cost of materials used to make electronic components, the electronics industry has been rapidly moving from high cost gold to significantly lower cost copper as a wire bonding material.  However, copper wire bonding has several process and reliability concerns due to its material properties.  Copper Wire Bonding book lays out the challenges involved in replacing gold with copper as a wire bond material, and includes the bonding process changes—bond force, electric flame off, current and ultrasonic energy optimization, and bonding tools and equipment changes for first and second bond formation.  In addition, the bond–pad metallurgies and the use of bare and palladium-coated copper wires on aluminum are presented, and gold, nickel and palladium surface finishes are discussed.  The book also discusses best practices and re...

  20. Entrapment of J-tip guidewires by Venatech and stainless-steel Greenfield vena cava filters during central venous catheter placement: percutaneous management in four patients.

    Science.gov (United States)

    Andrews, R T; Geschwind, J F; Savader, S J; Venbrux, A C

    1998-01-01

    We present four patients in whom bedside placement of a central venous catheter was complicated by entrapment of a J-tip guidewire by a previously placed vena cava (VC) filter. Two Venatech filters were fragmented and displaced into the superior VC or brachiocephalic vein during attempted withdrawal of the entrapped wire. Two stainless-steel Greenfield filters remained in place and intact. Fluoroscopically guided extraction of both wires entrapped by Greenfield filters was successfully performed in the angiography suite.

  1. Effects of reprocessing on chemical and morphological properties of guide wires used in angioplasty

    Directory of Open Access Journals (Sweden)

    Rogério Valentim Gelamo

    2013-09-01

    Full Text Available OBJECTIVE: To investigate the influence of the reprocessing technique of enzymatic bath with ultrasonic cleaning and ethylene oxide sterilization on the chemical properties and morphological structure of polymeric coatings of guide wire for regular guiding catheter. METHODS: These techniques simulated the routine of guide wire reprocessing in many hemodynamic services in Brazil and other countries. Samples from three different manufacturers were verified by scanning electron microscopy and X-ray photoelectron spectroscopy. RESULTS: A single or double sterilization of the catheters with ethylene oxide was not associated with morphological or chemical changes. However, scanning electron microscopy images showed that the washing method was associated with rough morphological changes, including superficial holes and bubbles, in addition to chemical changes of external atomic layers of polymeric coating surfaces, as detected by the X-ray photoelectron spectroscopy method, which is compatible with extended chemical changes on catheter surfaces. CONCLUSION: The reprocessing of the catheters with ethylene oxide was not associated with morphological or chemical changes, and it seemed appropriate to maintain guide wire coating integrity. However, the method combining chemical cleaning with mechanical vibration resulted in rough anatomical and chemical surface deterioration, suggesting that this reprocessing method should be discouraged.

  2. Umbilical venous catheter malposition and errors in interpretation in newborns with Bochdalek hernia

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Patricia T.; Taylor, George A. [Boston Children' s Hospital and Harvard Medical School, Department of Radiology, Boston, MA (United States)

    2015-07-15

    Neonates with congenital diaphragmatic hernia (CDH) often require placement of lines and tubes for supportive therapy. The resulting altered anatomy can result in diagnostic errors when interpreting the location of support lines and tubes such as UVCs (umbilical venous catheters). The purpose of this study was to evaluate the effect of CDH on UVC position and to evaluate the accuracy at which radiologists describe the position on chest radiographs. During a 5-year period, 406 chest radiographs performed within 7 days of birth in infants with congenital diaphragmatic hernia were identified and reviewed for the following data: presence of UVC, location of catheter tip (cavoatrial junction, intracardiac, intrahepatic or umbilical vein), and location of CDH (right or left). The radiologic report of the UVC tip location for each case was then reviewed individually to determine the adequacy of interpretation. Inadequate reports were classified as incorrect (the wrong location of the catheter tip was reported), no mention (the location of the catheter tip was in a suboptimal location but not mentioned), and not specified (the precise location of the catheter tip was not clearly stated in the report when the tip was in a suboptimal location). A total of 60 infants were identified as having CDH (56 on the left, 4 on the right). The most common location for an incorrectly placed UVC was the contralateral chest, accounting for 26.7% (16/60) of the infants, followed by an abdominal intrahepatic location (16.7%) and the umbilical vein (8.3%). Thirty percent (120/406) of the chest radiograph reports were found to be inadequate regarding the interpretation of the location of the catheter tip. The majority of the inadequate reports (48/406, 11.8%) did not specify when the catheter tip was in a suboptimal location. In 37 reports (9.1%), the location of the catheter tip was reported incorrectly, and no mention of the catheter location was made in 35 reports (8.6%). The location of

  3. Totally implantable catheter embolism: two related cases

    Directory of Open Access Journals (Sweden)

    Rodrigo Chaves Ribeiro

    Full Text Available CONTEXT AND OBJECTIVE: Long-term totally implantable catheters (e.g. Port-a-Cath® are frequently used for long-term venous access in children with cancer. The use of this type of catheter is associated with complications such as infection, extrusion, extravasation and thrombosis. Embolism of catheter fragments is a rare complication, but has potential for morbidity. The aim here was to report on two cases in which embolism of fragments of a long-term totally implantable catheter occurred. DESIGN AND SETTING: Case series study at Hospital do Servidor Público Estadual, São Paulo. METHODS: Retrospective review of catheter embolism in oncological pediatric patients with long-term totally implantable catheters. RESULTS: The first patient was a 3-year-old girl diagnosed with stage IV Wilms' tumor. Treatment was started with the introduction of a totally implantable catheter through the subclavian vein. At the time of removal, it was realized that the catheter had fractured inside the heart. An endovascular procedure was necessary to remove the fragment. The second case was a boy diagnosed with stage II Wilms' tumor at the age of two years. At the time of removal, it was noticed that the catheter had disconnected from the reservoir and an endovascular procedure was also necessary to remove the embolized catheter. CONCLUSION: Embolism of fragments of totally implantable catheters is a rare complication that needs to be recognized even in asymptomatic patients.

  4. A compact multi-wire-layered secondary winding for Tesla transformer

    Science.gov (United States)

    Zhao, Liang; Su, Jian-cang; Li, Rui; Wu, Xiao-long; Xu, Xiu-dong; Qiu, Xu-dong; Zeng, Bo; Cheng, Jie; Zhang, Yu; Gao, Peng-cheng

    2017-05-01

    A compact multi-wire-layered (MWL) secondary winding for a Tesla transformer is put forward. The basic principle of this winding is to wind the metal wire on a polymeric base tube in a multi-layer manner. The tube is tapered and has high electrical strength and high mechanical strength. Concentric-circle grooves perpendicular to the axis of the tube are carved on the surface of the tube to wind the wire. The width of the groove is basically equal to the diameter of the wire so that the metal wire can be fixed in the groove without glue. The depth of the groove is n times of the diameter of the wire to realize the n-layer winding manner. All the concentric-circle grooves are connected via a spiral groove on the surface of the tube to let the wire go through. Compared with the traditional one-wire-layered (OWL) secondary winding for the Tesla transformer, the most conspicuous advantage of the MWL secondary winding is that the latter is compact with only a length of 2/n of the OWL. In addition, the MWL winding has the following advantages: high electrical strength since voids are precluded from the surface of the winding, high mechanical strength because polymer is used as the material of the base tube, and reliable fixation in the Tesla transformer as special mechanical connections are designed. A 2000-turn MWL secondary winding is fabricated with a winding layer of 3 and a total length of 1.0 m. Experiments to test the performance of this winding on a Tesla-type pulse generator are conducted. The results show that this winding can boost the voltage to 1 MV at a repetition rate of 50 Hz reliably for a lifetime longer than 104 pulses, which proves the feasibility of the MWL secondary winding.

  5. A compact multi-wire-layered secondary winding for Tesla transformer.

    Science.gov (United States)

    Zhao, Liang; Su, Jian-Cang; Li, Rui; Wu, Xiao-Long; Xu, Xiu-Dong; Qiu, Xu-Dong; Zeng, Bo; Cheng, Jie; Zhang, Yu; Gao, Peng-Cheng

    2017-05-01

    A compact multi-wire-layered (MWL) secondary winding for a Tesla transformer is put forward. The basic principle of this winding is to wind the metal wire on a polymeric base tube in a multi-layer manner. The tube is tapered and has high electrical strength and high mechanical strength. Concentric-circle grooves perpendicular to the axis of the tube are carved on the surface of the tube to wind the wire. The width of the groove is basically equal to the diameter of the wire so that the metal wire can be fixed in the groove without glue. The depth of the groove is n times of the diameter of the wire to realize the n-layer winding manner. All the concentric-circle grooves are connected via a spiral groove on the surface of the tube to let the wire go through. Compared with the traditional one-wire-layered (OWL) secondary winding for the Tesla transformer, the most conspicuous advantage of the MWL secondary winding is that the latter is compact with only a length of 2/n of the OWL. In addition, the MWL winding has the following advantages: high electrical strength since voids are precluded from the surface of the winding, high mechanical strength because polymer is used as the material of the base tube, and reliable fixation in the Tesla transformer as special mechanical connections are designed. A 2000-turn MWL secondary winding is fabricated with a winding layer of 3 and a total length of 1.0 m. Experiments to test the performance of this winding on a Tesla-type pulse generator are conducted. The results show that this winding can boost the voltage to 1 MV at a repetition rate of 50 Hz reliably for a lifetime longer than 10(4) pulses, which proves the feasibility of the MWL secondary winding.

  6. Fibrin sheath angioplasty: a technique to prevent superior vena cava stenosis secondary to dialysis catheters.

    Science.gov (United States)

    Hacker, Robert I; Garcia, Lorena De Marco; Chawla, Ankur; Panetta, Thomas F

    2012-09-01

    Fibrin sheaths are a heterogeneous matrix of cells and debris that form around catheters and are a known cause of central venous stenosis and catheter failure. A total of 50 cases of central venous catheter fibrin sheath angioplasty (FSA) after catheter removal or exchange are presented. A retrospective review of an outpatient office database identified 70 eligible patients over a 19-month period. After informed consent was obtained, the dialysis catheter exiting the skin was clamped, amputated, and a wire was inserted. The catheter was then removed and a 9-French sheath was inserted into the superior vena cava, a venogram was performed. If a fibrin sheath was present, angioplasty was performed using an 8 × 4 or 10 × 4 balloon along the entire length of the fibrin sheath. A completion venogram was performed to document obliteration of the sheath. During the study, 50 patients were diagnosed with a fibrin sheath, and 43 had no pre-existing central venous stenosis. After FSA, 39 of the 43 patient's (91%) central systems remained patent without the need for subsequent interventions; 3 patients (7%) developed subclavian stenoses requiring repeat angioplasty and stenting; 1 patent (2.3%) developed an occlusion requiring a reintervention. Seven patients with prior central stenosis required multiple angioplasties; five required stenting of their central lesions. Every patient had follow-up fistulograms to document long-term patency. We propose that FSA is a prudent and safe procedure that may help reduce the risk of central venous stenosis from fibrin sheaths due to central venous catheters.

  7. Recanalization of an accidentally crushed coronary stent by intravascular ultrasonography catheter entrapment.

    Science.gov (United States)

    Kim, Jae Yun; Lee, Nae-Hee; Cho, Yoon Haeng; Suh, Jon; Seo, Hye-Sun; Kim, Do Hoi; Jeon, Young Woo

    2011-06-01

    Intravascular ultrasonography (IVUS) imaging is a user-friendly technique widely used during coronary interventions. An 80-year-old man was admitted with chest pain, and successful percutaneous coronary intervention was performed with stent implantation. One week later, the patient complained of further chest pain. Urgent coronary angiography showed total occlusion of the middle left anterior descending artery and the aspiration of thrombi was high. IVUS imaging showed inadequate stent strut apposition and distal dissection. We attempted another stent implantation but the IVUS catheter was stuck on the 0.014 inch wire. Therefore, we tried to pass the wire across the lateral side. After the wire was successfully passaged, the sprinter balloon was passed through the crushed stent to expand it. After 4 days later, the patient was discharged with no symptoms or electrocardiographic change.

  8. [Jejunostomy catheter feeding during postoperative chemotherapy for Stage IV gastric cancer].

    Science.gov (United States)

    Matsuyama, Jin; Fukushima, Yukio; Toshiyama, Reishi; Takeda, Mitsunobu; Tokuoka, Masayoshi; Ide, Yoshihito; Hashimoto, Kazuhiko; Yokoyama, Shigekazu; Morimoto, Takashi; Nomura, Takashi; Kodama, Ken; Sasaki, Yo

    2013-11-01

    Chemotherapy followed by surgery for Stage IV gastric cancer with passage obstruction poses a problem in terms of poor postoperative nutritional status. By maintaining an adequate postoperative nutrition status with jejunostomy catheter feeding, chemotherapy may possibly be continued. We treated 40 cases of Stage IV gastric cancer with passage obstruction from January 2008 to December 2011. In every case, jejunostomy catheter feeding tubes were placed during gastric cancer surgery. We performed 13 total gastrectomies, 20 distal gastrectomies, and 7 gastrojejunal bypass surgeries. Tube obstruction in 4 cases( 10%) and tube deviation in 1 case( 2.5%) occurred during the tube feeding period. Chemotherapy could be resumed in 37 cases( 92.5%), and the duration of chemotherapy was 330 days( range, 41-721). In cases of Stage IV gastric cancer, patients are obliged to start postoperative chemotherapy at an unstable period. By starting jejunal catheter feeding at an early stage after surgery, improved results could be expected in terms of shortening of the hospital stay or continuation of chemotherapy.

  9. Reduction of Urinary Tract Infections Caused By Urethral Catheter through the Implementation of Hydrophobic Coating and Geometrical Modifications

    Science.gov (United States)

    Gare, Aya

    2013-11-01

    Catheter-Associated Urinary Tract Infection (CAUTI) is the most common nosocomial infection in the U.S. healthcare system. The obstruction of urine caused by confined air bubbles result in the development of urinary back-flow and stagnation, wherein microbial pathogens could multiply rapidly and colonization within catheters become commonplace. Infections can be prevented by aseptic insertion and the maintenance of a closed drainage system, keeping high infection control standards, and preventing back-flow from the catheter bag. The goal of this study is to assess the effectiveness of a simple, low cost, modification that may be implemented into current catheter designs to reduce the incidence of CAUTI. Using the principle of transmission of fluid-pressure and the Young-Laplace equation for capillary pressure difference, this research focuses on improving the liquid flow in the presence of confined bubbles to prevent stagnation and reflux of bacteria-ridden urine into the body. Preliminary experiments are performed on a variety of tubes with hydrophobic-coating the interior, as well as geometrically modifying the tubes. Proof-of-Concept Prototype tubes are used to represent the drainage system of the catheter structure.

  10. Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

    Directory of Open Access Journals (Sweden)

    Sankalp Dwivedi

    2016-01-01

    Full Text Available Central venous catheter (CVC insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ central venous catheter (CVC insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE revealed a pericardial effusion with tamponade. An emergent bedside pericardiocentesis was done revealing bloody fluid and resulted in clinical stabilization.

  11. Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign.

    Science.gov (United States)

    Dwivedi, Sankalp; Siddiqui, Fayez; Patel, Milan; Cardozo, Shaun

    2016-01-01

    Central venous catheter (CVC) insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ) central venous catheter (CVC) insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE) revealed a pericardial effusion with tamponade. An emergent bedside pericardiocentesis was done revealing bloody fluid and resulted in clinical stabilization.

  12. Cold drawing of 316L stainless steel thin-walled tubes: experiments and finite element analysis

    OpenAIRE

    Palengat, Muriel; Chagnon, Grégory; Favier, Denis; Louche, Hervé; Linardon, Camille; Plaideau, Christel

    2013-01-01

    International audience; Drawing process of thin walled tubes used to fabricate catheters and stents for medical applications was studied. Medical use needs accurate dimensions and a smooth finish of the inner and outer surfaces. This paper deals with 316L stainless steel tubes which are manufactured by means of cold drawing with or without inner plug (mandrel drawing and hollow sinking, respectively). To improve the quality of the finish of the tubes, numerical modelling can be used. In this ...

  13. Catheter detection and classification on chest radiographs: an automated prototype computer-aided detection (CAD) system for radiologists

    Science.gov (United States)

    Ramakrishna, Bharath; Brown, Matthew; Goldin, Jonathan; Cagnon, Chris; Enzmann, Dieter

    2011-03-01

    Chest radiographs are the quickest and safest method to check placement of man-made medical devices placed in the body like catheters, stents and pacemakers etc out of which catheters are the most commonly used devices. The two most often used catheters especially in the ICU are the Endotracheal (ET) tube used to maintain patient's airway and the Nasogastric (NG) tube used to feed and administer drugs. Tertiary ICU's typically generate over 250 chest radiographs per day to confirm tube placement. Incorrect tube placements can cause serious complications and can even be fatal. The task of identifying these tubes on chest radiographs is difficult for radiologists and ICU personnel given the high volume of cases. This motivates the need for an automatic detection system to aid radiologists in processing these critical cases in a timely fashion while maintaining patient safety. To-date there has been very little research in this area. This paper develops a new fully automatic prototype computer-aided detection (CAD) system for detection and classification of catheters on chest radiographs using a combination of template matching, morphological processing and region growing. The preliminary evaluation was carried out on 25 cases. The prototype CAD system was able to detect ET and NG tubes with sensitivities of 73.7% and 76.5% respectively and with specificities of 91.3% and 84.0% respectively. The results from the prototype system show that it is feasible to automatically detect both catheters on chest radiographs, with the potential to significantly speed the delivery of imaging services while maintaining high accuracy.

  14. Chest tube insertion

    Science.gov (United States)

    ... tube insertion; Insertion of tube into chest; Tube thoracostomy; Pericardial drain ... Kirsch TD, Sax J. Tube thoracostomy. In: Roberts JR, ed. Roberts and ... . 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 10.

  15. Jejunostomy feeding tube

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000181.htm Jejunostomy feeding tube To use the sharing features on this ... vomiting Your child's stomach is bloated Alternate Names Feeding - jejunostomy tube; G-J tube; J-tube; Jejunum ...

  16. Outcome of radiologically placed tunneled haemodialysis catheters.

    Science.gov (United States)

    Sayani, Raza; Anwar, Muhammad; Tanveer-ul-Haq; Al-Qamari, Nauman; Bilal, Muhammad Asif

    2013-12-01

    To study the outcome of radiologically placed double lumen tunneled haemodialysis catheters for the management of renal failure. Case series. Interventional Suite of Radiology Department at the Aga Khan University Hospital, Karachi, from April 2010 to June 2011. All consecutive patients who were referred to the department of radiology by the nephrologists for double lumen tunneled haemodialysis catheter (Permacath) placement during the study period were included. Patients with septicemia, those for whom follow-up was not available, those coming for catheter exchange or who died due to a noncatheter related condition were excluded. A radio-opaque, soft silicone double lumen catheter was inserted through a subcutaneous tunnel created over the anterior chest wall. The catheter tip was placed in the right atrium via the internal jugular vein. Ultrasound guidance was used for initial venous puncture. The rest of the procedure was carried out under fluoroscopic guidance. Technical success, catheter related bacteremia rates, adequacy of dialysis, patency, and adverse events were analyzed. Overall 88 tunneled haemodialysis catheters were placed in 87 patients. Patients were followed-up for duration of 1 - 307 days with mean follow-up period of 4 months. Immediate technical success was 100%. The procedural complication rate was 5.6% (5 catheters). Eight patients died during the study period, seven from causes unrelated to the procedure. One patient died due to septicemia secondary to catheter related infection. Of the remaining 69 patients, 50 (72.4%) predominantly had uneventful course during the study period. Twelve patients developed infection (17.3%); two were successfully treated conservatively while in 10 patients catheter had to be removed. Seven catheters (10.1%) failed due to mechanical problems. In 3 patients the internal jugular veins got partially thrombosed. One catheter was accidentally damaged in the ward and had to be removed. Radiological guided tunneled

  17. Application of finite element analysis for assessing biocompatibility of intra-arterial catheters and probes.

    Science.gov (United States)

    Bedingham, W; Neavin, T D

    1991-01-01

    A commercial finite element modeling program (FIDAP) was adapted to compute the fluid dynamics of laminar blood flow around an intra-arterial catheter and/or sensor probe. The model provided an accurate transient solution to the Navier-Stokes equations under pulsatile blood flow conditions. To simulate the compliance in the catheter tubing set, a second order convolution integral was incorporated into the boundary conditions. The saline drip rate and catheter compliance could be specified, and the bulk blood flow, blood pressure, and heart rate were varied to simulate specific patient conditions. Analysis of the transient solution was used to assess probable sites for thrombus activation and deposition. The transient velocity and pressure fields identified regions of separated flow and recirculation. The computed shear rates and stresses were used to predict hemolysis, platelet activation, and thrombus formation. Analysis of particle paths provided an estimate of residence times and thrombus deposition sites.

  18. Untangling of knotted urethral catheters

    Energy Technology Data Exchange (ETDEWEB)

    Sambrook, Andrew J. [Aberdeen Royal Infirmary, Department of Radiology, Aberdeen (United Kingdom); Todd, Alistair [Raigmore Hospital, Inverness (United Kingdom)

    2007-04-15

    Intravesical catheter knotting during micturating cystourethrography is a rare but recognized complication of the procedure. We were able to untangle a knot utilizing a fluoroscopically guided vascular guidewire. Following this success, a small study was performed using a model. Various types of guidewires and techniques were tested for different diameters of knots in order to predict the likelihood of success in this type of situation. (orig.)

  19. Untangling of knotted urethral catheters.

    Science.gov (United States)

    Sambrook, Andrew J; Todd, Alistair

    2007-04-01

    Intravesical catheter knotting during micturating cystourethrography is a rare but recognized complication of the procedure. We were able to untangle a knot utilizing a fluoroscopically guided vascular guidewire. Following this success, a small study was performed using a model. Various types of guidewires and techniques were tested for different diameters of knots in order to predict the likelihood of success in this type of situation.

  20. Distribution of wire deformation within strands of wire ropes

    Institute of Scientific and Technical Information of China (English)

    MA Jun; GE Shi-rong; ZHANG De-kun

    2008-01-01

    Using ANSYS software, we developed a modeling program for several kinds of wire ropes with metal cores and built a geometric model for the 6x19 IWS wire rope. Through proper grid partitioning, a finite element model for calculating the deformation of wire rope was obtained. Completely constraining one end of the wire rope and applying an axial force to the other end, we established the boundary conditions for solving the model. In addition, we numerically simulated the stress and deformation of the wire, obtaining the deformation distribution of each wire within the wire rope under different laying directions.At the end, a tensile test of the 6x19 IWS wire rope was carried out and the results of simulation and experiment compared.

  1. The stuck catheter: a hazardous twist to the meaning of permanent catheters.

    Science.gov (United States)

    Vellanki, Venkat Sainaresh; Watson, Diane; Rajan, Dheeraj K; Bhola, Cynthia B; Lok, Charmaine E

    2015-01-01

    Permanent central venous catheter use is associated with significant complications that often require their timely removal. An uncommon complication is resistant removal of the catheter due to adherence of the catheter to the vessel wall. This occasionally mandates invasive interventions for removal. The aim of this study is to describe the occurrence of this "stuck catheter" phenomenon and its consequences. A retrospective review of all the removed tunneled hemodialysis catheters from July 2005 to December 2014 at a single academic-based hemodialysis center to determine the incidence of stuck catheters. Data were retrieved from a prospectively maintained computerized vascular access database and verified manually against patient charts. In our retrospective review of tunneled hemodialysis catheters spanning close to a decade, we found that 19 (0.92%) of catheters were retained, requiring endovascular intervention or open sternotomy. Of these, three could not be removed, with one patient succumbing to catheter-related infection. Longer catheter vintage appeared to be associated with 'stuck catheter'. Retention of tunneled central venous catheters is a rare but important complication of prolonged tunneled catheter use that nephrologists should be aware of. Endoluminal balloon dilatation procedures are the initial approach, but surgical intervention may be necessary.

  2. Optimization of dialysis catheter function.

    Science.gov (United States)

    Gallieni, Maurizio; Giordano, Antonino; Rossi, Umberto; Cariati, Maurizio

    2016-03-01

    Central venous catheters (CVCs) are essential in the management of hemodialysis patients, but they also carry unintended negative consequences and in particular thrombosis and infection, adversely affecting patient morbidity and mortality. This review will focus on the etiology, prevention, and management of CVC-related dysfunction, which is mainly associated with inadequate blood flow. CVC dysfunction is a major cause of inadequate depuration. Thrombus, intraluminal and extrinsic, as well as fibrous connective tissue sheath (traditionally indicated as fibrin sheath) formation play a central role in establishing CVC dysfunction. Thrombolysis with urokinase or recombinant tissue plasminogen activator (rTPA) can be undertaken in the dialysis unit, restoring adequate blood flow in most patients, preserving the existing catheter, and avoiding an interventional procedure. If thrombolytics fail, mainly because of the presence of fibrous connective tissue sheath, catheter exchange with fibrin sheath disruption may be successful and preserve the venous access site. Prevention of CVC dysfunction is important for containing costly pharmacologic and interventional treatments, which also affect patients' quality of life. Prevention is based on the use of anticoagulant and/or thrombolytic CVC locks, which are only partially effective. Chronic oral anticoagulation with warfarin has also been proposed, but its use for this indication is controversial and its overall risk-benefit profile has not been clearly established.

