Institut für Medizintechnik und Medizininformatik
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Publikation 3D Printing and Medical Applications - an Overview(2016) Schumacher, Ralf06 - PräsentationPublikation 3D Printing in Medicine: Revolution or Illusion?(2016) Schumacher, Ralf06 - PräsentationPublikation 3D Printing in Medicine: Revolution or Illusion?(2016) Schumacher, Ralf06 - PräsentationPublikation 3D Printing in Medicine: Yesterday – Today - Tomorrow(06/2016) Schumacher, Ralf06 - PräsentationPublikation 06 - PräsentationPublikation 3D Visualization of intraoperative stimulation test results for better target selection in DBS surgery (U-PP-04)(2016) Shah, Ashesh; Alonso, Fabiola; Pison, Daniela; Lemaire, Jean-Jaques; Wårdell, Karin; Coste, Jérôme; Schkommodau, Erik; Hemm-Ode, Simone06 - PräsentationPublikation 3D-Druck in der Medizintechnik – Revolution, Evolution oder Illusion?(2016) Schumacher, Ralf06 - PräsentationPublikation 3D-Druck und neue Geschäftsmodelle in der Medizintechnik(2015) Schumacher, Ralf06 - PräsentationPublikation 3D-Druck wird Chirurgen die Operationen erleichtern(Swiss Professional Media, 04/2015) Schumacher, Ralf01B - Beitrag in Magazin oder ZeitungPublikation 3D-printed auxetic structures for bio-medical application(2018) Schuler, Felix; Renaud, Pascal; de Wild, Michael04B - Beitrag KonferenzschriftPublikation 3D-printed LEGO®-inspired titanium scaffolds for patient-specific regenerative medicine(Elsevier, 2023) Lee, Seunghun S.; Du, Xiaoyu; Smit, Thijs; Bissacco, Elisa G.; Seiler, Daniel; de Wild, Michael; Ferguson, Stephen J.Despite the recent advances in 3D-printing, it is often difficult to fabricate implants that optimally fit a defect size or shape. There are some approaches to resolve this issue, such as patient-specific implant/scaffold designs based on CT images of the patients, however, this process is labor-intensive and costly. Especially in developing countries, affordable treatment options are required, while still not excluding these patient groups from potential material and manufacturing advances. Here, a selective laser melting (SLM) 3D-printing strategy was used to fabricate a hierarchical, LEGO®-inspired Assemblable Titanium Scaffold (ATS) system, which can be manually assembled in any shape or size with ease. A surgeon can quickly create a scaffold that would fit to the defect right before the implantation during the surgery. Additionally, the direct inclusion of micro- and macroporous structures via 3D-printing, as well as a double acid-etched surface treatment (ST) in the ATS, ensure biocompatibility, sufficient nutrient flow, cell migration and enhanced osteogenesis. Three different structures were designed (non-porous:NP, semi-porous:SP, ultra-porous:UP), 3D-printed with the SLM technique and then surface treated for the ST groups. After analyzing characteristics of the ATS such as printing quality, surface roughness and interconnected porosity, mechanical testing and finite element analysis (FEA) demonstrated that individual and stacked ATS have sufficient mechanical properties to withstand loading in a physiological system. All ATS showed high cell viability, and the SP and UP groups demonstrated enhanced cell proliferation rates compared to the NP group. Furthermore, we also verified that cells were well-attached and spread on the porous structures and successful cell migration between the ATS units was seen in the case of assemblies. The UP and SP groups exhibited higher calcium deposition and RT-qPCR proved higher osteogenic gene expression compared to NP group. Finally, we demonstrate a number of possible medical applications that reveal the potential of the ATS through assembly. © 2023 The Authors01A - Beitrag in wissenschaftlicher ZeitschriftPublikation A baseline wander tracking system for artifact rejection in long-term electrocardiography(IEEE, 2016) Niederhauser, Thomas; Marisa, Thanks; Kohler, Lukas; Haeberlin, Andreas; Wildhaber, Reto; Abächerli, Roger; Goette, Josef; Jacomet, Marcel; Vogel, RolfLong-term electrocardiogram (ECG) signals might suffer from relevant baseline disturbances during physical activity. Motion artifacts in particular are more pronounced with dry surface or esophageal electrodes which are dedicated to prolonged ECG recording. In this paper we present a method called baseline wander tracking (BWT) that tracks and rejects strong baseline disturbances and avoids concurrent saturation of the analog front-end. The proposed algorithm shifts the baseline level of the ECG signal to the middle of the dynamic input range. Due to the fast offset shifts, that produce much steeper signal portions than the normal ECG waves, the true ECG signal can be reconstructed offline and filtered using computationally intensive algorithms. Based on Monte Carlo simulations we observed reconstruction errors mainly caused by the non-linearity inaccuracies of the DAC. However, the signal to error ratio of the BWT is higher compared to an analog front-end featuring a dynamic input ranges above 15 mV if a synthetic ECG signal was used. The BWT is additionally able to suppress (electrode) offset potentials without introducing long transients. Due to its structural simplicity, memory efficiency and the DC coupling capability, the BWT is dedicated to high integration required in long-term and low-power ECG recording systems.