Biomedical Engineering

Transcutaneous Wireless Energy Transmission of Biaxial Actuated Artificial Anal Sphincter

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  • School of Electronic Information and Electrical Engineering; Institute of Medical Robotics; Shanghai Engineering Research Center of Intelligent Drug Detoxification and Rehabilitation, Shanghai Jiao Tong University, Shanghai 200240, China

Received date: 2021-06-22

  Online published: 2022-06-28

Abstract

As an implantable medical device, the transcutaneous wireless energy transmission (TET) system of biaxial actuated artificial anal sphincter (BAAS) after implantation in vivo is affected by the hyperplasia of the parcel. The coupling performance is obviously lower than that of in vitro experiments, which reduces the practical value in medical treatment. Based on the experimental results of the TET system of BAAS, mainly aimed at the problem of transmission angle caused by the hyperplasia of the parcel, the existing TET system is analyzed and studied, and the relation curve between transmission angle and transmission efficiency are obtained. The experimental results show that when the transmission distance is 30 mm, the transmission efficiency reaches more than 60%. When the transmission distance is 30 mm and the transmission angle is 20°, the average transmission efficiency of the experiment can reach 66.65%. When the transmission angle is 30°, the average transmission efficiency of the experiment can reach 59.96%. The maximum of charging temperature of the transmitting coil is 23 ℃, which will not cause low temperature scald to the human body. It can meet the performance requirements of the BAAS system and achieve the purpose of long distance and high efficiency transmission.

Cite this article

HUA Fangfang, YAN Guozheng, WANG Lichao, CHAI Chuanye, XIAO Dunxi . Transcutaneous Wireless Energy Transmission of Biaxial Actuated Artificial Anal Sphincter[J]. Journal of Shanghai Jiaotong University, 2022 , 56(11) : 1502 -1508 . DOI: 10.16183/j.cnki.jsjtu.2021.216