  3. Reduction of image artifacts in mice by bladder flushing with a novel double-lumen urethral catheter.

    Science.gov (United States)

    Haney, Chad R; Parasca, Adrian D; Ichikawa, Kazuhiro; Williams, Benjamin B; Elas, Martyna; Pelizzari, Charles A; Halpern, Howard J

    2006-07-01

    In electron paramagnetic resonance imaging (EPRI), the accumulation of contrast agent in the bladder can create a very large source of signal, often far greater than that of the organ of interest. Mouse model images have become increasingly important in preclinical testing. To minimize bladder accumulation on mouse images, we developed a novel, minimally invasive, MRI/EPRI-friendly procedure for flushing a female mouse bladder. It is also applicable to other imaging techniques, for example, PET, SPECT, etc., where contrast agent accumulation in the bladder is also undesirable. A double-lumen urethral catheter was developed, using a standard IV catheter with a silicone tube extension, having a polyethylene tube threaded into the IV catheter. Flushing of the bladder provides a substantial reduction in artifacts, as shown in images of tumors in mice.

  4. Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Percutaneous endoscopic gastrostomy (PEG) tube complications can be serious or life threatening.Retrograde intussusception is a very rare complication of PEG tubes with only 9 cases reported in the literature.We describe a case of retrograde intussusception,associated with the use of a Foley catheter as a replacement gastrostomy tube, presenting with upper gastrointestinal bleeding. To our knowledge, this is the first reported case of PEG-related retrograde intussusception successfully managed in a non-surgical manner. Retrograde intussusception likely occurred due to migration of the replacement tube with resultant securing and invagination of the proximal jejunum when the gastrostomy tube was anchored to the abdominal wall.

  5. Electric wiring domestic

    CERN Document Server

    Coker, A J

    1992-01-01

    Electric Wiring: Domestic, Tenth Edition, is a clear and reliable guide to the practical aspects of domestic electric wiring. Intended for electrical contractors, installation engineers, wiremen and students, its aim is to provide essential up to date information on modern methods and materials in a simple, clear, and concise manner. The main changes in this edition are those necessary to bring the work into line with the 16th Edition of the Regulations for Electrical Installations issued by the Institution of Electrical Engineers. The book begins by introducing the basic features of domestic

  6. Wiring and lighting

    CERN Document Server

    Kitcher, Chris

    2013-01-01

    Wiring and Lighting provides a comprehensive guide to DIY wiring around the home. It sets out the regulations and legal requirements surrounding electrical installation work, giving clear guidelines that will enable the reader to understand what electrical work they are able to carry out, and what the testing and certification requirements are once the work is completed. Topics covered include: Different types of circuits; Types of cables and cable installation under floors and through joists; Isolating, earthing and bonding; Accessory boxes and fixings; Voltage bands; Detailed advice on safe

  7. Modern wiring practice

    CERN Document Server

    Steward, W E

    2012-01-01

    Continuously in print since 1952, Modern Wiring Practice has now been fully revised to provide an up-to-date source of reference to building services design and installation in the 21st century. This compact and practical guide addresses wiring systems design and electrical installation together in one volume, creating a comprehensive overview of the whole process for contractors and architects, as well as electricians and other installation engineers. Best practice is incorporated throughout, combining theory and practice with clear and accessible explanation, all

  8. Localization of a colovesical fistula using a retrograde guide-wire: report of a case.

    Science.gov (United States)

    Aurello, Paolo; Cicchini, Claudia; D'Angelo, Francesco; Ramacciato, Giovanni; Giuliani, Andrea

    2004-01-01

    We describe an unconventional method of localizing a colovesical fistula by using a guide-wire, successfully carried out in a 45-year-old man with recurrent dysuria, pneumaturia, and suprapubic tenderness. First, we performed a cystoscopy to establish the fistulous tract in the bladder and passed the guide-wire through it. Next, we performed a colonoscopy, and the guide-wire was identified and brought out through the anus. This created a wire loop through the fistula. The transparietal catheter enabled us to detect the exact fistulous tract at laparotomy, making it possible to resect the inflamed colon and identify and resect the fistulous opening on the vesical wall. This technique allowed for a safer resection and a shorter operation time.

  9. Entrapment of Guide Wire in an Inferior Vena Cava Filter: A Technique for Removal

    Energy Technology Data Exchange (ETDEWEB)

    Abdel-Aal, Ahmed Kamel, E-mail: akamel@uabmc.edu; Saddekni, Souheil [University of Alabama at Birmingham, Department of Radiology (United States); Hamed, Maysoon Farouk [University of Alabama at Birmingham, Department of Anesthesia (United States); Fitzpatrick, Farley [Radiology Specialists of Louisville (United States)

    2013-04-15

    Entrapment of a central venous catheter (CVC) guide wire in an inferior vena cava (IVC) filter is a rare, but reported complication during CVC placement. With the increasing use of vena cava filters (VCFs), this number will most likely continue to grow. The consequences of this complication can be serious, as continued traction upon the guide wire may result in filter dislodgement and migration, filter fracture, or injury to the IVC. We describe a case in which a J-tipped guide wire introduced through a left subclavian access without fluoroscopic guidance during CVC placement was entrapped at the apex of an IVC filter. We describe a technique that we used successfully in removing the entrapped wire through the left subclavian access site. We also present simple useful recommendations to prevent this complication.

  10. Infections associated with the central venous catheters.

    Science.gov (United States)

    Drasković, Biljana; Fabri, Izabella; Benka, Anna Uram; Rakić, Goran

    2014-01-01

    Central venous catheters are of an essential importance to critically ill patients who require long-term venous access for various purposes. Their use made the treatment much easier, but still they are not harmless and are prone to numerous complications. Catheter infections represent the most significant complication in their use. The frequency of infections varies in different patient care settings, but their appearance mostly depends on the patient's health condition, catheter insertion time, localization of the catheter and type of the used catheter. Since they are one of the leading causes of nosocomial infections and related to significant number of morbidity and mortality in intensive care units, it is very important that maximal aseptic precautions are taken during the insertion and the maintenance period. Prevention of infection of the central venous catheters demands several measures that should be applied routinely.

  11. Position Control of Motion Compensation Cardiac Catheters

    Science.gov (United States)

    Kesner, Samuel B.; Howe, Robert D.

    2011-01-01

    Robotic catheters have the potential to revolutionize cardiac surgery by enabling minimally invasive structural repairs within the beating heart. This paper presents an actuated catheter system that compensates for the fast motion of cardiac tissue using 3D ultrasound image guidance. We describe the design and operation of the mechanical drive system and catheter module and analyze the catheter performance limitations of friction and backlash in detail. To mitigate these limitations, we propose and evaluate mechanical and control system compensation methods, including inverse and model-based backlash compensation, to improve the system performance. Finally, in vivo results are presented that demonstrate that the catheter can track the cardiac tissue motion with less than 1 mm RMS error. The ultimate goal of this research is to create a fast and dexterous robotic catheter system that can perform surgery on the delicate structures inside of the beating heart. PMID:21874124

  12. NA48: Wiring up for Change

    CERN Multimedia

    2001-01-01

    The NA48 Collaboration is rebuilding its drift chambers ready for the experiment to start up again this coming July. An intricate task involving the soldering of over 24,000 wires! The future of the NA48 experiment is coming right down to the wire, that is, the wires which the Collaboration is installing in the clean room of Hall 887 on the Prévessin site. Six days a week, technicians are working in shifts to rebuild the experiment's drift chambers. The original chambers were damaged when a section of a vacuum tube imploded at the end of 1999. A year ago, CERN gave the green light for this essential part of the spectrometer to be rebuilt, so the NA48 experiment, which studies CP violation (see box), still has a bright future ahead of it. Three years of data-taking ahead The NA48 experiment aims to penetrate the secrets of CP (Charge Parity) violation. Charge and parity are two parameters which distinguish a particle from an antiparticle. In other words, an electron possesses a negative electric ...

  13. Demonstrating diamond wire cutting of the TFTR

    Energy Technology Data Exchange (ETDEWEB)

    Rule, K.; Perry, E.; Larson, S.; Viola, M. [and others

    2000-02-24

    The Tokamak Fusion Test Reactor (TFTR) ceased operation in April 1997 and decommissioning commenced in October 1999. The deuterium-tritium fusion experiments resulted in contaminating the vacuum vessel with tritium and activating the materials with 14 Mev neutrons. The total tritium content within the vessel is in excess of 7,000 Curies while dose rates approach 50 mRem/hr. These radiological hazards along with the size of the Tokamak (100 cubic meters) present a unique and challenging task for dismantling. Plasma arc cutting is the current baseline technology for the dismantlement of fission reactors. This technology is typically used because of its faster cutting times. Alternatively, an innovative approach for dismantlement of the TFTR is the use of diamond wire cutting technology. Recent improvements in diamond wire technology have allowed the cutting of carbon steel components such as pipe, plate, and tube bundles in heat exchangers. Some expected benefits of this technology include: significantly reduction in airborne contaminates, reduced personnel exposure, a reduced risk of spread of tritium contamination, and reduced overall costs as compared to using plasma arc cutting. This paper will provide detailed results of the diamond wire cutting demonstration that was completed in September of 1999, on a mock-up of this complex reactor. The results will identify cost, safety, industrial and engineering parameters, and the related performance of each situation.

  14. [Stellate ganglion catheter retention with discontinuous block on efficacy and safety in the treatment of sudden deafness].

    Science.gov (United States)

    Gao, Hui; Zhang, Zhizhuo; Guo, Wenping; Zhang, Gaifang

    2015-07-01

    To investigate effect and safty evaluation of stellate ganglion catheter retention with discontinuous block on sudden deafness. One hundred and twenty-six patiens with sudden monaural deafness were randomly divided into Catheterp and block and control groups with 42 cases in each group. All patients' throats were given conventional blood activating drugs, hormone and hyperbaric oxygen therapy. stellate ganglion puncture retained catheter were administrated to the patients in catheter group followed by ropivacaine block 1 times/day, block group stellate ganglion puncture and ropivacaine block 1 times/day. The patients in control group were only received routine comprehensive treatment. Patients in both catheter group and block groups were treated by hyperbaric oxygen therapy after the block treatment. Curative effects of three groups were observed. The patients' satisfaction, heart rate, the chages of blood pressure before and after the block, detachment of tubes, and adverse drug reaction were recorded. The effect of the treatment in both catheter group, block group was better than in control group (85.7%, 37 cases); 83.3%, 35 cases) vs 64.3%, 27 cases, P < 0.05). The satisfactory rate in the patients in catheter group was significantly higher than block group (83.3%, 35 cases vs 61.9%, 26 cases, P < 0.05). The heart rate and the blood pressure before and 5 minutes after catheterization in catheter group and block groupwere changed obviously. Moreover, no adverse drug reaction and detachment of tubes were observed. It is a safe and effective administration of stellate ganglion catheter retention with interrupted ropivacaine block.

  15. A case of misplaced permacath dialysis catheter

    Directory of Open Access Journals (Sweden)

    Mohammed Arshad Ali

    2015-01-01

    Full Text Available Central venous placement using ultrasound has significantly reduced the complications associated with blind puncture. The central venous catheter can still get misplaced if it follows an anomalous route after appropriate puncture of desired vessel. We report a case of misplaced dialysis catheter into the accessory hemiazygos vein which resulted in a large hemothorax, and we recommend the routine use of a fluoroscope for placement of dialysis catheters so as to avoid serious complications.

  16. Impact of different catheter lock strategies on bacterial colonization of permanent central venous hemodialysis catheters.

    Science.gov (United States)

    Erb, Stefan; Widmer, Andreas F; Tschudin-Sutter, Sarah; Neff, Ursula; Fischer, Manuela; Dickenmann, Michael; Grosse, Philipp

    2013-12-01

    Thirty-nine hemodialysis patients with permanent central venous catheters were analyzed for bacterial catheter colonization comparing different catheter-lock strategies. The closed needleless Tego connector with sodium chloride lock solution was significantly more frequently colonized with bacteria than the standard catheter caps with antimicrobially active citrate lock solution (odds ratio, 0.22 [95% confidence interval, 0.07-0.71]; P = .011).

  17. Practical wiring in SI units

    CERN Document Server

    Miller, Henry A

    2013-01-01

    Practical Wiring, Volume 1 is a 13-chapter book that first describes some of the common hand tools used in connection with sheathed wiring. Subsequent chapters discuss the safety in wiring, cables, conductor terminations, insulating sheathed wiring, conductor sizes, and consumer's control equipments. Other chapters center on socket outlets, plugs, lighting subcircuits, lighting accessories, bells, and primary and secondary cells. This book will be very valuable to students involved in this field of interest.

  18. 3D Wire 2015

    DEFF Research Database (Denmark)

    Jordi, Moréton; F, Escribano; J. L., Farias

    This document is a general report on the implementation of gamification in 3D Wire 2015 event. As the second gamification experience in this event, we have delved deeply in the previous objectives (attracting public areas less frequented exhibition in previous years and enhance networking) and ha......, improves socialization and networking, improves media impact, improves fun factor and improves encouragement of the production team....

  19. One-wire thermocouple

    Science.gov (United States)

    Goodrich, W. D.; Staimach, C. J.

    1977-01-01

    Nickel alloy/constantan device accurately measures surface temperature at precise locations. Device is moderate in cost and simplifies fabrication of highly-instrumented seamless-surface heat-transfer models. Device also applies to metal surfaces if constantan wire has insulative coat.

  20. photomultiplier tube

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  1. photomultiplier tubes

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  2. Erroneous laboratory values obtained from central catheters.

    Science.gov (United States)

    Johnston, J B; Messina, M

    1991-01-01

    Serious analytic errors in potassium measurements have been identified in blood specimens obtained from newly inserted central catheters. Erroneous elevated readings have been related to interactions of chemistry analyzer electrodes and substances fixed to external and intraluminal walls of the central catheter. Anecdotal summaries of this phenomenon are presented to enable the nurse to recognize potential problems when sampling blood from central catheters. Studies were performed to determine the amount of flush necessary to clear the catheter of interfering residue. To eliminate this potentially hazardous occurrence, recommended flush volumes, nursing implications, and actions are described.

  3. Malposition of catheters during voiding cystourethrography

    Energy Technology Data Exchange (ETDEWEB)

    Rathaus, V.; Konen, O.; Shapiro, M. [Dept. of Diagnostic Imaging Sapir Medical Center, Kfar-Saba and Sackler Medical School, Tel Aviv University (Israel); Grunebaum, M. [Veteran Pediatric Radiologist, Kfar Saba (Israel)

    2001-04-01

    The aim of this study was to report catheter malposition during voiding cystourethrography. Eight hundred forty-three voiding cystourethrography (265 males and 578 females, aged 1 week to 12 years, mean age 2 years) were performed during a period of 4 years. The conventional standard procedure was applied. In 3 cases with passed history of urinary tract infection the catheter entered directly into the ureter. In all these cases the uretero-vesical reflux was present on the same side where the catheter entered. It appears that insertion of a catheter into the ureter is possible only in the presence of an anomaly or pathology at the vesicoureteric junction. (orig.)

  4. Catheter ablation - new developments in robotics.

    Science.gov (United States)

    Chun, K R Julian; Schmidt, Boris; Köktürk, Bülent; Tilz, Roland; Fürnkranz, Alexander; Konstantinidou, Melanie; Wissner, Erik; Metzner, Andreas; Ouyang, Feifan; Kuck, Karl-Heinz

    2008-12-01

    Catheter ablation has become the curative treatment modality for various arrhythmias. Extending the indications for catheter ablation from simple supraventricular tachycardias to complex arrhythmias such as ventricular tachycardia or atrial fibrillation, the investigator faces prolonged procedure times, fluoroscopy exposure and the need for stable and reproducible catheter movement. Recently, remote-controlled robotic catheter ablation has emerged as a novel ablation concept to meet these requirements. This review describes the two available robotic ablation systems and summarizes their clinical applications and current human experience.

  5. [A lost Seldinger technique guide wire as the cause of deep venous thrombosis].

    Science.gov (United States)

    Flessenkämper, I; Marcus, M

    2001-09-01

    Five months after the initial abdominal surgery, a female patient presented with a deep venous thrombosis of the right leg. A guide wire, lost during perisurgical insertion of a central venous catheter using Seldinger's technique, was identified and surgically removed. The guide wire had previously remained undetected despite regular radiological controls. The article presents details of the case together with a review of the literature regarding potential complications of Seldinger's technique. Common reasons and possible options for preventive and therapeutic strategies will be discussed.

  6. Direction of the J-tip of the guidewire, in seldinger technique, is a significant factor in misplacement of subclavian vein catheter: a randomized, controlled study.

    Science.gov (United States)

    Tripathi, Mukesh; Dubey, Prakash K; Ambesh, Sushil P

    2005-01-01

    Misplacement of central venous catheters, predisposing to poor functioning including inability to aspirate blood, is common with the subclavian approach. In this prospective study we sought to determine whether the direction of the guidewire J-tip influenced the catheter tip placement during right subclavian catheterization. In this randomized, double-blind clinical study, we observed the placement of catheters via the right subclavian vein while keeping the J-tip directed either caudad in Group 1 (n=147) or cephalad in Group 2 (n=148) patients. The majority of catheters (97% and 57%) in Groups 1 and 2 respectively entered the superior vena cava/right atrium (P <0.05). The incidence of catheter misplacement into the ipsilateral internal jugular vein was 2% and 40% in Groups 1 and 2, respectively (P = <0.01). Subsequent experimental study confirmed that the direction of the J-tip was retained inside a model of vascular tubes and its tip led the guidewire into the tubing on the same side even at the acute angulation formed between tubings representing the subclavian, internal jugular, and superior vena cava junction complex. The authors conclude that the simple measure of keeping the guidewire J-tip directed caudad increased correct placement of central venous catheters towards the right atrium during right subclavian catheterization.

  7. Non-operative residual biliary stone extraction by using steerable catheter and basket

    Energy Technology Data Exchange (ETDEWEB)

    Kim, K. W.; Chang, J. C.; Park, C. Y. [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1983-06-15

    Nonoperative residual biliary stone removal through the T-tube sinus tract was performed in 9 patients by using steerable catheter and basket under fluoroscopic guidance and the result was satisfactory. There is no significant complication or morbidity. We concluded that this method is 1. easy of performance, highly successful and of no demonstrable risk. 2. can be performed without any medication and in our patient department. 3. the method of choice of treatment in post-op residual biliary stone with T-tube.

  8. Encrusted and incarcerated urinary bladder catheter: what are the ...

    African Journals Online (AJOL)

    2010-11-25

    Nov 25, 2010 ... another technique of dealing with a stuck and encrustated catheter, via direct crushing of the encrustations ... During the last change of catheter, it was found to be ... catheter is a complicated problem due to the resistance.

  9. Disinfection of Pseudomonas aeruginosa biofilm contaminated tube lumens with ultraviolet C light emitting diodes

    DEFF Research Database (Denmark)

    Bak, Jimmy; Ladefoged, S.D.; Tvede, M.

    2010-01-01

    , however, be applied to obtain 99.9% disinfection rates. The major reason was that besides cells the mature biofilm contained absorbing and scattering particulates, which made the biofilm opaque. The potential of UVC light emitting diodes ( LED) for disinfection purposes in catheter-like tubes contaminated...... with biofilm was investigated. It was shown that UVC light propagation was possible through both Teflon and catheter tubes ( silicone). The disinfection efficiency of the diodes was demonstrated on tubes contaminated artificially with a Pseudomonas aeruginosa biofilm. The tubes were connected to a flow system...... in the range of 5 x 10(5)-1.3 x 10(9) CFU ml(-1), with disinfection rates in the range 96-100%. The applied UVC doses corresponded to treatment times between 15 and 300 min. Disinfection (100%) was obtained in 10 cm Teflon tubes exposed for 30 min (detection limit...

  10. Disinfection of Pseudomonas aeruginosa biofilm contaminated tube lumens with ultraviolet C light emitting diodes

    DEFF Research Database (Denmark)

    Bak, Jimmy; Ladefoged, Søren D; Tvede, Michael

    2010-01-01

    , however, be applied to obtain 99.9% disinfection rates. The major reason was that besides cells the mature biofilm contained absorbing and scattering particulates, which made the biofilm opaque. The potential of UVC light emitting diodes (LED) for disinfection purposes in catheter-like tubes contaminated...... with biofilm was investigated. It was shown that UVC light propagation was possible through both Teflon and catheter tubes (silicone). The disinfection efficiency of the diodes was demonstrated on tubes contaminated artificially with a Pseudomonas aeruginosa biofilm. The tubes were connected to a flow system...... in the range of 5 x 10(5)-1.3 x 10(9) CFU ml(-1), with disinfection rates in the range 96-100%. The applied UVC doses corresponded to treatment times between 15 and 300 min. Disinfection (100%) was obtained in 10 cm Teflon tubes exposed for 30 min (detection limit...

  11. Thermal-hydraulic performance of oval tubes in a cross-flow of air

    Science.gov (United States)

    Hasan, Ala

    2005-06-01

    The thermal-hydraulic performance of five oval tubes is experimentally investigated and compared with that for a circular tube in a cross-flow of air. The range of Reynolds numbers ReD is approximately between 1,000 and 11,000. The nominal axis ratios R (major axis/minor axis) for three of the investigated oval tubes are 2, 3, and 4. Two other configurations of oval tubes are also tested, an oval tube R=3 with two wires soldered on its upper and lower top positions, and a cut-oval tube. The performance of the tubes is corrected for the effects of area blockage and turbulence intensity. The measurement results show that the mean Nusselt numbers NuD for the oval tubes are close to that for the circular tube for ReDthermal-hydraulic performance is indicated by the ratio NuD/Cd, which shows a better combined performance for the oval tubes.

  12. Single port laparoscopic long-term tube gastrostomy in Göttingen minipigs

    DEFF Research Database (Denmark)

    Birck, Malene Muusfeldt; Vegge, Andreas; Moesgaard, S G

    2015-01-01

    Oral dosing by gavage is often used to test compounds in minipigs. This method is also used for certain nutritional studies that require exact dosing. This procedure may be stressful for the animal and requires the assistance of more than one technician. We investigated whether a gastrostomy tube...... it was evident that the catheter had entered the stomach in the fundus region in 11/12 of the animals. In one animal the catheter had entered the antrum region. None of the animals developed leakage or clinically detectable reactions to the gastrostomy tube. Histopathologically, only discrete changes were...... observed. Single port laparoscopic tube gastrostomy with a locking pigtail catheter is safe, simple and reliable and is an appropriate alternative to, for example, percutaneous endoscopic gastrostomy, when long-term enteral delivery of pharmacological or nutritional compounds is needed. The use...

  13. Maintenance of blood flow rate on dialysis with self-centering CentrosFLO catheter: A multicenter prospective study.

    Science.gov (United States)

    Agarwal, Anil K; Ash, Stephen R

    2016-10-01

    Introduction Chronic central venous catheters (CVC) for dialysis lose patency and deliver lower blood flow over time, often due to fibrous sheathing that covers the lumen tips. The CentrosFLO central venous catheter has a shape that directs the arterial and venous tips away from the walls of the vena cava and right atrium, making sheathing of the tips less likely. Methods A prospective, multicenter, single arm, non-controlled, observational study was conducted at eight sites in the United States. All consenting dialysis patients receiving CentrosFLO catheters through the right or left internal jugular veins were accepted in the study, as long as the catheter was expected to be used for 45 days and was not an over-the-wire replacement for a previous CVC. Data were automatically collected on initial and average dialysis blood flow rate and initial arterial and venous pressures, for up to 26 weeks of dialysis therapy. Findings 75 patients were enrolled. Kaplan-Meier analysis indicated that 87% of patients maintained blood flow rate over 300 mL/min throughout 26 weeks of follow-up. There was no decline in average dialysis blood flow rate and no significant change in hydraulic resistance of the arterial or venous lumens of the catheters during the study. Discussion The CentrosFLO catheter demonstrates long term patency with good flow rates on dialysis, which, by comparison with previous studies, shows a clinically significant improvement in blood flow rate vs. other catheters. Stable hydraulic resistance of the catheter lumens showed no evidence of tip encroachment by fibrous sheaths. © 2016 The Authors. Hemodialysis International published by Wiley Periodicals, Inc. on behalf of International Society for Hemodialysis.

  14. A tube-in-tube thermophotovoltaic generator

    Energy Technology Data Exchange (ETDEWEB)

    Ashcroft, J.; Campbell, B.; Depoy, D.

    1996-12-31

    A thermophotovoltaic device includes at least one thermal radiator tube, a cooling tube concentrically disposed within each thermal radiator tube and an array of thermophotovoltaic cells disposed on the exterior surface of the cooling tube. A shell having a first end and a second end surrounds the thermal radiator tube. Inner and outer tubesheets, each having an aperture corresponding to each cooling tube, are located at each end of the shell. The thermal radiator tube extends within the shell between the inner tubesheets. The cooling tube extends within the shell through the corresponding apertures of the two inner tubesheets to the corresponding apertures of the two outer tubesheets. A plurality of the thermal radiator tubes can be arranged in a staggered or an in-line configuration within the shell.

  15. [Knotted Seldinger wire].

    Science.gov (United States)

    Fiala, A; Glodny, B; Lorenz, I H

    2016-01-01

    Central venous catheters are usually positioned using the Seldinger technique with a guidewire. This article reports a case where the guidewire was inserted via the left subclavian vein with the landmark technique. The guidewire became kinked, pierced the vessel wall and became stuck forming several loops within the adjacent tissue of the vein. Several attempts were made to remove the guidewire by interventional radiology but were unsuccessful. Due to the critical condition of the patient an operation was considered too perilous and the guidewire was finally left in situ. No formation of local venous thrombosis could be detected.

