| 研究生: |
紀傑騰 Chi, Chieh-Teng |
|---|---|
| 論文名稱: |
真空成形殘肢模型於膝下義肢承筒之設計與製作 Vacuum Forming Stump Model for the Design and Fabrication of Transtibial Socket |
| 指導教授: |
許來興
Hsu, Lai-Hsing |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 機械工程學系碩士在職專班 Department of Mechanical Engineering (on the job class) |
| 論文出版年: | 2010 |
| 畢業學年度: | 98 |
| 語文別: | 中文 |
| 論文頁數: | 91 |
| 中文關鍵詞: | 真空成形工具 、膝下殘肢 、快速成型 、義肢承筒 |
| 外文關鍵詞: | Vacuum forming tool, Below-knee stump, Rapid prototyping, Transtibial socket |
| 相關次數: | 點閱:213 下載:4 |
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本研究設計製作真空成形工具,取得膝下殘肢模型,再使用光學掃描器掃描殘肢模型取得殘肢數位化點資料,並且以軟體輔助疊合數個相同殘肢之模型點資料,驗證本研究工具取得模型點資料之一致性與穩定性。本研究取模工具對模型形狀之重現性穩定,不必經過複雜的編修即可應用於RP 技術製作膝下義肢承筒。
以往在快速成型在膝下義肢承筒製作時之殘肢模型點資料主要獲得途徑有二:第一,採用傳統手工以石膏繃帶取得之石膏陽模,再以光學掃描系統掃描石膏陽模獲得殘肢模型點資料;此法時間冗長。第二,直接以手持式掃描器直接掃描殘肢獲得殘肢點資料;此法因殘肢晃動及軟組織下垂等因素,點資料後處理耗時,且不客觀。
使用本研究之真空成形工具取模,將義肢穿戴者之膝下殘肢放入乳膠腔體中,乳膠腔體抽真空硬化後,殘肢抽離即可獲得殘肢陰模;接著於此陰模注入聚苯乙烯粒,完成密封並抽真空來快速複製殘肢陽模,代替殘肢作為掃描用途。本研究取模製程,殘肢模型不必經過複雜的編修,即可以快速成型技術製作RP 承筒,供患者穿戴試驗。此高穩定性之殘肢模型點資料取得方法,能有效提昇快速成型在膝下義肢承筒製作上之實用性。
This research focused on the design and fabrication of a vacuum forming tool to produce below-knee stump model that is the basis of using rapid prototyping (RP) technology to fabricate a transtibial socket. The uncertainty of the shape of stump models either created by manual skill or directly scanning stump using a hand-held scanner is to be improved by the prototype of vacuum forming tool proposed in this thesis.
The proposed vacuum forming tool is composed of a vacuum pump, a latex chamber with plastic filling, a latex sleeve, a mandrel, a stack of silicon sand and a set of flexible tubes for the connection of the whole system. The steps of using the vacuum forming tool to produce a stump model include: inserting the below-knee stump into a latex chamber; vacuuming the internal air of the latex chamber under a pressure that the amputee can tolerate and the latex chamber can be solified; a cavity mold of stump shape created by extracting the stump; the negative mold filled with silicon sand and the mandrel inserted; sealing the latex sleeve containing mandrel and sand; connecting the flexible tubes to the mandrel; and then sucking the remaining air in the sleeve. A stump model is then created for the use of scanning process.
The stability and consistency of using this proposed vacuum forming tool to generate the stump model of a specific amputee has been verified by the function of registration of a CAD system. The stump model of a volunteer amputee generated by the vacuum forming tool has been employed to easily design a socket. The socket is then fabricated by using an RP machine and the experiments of motion analysis and trial use of the socket have been implemented.
This study demonstrated that the stable and consistent stump model generated by the vacuum forming tool can be employed to design a socket shape without complicated modification. This result will enhance the applicability of using RP technology in the production of prosthetic devices.
[Bowk 92] Bowker, J. H., and Michael, J.W., Atlas of Limb Prosthetics:Surgical, Prosthetic, and Rehabilitation Principles, 2nd ED., Mosby-Year Book, pp. 453-470, St. Louis, USA, 1992.
[Crow 86] Crowley,T.E., Beam engines,Princes Risborough Shire,1986.
