Pressure Monitoring During Cast Application for a Distal Radius Fracture
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1 Pressure Monitoring During Cast Application for a Distal Radius Fracture Client: Dr. Matthew Halanski (halanski@ortho.wisc.edu) Advisor: Dr. John Puccinelli (puccinelli@bme.wisc.edu) Hannah Lider (Leader) Rachel Craven (Communicator) Breanna Hagerty (BSAC) Makayla Kiersten (BWIG) Allie Hadyka (BPAG)
2 Overview Introduction Client Problem Statement Background Current Methods and Models Pressure Sensor Selection Attachment Method Selection Future Work Acknowledgements & References
3 Client Description Dr. Matthew Halanski Pediatric orthopedic surgeon at UW Hospital & Clinics Research interest in safe immobilization and fracture reduction Matthew Halanski, MD com/2012/2012_investigators.shtml
4 Problem Statement Casting is becoming a lost art in medicine, yet many children and adults need casts applied. While this appears to be a benign treatment, complications are known to exist in the placement and removal of these devices. Typically medical students and residents learn these techniques by trial and error. There is currently no method to sense pressures being applied as the bone is being set, or to sense the general pressure of the overall cast once applied.
5 Design Specifications Removable Ability to record pressure over time Real-time visible feedback of pressure change Sleek with limited protrusions Withstand casting procedures Expenses must be under $1,000
6 The Distal Radius Fracture Most commonly broken bone in the arm 40% of all pediatric fractures occur on the forearm 1 75% of pediatric forearm fractures are distal 2
7 Current Teaching Methods Trial and error Shadowing Sawbones Arm Model
8 Common Injuries Cast saw burns Skin abrasions and infection Improper bone healing Cast saw burns (courtesy of Dr. Halanski)
9 Past BME Design Work Spring 2013: BME 402 Forearm fracture simulator applied force, temperature at skin surface Spring 2014: BME 402 pediatric fracture model temperature, surface pressure, bone alignment Previous Fracture Model BME 402 Spring 2014
10 FlexiForce Sensors Piezoresistive No resistance change when flexed Up to 445N 21.59cm length 9.53mm sensing area FlexiForce Sensor
11 Conductive Thread Carries a current Come in various resistances Can be used to create a circuit Sewn conductive thread circuit attached to LilyPad Arduino
12 Softpot Membrane Potentiometer Resistance range of 100Ω-10000Ω mm 4,064mm^2 sensing area Adhesive backing Softpot Membrane Potentiometer
13 Pressure Sensor Design Matrix Pressure Sensors Flexiforce Conductive Thread SoftPot Membrane Potentiometer Feel (25) (4/5) 20 (3/5) 15 (4/5) 20 Feasibility (20) (4/5) 16 (3/5) 12 (4/5) 16 Sensitivity (15) (5/5) 15 (5/5) 15 (4/5) 10 Durability (10) (4/5) 8 (4/5) 8 (4/5) 8 Safety (10) (5/5) 10 (5/5) 10 (5/5) 10 Fit (10) (4/5) 8 (5/5) 10 (3/5) 6 Accuracy (5) (4/5) 4 (2/5) 2 (3/5) 3 Cost (5) (3/5) 3 (5/5) 5 (4/5) 4 Total: /100 77/100 77/100
14 Compression Sleeve - Intact vs. Velcro Considerations Fit Ease of removability Professional Edema Sleeve
15 Custom Sleeve - Intact vs Velcro Same considerations as compression style Customizable- fit and fabric More material variety spandex, lycra blend neoprene piezoresistive fabric and conductive thread
16 Method of Attachment Design Matrix Compression Sleeve Compression Sleeve Velcro Complete Custom Sleeve Functionality (25) (2/5) 10 (4/5) 20 (3/5) 15 (4/5) 20 Bulkiness (20) (5/5) 20 (4/5) 16 (4/5) 16 (4/5) 16 Removability (20) (3/5) 12 (5/5) 20 (3/5) (5/5) 20 Feasibility (15) (5/5) 15 (4/5) 12 (2/5) 6 (3/5) 9 Durability (10) (4/5) 8 (4/5) 8 (3/5) 6 (3/5) 6 Safety (5) (5/5) 5 (5/5) 5 (5/5) 5 (5/5) 5 Cost (5) (5/5) 5 (5/5) 5 (4/5) 4 (4/5) 4 Aesthetics (5) (5/5) 5 (5/5) 5 (4/5) 4 (4/5) 4 Total: /100 91/100 68/100 84/100 Method of attachment Custom Sleeve - Velcro
17 LabVIEW Live Feedback 3D Sensor Mapping Express VI Import user-defined CAD model Assign sensors Map DAQ channel data directly onto model LabVIEW 3D Sensor Mapping Express VI http: //
18 Future Work LabVIEW Circuit design Sleeve fabrication Waterproofing
19 Acknowledgments Client: Dr. Halanski Advisor: Dr. Puccinelli
20 Questions?
21 References [1] Biomed Central. (October, ). Pattern of fractures across pediatric age groups: analysis of individual and lifestyle factors. Retrieved from biomedcentral.com/ /10/656 [2] Wright, M. (July, ). Forearm injuries and fractures. Retrieved from http: //patient.info/doctor/forearm-injuries-and-fractures
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