  16. Haemodialysis catheter-related bloodstream infections: current treatment options and strategies for prevention.

    Science.gov (United States)

    Saxena, Anil K; Panhotra, Bodh R

    2005-03-05

    Regardless of the repeated reservations raised by countless researchers with reference to the use of catheters as vascular access for haemodialysis (HD), central venous catheters (CVCs) remain irreplaceable tools of the modern dialysis delivery system as a reliable option for the clinical situations requiring instant access to circulation, for various reasons. Patients on long-term haemodialysis are therefore at a significantly high risk for catheterrelated bloodstream infections (CRBSI) and ensuing serious complications. Although early systemic antibiotic treatment should include the coverage for Staphylococcus aureus, the pathogen with most devastating consequences including bacterial endocarditis; optimal treatment of CRBSI while preserving the catheter site, remains contentious. Nonetheless, catheter exchange over a guide wire and antimicrobial-anticoagulant "locks" have shown promising results as novel access salvage techniques. Despite the fact that a number of novel potentially useful strategies for the prevention of CRBSI are in the pipeline; equally essential however, remains the role of rigorous implementation of standard infection control measures for hygiene and aseptic handling of CVCs in long-term HD patients. The policy of increasing the AVF (arteriovenous fistula) prevalence beyond 50% while minimising the use of CVCs, dependent largely upon the timely referrals and prudently implemented pre-ESRD program - ought to have a positive impact on long-term HD outcomes.

  17. Incidental finding of a left over guide wire on a positron emission tomography

    Energy Technology Data Exchange (ETDEWEB)

    Yap, Kok Hooi; Lee, Phong Teck; Buch, Mamta; Rammohan, Kandadai Seshadri

    2012-12-15

    The Seldinger technique is commonly used cannulate vessels for radiographical procedures. Loss of a guide wire into the circulation is a rare and preventable complication. It is often noticed by chance during routine radiographs. However, there is a lack of reported cases of incidental fin dings of leftover guide wire on a PET scan. An intravascular foreign body should be retrieved as soon as the diagnosis is made, to prevent complications such as embolisation or vascular damage by fractured wires. Interventional radiology is the method of choice for retrieval. We report a rare case of the coincidental finding of a lost guide wire on a PET scan. A 37 year old man presented with psychotic episodes, thigh weakness, weight gain, increased appetite and leg cramps. He was subsequently diagnosed with cushing syndrome secondary to ectopic adrenocorticotropic secretion from a right lung tumour. He subsequently underwent a staging positron emission tomography (PET) scan. The lung tumour had no uptake on PET bit had increased activity uptake on octreotide scanning. These appearances were suggestive of with carcinoid tumour. The PET scan also revealed an incidental finding of a leftover guide wire used during peripheral inserted central catheter (PICC) recently. The wire extended from right atrium to inferior vena cava. It also showed a high uptake in the adrenal glands, indicating hyperplasia, which was most likely due to adrenocorticotropic hormone stimulation. He underwent a percutaneous wire retrieval via the right femoral vein in a cardiac catheterisation laboratory and was transferred to a thoracic surgical unit for lung tumor resection.

  18. The efficacy of noble metal alloy urinary catheters in reducing catheter-associated urinary tract infection

    Directory of Open Access Journals (Sweden)

    Alanood Ahmed Aljohi

    2016-01-01

    Results: A 90% relative risk reduction in the rate of CAUTI was observed with the noble metal alloy catheter compared to the standard catheter (10 vs. 1 cases, P = 0.006. When considering both catheter-associated asymptomatic bacteriuria and CAUTI, the relative risk reduction was 83% (12 vs. 2 cases, P = 0.005. In addition to CAUTI, the risk of acquiring secondary bacteremia was lower (100% for the patients using noble metal alloy catheters (3 cases in the standard group vs. 0 case in the noble metal alloy catheter group, P = 0.24. No adverse events related to any of the used catheters were recorded. Conclusion: Results from this study revealed that noble metal alloy catheters are safe to use and significantly reduce CAUTI rate in ICU patients after 3 days of use.

  19. Attitudes Towards Catheter Ablation for Atrial Fibrillation

    DEFF Research Database (Denmark)

    Vadmann, Henrik; Pedersen, Susanne S; Nielsen, Jens Cosedis;

    2015-01-01

    BACKGROUND: Catheter ablation for atrial fibrillation (AF) is an important but expensive procedure that is the subject of some debate. Physicians´ attitudes towards catheter ablation may influence promotion and patient acceptance. This is the first study to examine the attitudes of Danish...

  20. Soft thrombus formation in radiofrequency catheter ablation

    NARCIS (Netherlands)

    Demolin, JM; Eick, OJ; Munch, K; Koullick, E; Nakagawa, H; Wittkampf, FHM

    2002-01-01

    During RF catheter ablation, local temperature elevation can result in coagulum formation on the ablation electrode, resulting in impedance rise. A recent study has also demonstrated the formation of a so-called soft thrombus during experimental ablations. This deposit poorly adhered to the catheter

  1. Catheter ablation of parahisian premature ventricular complex.

    Science.gov (United States)

    Kim, Jun; Kim, Jeong Su; Park, Yong Hyun; Kim, June Hong; Chun, Kook Jin

    2011-12-01

    Catheter ablation is performed in selected patients with a symptomatic premature ventricular complex (PVC) or PVC-induced cardiomyopathy. Ablation of PVC from the His region has a high risk of inducing a complete atrioventricular block. Here we report successful catheter ablation of a parahisian PVC in a 63-year-old man.

  2. Urethral catheters: can we reduce use?

    NARCIS (Netherlands)

    Broek, P.J. van den; Wille, J.C.; Benthem, B.H.B. van; Perenboom, R.J.M.; Akker-van Marle, M.E. van den; Nielen, A.M.A.

    2011-01-01

    Indwelling urinary catheters are the main cause of healthcare-associated urinary tract infections. It can be expected that reduction of the use of urinary catheters will lead to decreased numbers of urinary tract infection. The efficacy of an intervention programme to improve adherence to recommenda

  3. Automated Pointing of Cardiac Imaging Catheters.

    Science.gov (United States)

    Loschak, Paul M; Brattain, Laura J; Howe, Robert D

    2013-12-31

    Intracardiac echocardiography (ICE) catheters enable high-quality ultrasound imaging within the heart, but their use in guiding procedures is limited due to the difficulty of manually pointing them at structures of interest. This paper presents the design and testing of a catheter steering model for robotic control of commercial ICE catheters. The four actuated degrees of freedom (4-DOF) are two catheter handle knobs to produce bi-directional bending in combination with rotation and translation of the handle. An extra degree of freedom in the system allows the imaging plane (dependent on orientation) to be directed at an object of interest. A closed form solution for forward and inverse kinematics enables control of the catheter tip position and the imaging plane orientation. The proposed algorithms were validated with a robotic test bed using electromagnetic sensor tracking of the catheter tip. The ability to automatically acquire imaging targets in the heart may improve the efficiency and effectiveness of intracardiac catheter interventions by allowing visualization of soft tissue structures that are not visible using standard fluoroscopic guidance. Although the system has been developed and tested for manipulating ICE catheters, the methods described here are applicable to any long thin tendon-driven tool (with single or bi-directional bending) requiring accurate tip position and orientation control.

  4. [Pliability and deflection of diagnostic catheters].

    Science.gov (United States)

    Pelyhe, Liza; Bognár, Eszter

    2014-09-28

    The cardiac catheter is an intravascular catheter, which is introduced or implanted into the heart for diagnostic or therapeutic reasons. The catheters may break or king during their introduction and/or removal. The aim of the authors was to study the pliability of two catheters with the same material but different diameters according to the Food and Drug Administration's recommendation. The bending points, diameter decrease, deflection, and their correlation and dependence on the distance from the tip, as well as the influence of the initial diameter of the catheters were determined. The bending of catheters was performed on 9 bending points (120-280 mm from the tip by 20 mm) on 16 gauges with different radius (10-2.5 mm by 0.5 mm). A linear dependency between the diameter decrease and deflection was observed, which was independent from the placement of the measurement in both catheters examined. The larger initial diameter had significant (p = 0.05) greater diameter decrease than the smaller, but the curves characteristic of the diameter decrease and deflection were similar. The applied method seems to be useful for the examination of weak points of cardiac catheters.

  5. Tracking chamber made of 15-mm mylar drift tubes

    Science.gov (United States)

    Kozhin, A.; Borisov, A.; Bozhko, N.; Fakhrutdinov, R.; Plotnikov, I.

    2017-05-01

    We are presenting a drift chamber composed from three layers of mylar drift tubes with outer diameter 15 mm. The pipe is made of strip of mylar film 125 micrometers thick covered with aluminium from the both sides. A strip of mylar is wrapped around the mandrel. Pipe is created by ultrasonic welding. A single drift tube is self-supported structure withstanding 350 g wire tension without supports and internal overpressure. About 400 such tubes were assembled. Design, quality control procedures of the drift tubes are described. Seven chambers were glued from these tubes of 560 mm length. Each chamber consists of 3 layers, 16 tubes per layer. Several chambers were tested with cosmic rays. Results of the tests, counting rate plateau and coordinate resolution are presented.

  6. Wired to freedom

    DEFF Research Database (Denmark)

    Jepsen, Kim Sune Karrasch; Bertilsson, Margareta

    2017-01-01

    of cochlear implantations among Danish users in order to shed more light on their social and political implications. We situate cochlear implantation in a framework of new life science advances, politics, and user experiences. Analytically, we draw upon the notion of social imaginary and explore the social...... dimension of life science through a notion of public politics adopted from the political theory of John Dewey. We show how cochlear implantation engages different social imaginaries on the collective and individual levels and we suggest that users share an imaginary of being “wired to freedom” that involves...... new access to social life, continuous communicative challenges, common practices, and experiences. In looking at their lives as “wired to freedom,” we hope to promote a wider spectrum of civic participation in the benefit of future life science developments within and beyond the field of Cochlear...

  7. From Wires to Cosmology

    CERN Document Server

    Amin, Mustafa A

    2015-01-01

    We provide a statistical framework for characterizing stochastic particle production in the early universe via a precise correspondence to current conduction in wires with impurities. Our approach is particularly useful when the microphysics is uncertain and the dynamics are complex, but only coarse-grained information is of interest. We study scenarios with multiple interacting fields and derive the evolution of the particle occupation numbers from a Fokker-Planck equation. At late times, the typical occupation numbers grow exponentially which is the analog of Anderson localization for disordered wires. Some statistical features of the occupation numbers show hints of universality in the limit of a large number of interactions and/or a large number of fields. For test cases, excellent agreement is found between our analytic results and numerical simulations.

  8. Comparing the Effect of 3 Kinds of Different Materials on the Hemostasis of the Central Venous Catheter

    Science.gov (United States)

    Li, Yan-Ming; Liang, Zhen-Zhen; Song, Chun-Lei

    2016-05-01

    To compare the effect of 3 kinds of different materials on the hemostasis of puncture site after central venous catheterization. Method: A selection of 120 patients with peripheral central venous catheter chemotherapy in the Affiliated Hospital of our university from January 2014 to April 2015, Randomly divided into 3 groups, using the same specification (3.5cm × 2cm) alginate gelatin sponge and gauze dressing, 3 kinds of material compression puncture point, 3 groups of patients after puncture 24 h within the puncture point of local blood and the catheter after the catheter 72 h within the catheter maintenance costs. Result: (1) The local infiltration of the puncture point in the 24 h tube: The use of alginate dressing and gelatin sponge hemostatic effect is better than that of compression gauze. The difference was statistically significant (P Puncture point using gelatin sponge, The local maintenance costs of the catheter within 72 h after insertion of the tube are lowest, compared with alginate dressing and gauze was significant (Ppuncture site after PICC implantation, using gelatin sponge and gauze dressing is more effective and economic.

  9. Twisting wire scanner

    CERN Document Server

    Gharibyan, V; Krouptchenkov, I; Nölle, D; Tiessen, H; Werner, M; Wittenburg, K

    2012-01-01

    A new type of 'two-in-one' wire scanner is proposed. Recent advances in linear motors' technology make it possible to combine translational and rotational movements. This will allow to scan the beam in two perpendicular directions using a single driving motor and a special fork attached to it. Vertical or horizontal mounting will help to escape problems associated with the 45 deg scanners. Test results of the translational part with linear motors is presented.

  10. Probe exchange catheter used for angioplasty of total coronary artery occlusions.

    Science.gov (United States)

    Kiemeneij, F; Suwarganda, J S; van der Wieken, L R

    1990-04-01

    Percutaneous transluminal coronary angioplasty (PTCA) for total occlusions frequently fails, because the guidewire fails to pass the occlusion. With the use of the Probe exchange catheter (PEC), however, stiffness of the guidewire is increased and a higher pushability is obtained in order to manipulate the guidewire beyond the lesion. Once the guidewire has passed, the PEC is advanced and a non-over-the-wire dilatation catheter can be introduced through the PEC. This paper describes the technique in a representative case. The results of this technique in 19 consecutive patients with class III-IV/IV(NYHA) angina due to an occluded coronary artery are presented. In 16 patients the PEC reached the lesion (84%) and in all these patients the guidewire could pass the occlusion. A successful PTCA was performed in 14 patients (74%).

  11. Central Venous Catheter-Related Hydrothorax

    Directory of Open Access Journals (Sweden)

    Se Hun Kim

    2015-11-01

    Full Text Available This report describes a case of 88-year-old women who developed central venous catheter-related bilateral hydrothorax, in which left pleural effusion, while right pleural effusion was being drained. The drainage prevented accumulation of fluid in the right pleural space, indicating that there was neither extravasation of infusion fluid nor connection between the two pleural cavities. The only explanation for bilateral hydrothorax in this case is lymphatic connections. Although vascular injuries by central venous catheter can cause catheter-related hydrothorax, it is most likely that the positioning of the tip of central venous catheter within the lymphatic duct opening in the right sub-clavian-jugular confluence or superior vena cava causes the catheter-related hydrothorax. Pericardial effusion can also result from retrograde lymphatic flow through the pulmonary lymphatic chains.

  12. Unusual migration of pulmonary artery catheter

    Directory of Open Access Journals (Sweden)

    Sanjay Kuravinakop

    2007-01-01

    Full Text Available Pulmonary artery catheter is widely used in intensive care. Distal migration of the catheter is a know complication. Diagnosis of such a migration is made by both clinical criteria and radiographs. A 55 year old septic lady was admitted to the intensive care unit. Pulmonary artery catheter introduced for cardiac output monitoring migrated from right lung to left lung. Diagnosis was made following a chest radiograph the following day of insertion with the clinical criteria remaining unaltered. Migration of pulmonary artery catheter can occur not only distally but from one lung to another. Clinical criteria alone cannot rule out migration. Chest radiographs form an important part in monitoring the position of the pulmonary artery catheter.

  13. Complex central venous catheter insertion for hemodialysis.

    Science.gov (United States)

    Powell, Steven; Belfield, Jane

    2014-01-01

    Despite the introduction of payment by results in the UK, there has been no decrease in central venous catheter (CVC) use. In part, this may relate to a requirement to dialyse through a CVC while autogenous access matures. Mortality data have improved in parallel and patients on hemodialysis live longer, which may lead to an increased exposure to CVCs.Exposure to CVCs carries a significant risk of infection and occlusion requiring their repositioning or exchange. The mid to long-term sequelae of CVC use is central venous occlusion leaving clinical teams with an ever increasing challenge to find adequate venous access.In this article, we will discuss the challenges faced by operators inserting CVCs into the hemodialysis-dependent patient who has exhausted more tradition insertion sites. These include translumbar caval catheters, transocclusion and transcollateral catheters, transjugular Inferior Vena Cava catheter positioning, and transhepatic catheters. We will demonstrate the techniques employed, complications, and anticipated longevity of function.

  14. Magnetoconductance of quantum wires

    Science.gov (United States)

    Ferreira, Gerson J.; Sammarco, Filipe; Egues, Carlos

    2010-03-01

    At low temperatures the conductance of a quantum wires exhibit characteristic plate-aus due to the quantization of the transverse modes [1]. In the presence of high in-plane magnetic fields these spin-split transverse modes cross. Recently, these crossings were observed experimentally [2] via measurements of the differential conductance as a function of the gate voltage and the in-plane magnetic-field. These show structures described as either anti-crossings or magnetic phase transitions. Motivated by our previous works on magnetotransport in 2DEGs via the Spin Density Functional Theory (SDFT) [3], here we propose a similar model to investigate the magnetoconductance of quantum wires. We use (i) the SDFT via the Kohn-Sham self-consistent scheme within the local spin density approximation to obtain the electronic structure and (ii) the Landauer-Buettiker formalism to calculate the conductance of a quantum wire. Our results show qualitative agreement with the data of Ref. [2]. [1] B. J. van Wees et al., Phys. Rev. Lett. 60, 848 (1988). [2] A. C. Graham et al., Phys. Rev. Lett. 100, 226804 (2008). [3] H. J. P. Freire, and J. C. Egues, Phys. Rev. Lett. 99, 026801 (2007); G. J. Ferreira, and J. Carlos Egues, J. Supercond. Nov. Mag., in press; G. J. Ferreira, H. J. P. Freire, J. Carlos Egues, submitted.

  15. Central venous catheters: detection of catheter complications and therapeutical options; Zentralvenoese Katheter: Diagnostik von Komplikationen und therapeutische Optionen

    Energy Technology Data Exchange (ETDEWEB)

    Gebauer, B.; Beck, A. [Universitaetsmedizin Charite, Berlin (Germany). Klinik fuer Strahlenheilkunde; Wagner, H.J. [Vivantes-Kliniken, Friedrichshain und Am Urban, Berlin (Germany). Radiologie; Vivantes-Kliniken, Hellersdorf und Prenzlauer Berg (Germany). Radiologie

    2008-06-15

    For modern medicine central venous catheters play an important role for diagnostic and therapeutic options. Catheter implantation, complication detection and therapy of catheter complications are an increasing demand for the radiologist. The review article provides an overview of different catheter types, their indications, advantages and disadvantages. Catheter malpositions are usually detectable in conventional X-ray. Most malpositions are correctable using interventional-radiological techniques. In addition therapeutical options for thrombotic complications (venous thrombosis, catheter occlusion, fibrin sheath) are discussed. In case of an infectious catheter complication, usually a catheter extraction and re-implantation is necessary.

  16. Dual wire welding torch and method

    Science.gov (United States)

    Diez, Fernando Martinez; Stump, Kevin S.; Ludewig, Howard W.; Kilty, Alan L.; Robinson, Matthew M.; Egland, Keith M.

    2009-04-28

    A welding torch includes a nozzle with a first welding wire guide configured to orient a first welding wire in a first welding wire orientation, and a second welding wire guide configured to orient a second welding wire in a second welding wire orientation that is non-coplanar and divergent with respect to the first welding wire orientation. A method of welding includes moving a welding torch with respect to a workpiece joint to be welded. During moving the welding torch, a first welding wire is fed through a first welding wire guide defining a first welding wire orientation and a second welding wire is fed through a second welding wire guide defining a second welding wire orientation that is divergent and non-coplanar with respect to the first welding wire orientation.

  17. Evaluation of an intravenous catheter for use in the horse.

    Science.gov (United States)

    Gulick, B A; Meagher, D M

    1981-02-01

    A commercially available polyvinyl chloride intravenous catheter was studied in 9 horses for 3 to 10 days to evaluate the catheter's suitability for use in the horse, to develop a new insertion technique, and to establish a protocol for catheter care. Seven of the animals were clinically normal horses receiving parenteral nutrition; one was a horse with hypocalcemia receiving frequent intravenous injections of calcium gluconate, and one was a clinically normal horse receiving no infusions. The catheter dressings were changed every 48 hours, and an aspirate from the catheter and the catheter tip was cultured at the time of catheter removal. One catheter became infected following a break in the protocol. It was concluded that the polyvinyl catheter is suitable for use in the horse and that the proposed protocol for catheter insertion and maintenance may reduce the likelihood of complications such as catheter sepsis, thrombophlebitis, and embolism.

  18. Feeding tube - infants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007235.htm Feeding tube - infants To use the sharing features on this page, please enable JavaScript. A feeding tube is a small, soft, plastic tube placed ...

  19. A Study on Process Characteristics and Performance of Hot Wire Gas Tungsten Arc Welding Process for High Temperature Materials

    OpenAIRE

    Padmanaban MR,Anantha; Neelakandan, Baskar; Kandasamy,Devakumaran

    2016-01-01

    Hot wire gas tungsten arc welding (HW-GTAW) process is the one where the filler wire is pre-heated close to its melting point before it is fed in to the arc. The effect of HW-GTAW parameters such as welding current, hot wire current and the wire feed rate during welding of super ASS 304H stainless steel tubes were evaluated in terms of heat input, voltage-current (V-I) characteristics and weld bead characteristics such as bead weight and geometry. The results obtained indicate that for a cons...

  20. Fast vision-based catheter 3D reconstruction

    Science.gov (United States)

    Moradi Dalvand, Mohsen; Nahavandi, Saeid; Howe, Robert D.

    2016-07-01

    Continuum robots offer better maneuverability and inherent compliance and are well-suited for surgical applications as catheters, where gentle interaction with the environment is desired. However, sensing their shape and tip position is a challenge as traditional sensors can not be employed in the way they are in rigid robotic manipulators. In this paper, a high speed vision-based shape sensing algorithm for real-time 3D reconstruction of continuum robots based on the views of two arbitrary positioned cameras is presented. The algorithm is based on the closed-form analytical solution of the reconstruction of quadratic curves in 3D space from two arbitrary perspective projections. High-speed image processing algorithms are developed for the segmentation and feature extraction from the images. The proposed algorithms are experimentally validated for accuracy by measuring the tip position, length and bending and orientation angles for known circular and elliptical catheter shaped tubes. Sensitivity analysis is also carried out to evaluate the robustness of the algorithm. Experimental results demonstrate good accuracy (maximum errors of  ±0.6 mm and  ±0.5 deg), performance (200 Hz), and robustness (maximum absolute error of 1.74 mm, 3.64 deg for the added noises) of the proposed high speed algorithms.

  1. Tube-shape verifier

    Science.gov (United States)

    Anderson, A. N.; Christ, C. R.

    1980-01-01

    Inexpensive apparatus checks accuracy of bent tubes. Assortment of slotted angles and clamps is bolted down to flat aluminum plate outlining shape of standard tube bent to desired configuration. Newly bent tubes are then checked against this outline. Because parts are bolted down, tubes can be checked very rapidly without disturbing outline. One verifier per tube-bending machine can really speed up production in tube-bending shop.

  2. Structural and low-field magnetic characterization of superconducting MgB{sub 2} wires

    Energy Technology Data Exchange (ETDEWEB)

    Kilic, A. [Faculty of Sciences, Department of Physics, Ankara University, 06100-Tandogan/Ankara (Turkey); Okur, S. [Izmir Institute of Technology, Department of Physics, 35437-Urla/Izmir (Turkey); Gueclue, N. [Faculty of Sciences and Art, Department of Physics, Gaziosmanpasa University, 60100-Taslicftlik/Tokat (Turkey)]. E-mail: guclu06@hotmail.com; Koelemen, U. [Faculty of Sciences and Art, Department of Physics, Gaziosmanpasa University, 60100-Taslicftlik/Tokat (Turkey); Uzun, O. [Faculty of Sciences and Art, Department of Physics, Gaziosmanpasa University, 60100-Taslicftlik/Tokat (Turkey); Oezyuezer, L. [Izmir Institute of Technology, Department of Physics, 35437-Urla/Izmir (Turkey); Gencer, A. [Faculty of Sciences, Department of Physics, Ankara University, 06100-Tandogan/Ankara (Turkey)

    2004-10-01

    Superconducting MgB{sub 2} composite wires were prepared by packing blend of MgB{sub 2} inside of Cu tubes using powder in tube (PIT) method. The produced samples of the wires were then characterised by using SEM, XRD and AC susceptibility measurements. The measured fundamental susceptibility is compared with Bean model. We have obtained an empirical functions for the penetration field H{sub p} = H{sub {alpha}}(1-t){sup {beta}}, where t is the reduced temperature. In addition, ac losses were calculated at the same fixed temperatures to compare theoretical solutions. There is a qualitative agreement between the experimental results and theory.

  3. Metering Wheel-Wire Track Wire Boom Deployment Mechanism

    Science.gov (United States)

    Granoff, Mark S.

    2014-01-01

    The NASA MMS Spin Plane Double Probe (SDP) Deployer utilizes a helical path, rotating Metering Wheel and a spring loaded Wire "Holding" Track to pay out a "fixed end" 57 meter x 1.5 mm diameter Wire Boom stored between concentric storage cylinders. Unlike rotating spool type storage devices, the storage cylinders remain stationary, and the boom wire is uncoiled along the length of the cylinder via the rotation of the Metering Wheel. This uncoiling action avoids the need for slip-ring contacts since the ends of the wire can remain stationary. Conventional fixed electrical connectors (Micro-D type) are used to terminate to operational electronics.

  4. The use of hot-wire anemometry in transonic periodic flow

    Science.gov (United States)

    Bodapati, S.; Lee, C.-S.

    1984-01-01

    The unsteady wake profiles of an airfoil with an oscillating flap were measured in the NASA Ames 11 x 11-foot transonic wind tunnel. Laser Doppler Velocimetry (LDV) and holography techniques were used in limited region where optical accessability is available. X-hot-film wire was used to measure the wake profiles in the complete region to obtain magnitude and direction of the flow. A thorough calibration was carried out to determine the sensitivity coefficients of the hot-wire in three different tunnels at transonic speeds. A calculation procedure is established to resolve the hot-wire signals at transonic speeds and applied in the measurements of steady and periodic wake profiles. The effect of flow incidence on the hot-wire signals is evaluated and incorporated in the analyses. Typical hot-wire results are compared with the results of LDV, holography and pitot-static tube embedded with Kulite transducers.

  5. Percutaneous pigtail catheter in the treatment of pneumothorax in major burns: the best alternative? Case report and review of literature.

    Science.gov (United States)

    Sebastian, Raul; Ghanem, Omar; Diroma, Frank; Milner, Stephen M; Gerold, Kevin B; Price, Leigh A

    2015-05-01

    Multiple factors place burn patients at a high risk of pneumothorax development. Currently, no specific recommendations for the management of pneumothorax in large total body surface area (TBSA) burn patients exist. We present a case of a major burn patient who developed pneumothorax after central line insertion. After the traditional large bore (24 Fr) chest tube failed to resolve the pneumothorax, the pneumothorax was ultimately managed by a percutaneous placed pigtail catheter thoracostomy placement and resulted in its complete resolution. We will review the current recommendations of pneumothorax treatment and will highlight on the use of pigtail catheters in pneumothorax management in burn patients.