References

[1] 周泽润. 仿耻骨直肠肌式人造肛门括约肌系统优化设计与实验研究[D]. 上海: 上海交通大学, 2020.
[1] ZHOU Zerun. Design and optimization of the puborectalis muscle-like artificial anal sphincter and experimental studies[D]. Shanghai: Shanghai Jiao Tong University, 2020.
[2] MUDDASANI S, AMANDA M, CAITLIN S, et al. Physical therapy for fecal incontinence in children with pelvic floor dyssynergia[J]. The Journal of Pediatrics, 2017, 190(74): 74-78.
[3] YEAP Z H, SIMILLIS C, QIU S, et al. Diagnostic accuracy of anorectal manometry for fecal incontinence: A meta-analysis[J]. Acta Chirurgica Belgica, 2017, 117 (6): 347-355.
[4] LEHUR P A, PRAVINI B, CHRISTOFORIDIS D. Sphincter repair or sacral nerve modulation: Still debatable[J]. Seminars in Colon and Rectal Surgery, 2019, 30(4): 1-5.
[5] IVATURY S J, WILSON L R, PAQUETTE I M. Surgical treatment alternatives to sacral neuromodulation for fecal incontinence: Injectables, sphincter repair, and colostomy[J]. Clinics in Colon and Rectal Surgery, 2021, 34(1): 40-48.
[6] JAAN K, TARJA P, TERO R, et al. Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for fecal incontinence: Results from a finish national cohort study[J]. International Journal of Colorectal Disease, 2018, 33(12): 1-6.
[7] LITTA F, MARRA A A, TORRECILLA N O, et al. Implant of self-expandable artificial anal sphincter in fecal incontinent patients improves external anal sphincter contractility[J]. Diseases of the Colon and Rectum, 2021, 64(6): 706-713.
[8] AHMAD K, ABDUL R S, UMAIR M. Role of mechanical bowel preparation before colostomy reversal[J]. The Professional Medical Journal, 2019, 26(5): 742-749.
[9] LIN Y H, YANG H Y, HUNG S L, et al. Effects of pelvic floor muscle exercise on fecal incontinence in rectal cancer patients after stoma closure[J]. European Journal of Cancer Care, 2016, 25(3): 449-457.
[10] DOROTA E, MICHA, ROMANISZYN, et al. Does implantation of an artificial soft anal band provide an opportunity for improvement of biopsychosocial function in patients with severe fecal incontinence?[J]. Surgery Research and Practice, 2019: 9843164.
[11] ANDROMANAKOS N, FILIPPOU D, KARANDREAS N, et al. Puborectalis muscle and external anal sphincter: A functional unit[J]. Turkish Journal of Gastroenterology, 2020, 31(4): 342-343.
[12] VAN D, WITHAGEN M, GROB A, et al. Mean echogenicity and area of puborectalis muscle in women with stress urinary incontinence during pregnancy and after delivery[J]. International Urogynecology Journal, 2016, 27(11): 1723-1728.
[13] WILT A, BREUKINK S O, STURKENBOOM R, et al. The artificial bowel sphincter in the treatment of fecal incontinence, long-term complications[J]. Diseases of the Colon and Rectum, 2020, 63(8): 1134-1141.
[14] PAKRAVAN F, HELMES C, ALLDINGER I. Magnetic sphincter augmentation in patients with fecal incontinence after failure of an implanted artificial bowel sphincter[J]. Coloproctology, 2018, 40(2): 127-129.
[15] LI Y Y, CAO S S, MA X, et al. Influence of strongly textured microstructure on the all-round shape memory effect of rapidly solidified Ni51Ti49 alloy[J]. Materials Science and Engineering-A, 2017, 705: 273-281.
[16] ZHOU Z R, YAN G Z, WANG Z W, et al. Design and evaluation of puborectalis-like artificial anal sphincter that replicates rectal perception[J]. Artificial Organs, 2020, 44(7): 300-312.
[17] KAGA T, SHIBA K. Measurement of energy transmission efficiency of transcutaneous energy transformer in NaCl solution for ventricular assist devices by reducing common-mode current in the range of 200-1500 kHz[C]∥IEEE Biomedical Circuits and Systems Conference. Turin, Italy: IEEE, 2017: 1-4.
[18] TAKAHASHI, SHUNSUKE, SHIBA K. Evaluation of high-frequency leakage current from air-core transcutaneous energy transmission system by comparison of circuit measurements and simulations[C]∥IEEE Asia Pacific Conference on Circuits and Systems. Takahashi, Japan: IEEE, 2019: 117-120.
[19] 周泽润, 颜国正, 王志武, 等. 新人造肛门括约肌系统充电模块热分析与控制[J]. 上海交通大学学报, 2020, 54(8): 813-819.
[19] ZHOU Zerun, YAN Guozheng, WANG Zhiwu, et al. Thermal analysis and control of transcutaneous energy transfer modulus of puborectalis-like artificial anal sphincter[J]. Journal of Shanghai Jiao Tong University, 2020, 54(8): 813-819.
[20] ZHOU Z R, YAN G Z, WANG Z W, et al. Inhibition of hyperplasia during the implantation of the puborectalis-like artificial anal sphincter[J]. The International Journal of Artificial Organs, 2020, 43(6): 482-493.
[21] WU C J, YAN G Z, ZHOU Z R, et al. Design and optimization of wireless energy supply system for artificial anal sphincter[J]. Journal of Shanghai Jiao Tong University (Science), 2019, 53(9): 1045-1050.
[22] WU H, WANG Z W, YAN G Z, et al. A novel puborectalis muscle artificial anal sphincter system with the module of sensory perception[J]. Journal of Medical Engineering and Technology, 2017, 41(2): 97-107.
[23] ZHOU Z R, YAN G Z, WANG Z W, et al. A novel power supply system for puborectalis-like artificial anal sphincter[J]. Artificial Organs, 2019, 43(6): 109-123.
[24] JIN W T, YAN G Z, WU H, et al. Preliminary study of a novel puborectalis-like artificial anal sphincter[J]. Artificial Organs, 2017, 41(9): 845-851.
[25] 靳文天. 仿生人工肛门括约肌控制系统及无线供能技术研究[D]. 上海: 上海交通大学, 2017.
[25] JIN Wentian. A study of the control system and wireless power transmission technology of the puborectalis-like artificial anal sphincter[D]. Shanghai: Shanghai Jiao Tong University, 2017.
[26] 克磊. 经皮供能的反馈式人工肛门括约肌系统关键技术与实验研究[D]. 上海: 上海交通大学, 2015.
[26] KE Lei. Research on key technology and experiments of artificial anal sphincter with sensor feedback powered by transcutaneous energy transfer[D]. Shanghai: Shanghai Jiao Tong University, 2015.
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