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation A graphical simulation software for instruction in cardiovascular mechanics physiology(2011) Wildhaber, Reto; Verrey, François; Wenger, Roland HBackground Computer supported, interactive e-learning systems are widely used in the teaching of physiology. However, the currently available complimentary software tools in the field of the physiology of cardiovascular mechanics have not yet been adapted to the latest systems software. Therefore, a simple-to-use replacement for undergraduate and graduate students' education was needed, including an up-to-date graphical software that is validated and field-tested.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation A method and tool for strategic hospital planning(Springer, 2015) Brodbeck, Dominique; Degen, Markus; Walter, Andreas; Reichlin, Serge; Napierala, Christoph; Fred, Ana; Gamboa, Hugo; Elias, DirkWe developed a visualization tool and a methodology to support strategic planning of hospital service portfolios. Hospitals in Switzerland are reimbursed with a fixed fee per case. The fixed-fee model makes medical services comparable from a financial point of view. In order to take advantage of this model, the data that characterizes the medical services must be operationalized. The method that we developed, centers around a visual metaphor that provides the basis for strategic thinking. It is complemented by a visualization tool that allows visualization, analysis, and modification of service portfolios. Special features enable the tool to be used during live planning sessions. We describe the method, the tool, and its application in strategy workshops for infrastructure planning, reorganization, and resource optimization decisions.04B - Beitrag KonferenzschriftPublikation A mobile collaboration and decision support system for the medical emergency departement(SciTePress, 2012) Brodbeck, Dominique; Degen, Markus; Reiss, Maximilian; Conchon, Emmanuel; Correia, Carlos; Fred, Ana; Gamboa, HugoA hospital emergency department is a complex work environment, where the availability of the right information at the right time is crucial for efficient and safe operation. The current technology in use for communication and information management is mostly based on telephones and stationary personal computers. Modern smartphones with their computational power, voice, image, and video capabilities have the potential to play a significant role in improving the flow of information in the emergency department. We developed a system that explicitly supports the work flows of an emergency department. In addition to mobile access to patient data and notifications about the availability of diagnostic findings, it provides the possibility to supply media captured on-site to the patient record, and directly supports the consultation process.04B - Beitrag KonferenzschriftPublikation A new approach to 3D-print of fine and complex structures(08/2018) Schuler, Felix06 - PräsentationPublikation A new electrospray method for targeted gene delivery(Nature, 03/2018) Boehringer, Stephan; Ruzgys, Paulius; Tamò, Luca; Satkauskas, Saulius; Geiser, Thomas; Gazdhar, Amiq; Hradetzky, DavidA challenge for gene therapy is absence of safe and efficient local delivery of therapeutic genetic material. An efficient and reproducible physical method of electrospray for localized and targeted gene delivery is presented. Electrospray works on the principle of coulombs repulsion, under influence of electric field the liquid carrying genetic material is dispersed into micro droplets and is accelerated towards the targeted tissue, acting as a counter electrode. The accelerated droplets penetrate the targeted cells thus facilitating the transfer of genetic material into the cell. The work described here presents the principle of electrospray for gene delivery, the basic instrument design, and the various optimized parameters to enhance gene transfer in vitro. We estimate a transfection efficiency of up to 60% was achieved. We describe an efficient gene transfer method and a potential electrospray-mediated gene transfer mechanism.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation A new model of implant-related osteomyelitis in the metaphysis of rat tibiae(BioMed Central, 08.04.2016) Harrasser, Norbert; Gorkotte, Johannes; Obermeier, Andreas; Feihl, Susanne; Straub, Melanie; Slotta-Huspenina, Julia; von Eisenhart-Rothe, Ruediger; Moser, Walter; Gruner, Philipp; de Wild, Michael; Gollwitzer, Hans; Burgkart, RainerAnimal models serve as an important tool to understand peri-implant infection. Most of the models use high bacterial loads (>104 colony forming units, CFU) to provide high infection rates. Therefore these animals evolve rather similarly, making comparison between groups and statistical analysis possible. On the other hand, to mimic clinical constellation of surgery-related infections the use of low amounts of bacteria would be more advantageous.01A - Beitrag in wissenschaftlicher Zeitschrift