  6. Low-field Instabilities in Nb3Sn Multifilamentary Wires the Possible Role of Unreacted Nb

    CERN Document Server

    Devred, A; Celentano, G; Fabbricatore, P; Ferdeghini, C; Greco, M; Gambardella, U

    2007-01-01

    We report an experimental study aiming to demonstrate the not negligible role of unreacted Nb on the magnetic instabilities in superconducting Nb3Sn multifilamentary wires, observable through partial flux jumps at magnetic field values below 0.5 T. The analysed wires were recently developed for use as dipoles required in future high-energy proton accelerators and are based on powder-in-tube technology. We studied both unreacted (only involving Nb filaments) and reacted wires, finding flux jump instabilities in both cases when performing magnetic measurements. The results can be interpreted on the basis of the critical state model and are coherent with the intrinsic stability criterion.

  7. Convective heat transfer enhancement inside tubes using inserted helical coils

    Science.gov (United States)

    Ali, R. K.; Sharafeldeen, M. A.; Berbish, N. S.; Moawed, M. A.

    2016-01-01

    Convective heat transfer was experimentally investigated in tubes with helical coils inserts in turbulent flow regime within Reynolds number range of 14400 ≤ Re ≤ 42900. The present work aims to extend the experimental data available on wire coil inserts to cover wire diameter ratio from 0.044 to 0.133 and coil pitch ratio from 1 to 5. Uniform heat flux was applied to the external surface of the tube and air was selected as fluid. The effects of Reynolds number and wire diameter and coil pitch ratios on the Nusselt number and friction factor were studied. The enhancement efficiency and performance criteria ranges are of (46.9-82.6%) and (100.1-128%) within the investigated range of the different parameters, respectively. Correlations are obtained for the average Nusselt number and friction factor utilizing the present measurements within the investigated range of geometrical parameters and Re.

  8. Radiologic placement of tunneled central venous catheter

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, Seong Tae; Yang, Po Song; Yang, Dong Hunn; Kim, Ki Tae; Kim, Choon Yul; Shinn, Kyung Sub [The Catholic Univ. College of Medicine, Seoul (Korea, Republic of); Yun, Eun Joo [Korea Veterans Hospital, Seoul (Korea, Republic of)

    1996-01-01

    To evaluate the efficacy and safety of fluoroscopy-guided, radiologic placement of a tunneled central venous catheter into the superior vena cava (SVC). Thirty five patients underwent tunneled central venous catheter placement to facilitate long-term chemotherapy. They included 33 leukemic patients, one colon cancer patient, and one multiple myeloma patient. After confirming central venous patency with a injection of contrast media via the peripheral cephalic or basilic vein in the wrist joint, the subclavian vein was punctured under fluoroscopic guidance. A 7F double lumen TPN catheter was placed into the SVC through a subcutaneous tunnel in the anterior chest wall. Catheter placements were successful in all patients. The mean procedure time was 17.2minutes, mean fluooscopy time was 1.3minutes, mean number of punctures was 1.4, and mean volume of injhected contrast media was 43.5cc. Only two of all leukemic patients developed mild hematomas at the puncture site, but these soon resolved themselves. None of the patients developed pneumothorax or hemothorax. But late complications included local infection in two patients (6%) and thrombotic occlusion of the catheter in one (3%). The occluded catheter was successfully recanalized with Urokinase infusion. Fluoroscopy-guided, radiologic placement of a tunneled central venous catheter is an easy and safe method, and useful for patients requiring long-term venous access.

  9. [Updating enteral feeding by catheter].

    Science.gov (United States)

    Rodríguez, T; Planas, M

    2005-12-01

    Intestinal nutrition can be administered orally or by means of a catheter; the latter method is the focus of this article. The authors' objective is to provide up-to-date information in a succinct manner about the enteral feeding technique. The authors hope health professionals know the advantages as well as the inconveniences of the latest intestinal nutrition advances regarding access ways and the means to administer these. Intestinal nutrition formulas will not be dealt with in this article. However, a health professional should know that there is a wide variety of diets available depending on the complexity of macronutrients included in a diet, the quantity of proteins in a mixture, and that these are designed, in addition to feeding, to treat the specific pathological process a patient suffers from, such as diabetes of cancer.

  10. THERMAL CONDUCTIVITY OF METALLIC WIRES

    Institute of Scientific and Technical Information of China (English)

    LU XIANG; GU JI-HUA; CHU JUN-HAO

    2001-01-01

    The effect of radial thickness on the thermal conductivity of a free standing wire is investigated. The thermal conductivity is evaluated using the Boltzmann equation. A simple expression for the reduction in conductivity due to the increase of boundary scattering is presented. A comparison is made between the experimental results of indium wires and the theoretical calculations. It is shown that this decrease of conductivity in wires is smaller than that in film where heat flux is perpendicular to the surface.

  11. Subminiature Hot-Wire Probes

    Science.gov (United States)

    Westphal, R. V.; Lemos, F. R.; Ligrani, P. M.

    1989-01-01

    Class of improved subminiature hot-wire flow-measuring probes developed. Smaller sizes yield improved resolution in measurements of practical aerodynamic flows. Probe made in one-wire, two-perpendicular-wire, and three-perpendicular-wire version for measurement of one, two, or all three components of flow. Oriented and positioned on micromanipulator stage and viewed under microscope during fabrication. Tested by taking measurements in constant-pressure turbulent boundary layer. New probes give improved measurements of turbulence quantities near surfaces and anisotropies of flows strongly influence relative errors caused by phenomena related to spatial resolution.

  12. Plasma Formation Around Single Wires

    Science.gov (United States)

    Duselis, Peter U.; Kusse, Bruce R.

    2002-12-01

    At Cornell's Laboratory of Plasma Studies, single wires of various metals were exploded using a ˜250 ns pulser with a rise time of ˜20 A/ns. It was found that the wires first experience a resistive heating phase that lasts 50-80 ns before a rapid collapse of voltage. From that point on, the voltage across the wire was negligible while the current through the wire continued to increase. We attribute this voltage collapse to the formation of plasma about the wire. Further confirmation of this explanation will be presented along with new experimental data describing preliminary spectroscopy results, the expansion rate of the plasma, and current flow along the wire as a function of radius. The resistance of the wire-electrode connection will be shown to significantly affect the energy deposition. Various diagnostics were used to obtain these experiments. Ultraviolet sensitive vacuum photodiodes and a framing camera with an 8 ns shutter were used to detect and measure the width of the visible light emitted by the plasma. A special wire holder was constructed that allowed the transfer of current from the wire to the surrounding plasma to be observed.

  13. Texture development in Galfenol wire

    Science.gov (United States)

    Boesenberg, A. J.; Restorff, J. B.; Wun-Fogle, M.; Sailsbury, H.; Summers, E.

    2013-05-01

    Galfenol (Fe-Ga alloy) wire fabrication provides a low cost alternative to directional solidification methods. This work evaluates the compositional dependence of the wire drawing suitability of Fe-Ga and characterizes the microstructural and magnetic properties of these wires. Wire has been produced with Ga contents between 10 at. % and 17 at. % to allow determination of the ductile to brittle transition (DTBT) in wire manufacture. Published results on chill cast bend specimens indicated that a DTBT occurs at roughly 15 at. % Ga. This DTBT was observed under tensile loading with a corresponding change in fracture behavior from transverse fracture to intergranular fracture. For improved magnetostrictive performance, higher Ga contents are desired, closer to the 17 at. % Ga evaluated in this work. Electron backscattered diffraction B-H loop and resonance measurements as a function of magnetic field (to determine modulus and coupling factor) are presented for as-drawn, furnace, and direct current (DC) annealed wire. Galfenol wire produced via traditional drawing methods is found to have a strong (α) texture parallel to the drawing direction. As-drawn wire was observed to have a lower magnetic permeability and larger hysteresis than DC annealed wire. This is attributed to the presence of a large volume of crystalline defects; such as vacancies and dislocations.

  14. Cervical esophagostomy using indwelling catheter for analysis of gastric physiology in dogs

    Directory of Open Access Journals (Sweden)

    Cavalcanti Carlos Augusto de Oliveira

    2005-01-01

    Full Text Available PURPOSE: To describe the technique of cervical esophagostomy with indwelling catheter for the collection of secretions and study of gastric emptying. METHODS: Esophagostomy was performed in 14 dogs, and a tube was introduced into the animals' stomachs and maintained pervious for eight weeks. The technique consisted of opening the left lateral surface of the neck for insertion of the tube, with the aid of a Mixter forceps, and the subsequent subcutaneous tunneling and exteriorization of the catheter on the dorsum of the animals. RESULTS: Successful use of the tube and its total permeability were observed in 13 animals (92.8%. In one animal, the tube was obstructed by hair, and it was replaced. Formation of a small abscess occurred in 3 animals (21.4%, followed by spontaneous drainage. No accidents occurred, and the bleeding was minimal. No deaths were registered. CONCLUSION: The described technique can be used in similar researches, as well as for animal feeding in investigations of the upper digestive tract, after esophageal resection and in major neck surgeries.

  15. Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related infection

    Directory of Open Access Journals (Sweden)

    Suresh Babu Kale

    2013-01-01

    Full Text Available A central venous catheter (CVC is inserted for measurement of haemodynamic variables, delivery of nutritional supplements and drugs and access for haemodialysis and haemofiltration. Catheterization and maintenance are common practices and there is more to the technique than routine placement as evident when a procedure-related complication occurs. More than 15% of the patients who receive CVC placement have some complications and infectious endocarditis involving the tricuspid valve is a rare and serious complication with high morbidity and mortality. Overenthusiastic and deep insertion of the guide wire and forceful injection through the CVC may lead to injury of the tricuspid valve and predispose to bacterial deposition and endocarditis. We report a case of tricuspid valve endocarditis, probably secondary to injury of the anterior tricuspid leaflet by the guide wire or the CVC that required open heart surgery with vegetectomy and repair of the tricuspid valve.

  16. Wiring regulations in brief

    CERN Document Server

    Tricker, Ray

    2012-01-01

    Tired of trawling through the Wiring Regs?Perplexed by Part P?Confused by cables, conductors and circuits?Then look no further! This handy guide provides an on-the-job reference source for Electricians, Designers, Service Engineers, Inspectors, Builders, Students, DIY enthusiastsTopic-based chapters link areas of working practice - such as cables, installations, testing and inspection, special locations - with the specifics of the Regulations themselves. This allows quick and easy identification of the official requirements relating to the situati

  17. Strategies for Successful Percutaneous Revascularization of Chronic Total Occlusion of the Femoropopliteal Arteries When the Antegrade Passage of a Guide Wire Fails

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hui Jin; Park, Sang Woo; Chang, So Il; Jeon, Hae Jeong; Park, Jeong Hee [Konkuk University Hospital, Konkuk University School of Medicine, Seoul (Korea, Republic of)

    2012-07-15

    To evaluate the efficacy of various strategies for revascularization of chronic total occlusion of femoropopliteal arteries when the guide wire does not pass in an anterograde direction. Twenty-four patients with totally occluded femoropopliteal arteries (mean occlusion length 13.75 cm; range, 6-22 cm) were treated by using a retrograde approach and two novel catheters. After successful recanalization or reentry, balloon angioplasty followed by stent placement was performed to complete the revascularization. In 16 cases in which to cross the occlusion via intraluminal or subintimal route was failed, we used Frontrunner catheters in five cases and Outback catheters in 11 cases. In eight cases in which to reenter after subintimal passage of the guide wire was failed, we used Outback catheters. Successful recanalization was achieved intraluminally or subintimally in all cases. One perforation occurred during subintimal passage of the guide wire that was controlled by recanalization of another subintimal tract. There were no cases of distal thromboembolism or other complications. A retrograde approach and using the Frontrunner and Outback catheters are safe and effective for successful revascularization of chronic total occlusion of femoropopliteal arteries. In particular, they are useful when the initial antegrade attempts at recanalization have failed.

  18. Cryoballoon Catheter Ablation in Atrial Fibrillation

    Directory of Open Access Journals (Sweden)

    Cevher Ozcan

    2011-01-01

    Full Text Available Pulmonary vein isolation with catheter ablation is an effective treatment in patients with symptomatic atrial fibrillation refractory or intolerant to antiarrhythmic medications. The cryoballoon catheter was recently approved for this procedure. In this paper, the basics of cryothermal energy ablation are reviewed including its ability of creating homogenous lesion formation, minimal destruction to surrounding vasculature, preserved tissue integrity, and lower risk of thrombus formation. Also summarized here are the publications describing the clinical experience with the cryoballoon catheter ablation in both paroxysmal and persistent atrial fibrillation, its safety and efficacy, and discussions on the technical aspect of the cryoballoon ablation procedure.

  19. Percutaneous catheter dilatation of carotid stenoses

    Energy Technology Data Exchange (ETDEWEB)

    Mathias, K.; Mittermayer, C.; Ensinger, H.; Neff, W.

    1980-09-01

    Thirty-one carotid artery stenoses were produced in thirty dogs by three different techniques. Twenty-three of these could be cured by transfemoral percutaneous catheter dilatation. High grade tight stenoses may present resistance which cannot be overcome by the catheter. Histological examination of the dilated vessels showed circumscribed changes in the vessel wall, with destruction of elastic membranes. From our experience of catheter dilatation of pelvic and lower limb arteries and of renal arteries, we consider it feasible to use this technique in selected patients with carotid stenosis.

  20. Preventing catheter-associated urinary tract infection.

    Science.gov (United States)

    Gould, Dinah

    2015-11-04

    Urinary tract infections (UTIs) are common in hospital and community settings. The major risk factor for developing a UTI is having a urethral catheter in situ. The longer the catheter remains in place, the higher the risk of infection. The consensus in guidelines is that indwelling urethral catheters should not be used unless necessary and should be removed within 24 hours if possible. The care of patients and nursing home residents who are catheterised for long periods could be improved if guidelines were implemented fully.

  1. Catheter-directed Thrombolysis in Acute Superior Vena Cava Syndrome Caused by Central Venous Catheters.

    Science.gov (United States)

    Cui, Jie; Kawai, Tasuo; Irani, Zubin

    2015-01-01

    Indwelling central venous catheters have been reported to increase the risk of superior venous cava (SVC) syndrome. This case report describes the development of acute SVC syndrome in a 28-year-old woman with end-stage renal disease implanted with a left-side hemodialysis reliable outflow graft and a right-side double lumen hemodialysis catheter via internal jugular veins. Her symptoms were not alleviated after catheter removal and systemic anticoagulation therapy. She was eventually treated with catheter-directed thrombolysis and a predischarge computer tomographic venogram on postthrombolytic procedure day 7 showed patent central veins and patient remained asymptomatic. This case demonstrates that catheter-directed thrombolysis can be safely employed to treat refractory catheter-induced acute SVC syndrome in end-stage renal disease patients.

  2. Percutaneous catheter drainage of thoracic fluid: the usefulness and safety of bedside trocar placement under ultrasound guidance

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Heon [Seoul Medical Center, Seoul (Korea, Republic of)

    2006-07-15

    The author wanted to evaluate the usefulness and safety of the trocar technique for US-guided bedside catheter placement into thoracic fluid collections, and this technique has generally been reserved for the larger or superficial fluid collections. 42 drainage procedures were performed in 38 patients at the bedside. The patients were positioned supine or semi-upright. A drainage catheter system with a stylet and cannula assembly was used and all of the catheters were inserted using the trocar technique. The procedures consisted of drainage of empyema (n=14), malignant effusion (n=13), lung abscess (n=3), massive transudate (n=8), hemothorax (n=2) and chest wall hematoma (n=2). The clinical results were classified as successful (complete and partially successful), failure or undetermined. The medical records and images were retrospectively reviewed to evaluate the success rate, the complications and the procedure time. Technical success was achieved in all of the 42 procedures. With using the trocar technique, all the catheters were placed into even the small collections without significant complications. Drainage was successful in 36 (85.7%) of the 42 procedures. The average volume of thoracic fluid that was aspirated manually at the time of catheter placement was 420 mL (range: 35 to 1470 mL). The procedure time was less than 10 minutes from US-localization to complete catheter placement in all of the procedures. The trocar technique under US guidance can be an efficient and safe alternative to the Seldinger or guide-wire exchange technique for bedside catheter placement in the critically ill or hemodynamically unstable patients.

  3. Retained Urethral Catheter Secondary to Placement in Proximal Ureter

    Directory of Open Access Journals (Sweden)

    Thomas B. McGregor

    2016-01-01

    Full Text Available We present an unusual complication secondary to indwelling urethral catheter placement. Routine catheter placement by the obstetrics team in a postpartum female leads to retention of the catheter and inability of its removal by both the obstetrics and urology teams. Although a retained urinary catheter is relatively common, inability to remove a catheter secondary to placement inadvertently into a ureter is extremely rare. In this paper we will discuss the options in removing a retained catheter and present our case of a retained catheter secondary to placement within the right proximal ureter.

  4. Retained Urethral Catheter Secondary to Placement in Proximal Ureter.

    Science.gov (United States)

    McGregor, Thomas B; Sharda, Rajan

    2016-01-01

    We present an unusual complication secondary to indwelling urethral catheter placement. Routine catheter placement by the obstetrics team in a postpartum female leads to retention of the catheter and inability of its removal by both the obstetrics and urology teams. Although a retained urinary catheter is relatively common, inability to remove a catheter secondary to placement inadvertently into a ureter is extremely rare. In this paper we will discuss the options in removing a retained catheter and present our case of a retained catheter secondary to placement within the right proximal ureter.

  5. Corrosion of Wires on Wooden Wire-Bound Packaging Crates

    Science.gov (United States)

    Samuel L. Zelinka; Stan Lebow

    2015-01-01

    Wire-bound packaging crates are used by the US Army to transport materials. Because these crates may be exposed to harsh environments, they are dip-treated with a wood preservative (biocide treatment). For many years, zinc-naphthenate was the most commonly used preservative for these packaging crates and few corrosion problems with the wires were observed. Recently,...

  6. Eustachian Tube Dilation via a Transtympanic Approach in 6 Cadaver Heads: A Feasibility Study.

    Science.gov (United States)

    Dean, Marc; Chao, Wei-Chieh; Poe, Dennis

    2016-10-01

    The goal of this study was to evaluate the feasibility of endoscopic transtympanic balloon dilation of the cartilaginous eustachian tube. To accomplish this, transtympanic balloon dilation of the cartilaginous eustachian tube was performed on 11 eustachian tubes (6 cadaver heads). The balloon catheter was introduced and passed through the protympanic orifice of the eustachian tube transtympanically under endoscopic view and cannulated without incident in all cadavers. Computed tomography was then performed postprocedure to evaluate for inadvertent dilation of the bony eustachian tube, adverse placement of the balloon, or any bony fractures. The balloon was seen to be successfully inflated in the cartilaginous portion without damage to surrounding structures in all cases. This demonstrates that under endoscopic guidance, the protympanic orifice of the eustachian tube can be feasibly cannulated and reliably traversed, allowing for targeted dilation of the cartilaginous eustachian tube from a transtympanic approach.

  7. Laminar Flow Through Circular Tubes with Side Inlets

    Science.gov (United States)

    Abedian, Behrouz; Muhlanger, Eric

    2004-11-01

    We discuss experimental results on steady axisymmetric flow of a Newtonian incompressible fluid through circular pipes with side inlets. Circular tubes with a set of holes along their sidewalls are used in a number of medical procedures as straight catheters to transfer fluid into or out of the human body. For example, because of the small size of the incision required, they are commonly used in peritoneal dialysis. The internal diameter and the diameter of the side holes are often 1 mm and less, and as a result, the fluid flow is laminar in a typical medical procedure. An understanding of the flow inside the catheter tube in terms of its geometric parameters will be key in designing new catheters with optimal clinical performance for specific applications. In the experiments, water is withdrawn from a smooth tube with side holes and the local axial pressure and flow rates through the side holes are measured for different flow conditions. A nondimensionalization of the data shows a power-law behavior in only some cases. Using numerical simulations, it is shown how the interaction of the axial flow with the impinging jets from the side holes can change the overall behavior of the flow for a given suction pressure.

  8. Soft magnetic wires

    Science.gov (United States)

    Vázquez, M.

    2001-06-01

    An overview of the present state of the art on the preparation techniques, outstanding magnetic properties and applications of soft magnetic micro and nanowires is presented. Rapid solidification techniques (in-rotating-water quenching and drawing methods) to fabricate amorphous microwires with diameter in the range from 100 down to 1 μm are first described. Electrodeposition is also employed to prepare composite microtubes (magnetic coatings) and to fill porous membranes (diameter of the order of 0.1 μm). Magnetic behaviours of interest are related to the different hysteresis loops of samples: square-shaped loops typical of bistable behaviour, and nearly non-hysteretic loop with well-defined transverse anisotropy field. The role played by magnetic dipolar interactions in the magnetic behaviour of arrays of micro and nanowires is described. A particular analysis is done on the giant magnetoimpedance (GMI) effect in the radio and microwave frequency ranges exhibited by ultrasoft microwires. Finally, a few examples of applications are introduced for magnetostrictive and non-magnetostrictive wires, they are: “magnetoelastic pens”, micromotors; DC current-sensors based on GMI, and sharpened amorphous wire tips in spin polarised scanning tunneling microscopy.

  9. A Survey of Invasive Catheter Practices in US Burn Centers

    Science.gov (United States)

    2012-12-01

    central venous cannulation in children: lessons learned from a 10-year experience placing more than 1000 catheters . J Burn Care Res 2006;27:713–18. ...741 Central venous catheters (CVCs) and arterial catheters (ACs) provide essential access for critically injured patients. Practices surrounding...consisted of 23 questions related to spe- cific practices in placement and maintenance of central venous catheters (CVCs), arte- rial catheters ,

  10. Natural convection heat transfer on surfaces of copper micro-wires

    Science.gov (United States)

    Guan, Ning; Liu, Zhigang; Zhang, Chengwu; Jiang, Guilin

    2014-02-01

    The natural convection heat transfer characteristics and mechanism for copper micro-wires in water and air were investigated experimentally and numerically. The wires with diameters of 39.9, 65.8 and 119.1 μm were placed horizontally in water inside of a sealed tube and in air of a large room, respectively. Using Joule heating, the heat transfer coefficients and Nusselt numbers of natural convection for micro-wires in ultra pure water and air were obtained. A three dimensional incompressible numerical model was used to investigate the natural convection, and the prediction with this model was in reasonable accordance with the experimental results. With the decrease of micro-wire diameter, the heat transfer coefficient of natural convection on the surface of micro-wire becomes larger, while the Nu number of natural convection decreases in water and air. Besides, the change rate of Nu number in water decreases apparently with the increase of heat flux and the decrease of wire diameter, which is larger than that in air. The thickness of boundary layer on the wall of micro-wire becomes thinner with the decrease of diameter in both water and air, but the ratio of boundary layer thickness in water to the diameter increases. However, there is almost no change of this ratio for natural convection in air. As a result, the proportion of conduction in total heat transfer of natural convection in water increases, while the convective heat transfer decreases. The velocity distribution, temperature field and the boundary layer in the natural convection were compared with those of tube with conventional dimension. It was found that the boundary layer around the micro-wire is an oval-shaped film on the surface, which was different from that around the conventional tube. This apparently reduces the convection strength in the natural convection, thus the heat transfer presents a conduction characteristic.

  11. Catheter-Associated Urinary Tract Infections

    Science.gov (United States)

    ... Submit Button Frequently Asked Questions about Catheter-associated Urinary Tract Infections Recommend on Facebook Tweet Share Compartir What is ... an incision above the pubis. What is a urinary tract infection? A urinary tract infection (UTI) is an infection ...

  12. Intravenous Catheter-Associated Candidemia due to Candida membranaefaciens: The First Iranian Case

    Directory of Open Access Journals (Sweden)

    SeyedReza Aghili

    2015-10-01

    Full Text Available The incidence of candidemia due to the uncommon non-albicans Candida species appears to be increasing, and certain species such as Candida (C. membranaefaciens have been reported in some clinical researches. Vascular catheters are considered the likely culprit for the sudden emergence of hospital-acquired candidemia. The identification of C. membranaefaciens can be problematic in clinical practice owing to its phenotypic resemblance to C. guilliermondii. We report the first case of C. membranaefaciens in Iran, which occurred in a 70-year-old woman, who had coronary artery bypass grafting (CABG. We isolated germ-tube negative yeast from both blood culture and central venous catheter (CVC tip culture on brain-heart infusion agar, Sabouraud dextrose agar plates, and biphasic brain-heart infusion media bottle; it developed smooth, pink colonies on CHROMagar Candida. By using the polymerase chain reaction and sequencing of theinternal transcribed spacer region of rDNA, we identified C. membranaefaciens. After the removal of the CVC and initiation of Fluconazole treatment, the patient's condition gradually improved and she was discharged from the hospital. The early detection of organisms in the catheter, removal of the catheter, and treatment with anti-fungal antibiotics have an important role in controlling disease and preventing septicemia after CABG. As C. membranaefaciens is an opportunistic Candida species, both clinicians and microbiologists should be aware of the factors that confer fast diagnosis and appropriate treatment.

  13. BEPC II wire scanner system

    Institute of Scientific and Technical Information of China (English)

    SUI Yan-Feng; WANG Lin; ZHAO Ying; YUE Jun-Hui; LI Xiao-Ping; CAO Jian-She; MA Li

    2010-01-01

    To monitor the beam profile at the end of the linac non-destructively,a wire scanner as a new diagnostic instrument was designed,manufactured and installed in 2007.Since then,several measurements have been carried out using this device.This paper describes the whole system of the wire scanner and the testing results.