[Ferg 95] Fergason J, Smith D. G., Socket considerations for the patient with a transtibial amputation, Clinical Orthopaedics & Related Research, (361):76-84, 1999.
[Hann 84] Hannah R. E., Morrison J. B. , Chapman A. E., Prostheses alignment: effect on gait of persons with below-knee amputations., Archives of Physical Medicine and Rehabilitation, 65, 159-162, 1984.
[Icer 03] Iceross Seal-In—Hypobaric Sealing Membrane Technical Manual by Ossur,2003, Retrieved 2009 October, from the World Wide Web:http://www.ossur.com/?PageID=12705
[Midd 64] Middleton,W.E.K., The History of the Barometer, Johns Hopkins University. Baltimore, 1964.
[Sand 95] Sanders J.E., Interface mechanics in external prosthetics: review of interface stress measurement techniques. Medical & biological engineering & computing, 33: 509-516, 1995.
[Seym 02] Seymour, R., Prosthetics and Orthotics:Lower Limb and Spinal, pp. 4-14,2002.
[Shur 90] Shurr DG, Cook TM., Prosthetic and Orthotics., American Prosthetics Inc,1990.
[Syed 03] Syed Shikh, S. S., Abu Osman, N. A. and Latif , L. A. , Hydrostatic cast system:pressure mapping of the stump- water interface , The 3rd International Symposium on Biomedical Engineering(ISBME), 2008 .
[Torr 99] Torres-Morenos, R., and Jones, D., Magnetic Resonance Imaging of Residual Soft Tissues for Computer-Aided Technology Applications in Prosthetics-A Case Study, Journal of Prosthetics and Orthotics, Vol.11, No.1, pp. 6-11, 1999。
[Made 84] Madey, T.E., Early Applications of Vacuum, from Aristotle to Langmuir, Journal of Vacuum Science & Technology A: Vacuum, Surfaces, and Films, vol. 2, no. 2, pp. 110-117, 1984.
[Walk 82] Walker,J., Scientific American,p.46,1982.
[Wals 89] Walsh, N.E., Lancaster, J.L. , Faulkner, V.W. and Rogers, W.E., A computerized system to manufacture prostheses for amputees in developing countries, Journal of Prosthetics and Orthotics, Vol.1, No.3, pp. 165-181, 1989.
[Warr 45] Warren,J.M., and Belmont,M., Method for making and maintainin an impression of the shape of an object, United States patent number:2472754, 1945.
[Wu 03] Wu, Y., Casanova, H., Smith, W.K., Edwards, M., Childress, DC., CIR sand-casting system for trans-tibial sockets, Prosthet Orthot Int 27:146–152, 2003.
[于 97] 于邦基譯,Donald G.S.原著,義肢裝具學,合記圖書出版社,台北市,1997。
[林 05] 林罡生,膝下殘肢與義肢承筒在不同行走速度下之介面應力分析,國立成功大學機械工程系,碩士論文,2005。
[周 09] 周榮源,陳峰志,鄭鴻斌,張郁雯,半導體製造設備用真空幫浦技術,機械月刊,六月號,vol,pp. 412-425,1997.
[莊 10] 莊惟喬,全接觸式快速原型膝下義肢承筒網格化設計系統,國立成功大學機械工程系,碩士論文,2010。
[陳 06] 陳彥名,應用CAD軟體API與快速成型技術製作義肢承筒,國立成功大學機械工程系,碩士論文,2006。
[陳 10] 陳彥廷,單側膝下義肢使用者步態分析及承筒負重研究,國立成功大學機械工程系,碩士論文,2010。
[曾 09] 曾明基,下肢義肢介紹與應用,國立成功大學體育健康與休閒研究所專題討論,台南,第5頁,2009。
[澤 85] 澤村誠志著,蕭英宏譯,截肢義肢學,高雄縣私立樹人醫事職業學校復健技術教學委員會編印,1985。
[葉 01] 葉朝文,蔡銘昇,何靖國,王錦智, 林亮言,倪啟彬,半導體真空幫浦轉子之設計與模型製作,東南技術學院機械工程系,2001。
[葉 00] 葉哲政,真空系統金屬元件市場專題研究,金屬工業研究發展中心,金屬中心ITIS計畫,pp.34,2000。
[蘇 09] 蘇青森,真空技術精華Vacuum Technolgy,五南圖書,台北市,2009。