  14. Wire and Packing Tape Sandwiches

    Science.gov (United States)

    Rabinowitz, Sandy

    2009-01-01

    In this article, the author describes how students can combine craft wire with clear packing tape to create a two-dimensional design that can be bent and twisted to create a three-dimensional form. Students sandwich wire designs between two layers of tape. (Contains 1 online resource.)

  15. Wire metamaterials: physics and applications.

    Science.gov (United States)

    Simovski, Constantin R; Belov, Pavel A; Atrashchenko, Alexander V; Kivshar, Yuri S

    2012-08-16

    The physics and applications of a broad class of artificial electromagnetic materials composed of lattices of aligned metal rods embedded in a dielectric matrix are reviewed. Such structures are here termed wire metamaterials. They appear in various settings and can operate from microwaves to THz and optical frequencies. An important group of these metamaterials is a wire medium possessing extreme optical anisotropy. The study of wire metamaterials has a long history, however, most of their important and useful properties have been revealed and understood only recently, especially in the THz and optical frequency ranges where the wire media correspond to the lattices of microwires and nanowires, respectively. Another group of wire metamaterials are arrays and lattices of nanorods of noble metals whose unusual properties are driven by plasmonic resonances. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  16. FIRAS wire grid characterization techniques

    Science.gov (United States)

    Barney, Richard D.; Magner, Thomas J.

    1989-01-01

    Characterization techniques used to verify the quality and spectral performance of the large freestanding wire grid polarizing beamsplitters and input/output polarizers used in the Far Infrared Absolute Spectrophotometer (FIRAS) are presented. The clear aperture of these grids is lined with 20.8 micron diameter gold coated tungsten wire, spaced 33 microns apart. The grid characteristics measured throughout fabrication and space flight qualification are the center to center wire spacing and wire plane flatness. Ideally, the wire grids should produce coherent wavefronts with equal reflectance and transmittance properties. When the spacing is inconsistent, these wavefront intensities are unequal, thus decreasing the efficiency of the grids and reducing the output signal of the FIRAS. The magnitude of the output interferogram is also reduced by incoherence in the interfering wave fronts caused by uneven flatness.

  17. Development of (Nb,Ta3Sn multifilamentary superconductor wire for high current applications

    Directory of Open Access Journals (Sweden)

    Rodrigues Jr. Durval

    2000-01-01

    Full Text Available The optimization of the energy generated by a MagnetoHydroDynamic (MHD channel using a superconducting magnet demands the optimization of the magnetic field of the system and of the critical points on the magnet winding. This work must include the development of a high performance superconductor wire suitable for this system. Aiming to the construction of improved performance MHD channel, it was developed a low cost superconductor wire, with the required characteristics. The wire was made using a technology compatible with the assembling steps and heat treatment conditions of the MHD superconducting magnets fabrication. It was used the internal Sn method in Nb-7.5wt%Ta tube to fabricate a 271-filament wire with a diameter of 0.81 mm and a Cu/nonCu ratio of 2.3. The wire was heat treated at 200 °C to diffuse the Sn into the Cu shell, producing bronze, followed by the final reaction at temperatures ranging from 670 °C to 730 °C during 25 to 150 h, to produce (Nb,Ta3Sn. The superconducting wire characterization was made measuring the critical current Ic versus the applied magnetic field in the range of 5 to 20 T, the critical temperature Tc and the residual resistivity ratio (RRR. The wire transported critical currents above those available in commercial superconducting wires. These values of Ic are higher than the expected values for the optimization of the MHD channel.

  18. Square and round Bi(2 2 2 3) wire configurations and their AC losses

    Science.gov (United States)

    Su, Xiaodong; Witz, Grégoire; Passerini, Reynald; Kwasnitza, K.; Flükiger, René

    2002-08-01

    In order to reduce the effect of field anisotropy, but also in view of future cabling facilities, a series of Bi(2 2 2 3) wires with various square and round configurations were prepared using a combination of two-axial rolling and drawing. As previously reported, two-axis rolling of a wire configuration, with filaments being perpendicular or inclined to each other, cannot lead to an optimized rolling texture for both directions, e.g. parallel and perpendicular to the tape surface: it gives an average. As a result, even using the same precursor powders, the values of Jc in wire configurations are inherently lower than those obtained on standard powder-in-tube tapes. SEM images show that particular care has to be taken in order to avoid a distorted alignment of the filaments in certain local areas. The influence of local stresses on the filaments and their influence on the final texture were studied systematically. The critical current measurements as a function of magnetic field showed that wires with the filament configuration with a rotation symmetry exhibit the most angle-insensitive behavior of Jc( B). Due to the wire configuration, the expected relatively low Jc values, 11 kA/cm 2 at 77 K and zero field, were measured for square wires. AC loss measurements were performed in wires with various configurations and with twist pitches down to 2 mm. The results show that both wire geometry and twisting have a positive effect on the AC losses.

  19. Effects of intrinsic magnetostriction on tube-topology magnetoelectric sensors with high magnetic field sensitivity

    Science.gov (United States)

    Gillette, Scott M.; Fitchorov, Trifon; Obi, Ogheneyunume; Jiang, Liping; Hao, Hongbo; Wu, Shuangxia; Chen, Yajie; Harris, Vincent G.

    2014-05-01

    Three quasi-one-dimensional magnetoelectric (ME) magnetic field sensors, each with a different magnetostrictive wire material, were investigated in terms of sensitivity and noise floor. Magnetostrictive Galfenol, iron-cobalt-vanadium, and iron-nickel wires were examined. Sensitivity profiles, hysteresis effects, and noise floor measurements for both optimally biased and zero-biased conditions are presented. The FeNi wire (FN) exhibits high sensitivity (5.36 mV/Oe) at bias fields below 22 Oe and an optimal bias of 10 Oe, whereas FeGa wire (FG) exhibits higher sensitivity (6.89 mW/Oe) at bias fields >22 Oe. The sensor of FeCoV wire (FC) presents relatively low sensitivity (2.12 mV/Oe), due to low magnetostrictive coefficient. Each ME tube-topology sensor demonstrates relatively high sensitivity at zero bias field, which results from a magnetic shape anisotropy and internal strain of the thin magnetostrictive wire.

  20. Nano-storage wires.

    Science.gov (United States)

    Lee, Dong Jun; Kim, Eunji; Kim, Daesan; Park, Juhun; Hong, Seunghun

    2013-08-27

    We report the development of "nano-storage wires" (NSWs), which can store chemical species and release them at a desired moment via external electrical stimuli. Here, using the electrodeposition process through an anodized aluminum oxide template, we fabricated multisegmented nanowires composed of a polypyrrole segment containing adenosine triphosphate (ATP) molecules, a ferromagnetic nickel segment, and a conductive gold segment. Upon the application of a negative bias voltage, the NSWs released ATP molecules for the control of motor protein activities. Furthermore, NSWs can be printed onto various substrates including flexible or three-dimensional structured substrates by direct writing or magnetic manipulation strategies to build versatile chemical storage devices. Since our strategy provides a means to store and release chemical species in a controlled manner, it should open up various applications such as drug delivery systems and biochips for the controlled release of chemicals.

  1. Basic study on hot-wire flow meter in forced flow of liquid hydrogen

    Science.gov (United States)

    Oura, Y.; Shirai, Y.; Shiotsu, M.; Murakami, K.; Tatsumoto, H.; Naruo, Y.; Nonaka, S.; Kobayashi, H.; Inatani, Y.; Narita, N.

    2014-01-01

    Liquid hydrogen (LH2) is a key issue in a carbon-free energy infrastructure at the energy storage and transportation stage. The typical features of LH2 are low viscosity, large latent heat and small density, compared with other general liquids. It is necessary to measure a mass flow of liquid hydrogen with a simple and compact method, especially in a two phase separate flow condition. We have proposed applying a hot-wire type flow meter, which is usually used a for gas flow meter, to LH2 flow due to the quite low viscosity and density. A test model of a compact LH2 hot-wire flow meter to measure local flow velocities near and around an inside perimeter of a horizontal tube by resistance thermometry was designed and made. The model flow meter consists of two thin heater wires made of manganin fixed in a 10 mm-diameter and 40 mm-length tube flow path made of GFRP. Each rigid heater wire was set twisted by 90 degrees from the inlet to the outlet along the inner wall. In other words, the wires were aslant with regard to the LH2 stream line. The heated wire was cooled by flowing LH2, and the flow velocity was obtained by means of the difference of the cooling characteristic in response to the flow velocity. In this report, we show results on the basic experiments with the model LH2 hot-wire flow meter. First, the heat transfer characteristics of the two heater wires for several LH2 flow velocities were measured. Second, the heating current was controlled to keep the wire temperature constant for various flow velocities. The relations between the flow velocity and the heating current were measured. The feasibility of the proposed model was confirmed.

  2. Mechanical behaviour of copper 15% volume niobium microcomposite wires

    Directory of Open Access Journals (Sweden)

    Marcello Filgueira

    2001-01-01

    Full Text Available Cu-Nb microcomposites are attractive in magnet pulsed field technology applications due to their anomalous mechanism of mechanical strength and high electrical conductivity. In this sense, recently it was conceived the use of Cu 15% vol. Nb wires to operate as a high tensile strength cable for a diamond cutting tool (diamond wires for marble and granite slabbing. The multifilamentary Cu 15% vol. Nb composite was obtained using a new processing route, starting with niobium bars bundled into copper tubes, without arc melting. Cold working techniques, such as swaging and wire drawing, combined with heat treatments such as sintering and annealing, and tube restacking were employed. The tensile property of the composite was measured as a function of the niobium filaments dimensions and morphology into the copper matrix, in the several processing steps. An ultimate tensile strength (UTS of 960 MPa was obtained for an areal reduction (R = Ao/A, with Ao-initial cross section area, and A-final cross section area of 4x10(8 X, in which the niobium filaments reached thickness less than 20 nm. The anomalous mechanical strength increase is attributed to the fact that the niobium filaments acts as a barrier to copper dislocations.

  3. Application of spiral nasointestinal tube in enteral nutrition support for patients with extensive burn

    Institute of Scientific and Technical Information of China (English)

    Lai-Ping Wang; Hong-Fei Jia; Yan-Li Cao

    2016-01-01

    Objective:To observe the effect of spiral nasointestinal tube on enteral nutrition support in patients with extensive burn.Methods: A total of 60 patients with extensive burn who were admitted in our hospital from January, 2014 to June, 2015 were included in the study and divided into the observation group and the control group with 30 cases in each group according to different catheter indwelling methods. The patients in the observation group were given spiral nasointestinal tube for enteral nutrition support, while the patients in the control group were given routine gastric tube for enteral nutrition support. The nutrition status and the occurrence rate of complications before catheter indwelling, 3, 6, and 10 d after catheter indwelling in the two groups were recorded.Results:The levels of ALB, HB, PA, and Scr 6, 10 d after catheter indwelling in the observation group were significantly higher than those in the control group (P<0.05). The occurrence rate of complications during the treatment period in the observation group was significantly lower than that in the control group (P<0.05). Conclusions:The spiral nasointestinal tube can provide the patients with extensive burn a better effective enteral nutrition support and improve the nutrition support, with a lower occurrence rate of complications, which is beneficial for the patients’ rehabilitation.

  4. Characterization of the frictional losses and heat transfer of oscillatory viscous flow through wire-mesh regenerators

    Directory of Open Access Journals (Sweden)

    A.A. Boroujerdi

    2015-12-01

    Full Text Available In this paper, new relations for calculating heat transfer and pressure drop characteristics of oscillatory flow through wire-mesh screen regenerator such as Darcy permeability, Forchheimer’s inertial coefficient, and heat transfer area per unit volume, as a function of the wire diameter are presented. According to the derived relations, thinner wires have higher pressure drop and higher heat transfer rate. The relations are applicable for all regenerative cryocoolers. Embedding the new relations into a numerical model, three Stirling-type orifice pulse tube cryocoolers with three regenerators different in length and diameter but same volume in a variety of wire diameters, have been modeled. The results achieved by the model reveal that the local heat transfer coefficient decreases with increase of the wire diameter and the length-to-diameter ratio. In addition, it was shown that the mean absolute gas–solid wire temperature difference is a linear function of wire diameter in the range investigated. The results show that for larger length-to-diameter ratios, Forchheimer’s effect will dominate frictional losses, and the variations of the frictional losses are proportional to the inverse of the wire diameter. Wire diameter has been optimized to maximize the coefficient of performance of the cryocooler. Shorter regenerators have thinner optimum wires.

  5. The influence of chest tube size and position in primary spontaneous pneumothorax

    Science.gov (United States)

    Riber, Lars P. S.; Olesen, Winnie H.; Licht, Peter B.

    2017-01-01

    Background Optimal chest tube position in the pleural cavity is largely unexplored for the treatment of primary spontaneous pneumothorax (PSP). We investigated whether type, size and position of chest tubes influenced duration of treatment for PSP. Methods A retrospective follow-up study of all patients admitted with PSP over a 5-year period. Traumatic, iatrogenic and secondary pneumothoraxes were excluded. Gender, age, smoking habits, type and size of chest tube used (pigtail catheter or surgical chest tube) were recorded from the patients’ charts. All chest X-rays upon admittance and immediately following chest tube placement were retrieved and re-evaluated for size of pneumothorax (categorized into five groups) and location of the chest tube tip (categorized as upper, middle or lower third of the pleural cavity). All data were analysed in a Cox proportional hazards regression model. Results We identified 134 patients with PSP. Baseline characteristics were similar for patients treated with surgical chest tubes and pigtail catheters. Chest tube duration was not significantly influenced by position of the chest tube tip, but was significantly longer in females (P<0.01), patients <30 years (P=0.01), larger pneumothoraxes (P<0.01), use of surgical chest tubes (P=0.03) and a history of previous pneumothorax (P=0.04). Conclusions Contrary to common belief and guidelines recommendation the position of a chest tube in the pleural cavity did not significantly influence chest tube duration, but it was significantly longer in patients who were treated with a surgical chest tube. PMID:28275481

  6. Experience of robotic catheter ablation in humans using a novel remotely steerable catheter sheath

    Science.gov (United States)

    Wallace, Daniel T.; Goldenberg, Alex S.; Peters, Nicholas S.; Davies, D. Wyn

    2008-01-01

    Background A novel remotely controlled steerable guide catheter has been developed to enable precise manipulation and stable positioning of any eight French (Fr) or smaller electrophysiological catheter within the heart for the purposes of mapping and ablation. Objective To report our initial experience using this system for remotely performing catheter ablation in humans. Methods Consecutive patients attending for routine ablation were recruited. Various conventional diagnostic catheters were inserted through the left femoral vein in preparation for treating an accessory pathway (n = 1), atrial flutter (n = 2) and atrial fibrillation (n = 7). The steerable guide catheter was inserted into the right femoral vein through which various irrigated and non-irrigated tip ablation catheters were used. Conventional endpoints of loss of pathway conduction, bidirectional cavotricuspid isthmus block and four pulmonary vein isolation were used to determine acute procedural success. Results Ten patients underwent remote catheter ablation using conventional and/or 3D non-fluoroscopic mapping technologies. All procedural endpoints were achieved using the robotic control system without manual manipulation of the ablation catheter. There was no major complication. A radiation dosimeter positioned next to the operator 2.7 m away from the X-ray source showed negligible exposure despite a mean cumulative dose area product of 7,281.4 cGycm2 for all ten ablation procedures. Conclusions Safe and clinically effective remote navigation of ablation catheters can be achieved using a novel remotely controlled steerable guide catheter in a variety of arrhythmias. The system is compatible with current mapping and ablation technologies Remote navigation substantially reduces radiation exposure to the operator. Electronic supplementary material The online version of this article (doi:10.1007/s10840-007-9184-z) contains supplementary material, which is available to authorized users

  7. Toxic catheters and urethral strictures: A concern about types of catheters used in resource-poor countries

    Directory of Open Access Journals (Sweden)

    A.A. Popoola

    2012-12-01

    Full Text Available Various reports in the literature have confirmed urethral toxicity caused by the use of catheters, mostly latex catheters and their coated versions, resulting in long-segment urethral strictures or strictures located in multiple areas of the urethra. Most catheters used in resource-poor countries, such as Nigeria, are latex catheters with various coatings, such as silicone. The reasons for the widespread use of these potentially toxic catheters are mainly non-availability and/or the high cost of less toxic catheters. We report three cases of urethral strictures following the use of siliconized latex catheters in order to highlight the potential urethral toxicity associated with the use of latex catheters and to draw the authorities’ attention to the need to regulate the types of catheters used in the country.

  8. Percutaneous gastrostomy performed by radiologists using balloon replacement tubes. A simple interventional technique for the placement of nutritional catheters without endoscopy or surgery; Perkutane Gastrostomie mit Ballon-PEG-Ersatzsonden durch den Radiologen. Eine interventionelle Technik zur einfachen Einlage von Ernaehrungskathetern ohne chirurgischen oder endoskopischen Eingriff

    Energy Technology Data Exchange (ETDEWEB)

    Dinkel, H.P.; Triller, J. [Bern Univ. (Switzerland). Inst. fuer Diagnostische Radiologie

    2001-06-01

    Patients afflicted with stenotic head and neck or esophageal tumors often require artificial enteral feeding. Frequently passage of an endoscope through the esophagus is impossible in these patients. Interventional, fluoroscopically assisted, percutaneous gastrostomy (PG) by balloon replacement tubes is a feasible and successful alternative to percutaneous endoscopic gastrostomy (PEG) and the method of choice in patients where the esophagus cannot be passed with an endoscope anymore. Technical success rate is very high and serious complications are rare. Radiological PG is a feasible, equivalent alternative to PEG also in all other patients. We recommend PG with balloon gastrostomy tubes in conjunction with gastropexy performed with three to four T-fasteners, which are left in place for seven days in order to prevent dislocation and leakage. (orig.) [German] Patienten mit HNO-Tumoren oder malignen Oesophagusstenosen muessen oft mit einem gastroenteralen Stoma versorgt werden. Haeufig sind die Tumoren so stenosierend, dass eine perkutane endoskopische Gastrostomie (PEG) nicht mehr moeglich ist und eine chirurgische Gastrostomie durchgefuehrt wird. Wir berichten ueber die radiologisch-perkutane Gastrostomie (PG). Die perkutane Gastrostomie ist Methode der Wahl bei stark stenosierenden oesophagealen Prozessen. Auch bei anderen Patienten (ohne Passagehindernis) stellt die PG eine gleichwertige Alternative zur PEG dar. Die Erfolgsrate der PG liegt nahe 100%, Komplikationen sind selten. Wir empfehlen Ballon-arretierte Sonden (sog. Ballonersatzsonden) in Verbindung mit der perkutanen Gastropexie mit 3-4 Fadenzugankern, die fuer etwa 7 Tage belassen werden. (orig.)

  9. Malfunctioning central venous catheters in children: a diagnostic approach

    Energy Technology Data Exchange (ETDEWEB)

    Barnacle, Alex; Arthurs, Owen J.; Roebuck, Derek; Hiorns, Melanie P. [Great Ormond Street Hospital, Radiology Department, London (United Kingdom)

    2008-04-15

    Central venous access is increasingly becoming the domain of the radiologist, both in terms of the insertion of central venous catheters (CVCs) and in the subsequent management of these lines. This article seeks to provide an overview of the CVC types available for paediatric patients and a more detailed explanation of the spectrum of complications that may lead to catheter malfunction. A standard catheter contrast study or 'linogram' technique is described. The normal appearances of such a study and a detailed pictorial review of abnormal catheter studies are provided, together with a brief overview of how information from catheter investigations can guide the management of catheter complications. (orig.)

  10. Transfer of a cold atmospheric pressure plasma jet through a long flexible plastic tube

    Science.gov (United States)

    Kostov, Konstantin G.; Machida, Munemasa; Prysiazhnyi, Vadym; Honda, Roberto Y.

    2015-04-01

    This work proposes an experimental configuration for the generation of a cold atmospheric pressure plasma jet at the downstream end of a long flexible plastic tube. The device consists of a cylindrical dielectric chamber where an insulated metal rod that serves as high-voltage electrode is inserted. The chamber is connected to a long (up to 4 m) commercial flexible plastic tube, equipped with a thin floating Cu wire. The wire penetrates a few mm inside the discharge chamber, passes freely (with no special support) along the plastic tube and terminates a few millimeters before the tube end. The system is flushed with Ar and the dielectric barrier discharge (DBD) is ignited inside the dielectric chamber by a low frequency ac power supply. The gas flow is guided by the plastic tube while the metal wire, when in contact with the plasma inside the DBD reactor, acquires plasma potential. There is no discharge inside the plastic tube, however an Ar plasma jet can be extracted from the downstream tube end. The jet obtained by this method is cold enough to be put in direct contact with human skin without an electric shock. Therefore, by using this approach an Ar plasma jet can be generated at the tip of a long plastic tube far from the high-voltage discharge region, which provides the safe operation conditions and device flexibility required for medical treatment.

  11. Heat transfer augmentation in a circular tube with winglet vortex generators☆

    Institute of Scientific and Technical Information of China (English)

    Suriya Chokphoemphun; Monsak Pimsarn; Chinaruk Thianpong; Pongjet Promvonge

    2015-01-01

    The article presents the influence of winglet vortex generators (WVGs) placed in the core flow area on ther-mal performance enhancement of a tube heat exchanger. The experiment was carried out in a uniform wall heat-fluxed tube by varying turbulent alrflow for Reynolds number ranging from 5300 to 24000. In the pres-ent work, the WVGs with an attack angle of 30° were inserted into the test tube at four different winglet pitch ratios (RP=P/D) and three winglet-width or blockage ratios (RB=e/D). The experimental results at various RP and RB values were evaluated and compared with those for smooth tube and tubes with twist-ed tape or wire coil. The measurement reveals that the WVGs enhance considerably the heat transfer and friction loss above the plaln tube, wire coil and twisted tape. The Nusselt number and friction factor increase with the increment of RB and Re but with the decreasing RP. The average Nusselt numbers for the WVGs with various RB are in the range of 2.03–2.34 times above the plaln tube. The thermal performance for the WVGs is found to be much higher than that for the wire coil and twisted tape and is in a range of 1.35–1.59. Also, a numerical investigation is conducted to study the flow structure and heat transfer enhancement mecha-nisms in the winglet-inserted tube.

  12. Influence of Flaws of Wire Rod Surface, Inclusions and Voids on Wire Breaks in Superfine Wire Drawing

    Science.gov (United States)

    Yoshida, Kazunari; Norasethasopon, Somchai; Shinohara, Tetsuo; Ido, Ryuta

    By means of the finite element analysis (FEA), this study analyzed wire breaks that occurred in the drawing fine wires containing flaws on the wire surface, inclusion and void. The deformation behavior of an inclusion was examined, in which the inclusion's location is assumed to be on the center axis of the wire, and the cause of wire breaks and their prevention method were clarified. It was found that an inclusion diameter/wire diameter ratio of 0.4 or higher increases the likelihood of wire breaks occurring. When the inclusion is not assumed to be in the center axis of the wire, it was also found that necking and wire breaks appear more frequently. FEA showed that a flaw grows with each processing step, when a small circumferential flaw is placed on the wire rod surface, and eventually becomes a surface defect, which is called a check mark in practice.

  13. UVC fluencies for preventative treatment of Pseudomonas aeruginosa contaminated polymer tubes

    DEFF Research Database (Denmark)

    Bak, Jimmy; Ladefoged, Søren D; Begovic, Tanja;

    2010-01-01

    .40-1.50) normally used for tubing in catheter production. Determining whether or not UVC light exposure can disinfect and maintain the intra-luminal number of colony forming units (CFUs) at an exceedingly low level and thus avoid the growth and establishment of biofilm is of interest. The use of UVC diodes......Exposing Pseudomonas aeruginosa biofilm grown on the inner surface of Teflon and silicone tubes to UVC light (265 nm) from light emitting diodes (LED) has previously been shown to substantially reduce biofilm growth. Smaller UVC fluencies were required to disinfect Teflon tubes compared to silicone...... tubes. Light propagation enhancement in tubes can be obtained if the refractive index of the intra-luminal saline solution is higher than that of the polymer. This condition is achieved by using Teflon tubes with a low refractive index (1.34) instead of the polymers with a high refractive index (1...

  14. Feeding tube insertion - gastrostomy

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002937.htm Feeding tube insertion - gastrostomy To use the sharing features on this page, please enable JavaScript. A gastrostomy feeding tube insertion is the placement of a feeding ...

  15. Neural Tube Defects

    Science.gov (United States)

    Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the ... that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In ...

  16. Percutaneous catheter drainage of intrapulmonary fluid collection

    Energy Technology Data Exchange (ETDEWEB)

    Park, E. D.; Kim, H. J.; Choi, P. Y.; Jung, S. H. [Gyeongsang National University Hospital, Chinju (Korea, Republic of)

    1994-01-15

    With the success of percutaneous abdominal abscess drainage, attention is now being focused on the use of similar techniques in the thorax. We studied to evaluate the effect of percutaneous drainage in parenchymal fluid collections in the lungs. We performed percutaneous drainage of abscesses and other parenchymal fluid collections of the lungs in 15 patients. All of the procedures were performed under the fluoroscopic guidance with an 18-gauge Seldinger needle and coaxial technique with a 8-10F drainage catheter. Among 10 patients with lung abscess, 8 patients improved by percutaneous catheter drainage. In one patient, drainage was failed by the accidental withdrawal of the catheter before complete drainage. One patient died of sepsis 5 hours after the procedure. Among three patients with complicated bulla, successful drainage was done in two patients, but in the remaining patient, the procedure was failed. In one patient with intrapulmonary bronchogenic cyst, the drainage was not successful due to the thick internal contents. In one patient with traumatic hematoma, after the drainage of old blood clots, the signs of infection disappeared. Overally, of 14 patients excluding one who died, 11 patients improved with percutaneous catheter drainage and three patients did not. There were no major complications during and after the procedure. We conclude that percutaneous catheter drainage is effective and safe procedure for the treatment of parenchymal fluid collections of the lung in patients unresponsive to the medical treatment.

  17. Nonholonomic catheter path reconstruction using electromagnetic tracking

    Science.gov (United States)

    Lugez, Elodie; Sadjadi, Hossein; Akl, Selim G.; Fichtinger, Gabor

    2015-03-01

    Catheter path reconstruction is a necessary step in many clinical procedures, such as cardiovascular interventions and high-dose-rate brachytherapy. To overcome limitations of standard imaging modalities, electromagnetic tracking has been employed to reconstruct catheter paths. However, tracking errors pose a challenge in accurate path reconstructions. We address this challenge by means of a filtering technique incorporating the electromagnetic measurements with the nonholonomic motion constraints of the sensor inside a catheter. The nonholonomic motion model of the sensor within the catheter and the electromagnetic measurement data were integrated using an extended Kalman filter. The performance of our proposed approach was experimentally evaluated using the Ascension's 3D Guidance trakStar electromagnetic tracker. Sensor measurements were recorded during insertions of an electromagnetic sensor (model 55) along ten predefined ground truth paths. Our method was implemented in MATLAB and applied to the measurement data. Our reconstruction results were compared to raw measurements as well as filtered measurements provided by the manufacturer. The mean of the root-mean-square (RMS) errors along the ten paths was 3.7 mm for the raw measurements, and 3.3 mm with manufacturer's filters. Our approach effectively reduced the mean RMS error to 2.7 mm. Compared to other filtering methods, our approach successfully improved the path reconstruction accuracy by exploiting the sensor's nonholonomic motion constraints in its formulation. Our approach seems promising for a variety of clinical procedures involving reconstruction of a catheter path.

  18. Cavity Mode Related Wire Breaking of the SPS Wire Scanners and Loss Measurements of Wire Materials

    CERN Document Server

    Caspers, Friedhelm; Jensen, E; Koopman, J; Malo, J F; Roncarolo, F

    2003-01-01

    During the SPS high intensity run 2002 with LHC type beam, the breaking of several of the carbon wires in the wire scanners has been observed in their parking position. The observation of large changes in the wire resistivity and thermionic electron emission clearly indicated strong RF heating that was depending on the bunch length. A subsequent analysis in the laboratory, simulating the beam by two probe antennas or by a powered stretched wire, showed two main problems: i) the housing of the wire scanner acts as a cavity with a mode spectrum starting around 350 MHz and high impedance values around 700 MHz; ii) the carbon wire used so far appears to be an excellent RF absorber and thus dissipates a significant part of the beam-induced power. Different wire materials are compared with the classical cavity mode technique for the determination of the complex permittivity in the range of 2-4 GHz. As a resonator a rectangular TE_01n type device is utilized.

  19. Cavity mode related wire breaking of the SPS Wire Scanners and loss measurements of wire materials

    CERN Document Server

    Roncarolo, Federico

    2003-01-01

    During the SPS high intensity run 2002 with LHC type beam, the breaking of several of the carbon wires in the wire scanners has been observed in their parking position. The observation of large changes in the wire resistivity and thermionic electron emission clearly indicated strong RF heating that was depending on the bunch length. A subsequent analysis in the laboratory, simulating the beam by two probe antennas or by a powered stretched wire, showed two main problems: i) the housing of the wire scanner acts as a cavity with a mode spectrum starting around 350MHz and high impedance values around 700 MHz; ii) the carbon wire used so far appears to be an excellent RF absorber and thus dissipates a significant part of the beam-induced power. Different wire materials are compared with the classical cavity mode technique for the determination of the complex permittivity in the range of 2-4 GHz. As a resonator a rectangular TE01n type device is utilized.

  20. Transfer function of protoplasmic tubes of Physarum polycephalum.

    Science.gov (United States)

    Whiting, James G H; de Lacy Costello, Ben P J; Adamatzky, Andrew

    2015-02-01

    The slime mould Physarum polycephalum is a large single celled myxomycete; its plasmodium consists of tubes which extend to find sources of food. It has been previously shown that the tubes are conductive with a resistance of approximately 3 MΩ, and have been used in basic DC circuits. Hybrid slime mould-electronic circuits have been proposed, using the protoplasmic tubes, grown between agar, as Physarum wires. This paper aims to evaluate the electrical properties of the protoplasmic tubes with respect to analogue and digital waveforms. The Physarum wires act as low pass filters with a mean cut off frequency of 19kHz (SD 9 KHz); they have a 12.1 dB/decade roll-off (SD 1.9 dB/decade). Mean attenuation across the band-pass range is -6 dB (S.D. 4.5 dB). The mechanism for the frequency dependant attenuation is unknown however a combination of protoplasmic electrolyte and the cytoskeletal structure is the most likely cause. The tubes last approximately 2 weeks before forming a dry sclerotia, when they cease being conductive and is the prevalent limiting factor of their practical use; this is caused by dehydration and lack of nutrition, a limitation which may be overcome. The potential for Physarum wires in hybrid circuits is strengthened; while previous circuits were simple DC circuits, this work demonstrates that they may be used as electronic components or wires in both digital and analogue circuits or even as a computing component in analogue computers. Copyright © 2015. Published by Elsevier Ireland Ltd.

  1. "Cut wires grating – single longitudinal wire" planar metastructure to achieve microwave magnetic resonance in a single wire

    OpenAIRE

    G. Kraftmakher; V. Butylkin

    2012-01-01

    Here we present metastructures containing cut-wire grating and a single longitudinal cut-wire orthogonal to grating’s wires. Experimental investigations at microwaves show these structures can provide strong magnetic resonant response of a single nonmagnetic cut-wire in dependence on configuration and sizes in the case when metastructures are oriented along the direction of wave propagation and cut-wires of grating are parallel to the electric field of a plane electromagnetic wave. It is sugg...

  2. An assessment of solid-wire film coatings for MAG welding

    Energy Technology Data Exchange (ETDEWEB)

    Turyk, E.; Ruda, A.; Lomozik, M

    2002-07-01

    Solid electrode-wires, intended for MAG welding, are made of common and low-alloy constructional steels and are usually coated with a thin copper film whose role is to ensure good electrical contact in the contact tube (the current terminal), a low level of resistance to feed in the spiral of the MAG welding clamp, and a temporary anticorrosion protection. The present paper contains results of the investigations into the properties of film coatings on G3Sil-EN 440 solid wires. The assessment of the wire properties was based on the criteria established in the course of the experimentation. This was necessary because the available standards for the welding wires do not uniquely specify requirements regarding factors such as, for instance, film thickness, its uniformity and surface roughness which influence the quality of the coating.

  3. Dye-sensitized photovoltaic wires using highly ordered TiO2 nanotube arrays.

    Science.gov (United States)

    Liu, Zhaoyue; Misra, Mano

    2010-04-27

    Dye-sensitized photovoltaic wires (DSPVWs) are developed using anodized Ti wires that contain ordered arrays of TiO2 nanotubes. The prototype DSPVW consists of N719 dye-adsorbed TiO2 nanotube arrays around a Ti wire as a working electrode, a platinum wire as a counter electrode, and an organic electrolyte encased in a capillary glass tube. The effect of length of nanotube arrays on the photovoltaic performance of DSPVWs is studied systematically. A solar-to-electric conversion efficiency of 2.78% is achieved with 55 microm long nanotubes under 98.3 mW/cm(2) AM 1.5 simulated full light. The prototype device is capable of achieving a long distance transport of photocurrent and harvesting all light from any direction in surroundings to generate electricity.

  4. Superconducting wires and fractional flux

    Science.gov (United States)

    Sá de Melo, C. A. R.

    1996-05-01

    The quantization of flux quanta in superconductors is revisited and analyzed in a new geometry. The system analyzed is a superconducting wire. The geometry is such that the superconducting wire winds N times around an insulating cylinder and that the wire has its end connected back to its beginning, thus producing an N-loop short circuited solenoid. The winding number N acts as a topological index that controls flux quantization. In this case, fractional flux quanta can be measured through the center of the insulating cylinder, provided that the cylinder radius is small enough. The Little-Parks experiment for an identical geometry is discussed. The period of oscillation of the transition temperature of the wire is found to vary as 1/N in units of flux Φ relative to the flux quantum Φ0. When a SQUID is made in such a geometry the maximal current through the SQUID varies with period Φ0/N.

  5. Wire ropes tension, endurance, reliability

    CERN Document Server

    Feyrer, Klaus

    2015-01-01

    The main goal of this book is to present the methods used to calculate the most important parameters for ropes, and to explain how they are applied on the basis of numerous sample calculations. The book, based on the most important chapters of the German book DRAHTSEILE, has been updated to reflect the latest developments, with the new edition especially focusing on computational methods for wire ropes. Many new calculations and examples have also been added to facilitate the dimensioning and calculation of mechanical characteristics of wire ropes. This book offers a valuable resource for all those working with wire ropes, including construction engineers, operators and supervisors of machines and installations involving wire ropes.

  6. Wire Jewelry/Black History.

    Science.gov (United States)

    Daniel, Robert A.; Robinson, Charles C.

    1984-01-01

    Described is a project which made the study of Black history more real to fifth graders by having them make wire jewelry, smaller versions of the ornate filigreed ironwork produced by slave blacksmiths. (RM)

  7. Dieless wire drawing with lasers

    Science.gov (United States)

    Liedl, G.; Schuöcker, D.

    2007-06-01

    Thin wires are produced by drawing through nozzle-like tools, so called dies, that suffer from strong wear due to friction. In order to avoid the latter disadvantage the dies can be replaced by a laser beam heating the wire to such extend that the yield strength becomes smaller than the tensile strength and thus the wire is elongated and consequently constricted. To avoid rupture, the wire is cooled down again after the desired reduction of the diameter is reached. A further important advantage of this new process is that only one drawing step with a laser can substitute a large number of mechanical drawing actions, thus making the process much more efficient. Theoretical considerations and experimental investigations prove the feasibility of the latter new laser process and are subject to a description in the actual paper.

  8. 49 CFR 236.74 - Protection of insulated wire; splice in underground wire.

    Science.gov (United States)

    2010-10-01

    ... underground wire. 236.74 Section 236.74 Transportation Other Regulations Relating to Transportation (Continued... wire; splice in underground wire. Insulated wire shall be protected from mechanical injury. The insulation shall not be punctured for test purposes. Splice in underground wire shall have insulation...

  9. 49 CFR 234.241 - Protection of insulated wire; splice in underground wire.

    Science.gov (United States)

    2010-10-01

    ... underground wire. 234.241 Section 234.241 Transportation Other Regulations Relating to Transportation... of insulated wire; splice in underground wire. Insulated wire shall be protected from mechanical injury. The insulation shall not be punctured for test purposes. A splice in underground wire shall have...

  10. Topology Optimized Photonic Wire Splitters

    DEFF Research Database (Denmark)

    Frandsen, Lars Hagedorn; Borel, Peter Ingo; Jensen, Jakob Søndergaard;

    2006-01-01

    Photonic wire splitters have been designed using topology optimization. The splitters have been fabricated in silicon-on-insulator material and display broadband low-loss 3dB splitting in a bandwidth larger than 100 nm.......Photonic wire splitters have been designed using topology optimization. The splitters have been fabricated in silicon-on-insulator material and display broadband low-loss 3dB splitting in a bandwidth larger than 100 nm....

  11. 1 mil gold bond wire study.

    Energy Technology Data Exchange (ETDEWEB)

    Huff, Johnathon; McLean, Michael B.; Jenkins, Mark W.; Rutherford, Brian Milne

    2013-05-01

    In microcircuit fabrication, the diameter and length of a bond wire have been shown to both affect the current versus fusing time ratio of a bond wire as well as the gap length of the fused wire. This study investigated the impact of current level on the time-to-open and gap length of 1 mil by 60 mil gold bond wires. During the experiments, constant current was provided for a control set of bond wires for 250ms, 410ms and until the wire fused; non-destructively pull-tested wires for 250ms; and notched wires. The key findings were that as the current increases, the gap length increases and 73% of the bond wires will fuse at 1.8A, and 100% of the wires fuse at 1.9A within 60ms. Due to the limited scope of experiments and limited data analyzed, further investigation is encouraged to confirm these observations.

  12. Impact of short-term hemodialysis catheters on the central veins: a catheter venographic study

    Energy Technology Data Exchange (ETDEWEB)

    Oguzkurt, Levent E-mail: loguzkurt@yahoo.com; Tercan, Fahri; Torun, Dilek; Yildirim, Tuelin; Zuemruetdal, Ayseguel; Kizilkilic, Osman

    2004-12-01

    Objective: To determine the incidence of pericatheter sleeve formation, thrombus formation, and stenosis of the central veins in hemodialysis patients with temporary catheters. Methods and material: In this prospective study, 57 patients (40 males, 17 females) with temporary dialysis catheters had catheter venography by pulling back the catheter just before removal. Patient's age range was 25-87 years (mean age, 51 years). The venographic studies were evaluated for pericatheter sleeve formation, thrombus formation, and stenosis of the brachiocephalic vein (BCV) and the superior vena cava (SVC). The IJV could only be evaluated if there was adequate filling during contrast administration. In a subgroup of patients who had had only right IJV or only right SCV catheters, impact of these catheters on the central veins was compared. Results: The catheter location was right internal jugular vein (IJV) in 26 cases, right subclavian vein (SCV) in 27 cases, left IJV in 1 case, and left SCV in 3 cases. Thirty-two patients (56%) had had only one temporary catheter and the rest had had more than one inserted. The mean dwell time for the catheters was 21 days (range 7-59 days). A pericatheter sleeve was detected on venography in 32 (56%) patients and thrombus formation was noted in 16 patients (28%). A total of 41 patients (72%) exhibited pericatheter sleeve and/or thrombus formation. While 19 of the 32 patients (59%) without previous catheterization had a sleeve around the catheter, only 13 (52%) of 25 patients who had had multiple catheters inserted had a sleeve (P>0.05). Of the eight patients (14%) with BCV stenosis, two had >50% stenosis. Only one patient (2%) had mild stenosis of the SVC. Three patients out of 15 (20%) who had diagnostic venography for the IJV had severe stenosis of the vein. Pericatheter sleeve formation was more frequent in women (P<0.05). However, there were no statistical differences with respect to pericatheter sleeve formation, luminal filling

  13. Unrecognised guide wire migration during internal jugular cannulation and its retrieval--a case report.

    Science.gov (United States)

    Adenekan, A T; Onakpoya, U U; Faponle, A F; Olateju, S O

    2013-03-01

    The objective of this article is to report a case of unrecognised missed guide wire diagnosed two months after right internal jugular cannulation and which was successfully retrieved from the right femoral vein. The case record of a patient that had retained intravenous guide wire was reviewed with relevant literature. A 40-yr-old female had an emergency left thoracotomy on account of haemorrhagic pleural effusion. A right internal jugular central venous catheter (CVC) insertion was performed for resuscitation and haemodynamic monitoring before induction of anaesthesia. A follow-up thoraco-abdominal Computed tomography (CT) scan taken after 8 weeks showed a pigtail intravascular metallic foreign body traversing the distal superior vena cava, right atrium, inferior vena cava, and ending at the right femoral vein. The guide wire was successfully removed via a right femoral venotomy under local anaesthesia. Intravascular loss of a guide wire is a rare complication of CVC insertion. If basic precautionary measures were taken, the loss of guide wire would have been avoided.

  14. HTS Wire Development Workshop: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    1994-07-01

    The 1994 High-Temperature Superconducting Wire Development Workshop was held on February 16--17 at the St. Petersburg Hilton and Towers in St. Petersburg, Florida. The meeting was hosted by Florida Power Corporation and sponsored by the US Department of Energy`s Superconductivity Program for Electric Power Systems. The meeting focused on recent high-temperature superconducting wire development activities in the Department of Energy`s Superconductivity Systems program. The meeting opened with a general discussion on the needs and benefits of superconductivity from a utility perspective, the US global competitiveness position, and an outlook on the overall prospects of wire development. The meeting then focused on four important technology areas: Wire characterization: issues and needs; technology for overcoming barriers: weak links and flux pinning; manufacturing issues for long wire lengths; and physical properties of HTS coils. Following in-depth presentations, working groups were formed in each technology area to discuss the most important current research and development issues. The working groups identified research areas that have the potential for greatly enhancing the wire development effort. These areas are discussed in the summary reports from each of the working groups. This document is a compilation of the workshop proceedings including all general session presentations and summary reports from the working groups.

  15. Wire Scanner Motion Control Card

    CERN Document Server

    Forde, S E

    2006-01-01

    Scientists require a certain beam quality produced by the accelerator rings at CERN. The discovery potential of LHC is given by the reachable luminosity at its interaction points. The luminosity is maximized by minimizing the beam size. Therefore an accurate beam size measurement is required for optimizing the luminosity. The wire scanner performs very accurate profile measurements, but as it can not be used at full intensity in the LHC ring, it is used for calibrating other profile monitors. As the current wire scanner system, which is used in the present CERN accelerators, has not been made for the required specification of the LHC, a new design of a wire scanner motion control card is part of the LHC wire scanner project. The main functions of this card are to control the wire scanner motion and to acquire the position of the wire. In case of further upgrades at a later stage, it is required to allow an easy update of the firmware, hence the programmable features of FPGAs will be used for this purpose. The...

  16. Vibrating wires for beam diagnostics

    CERN Document Server

    Arutunian, S G; Wittenburg, Kay

    2015-01-01

    A new approach to the technique of scanning by wires is developed. Novelty of the method is that the wire heating quantity is used as a source of information about the number of interacting particles. To increase the accuracy and sensitivity of measurements the wire heating measurement is regenerated as a change of wire natural oscillations frequency. By the rigid fixing of the wire ends on the base an unprecedented sensitivity of the frequency to the temperature and to the corresponding flux of colliding particles. The range of used frequencies (tens of kHz) and speed of processes of heat transfer limit the speed characteristics of proposed scanning method, however, the high sensitivity make it a perspective one for investigation of beam halo and weak beam scanning. Traditional beam profile monitors generally focus on the beam core and loose sensitivity in the halo region where a large dynamic range of detection is necessary. The scanning by a vibrating wire can be also successfully used in profiling and det...

  17. Connecting to Thermocouples with Fewer Lead Wires

    Science.gov (United States)

    Goldsby, Jon C.

    2003-01-01

    A simple technique has been devised to reduce the number of lead wires needed to connect an array of thermocouples to the instruments (e.g., voltmeters) used to read their output voltages. Because thermocouple wires are usually made of expensive metal alloys, reducing the number of lead wires can effect a considerable reduction in the cost of such an array. Reducing the number of wires also reduces the number of terminals and the amount of space needed to accommodate the wires.

  18. Catheter embolization from implanted venous access devices: case reports.

    Science.gov (United States)

    Carr, M E

    1989-04-01

    Two cases of catheter embolization from implanted venous access devices are reported and the available literature is reviewed. The catheter from an implanted venous access device migrated into the right heart after slippage of the O-ring, which attaches the catheter to the infusion port. The distal 6 cm of an infusion port catheter embolized to the right heart after spontaneous fracture of the catheter at the point where it passed between the clavicle and first rib. Both catheters were removed percutaneously without complication. Risk factors for embolization were apparent on x-ray films with evidence of O-ring slippage in 1 case an obvious kinking of the catheter in the other. Symptoms of embolization included chest discomfort, right upper quadrant pain, and nausea. In 1 case, an extra heart sound, initially thought to be an S3, disappeared when the catheter was removed.

  19. Microbiocidal effects of various taurolidine containing catheter lock solutions

    NARCIS (Netherlands)

    Olthof, E.D.; Nijland, R van; Gulich, A.F.; Wanten, G.J.A.

    2015-01-01

    BACKGROUND & AIMS: We have recently shown that a catheter lock solution containing taurolidine dramatically decreases catheter-related bloodstream infections (CRBSI) in patients on home parenteral nutrition (HPN) when compared to heparin. Since several taurolidine formulations are commercially avail

  20. A novel method for salvage of malfunctioning peritoneal dialysis catheter

    Directory of Open Access Journals (Sweden)

    Ali Akbar Beig

    2014-01-01

    Conclusions: Comparing the advantages and disadvantages of this method to the previous laparoscopically repaired catheter, we concluded that this new method is efficient, and is a suitable way for malfunctioning PD catheter salvage.

  1. Risk factors for peritoneal dialysis catheter failure in children ...

    African Journals Online (AJOL)

    Risk factors for peritoneal dialysis catheter failure in children. ... tertiary Children's Hospital, King Fahad Medical City, Riyadh, Saudi Arabia, from January ... improvement of patients' nutritional status, use of a swan-neck double-cuffed catheter, ...

  2. Medline Plus

    Full Text Available ... removed. A different sized guide wire is put in its place. Next, a long narrow tube called ... wire is removed. Once the catheter is placed in the opening or ostium of one of the ...

  3. Drain Tube-Induced Jejunal Penetration Masquerading as Bile Leak following Whipple’s Operation

    Directory of Open Access Journals (Sweden)

    Sang Ho Bae

    2011-05-01

    Full Text Available A 70-year-old man had undergone pancreaticoduodenectomy due to a distal common bile duct malignancy. After the operation, serous fluid discharge decreased from two drain tubes in the retroperitoneum. Over four weeks, the appearance of the serous fluid changed to a greenish bile color and the patient persistently drained over 300 ml/day. Viewed as bile leak at the choledochojejunostomy, treatment called for endoscopic diagnosis and therapy. Cap-fitted forward-viewing endoscopy demonstrated that the distal tip of a pancreatic drain catheter inserted at the pancreaticojejunostomy site had penetrated the opposite jejunum wall. One of the drain tubes primarily placed in the retroperitoneum had also penetrated the jejunum wall, with the distal tip positioned near the choledochojejunostomy site. No leak of contrast appeared beyond the jejunum or anastomosis site. Following repositioning of a penetrating catheter of the pancreaticojejunostomy, four days later, the patient underwent removal of two drain tubes without additional complications. In conclusion, the distal tip of the catheter, placed to drain pancreatic juice, penetrated the jejunum wall and may have caused localized perijejunal inflammation. The other drain tube, placed in the retroperitoneal space, might then have penetrated the inflamed wall of the jejunum, allowing persistent bile drainage via the drain tube. The results masqueraded as bile leakage following pancreaticoduodenectomy.

  4. Prevention of catheter-related Pseudomonas aeruginosa infection by levofloxacin-impregnated catheters in vitro and in vivo

    Institute of Scientific and Technical Information of China (English)

    Yan Ping; Liu Wei; Kong Jinliang; Wu Hong; Chen Yiqiang

    2014-01-01

    Background Implanted medical catheter-related infections are increasing,hence a need for developing catheter polymers bonded to antimicrobials.We evaluated preventive effects of levofloxacin-impregnated catheters in catheterrelated Psuedomonas aeruginosa (strain PAO1) infection.Methods Drug release from levofloxacin-impregnated catheters was measured in vitro.Levofloxacin-impregnated catheters and polyvinyl chloride (PVC) catheters were immersed in 5 ml 50% Luria Bertani medium containing 108 CFU/ml Pseudomonas aeruginosa then incubated for 6,12,24 or 48 hours at 37℃ when bacteria adhering to the catheters and bacteria in the growth culture medium were determined.Impregnated and PVC catheters were singly implanted subcutaneously in mice,50 μl (107CFU) of PAO1 was injected into catheters.After the first and fifth days challenge,bacterial counts on implanted catheters and in surrounding tissues were determined microbiologically.Bacterial colonization and biofilm formation on implanted catheters were assessed by scanning electron microscopy.Results Drug release from levofloxacin-impregnated catheters was rapid.Levofloxacin-impregnated catheters had significantly fewer bacteria compared to PVC in vitro.After first and fifth day of challenge,no or significantly fewer bacteria adhered to impregnated catheters or in surrounding tissues compared to PVC.Scanning electron microscopical images after first day displayed from none to significantly fewer bacteria adhering to impregnated implanted catheters,compared to bacteria and microcolonies adhering to PVC catheters.After the fifth day,no bacteria were found on impregnated catheters,compared to clusters surrounding mucus-like substance and coral-shaped biofilms with polymorphonuclear leukocyte on PVC catheters.After the first day of challenge,secretion occurred in all implanted catheters with surrounding tissues mildly hyperaemic and swollen.After the fifth day,minute secretions inside impregnated catheters and no

  5. FABRICATION OF DIAMOND TUBES IN BIAS-ENHANCED HOT-FILAMENT CHEMICAL VAPOR DEPOSITION SYSTEM

    Institute of Scientific and Technical Information of China (English)

    CHEN Ming; MA Yuping; XIANG Daohui; SUN Fanghong

    2007-01-01

    Deposition of diamond thin films on tungsten wire Substrate with the gas mixture of acetone and hydrogen by using bias-enhanced hol filament chemical vapor deposition (CVD) with the tantalum wires being optimized arranged is investigated. The self-supported diamond tubes are obtained by etching away the tungsten Substrates. The quality of the diamond film before and after the removal of Substrates is observed by scanning electron microscope (SEM) and Raman spectrum. The results show that the cylindrical diamond tubes with good quality and uniform thickness are obtained on tungsten wires by using bias enhanced hot filament CVD. The compressive stress in diamond film formed during the deposition is released after the Substrate etches away by mixture of H202 and NH4OH. There is no residual stress in diamond tube after Substrate removal.

  6. [Medial venous catheter or midline (MVC)].

    Science.gov (United States)

    Carrero Caballero, Ma Carmen; Montealegre Sanz, María; Cubero Pérez, Ma Antonia

    2014-01-01

    Current clinical practice is characterised for importance of the patient's quality of life and the need to reduce the costs of their treatment. We search intravenous therapy alternatives that meet the needs of the patient, reducing the complications associated with the use of venous catheters. Scientific evidence shows that there are midline venous catheters that offer patients and professionals the possibility of extending the duration of infusion therapy, using more venous compatibility materials, and with less risk of infection. The Midlines are becoming in a safe an efficient device for intravenous therapy, continuous and intermittent infusion, provided the necessary care by expert nurses. Midline catheters are peripheral venous access devices between 3 to 10 inches in length (8 to 25 cm). Midlines are usually placed in an upper arm vein, such as the brachial or cephalic, and the distal extreme ends below the level of the axillary line. Midlines catheters implanted in the cephalic or deep basilica veins get more blood flow. This large blood volume justifies the lower risk of mechanical or chemical phlebitis. Midlines are routinely used for two to six weeks. Due that the extrem of these catheters does not extend beyond the axillary line, there are limitations for its use: type of infused drugs, velocity of infusion, etc. In general, solutions that have pH 5 to 9, or an osmolarity less than 500 mOsm are appropriate for infusion through a Midline. Its use is recommended in case of treatments over 7 days with low irritant capacity fluids. According to the Infusion Nurses Society's standards of practice, Midline catheters are appropriate for all intravenous fluids that would normally be administered through a short peripheral IV Importantly, due that the catheter does not pass through the central veins, Midlines can be placed without a chest X-ray to confirm placement. For certain situations, Midlines are suitable for acute units and even for care home settings

  7. Urinary catheterization diary – A useful tool in tracking causes of non-deflating Foley catheter

    Directory of Open Access Journals (Sweden)

    C.O. Okorie

    2015-06-01

    Conclusions: Most urinary catheters marketed in developing countries are unidentifiable after unpacking. A catheterization diary is a useful tool for solving catheter-related problems, and its application in health-care facilities should be encouraged. Companies marketing Foley catheters should print the catheter name on both the catheter packaging and on the catheter itself.

  8. 21 CFR 878.4200 - Introduction/drainage catheter and accessories.

    Science.gov (United States)

    2010-04-01

    ... catheters (including dialysis), and other general surgical catheters. An introduction/drainage catheter... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Introduction/drainage catheter and accessories... Introduction/drainage catheter and accessories. (a) Identification. An introduction/drainage catheter is a...

  9. The usefulness of wire-loop technique for percutaneous angioplasty of insufficient hemodialysis fistula

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Dong Hun; Goo, Dong Erk; Kim, Dae Ho; Choi, Deuk Lin; Moon, Chul [College of Medicine, Soonchunhyang University, Seoul (Korea, Republic of)

    2000-10-01

    To evaluate the usefulness of the wire-loop technique, used to perform percutaneous transluminal angioplasty (PTA) in occluded arteriovenous fistula when standard methods fail to pass the balloon catheter across the stenotic segment. In 30 patients (M:F = 14:16; aged 27-77 (mean, 51.3) years), the Wire-Loop technique was used to perform percutaneous transluminal angioplasty of insufficiently hemodialysed arteriovenous fistula where a balloon catheter had failed to pass through the stenotic lesion after a guide wire had successfully passed. Native and Gore-tex fistula were used in 22 and eight cases, respectively.Sixteen stenoses were located in the central vein, and fourteen in the peripheral. The puncture sites used in order to perform the technique were the femoral vein in all cases of central stenosis; three basilic, four cephalic, and five femoral veins in cases of peripheral stenosis and one femoral and one radial artery in cases of anastomotic stenosis. The guide wire was passed through the stenotic lesion, pulled out using the snare technique, and then stretched in order to tighten it. The balloon catheter was then passed through the lesion and traditional balloon angioplasty was performed. The technical success rate and complications of the technique, and the patency rate of recanalized arteriovenous fistula, were evaluated. In 26 of the thirty patients, (86.7%), the procedure was technically successful. In the remaining four cases, failure was due to venous dissection (n=1), marked residual stenosis (n=2), or cardiac arrest (n=1) during the procedure. The average procedure time was 105 (range, 40-210) minutes, and in three cases rupture of the vein occurred. The patency rate of PTA was 80% (24/30) at four months, 63% (19/30) at six months, and 30% (9/30) at twelve months. The expected technical success rate of traditional PTA, without the Wire-Loop technique, would have been 79.3%, but using the technique, the rate increased to 86.7%. The Wire

  10. Large-Scale Production of Monitored Drift Tube Chambers for the ATLAS Muon Spectrometer

    CERN Document Server

    Bauer, F; Kortner, O; Kroha, H; Manz, A; Mohrdieck, S; Richter, R; Zhuravlov, V

    2016-01-01

    Precision drift tube chambers with a sense wire positioning accuracy of better than 20 microns are under construction for the ATLAS muon spectrometer. 70% of the 88 large chambers for the outermost layer of the central part of the spectrometer have been assembled. Measurements during chamber construction of the positions of the sense wires and of the sensors for the optical alignment monitoring system demonstrate that the requirements for the mechanical precision of the chambers are fulfilled.

  11. Respiratory Complications Associated with Insertion of Small-Bore Feeding Tube in Critically Ill Patients

    Directory of Open Access Journals (Sweden)

    Jeong Am Ryu

    2014-05-01

    Full Text Available Small-bore flexible feeding tubes decrease the risk of ulceration of the nose, pharynx, and stomach compared with large-bore and more rigid tubes. However, small-bore feeding tubes have more respiratory system complications, such as pneumothorax, hydropneumothorax, bronchopleural fistula, and pneumonia, which are associated with significant morbidity and mortality. Thus, it is important to confirm the correct position of feeding tubes. Chest X-ray is the gold standard to detect tracheal malpositioning of the feeding tube. We present three cases in which intubated patients exhibited an altered mental state. An assistant guide wire was used at the insertion of small-bore feeding tubes. These conditions are thought to be potential risk factors for tracheobronchial malpositioning of feeding tubes.

  12. Heat treatment of wires on the basis of the high Tc superconductor YBa2Cu3Ox

    Science.gov (United States)

    Müller, P.; Schubert, M.; Rodig, Ch.; Fuchs, G.; Fischer, K.

    1989-08-01

    Ag-sheathed powder-in-tube wires on the basis of the high Tc superconductor YBa2Cu3Ox are produced by a drawing process. After cold working, the wires are not superconducting. By heat treatment at temperatures >900 °C, lattice defects are healed and the contact between the grains is improved. After this heat treatment the wires are slowly cooled in an O2 atmosphere in order to adjust the optimum O2 stoichiometry. The annealing temperature has a strong influence on the attainable critical current density. By annealing a wire with 420 ppm carbon content at 950 °C, jc values of 5020 A/cm2 at 4.2 K and 1130 A/cm2 at 77 K were achieved. Drastically reduced critical current densities in wires with high carbon content demonstrate the importance of a low carbon content for achieving high critical current densities in YBa2Cu3Ox .

  13. 21 CFR 870.1230 - Fiberoptic oximeter catheter.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Fiberoptic oximeter catheter. 870.1230 Section 870...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Diagnostic Devices § 870.1230 Fiberoptic oximeter catheter. (a) Identification. A fiberoptic oximeter catheter is a device used to estimate the...

  14. 21 CFR 868.6810 - Tracheobronchial suction catheter.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Tracheobronchial suction catheter. 868.6810... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Miscellaneous § 868.6810 Tracheobronchial suction catheter. (a) Identification. A tracheobronchial suction catheter is a device used to aspirate liquids or...

  15. Intercostal drainage tube or intracardiac drainage tube?

    Directory of Open Access Journals (Sweden)

    N Anitha

    2016-01-01

    Full Text Available Although insertion of chest drain tubes is a common medical practice, there are risks associated with this procedure, especially when inexperienced physicians perform it. Wrong insertion of the tube has been known to cause morbidity and occasional mortality. We report a case where the left ventricle was accidentally punctured leading to near-exsanguination. This report is to highlight the need for experienced physicians to supervise the procedure and train the younger physician in the safe performance of the procedure.

  16. New Free Electron Wire for Loss Free Utilization of Electrical Energy and Highly Energy Efficient Electrical Appliances

    Directory of Open Access Journals (Sweden)

    Sabyasachi Haldar

    2014-07-01

    Full Text Available New Free Electrons Wire will enable the use of electrical energy and also energy in various other forms, in a loss free way, at room temperature. Free Electrons confined in vacuum at the order of 10-4 torr or more, at the core of the wire, can move a distance as long as about, to a few kilometers without any collision. The vacuum is maintained in a tube made up of alternate layers of Teflon and Silicon Oxynitride. The columbic repulsion between these free electrons will actually conduct energy without any loss. The free electrons trapped in vacuum tube, should be at a particular density of around 2.02 x 108 electrons per unit area. A metal encapsulation(s over the wire is there to keep the electromagnetic field remain confined within the free electron wire, to make it harmless to the health of living creatures. Apart from loss free energy transportation, the free electron wire is also capable of generating very high electromagnetic field due to the free electrons, simply by removing the metal encapsulation(s, which can be used for various purposes. The materials and techniques adopted will make New Free Electron Wire producible commercially, at the cost of general copper wires.

  17. Catheter Removal versus Retention in the Management of Catheter-Associated Enterococcal Bloodstream Infections

    Directory of Open Access Journals (Sweden)

    Jonas Marschall

    2013-01-01

    Full Text Available BACKGROUND: Enterococci are an important cause of central venous catheter (CVC-associated bloodstream infections (CA-BSI. It is unclear whether CVC removal is necessary to successfully manage enterococcal CA-BSI.

  18. Performance of a lead radiator, gas tube calorimeter

    Energy Technology Data Exchange (ETDEWEB)

    Spiegel, L.; Arenton, M.; Chen, T.Y.; Conetti, S.; Cox, B.; Delchamps, S.W.; Etemadi, B.; Fortney, L.; Guffey, K.; Haire, M.

    1989-03-13

    Design and performance of a 4.2 radiation length lead-sandwich, gas tube hodoscope are discussed. The device, measuring 1 /times/ 2 m/sup 2/ in area and 12 cm in depth, was employed in Fermi National Accelerator Laboratory experiment 705. Multiple samplings of anode wires situated within three-walled aluminum tubes were used to generate an X coordinate; similarly, capacitively coupled copper-clad strips were ganged together to yield a Y coordinate. The results reviewed are based on an analysis of electron calibration data taken during a recent six-month running period. In particular, position resolution (in millimeters) is seen to be 0.8 + 3.3/..sqrt..E + 31/E for the 9.92 mm spaced wires and 0.6 + 3.2/..sqrt..E + 32/E for the 12.5 mm strips, where E represents the electron beam energy in GeV. 5 refs., 6 figs.

  19. Consideration of alternative designs for a Percutaneous Endoscopic Gastrostomy feeding tube

    Science.gov (United States)

    Yerrabolu, Santosh Rohit

    The inability of some people to chew or swallow foods (but can digest foods) due to problems associated with various diseases and complications leads them to insufficient nutritional intake and loss of quality of life. These individuals are generally provided with nutritional support by means of injecting or infusing food directly into their stomachs or small intestines via feeding tubes. Gastrostomy feeding tubes (G-tubes) are used when such nutritional support is required for over 3-6 weeks. Percutaneous Endoscopic Gastrostomy (PEG) tubes are one of the most widely used G- Tubes and devices which are inserted via an incision through the abdominal wall either through a pull or push method. This investigation proposes conceptual alternative Percutaneous Endoscopy Gastrostomy (PEG) feeding tube designs with optimized materials selection to be used for their construction. The candidate materials were chosen from 18 commercial catheters, 2 reference grade polymers and a commercial polymer; using tissue-catheter-friction testing and surface chemistry characterization (Infrared spectroscopy and Critical Surface Tension approximation). The main objectives considered were to minimize slipping/dislodgement of gastrostomy tube/seal, to reduce peristomal leakage, and to attain size variability of PEG tubes while maintaining a low profile. Scanning Electron Microscope- Energy Dispersive X-ray Spectroscopy was employed to further determine the filler materials used in the samples. Nylon coated with fatty ester and filled with Barium sulphate was determined as the optimum material for the construction of the tube part of the feeding tubes to reduce slipping/dislodgment of gastrostomy tube/seal and to minimize peristomal leakage. Nylon coated with fatty ester and filled with Silica is the suggested as a candidate material for construction of the bumper/mushroom sections of the feeding tubes to avoid the Buried Bumper Syndrome. Fused Deposition Modeling, Selective Laser Sintering

  20. Application and nursing of central venous catheter in Intensive Care Unit%中心静脉置管在ICU的应用及护理

    Institute of Scientific and Technical Information of China (English)

    赵斯芹

    2012-01-01

    Objective To investigate the nursing measures for patients who use central venous catheter in Intensive Care Unit (ICU). Methods A retrospective analysis of 204 patients with central venous catheter was conducted. Results After treatment,successful extubation was seen in 177 cases,blocked tubes 8 cases,catheter- related infection in 5 cases,catheter withdrawal in 3 cases and catheter displacement 11 cases. Conclusion According to the causes of complications of central venous catheter,timely and appropriate nursing measures can reduce or avoid such complications.%目的 探讨中心静脉置管期的护理措施.方法 对204例中心静脉置管患者进行回顾性分析.结果 治疗完毕顺利拔管177例,导管堵塞8例,导管相关感染5例,导管脱出3例,移位11例.结论 根据中心静脉置管发生并发症的原因,及时采取相应的护理措施,可以减少或避免并发症的发生.

  1. Concurrent use of pigtail and loop snare catheters for percutaneous retrieval of dislodged central venous port catheter.

    Science.gov (United States)

    Chuang, Ming-Tsung; Wu, Ding-Kwo; Chang, Cheng-Ang; Shih, Ming-Chen Paul; Ou-Yang, Fu; Chuang, Chien-Han; Tsai, Yi-Fan; Hsu, Jui-Sheng

    2011-11-01

    The purpose of this study was to report our experience of percutaneous retrieval of dislodged port catheters with concurrent use of pigtail and loop snare catheters. During a 5-year period at our institute (June 2005 to July 2010), a total of 23 dislodged port catheters were retrieved. The interval between port catheter implantation and dislodged catheter retrieval ranged from 43 days to 1,414 days (mean 586.7 days). The time of delayed retrieval ranged from 1 day to 45 days (mean 4.6 days). All dislodged catheters were retrieved with the concurrent use of pigtail and loop snare catheters via femoral venous route. The prevalence of port catheter dislodgement at our institute was 3.4%. All dislodged port catheters were removed successfully with pigtail and loop snare catheters together. No procedure-related complications were encountered, except for transient arrhythmia in two patients, which required no medication. In conclusion, the concurrent use of pigtail and loop snare catheters is a feasible and easy way for percutaneous retrieval of a dislodged central venous port catheter.

  2. Concurrent use of pigtail and loop snare catheters for percutaneous retrieval of dislodged central venous port catheter

    Directory of Open Access Journals (Sweden)

    Ming-Tsung Chuang

    2011-11-01

    Full Text Available The purpose of this study was to report our experience of percutaneous retrieval of dislodged port catheters with concurrent use of pigtail and loop snare catheters. During a 5-year period at our institute (June 2005 to July 2010, a total of 23 dislodged port catheters were retrieved. The interval between port catheter implantation and dislodged catheter retrieval ranged from 43 days to 1,414 days (mean 586.7 days. The time of delayed retrieval ranged from 1 day to 45 days (mean 4.6 days. All dislodged catheters were retrieved with the concurrent use of pigtail and loop snare catheters via femoral venous route. The prevalence of port catheter dislodgement at our institute was 3.4%. All dislodged port catheters were removed successfully with pigtail and loop snare catheters together. No procedure-related complications were encountered, except for transient arrhythmia in two patients, which required no medication. In conclusion, the concurrent use of pigtail and loop snare catheters is a feasible and easy way for percutaneous retrieval of a dislodged central venous port catheter.

  3. Complications after placement of peritoneal catheter

    Directory of Open Access Journals (Sweden)

    Đurđević-Mirković Tatjana

    2011-01-01

    Full Text Available Introduction. Peritoneal dialysis is one of the modalities used for treatment of end-stage chronic kidney failure. Nowadays, this method is complementary to haemodialysis and renal transplantation. Owing to the rich vascularization of the peritoneum, it is used in the processes of osmosis and diffusion, enabling the removal of uremic material from the body. The procedure includes introduction of peritoneal fluid via the peritoneal catheter. Complications. The catheter is placed through the anterior abdominal wall with its tip positioned in the small pelvis. There are several techniques for catheter placement considered minimally invasive, which, however, may be associated with various complications. These complications can be divided into mechanical (catheter dysfunction, cuff protrusion, hernia, dialysate leaks, visceral perforation and infectious (early peritonitis, exit site or tunnel infection, surgical wounds. In most cases, such complications are rare and can be successfully managed using conservative therapy; however, in some situations severe complications can endanger the life of the patient. On-time recognition of complications, particularly in patients at risk, is of paramount importance for an effective treatment. The development of complications can increase the morbidity and the chance of treatment failure, and therefore transfer to haemodialysis. Conclusion. The preoperative evaluation and determination of the risk factors as well as the early recognition and adequate management of complications are essential in their prevention.

  4. Best practices in urinary catheter care.

    Science.gov (United States)

    Herter, Rebecca; Kazer, Meredith Wallace

    2010-06-01

    Urinary catheterization is a common healthcare intervention used to manage urinary dysfunction that poses serious associated risks and complications. This article discusses methods of urinary catheterization and their indications, catheter-associated complications, and assessment and management strategies that home healthcare practitioners can employ to ensure best patient outcomes and minimize complications.

  5. [Femoral venous catheter: an unusual complication].

    Science.gov (United States)

    Garcia, P; Mora, A; Trambert, P; Maler, E; Courant, P

    2000-08-01

    We report an erratic course of a venous femoral catheter which was in the abdominal cavity in a patient with an haemoperitoneum and an hepatic injury. This complication led to an inefficiency of the transfusion and a worsening of the haemoperitoneum.

  6. A multicentre comparative evaluation of catheter valves.

    Science.gov (United States)

    Fader, M; Pettersson, L; Brooks, R; Dean, G; Wells, M; Cottenden, A; Malone-Lee, J

    Catheter valves are an alternative to leg bags for urine drainage, but no studies have yet been published which have compared the performance of different valves. This study was undertaken to evaluate the performance of the seven catheter valves available on the UK market in April 1996. The study was carried out by the Continence Products Evaluation (CPE) Network funded by the Medical Devices Agency (Department of Health). Each valve type was tested for 1 week by 19-36 cognitively unimpaired and manually dextrous subjects recruited from 11 test centres. At the end of each week, subjects completed an evaluation form (based on a three-point rating scale) to record product performance. The same catheter valves were also tested for ease of opening/closing by 33 subjects (mostly catheter users) who had some manual impairment. Performance scores varied widely between products. It was found that, to be successful, a valve needs to be easy to manipulate, leak-free, comfortable and inconspicuous. Prescribers need to be aware of the strengths and limitations of different valves for appropriate product selection.

  7. Pulse Tube Refrigerator

    Science.gov (United States)

    Matsubara, Yoichi

    The pulse tube refrigerator is one of the regenerative cycle refrigerators such as Stirling cycle or Gifford-McMahon cycle which gives the cooling temperature below 150 K down to liquid helium temperature. In 1963, W. E. Gifford invented a simple refrigeration cycle which is composed of compressor, regenerator and simple tube named as pulse tube which gives a similar function of the expander in Stirling or Gifford-McMahon cycle. The thermodynamically performance of this pulse tube refrigerator is inferior to that of other regenerative cycles. In 1984, however, Mikulin and coworkers made a significant advance in pulse tube configuration called as orifice pulse tube. After this, several modifications of the pulse tube hot end configuration have been developed. With those modifications, the thermodynamic performance of the pulse tube refrigerator became the same order to that of Stirling and Gifford-McMahon refrigerator. This article reviews the brief history of the pulse tube refrigerator development in the view point of its thermodynamically efficiency. Simplified theories of the energy flow in the pulse tube have also been described.

  8. Californium Recovery from Palladium Wire

    Energy Technology Data Exchange (ETDEWEB)

    Burns, Jon D. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2014-08-01

    The recovery of 252Cf from palladium-252Cf cermet wires was investigated to determine the feasibility of implementing it into the cermet wire production operation at Oak Ridge National Laboratory’s Radiochemical Engineering Development Center. The dissolution of Pd wire in 8 M HNO3 and trace amounts of HCl was studied at both ambient and elevated temperatures. These studies showed that it took days to dissolve the wire at ambient temperature and only 2 hours at 60°C. Adjusting the ratio of the volume of solvent to the mass of the wire segment showed little change in the kinetics of dissolution, which ranged from 0.176 mL/mg down to 0.019 mL/mg. A successful chromatographic separation of 153Gd, a surrogate for 252Cf, from Pd was demonstrated using AG 50x8 cation exchange resin with a bed volume of 0.5 mL and an internal diameter of 0.8 cm.

  9. Californium Recovery from Palladium Wire

    Energy Technology Data Exchange (ETDEWEB)

    Burns, Jon D. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2014-08-01

    The recovery of 252Cf from palladium-252Cf cermet wires was investigated to determine the feasibility of implementing it into the cermet wire production operation at Oak Ridge National Laboratory’s Radiochemical Engineering Development Center. The dissolution of Pd wire in 8 M HNO3 and trace amounts of HCl was studied at both ambient and elevated temperatures. These studies showed that it took days to dissolve the wire at ambient temperature and only 2 hours at 60°C. Adjusting the ratio of the volume of solvent to the mass of the wire segment showed little change in the kinetics of dissolution, which ranged from 0.176 mL/mg down to 0.019 mL/mg. A successful chromatographic separation of 153Gd, a surrogate for 252Cf, from Pd was demonstrated using AG 50x8 cation exchange resin with a bed volume of 0.5 mL and an internal diameter of 0.8 cm.

  10. Esophageal Atresia: Migration of the gastrostomy tube into the bronchus

    Directory of Open Access Journals (Sweden)

    Hosseini Seyed Mohammad

    2008-01-01

    Full Text Available A 2-day-old baby boy, 38 weeks gestation, weight 2000 g was brought due to hypersalivation and imperforate anus with gasless abdomen on plain X-ray. He underwent a gastrostomy tube insertion and colostomy. In contrast study of the stomach, on the 5th postoperative day, the dye spilled into the tracheo bronchial tree and the catheter was seen,entering the right main bronchus. The patient underwent right thoracotomy and the presence of fistula and catheter were confirmed. The fistula and distal esophagus were closed and fixed to the prevertebral fascia because of a long gap. He is under follow-up and recieving home care for a later delayed primary anastomosis.

  11. Dosimetry in HDR brachytherapy with Fricke-gel layers and Fricke-gel catheters

    Energy Technology Data Exchange (ETDEWEB)

    Gambarini, G; Carrara, M; Negri, A; Invernizzi, M; Tenconi, C; Scotti, A; Pirola, L; Borroni, M; Tomatis, S; Fallai, C, E-mail: grazia.gambarini@mi.infn.i

    2010-11-01

    Fricke-gel layer dosimeters (FGLD) and Fricke gel dosimetric catheters (FGDC) have been designed and tested with the aim of enquiring their suitability for HDR {sup 192}Ir brachytherapy source control and for in-vivo dose verification during treatment. Anisotropy function measurements have been carried out with FGLDs in which a thin plastic tube has been placed in for the {sup 192}Ir source insertion. FGDCs are constituted by plastic tubes (3 mm of external diameter and 13 cm of length) filled with the dosimeter-gel. Absorbed dose images and profiles were attained by means of optical analysis. Dedicated software has been developed both for achieving anisotropy function values and for obtaining reliable results in visible light absorbance measurements across the thin cylindrical dosimeters. Preparation and analysis procedures have been optimised. The results confirm that the proposed methods are very promising for HDR brachytherapy dosimetry.

  12. Epidural catheter fragment entrapment: a case report

    Directory of Open Access Journals (Sweden)

    Mohammadi M

    2010-07-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 st1":*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Epidural catheters are seldom difficult to remove from patients. The breakage of the catheters is uncommon, troublesome and occasionally dangerous. "n"nCase presentation: A lumbar epidural catheter inserted in a 17 year-old man for applying anesthesia for internal fixation of femur fracture and subsequent postoperative epidural analgesia. In the third postoperative day, during unsuccessful attempt for removing the catheter, it was broken and was retained in his back. A CT- scan was performed and shows a fragment of catheter in the sub- laminar ligament between L3 and L4 without any connection with epidural space. As the patient had no complaint the fractured fragment was left in site and he was just followed up in the clinic."n"nConclusion: The knowledge of practical method in locating the retained epidural catheter, and the indication for surgical removal are very important. CT- scan is useful in showing the mechanism and locating the epidural catheter entrapment and facilitating surgical follow-up.

  13. Urethral catheters: can we reduce use?

    Directory of Open Access Journals (Sweden)

    van den Akker-van Marle M Elske

    2011-05-01

    Full Text Available Abstract Background Indwelling urinary catheters are the main cause of healthcare-associated urinary tract infections. It can be expected that reduction of the use of urinary catheters will lead to decreased numbers of urinary tract infection. Methods The efficacy of an intervention programme to improve adherence to recommendations to reduce the use of urethral catheters was studied in a before-after comparison in ten Dutch hospitals. The programme detected barriers and facilitators and each individual facility was supported with developing their own intervention strategy. Outcome was evaluated by the prevalence of catheters, alternatives such as diapers, numbers of urinary tract infections, the percentage of correct indications and the duration of catheterization. The costs of the implementation as well as the catheterization were evaluated. Results Of a population of 16,495 hospitalized patients 3335 patients of whom 2943 were evaluable for the study, had a urethral catheter. The prevalence of urethral catheters decreased insignificantly in neurology (OR 0.93; 95% CI 0.77 - 1.13 and internal medicine wards (OR 0.97; 95% CI 0.83 - 1.13, decreased significantly in surgical wards (OR 0.84; 95% CI 0.75 - 0.96, but increased significantly in intensive care (IC and coronary care (CC units (OR 1.48; 95% CI 1.01 - 2.17. The use of alternatives was limited and remained so after the intervention. Duration of catheterization decreased insignificantly in IC/CC units (ratio after/before 0.95; 95% CI 0.78 - 1.16 and neurology (ratio 0.97; 95% CI 0.80 - 1.18 and significantly in internal medicine (ratio 0.81; 95% CI 0.69 - 0.96 and surgery wards (ratio 0.80; 95% CI 0.71 - 0.90. The percentage of correct indications on the day of inclusion increased from 50 to 67% (p Conclusion Targeted implementation of recommendations from an existing guideline can lead to better adherence and cost savings. Especially, hospitals which use a lot of urethral catheters or

  14. State of the Art Power-in Tube Niobium-Tin Superconductors

    Energy Technology Data Exchange (ETDEWEB)

    Godeke, A.; Ouden, A. Den; Nijhuis, A.; ten Kate, H.H.J.

    2008-06-01

    Powder-in-Tube (PIT) processed Niobium-Tin wires are commercially manufactured for nearly three decades and have demonstrated a combination of very high current density (presently up to 2500 A mm{sup -2} non-Cu at 12 T and 4.2 K) with fine (35 {micro}m), well separated filaments. We review the developments that have led to the present state of the art PIT Niobium-Tin wires, discuss the wire manufacturing and A15 formation processes, and describe typical superconducting performance in relation to magnetic field and strain. We further highlight successful applications of PIT wires and conclude with an outlook on possibilities for further improvements in the performance of PIT Niobium-Tin wires.

  15. State of the Art Power-in Tube Niobium-Tin Superconductors

    Energy Technology Data Exchange (ETDEWEB)

    Godeke, A.; Ouden, A. Den; Nijhuis, A.; ten Kate, H.H.J.

    2008-06-01

    Powder-in-Tube (PIT) processed Niobium-Tin wires are commercially manufactured for nearly three decades and have demonstrated a combination of very high current density (presently up to 2500 A mm{sup -2} non-Cu at 12 T and 4.2 K) with fine (35 {micro}m), well separated filaments. We review the developments that have led to the present state of the art PIT Niobium-Tin wires, discuss the wire manufacturing and A15 formation processes, and describe typical superconducting performance in relation to magnetic field and strain. We further highlight successful applications of PIT wires and conclude with an outlook on possibilities for further improvements in the performance of PIT Niobium-Tin wires.

  16. Recycling of electronic waste: Printed wiring boards

    Science.gov (United States)

    Luyima, Alex

    Pyrolysis and leaching are the dominant techniques applied in the recycling of waste printed wiring boards (PWBs). Waste PWB pyrolysis is a highly polluting technology and produces brominated pyrolysis oils in addition to hydrogen bromide (HBr) gas. Moreover, leaching as a treatment process of waste PWBs is not well investigated. In this work, the pyrolysis of waste PWBs has been studied with the aim of reducing the amount of brominated oils and HBr gas evolved. The effects of powder inorganic chemicals (CaO, CaCO3, Fe 2O3, Al2O3, Y-Zeolite, and ZSM-5) additions on the pyrolysis of waste PWBs has been studied through experiments using a thermogravimetric-differential thermal analyzer connected to a mass spectrometer (TG-DTA-MS) and in a tube furnace at 900 °C. It has been shown that the kinetic models by Friedman, Flynn-Wall-Ozawa, and Kissinger are applicable to waste PWB pyrolysis at temperatures below 400 °C. Moreover, CaO, CaCO3, Fe2O3, Y-Zeolite, and ZSM-5 show a potential to reduce the amount of HBr gas evolved during pyrolysis in TG-DTA-MS. However, in the tube furnace pyrolysis experiments, CaO and CaCO3 were found to be the most effective chemical additions, with more than 90% reduction in total bromine (HBr and other brominated gases) evolved. It has also been demonstrated that the sequential leaching of waste PWBs with hydrochloric acid, nitric acid and aqua regia is capable of selective recovery of base and precious metals contained in waste PWBs.

  17. Repositioning of malpositioned or flipped central venous catheters

    Energy Technology Data Exchange (ETDEWEB)

    Thalhammer, A.; Jacobi, V.; Balzer, J.; Vogl, T.J. [Institute for Diagnostic and Interventional Radiology, Central Radiology Clinic, J.W. Goethe University, Frankfurt am Main (Germany)

    2002-03-01

    Primary misplaced or secondary flipped implanted catheters are located mostly in the right jugular vein. We demonstrate an effective method to replace fix implanted catheters such as Ports, Grochomg or Hickman catheters. Using a femoral venous approach, replacement into the superior vena cava can easily be done with a Sidewinder 1 catheter which is hooked over the misplaced central venous approach. In all our patients the method was successful. The repositioning technique described is simple, fast and has low costs. We can keep sterile conditions and do not need to solve the catheters' fixation. (orig.)

  18. Balloon angioplasty for disruption of tunneled dialysis catheter fibrin sheath.

    Science.gov (United States)

    Watorek, Ewa; Golebiowski, Tomasz; Letachowicz, Krzysztof; Garcarek, Jerzy; Kurcz, Jacek; Bartosik, Hanna Augustyniak; Letachowicz, Waldemar; Weyde, Waclaw; Klinger, Marian

    2012-01-01

    Management of failing tunneled hemodialysis catheters, sometimes the only vascular access for hemodialysis, presents a difficult problem. In spite of various techniques having been developed, no consensus has been reached about the preferred technique, associated with the longest catheter patency. We report disruption of the fibrin sheath covering dysfunctional tunneled hemodialysis catheter by means of angioplasty, followed by over guidewire catheter exchange. Following the procedure, the catheter placed in the recovered lumen of the vessel presented correct function. The described procedure allowed maintenance of vascular access in our patient. Additionally, dilatation of the concomitant central vein stenosis opens an option for another attempt for arteriovenous fistula creation.

  19. Advanced signal processing methods applied to guided waves for wire rope defect detection

    Science.gov (United States)

    Tse, Peter W.; Rostami, Javad

    2016-02-01

    Steel wire ropes, which are usually composed of a polymer core and enclosed by twisted wires, are used to hoist heavy loads. These loads are different structures that can be clamshells, draglines, elevators, etc. Since the loading of these structures is dynamic, the ropes are working under fluctuating forces in a corrosive environment. This consequently leads to progressive loss of the metallic cross-section due to abrasion and corrosion. These defects can be seen in the forms of roughened and pitted surface of the ropes, reduction in diameter, and broken wires. Therefore, their deterioration must be monitored so that any unexpected damage or corrosion can be detected before it causes fatal accident. This is of vital importance in the case of passenger transportation, particularly in elevators in which any failure may cause a catastrophic disaster. At present, the widely used methods for thorough inspection of wire ropes include visual inspection and magnetic flux leakage (MFL). Reliability of the first method is questionable since it only depends on the operators' eyes that fails to determine the integrity of internal wires. The later method has the drawback of being a point by point and time-consuming inspection method. Ultrasonic guided wave (UGW) based inspection, which has proved its capability in inspecting plate like structures such as tubes and pipes, can monitor the cross-section of wire ropes in their entire length from a single point. However, UGW have drawn less attention for defect detection in wire ropes. This paper reports the condition monitoring of a steel wire rope from a hoisting elevator with broken wires as a result of corrosive environment and fatigue. Experiments were conducted to investigate the efficiency of using magnetostrictive based UGW for rope defect detection. The obtained signals were analyzed by two time-frequency representation (TFR) methods, namely the Short Time Fourier Transform (STFT) and the Wavelet analysis. The location of

  20. Radiologically placed tunneled peritoneal catheter in palliation of malignant ascites

    Energy Technology Data Exchange (ETDEWEB)

    Akinci, Devrim; Erol, Bekir; Ciftci, Tuerkmen T. [Hacettepe University, Faculty of Medicine, Department of Radiology, 06100 Ankara (Turkey); Akhan, Okan, E-mail: akhano@tr.net [Hacettepe University, Faculty of Medicine, Department of Radiology, 06100 Ankara (Turkey)

    2011-11-15

    The purpose of this study was to evaluate retrospectively the safety and effectiveness of radiologically placed tunneled peritoneal catheter in palliation of malignant ascites. Between July 2005 and June 2009, 41 tunneled peritoneal catheters were placed under ultrasonographic and fluoroscopic guidance in 40 patients (mean age, 55 years; 22 women) who had symptomatic malignant ascites. No procedure related mortality was observed. Major complication occurred in one patient (2.5%) in the form of serious bacterial peritonitis that necessitated catheter removal. Minor complications such as minor bacterial peritonitis, catheter dislodgement, tunnel infection, and catheter blockage occurred in 11 patients (27.5%). The mean duration of survival after catheter placement was 11.8 weeks. All patients expired of their primary malignancies in the follow-up. Radiologically placed tunneled peritoneal catheter is safe and effective in palliation of symptomatic malignant ascites.

  1. The bowed catheter sign: a risk for pericardial tamponade

    Energy Technology Data Exchange (ETDEWEB)

    Towbin, Richard [Phoenix Children' s Hospital, Department of Radiology, Phoenix, AZ (United States)

    2008-03-15

    The use of a central venous catheter (CVC) has become commonplace in the care of children with a wide variety of medical and surgical problems. Complications resulting from the insertion of these catheters are well recognized and can be life-threatening. When a temporary CVC or other catheter is inserted into the central venous system it is secured to the skin with a combination of sutures and sterile dressing. This fixes the catheter in place and does not allow it to retract, thereby putting pressure on the right atrial wall via the catheter tip if it is too long. The probability of wall penetration is increased if a catheter or device is tapered at the point of contact. The purpose of this case report is to present the bowed catheter sign and to review the anatomy of the cavotricuspid isthmus, a possible predisposing factor to cardiac perforation and tamponade. (orig.)

  2. Catheter valves: a welcome alternative to leg bags.

    Science.gov (United States)

    Woodward, Sue

    Catheterisation is commonly used to manage long-term bladder drainage. If intermittent catheterisation is not possible an indwelling urethral or suprapubic catheter will be used. There are a choice of drainage systems for use with indwelling urinary catheters including bed bags, link systems and catheter valves. Catheter valves are not suitable for everybody and patient assessment is vital: only patients with the cognitive ability and manual dexterity to operate a valve should be offered this option for bladder drainage. Catheter valves offer a number of advantages over drainage bags including improved privacy and dignity, prevention of bladder-neck trauma, reduced catheter encrustation and maintenance of normal detrusor muscle function. A number of catheter valves are available, including the EZ-Flow valve, and patient choice is important when selecting an appropriate product.

  3. Supercondcuting properties in MgB2/Fe wires prepared by PIT method

    Institute of Scientific and Technical Information of China (English)

    YAN Guo; FENG Yong; FU Baoquan; LIU Chunfang; JI Ping; ZHANG Pingxiang; ZHOU Lian

    2003-01-01

    The MgB2 formation was analyzed physically and chemically and the MgB2/Fe wires were fabricated by powder in tube (PIT) technology. The microstructureof MgB2 in wires was studied by the scanning electrical microscope (SEM), whichshows a good connection of grains and the size of MgB2 grain is 1-3μm. The results of Jc measured by the standard four probes method show that Jc value reaches 6.1×104 A/cm2 at 20 K in self field.

  4. Ageing in the LHCb outer tracker: Aromatic hydrocarbons and wire cleaning

    Energy Technology Data Exchange (ETDEWEB)

    Tuning, N., E-mail: h71@nikhef.nl [Nikhef, Science Park 105, 1098 XG, Amsterdam (Netherlands); Bachmann, S.; Bagaturia, Y. [Physikalisches Institut, Heidelberg (Germany); Blom, M.; Ceelie, L.; Eijk, D. van [Nikhef, Science Park 105, 1098 XG, Amsterdam (Netherlands); Faerber, Ch.; Haas, T. [Physikalisches Institut, Heidelberg (Germany); Jansen, F.; Ketel, T.; Merk, M.; Mous, I. [Nikhef, Science Park 105, 1098 XG, Amsterdam (Netherlands); Nawrot, A. [A. Soltan' s Institute for Nuclear Studies, Warsaw (Poland); Pellegrino, A.; Petten, O. van; Pree, T. du; Serra, N.; Simioni, E.; Sluijk, T.; Storaci, B. [Nikhef, Science Park 105, 1098 XG, Amsterdam (Netherlands); and others

    2011-11-11

    The LHCb Outer Tracker straw tubes have shown to suffer from gain loss after irradiation in the laboratory at moderate intensities. Under irradiation an insulating layer is formed on the anode wire. The ageing is caused by contamination of the counting gas due to outgassing of the plastifier di-isopropyl-naphthalene in araldite AY103-1 used at construction. This paper presents irradiation results with and without the plastifier, together with the mass spectra of the glue samples. In addition, the effects of wire heating and large currents are presented.

  5. Distributed hot-wire anemometry based on Brillouin optical time-domain analysis.

    Science.gov (United States)

    Wylie, Michael T V; Brown, Anthony W; Colpitts, Bruce G

    2012-07-02

    A distributed hot-wire anemometer based on Brillouin optical time-domain analysis is presented. The anemometer is created by passing a current through a stainless steel tube fibre bundle and monitoring Brillouin frequency changes in the presence of airflow. A wind tunnel is used to provide laminar airflow while the device response is calibrated against theoretical models. The sensitivity equation for this anemometer is derived and discussed. Airspeeds from 0 m/s to 10 m/s are examined, and the results show that a Brillouin scattering based distributed hot-wire anemometer is feasible.

  6. ROOT Analysis of 2004 H8 Test Beam Data & Studies of MDT Sense Wire Displacements

    CERN Document Server

    2004-01-01

    Tests are being carried out at the CERN H8 Test Facility on the subdetectors of ATLAS. Using MUTRAK, a tool developed by Dan Levin, data from test muon beam runs are converted to PAW plots and ntuples for easy analysis. ROOT classes are currently being developed to convert the PAW output of MUTRAK to ROOT files for more detailed analysis. Also studies are currently underway to understand the effect of sense wire displacements in Monitored Drift Tubes on drift time spectra. Concurrent tests using simulations in GARFIELD and Cosmic Ray MDT experiments are underway to study wire sags which may be up to 480 micrometers due to gravitational and electrostatic forces .

  7. Processing and properties of silver-clad Tl-Ba-Ca-Cu-O wires and tapes

    Science.gov (United States)

    Goretta, K. C.; Wu, C. T.; Lanagan, M. T.; Boling, M. A.; Shi, D.; Miller, D. J.; Chen, Nan; Hanewald, W. G.; Sengupta, S.; Wang, Z.

    1992-03-01

    TlBa2Ca2Cu3O(sub x) and Tl2Ba2Ca2Cu3O(sub x) powders were synthesized, loaded into Ag tubes, and worked into wires and tapes by drawing and rolling. All processing outside of furnaces was in a dry-N2 glovebox. All heat treatments were performed in O2. The Ag-clad wires fabricated from these powders exhibited onset of superconductivity at approx. 18 K and critical current densities at 77 K of 2 x 10(exp 3) to 4 x 10(exp 3) A/sq cm.

  8. Thermal Conductivity of Industrial Nb3Sn Wires Fabricated by Various Techniques

    CERN Document Server

    Bonura, Marco

    2012-01-01

    We have developed a new experimental setup specifically designed for measuring thermal conductivity on technical superconductors in the range of temperatures from 3 to 330 K in magnetic fields up to 21 T. Three Nb3Sn wires, produced by the powder in tube technique, the bronze route and the internal tin restacked rod process, respectively, have been investigated. We show that, due to the complexity of the architecture of these wires, direct measurement of thermal conductivity is required for a correct estimation of thermal stability in superconducting magnets.

  9. A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Shaun Cardozo

    2014-01-01

    Full Text Available We describe a patient with a recent chest tube insertion leading to atrial fibrillation with rapid ventricular rate that led to multiple inappropriate internal cardiac defibrillator (ICD shocks. This is the first reported case of this occurring in a patient with an ICD leading to inappropriate shocks. Our elderly patient with emphysema presented with a spontaneous pneumothorax and developed rapid atrial fibrillation following emergency tube thoracostomy. The patient had a single lead ICD and received multiple inappropriate shocks for the rapid ventricular rate in the therapy zone. Although medical treatment helped stabilize the patient, resolution of the atrial fibrillation occurred only after the chest tube was removed. In a patient with a chest tube or other intrathoracic catheters, maintaining a high index of suspicion that chest tube insertions can cause secondary life threatening cardiovascular complications needs to be considered. In such patients, removal of the device proves to be the most prudent treatment action.

  10. Replacement Gastrostomy Tube Causing Acute Pancreatitis: Case Series with Review of Literature

    Directory of Open Access Journals (Sweden)

    Anish M Shah

    2012-01-01

    Full Text Available Context Percutaneous endoscopic gastrostomy (PEG feedings are generally considered safe with few serious complications. Acute pancreatitis is a rare complication associated with replacement percutaneous endoscopic gastrostomy tubes. Case report We report two cases of acute pancreatitis induced by migrated replacement percutaneous endoscopic gastrostomy tubes. Conclusions Migration of a balloon into the duodenum can result in external manipulation of the ampulla of Vater thereby disturbing the flow of pancreatic secretions leading to acute pancreatitis. Recognition of this complication is important and should be included as potential etiology of acute pancreatitis in patients receiving percutaneous endoscopic gastrostomy feedings. Periodic examination and documentation of the distance of the balloon from the skin should be performed to document the position of the tubes or any inadvertent migration of the tubes. The use of Foley catheters as permanent replacement tubes should be considered medically inappropriate.

  11. Heated Tube Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Heated Tube Facility at NASA GRC investigates cooling issues by simulating conditions characteristic of rocket engine thrust chambers and high speed airbreathing...

  12. Fuel nozzle tube retention

    Energy Technology Data Exchange (ETDEWEB)

    Cihlar, David William; Melton, Patrick Benedict

    2017-02-28

    A system for retaining a fuel nozzle premix tube includes a retention plate and a premix tube which extends downstream from an outlet of a premix passage defined along an aft side of a fuel plenum body. The premix tube includes an inlet end and a spring support feature which is disposed proximate to the inlet end. The premix tube extends through the retention plate. The spring retention feature is disposed between an aft side of the fuel plenum and the retention plate. The system further includes a spring which extends between the spring retention feature and the retention plate.

  13. High compressive pre-strains reduce the bending fatigue life of nitinol wire.

    Science.gov (United States)

    Gupta, Shikha; Pelton, Alan R; Weaver, Jason D; Gong, Xiao-Yan; Nagaraja, Srinidhi

    2015-04-01

    Prior to implantation, Nitinol-based transcatheter endovascular devices are subject to a complex thermo-mechanical pre-strain associated with constraint onto a delivery catheter, device sterilization, and final deployment. Though such large thermo-mechanical excursions are known to impact the microstructural and mechanical properties of Nitinol, their effect on fatigue properties is still not well understood. The present study investigated the effects of large thermo-mechanical pre-strains on the fatigue of pseudoelastic Nitinol wire using fully reversed rotary bend fatigue (RBF) experiments. Electropolished Nitinol wires were subjected to a 0%, 8% or 10% bending pre-strain and RBF testing at 0.3-1.5% strain amplitudes for up to 10(8) cycles. The imposition of 8% or 10% bending pre-strain resulted in residual set in the wire. Large pre-strains also significantly reduced the fatigue life of Nitinol wires below 0.8% strain amplitude. While 0% and 8% pre-strain wires exhibited distinct low-cycle and high-cycle fatigue regions, reaching run out at 10(8) cycles at 0.6% and 0.4% strain amplitude, respectively, 10% pre-strain wires continued to fracture at less than 10(5) cycles, even at 0.3% strain amplitude. Furthermore, over 70% fatigue cracks were found to initiate on the compressive pre-strain surface in pre-strained wires. In light of the texture-dependent tension-compression asymmetry in Nitinol, this reduction in fatigue life and preferential crack initiation in pre-strained wires is thought to be attributed to compressive pre-strain-induced plasticity and tensile residual stresses as well as the formation of martensite variants. Despite differences in fatigue life, SEM revealed that the size, shape and morphology of the fatigue fracture surfaces were comparable across the pre-strain levels. Further, the mechanisms underlying fatigue were found to be similar; despite large differences in cycles to failure across strain amplitudes and pre-strain levels, cracks

  14. Temperature-controlled irrigated tip radiofrequency catheter ablation: comparison of in vivo and in vitro lesion dimensions for standard catheter and irrigated tip catheter with minimal infusion rate

    DEFF Research Database (Denmark)

    Petersen, H H; Chen, X; Pietersen, A;

    1998-01-01

    In patients with ventricular tachycardias due to structural heart disease, catheter ablation cures <60% partly due to the limited lesion size after conventional radiofrequency ablation. Irrigated tip radiofrequency ablation using power control and high infusion rates enlarges lesion size, but has...... increased risk of cratering. The present study explores irrigated tip catheter ablation in temperature-controlled mode, target temperature 60 degrees C, using an irrigation rate of 1 mL/min, comparing this to conventional catheter technique, target temperature 80 degrees C.......In patients with ventricular tachycardias due to structural heart disease, catheter ablation cures tip radiofrequency ablation using power control and high infusion rates enlarges lesion size, but has...

  15. Prevention of dialysis catheter-related sepsis with a citrate-taurolidine-containing lock solution.

    OpenAIRE

    Betjes, Michiel; Agteren, Madelon

    2004-01-01

    textabstractBACKGROUND: The use of haemodialysis catheters is complicated by catheter-related sepsis. Intraluminal colonization of the catheter with bacteria is important in the pathogenesis of catheter-related sepsis. The use of a catheter lock solution containing the antimicrobial taurolidine might prevent bacterial colonization, thereby reducing the incidence of catheter-related sepsis. METHODS: In a randomized prospective trial, patients receiving a dialysis catheter were included and cat...

  16. 30 CFR 57.12047 - Guy wires.

    Science.gov (United States)

    2010-07-01

    ... Underground § 57.12047 Guy wires. Guy wires of poles supporting high-voltage transmission lines shall meet the... “Safety Rules for the Installation and Maintenance of Electric Supply and Communication Lines”...

  17. Anode wire aging tests with selected gases

    Energy Technology Data Exchange (ETDEWEB)

    Kadyk, J.; Wise, J.; Hess, D.; Williams, M. (Lawrence Berkeley Lab., CA (United States))

    1990-04-01

    As a continuation of earlier wire aging investigations, additional candidates for wire chamber gas and wire have been tested. These include the gases: argon/ethane, HRS gas, dimethyl ether, carbon dioxide/ethane, and carbon tetrafluoride/isobutane. Wires used were: gold- plated tungsten, Stablohm, Nicotin, and Stainless Steel. Measurements were made of the effects upon wire aging of impurities from plumbing materials or contamination from various types of oil. Attempts were made to induce wire aging by adding measured amounts of oxygen and halogen (methyl chloride) with negative results. In this paper, the possible role of electronegativity in the wire aging process is discussed, and measurements of electronegativity are made with several single carbon Freons, using both an electron capture detector and a wire chamber operating with dimethyl ether.

  18. Evaluation of high temperature stranded hookup wire

    Science.gov (United States)

    Donnelly, J. H.; Moore, H. J., Jr.

    1967-01-01

    Tests are performed on wire and insulation materials to determine selection for electronic space assemblies. Wire characteristics of tensile strength, flexibility, conductivity, and general workability are tested. Knowledge of the advantages and limitations of these materials should prevent overspecification.

  19. TCP/IP Over SpaceWire

    Science.gov (United States)

    Mills, S.; Parkes, S.

    The SpaceWire standard defines a network designed for handling payload data and control information onboard a spacecraft. Among the goals of SpaceWire are re-usability and reliability. The use of network protocols on top of SpaceWire is expected to enhance the already rich re-usability and reliability characteristics of SpaceWire. The Space Systems Research Group at the University of Dundee have developed software to allow data to be sent over SpaceWire using standard network protocols such as TCP/IP, as part of a program of work looking at network protocols for SpaceWire. This paper describes network protocols and their relationship to SpaceWire, introduces software written to allow network protocols to be layered on to SpaceWire, describes the research behind the development of this software, and gives results of some tests and observations made using the software.

  20. Percutaneous transgastric endoscopic tube ileostomy in a porcine survival model

    Science.gov (United States)

    Shi, Hong; Chen, Su-Yu; Wang, Yong-Guang; Jiang, Sheng-Jun; Cai, He-Li; Lin, Kai; Xie, Zhao-Fei; Dong, Fen-Fang

    2016-01-01

    AIM To introduce natural orifice transgastric endoscopic surgery (NOTES) tube ileostomy using pelvis-directed submucosal tunneling endoscopic gastrostomy and endoscopic tube ileostomy. METHODS Six live pigs (three each in the non-survival and survival groups) were used. A double-channeled therapeutic endoscope was introduced perorally into the stomach. A gastrostomy was made using a 2-cm transversal mucosal incision following the creation of a 5-cm longitudinal pelvis-directed submucosal tunnel. The pneumoperitoneum was established via the endoscope. In the initial three operations of the series, a laparoscope was transumbilically inserted for guiding the tunnel direction, intraperitoneal spatial orientation and distal ileum identification. Endoscopic tube ileostomy was conducted by adopting an introducer method and using a Percutaneous Endoscopic Gastrostomy Catheter Kit equipped with the Loop Fixture. The distal tip of the 15 Fr catheter was placed toward the proximal limb of the ileum to optimize intestinal content drainage. Finally, the tunnel entrance of the gastrostomy was closed using nylon endoloops with the aid of a twin grasper. The gross and histopathological integrity of gastrostomy closure and the abdominal wall-ileum stoma tract formation were assessed 1 wk after the operation. RESULTS Transgastric endoscopic tube ileostomy was successful in all six pigs, without major bleeding. The mean operating time was 71 min (range: 60-110 min). There were no intraoperative complications or hemodynamic instability. The post-mortem, which was conducted 1-wk postoperatively, showed complete healing of the gastrostomy and adequate stoma tract formation of ileostomy. CONCLUSION Transgastric endoscopic tube ileostomy is technically feasible and reproducible in an animal model, and this technique is worthy of further improvement. PMID:27729743