Neck ExtenderFlexor for Fluoroscopy Examination Client Victor Haughton

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Neck Extender/Flexor for Fluoroscopy Examination Client: Victor Haughton, M. D. Advisor: Naomi Chesler, Ph.

Neck Extender/Flexor for Fluoroscopy Examination Client: Victor Haughton, M. D. Advisor: Naomi Chesler, Ph. D. Alison Boumeester Vidhya Raju Susan Samreth Peter Strohm 2/5/2022 1

Overview • • • 2/5/2022 Problem Statement Background Information Product Design Specifications Design Alternatives

Overview • • • 2/5/2022 Problem Statement Background Information Product Design Specifications Design Alternatives Decision Matrix Future Work 2

Problem Statement • Create neck positioner for use in fluoroscopy • Accommodate comatose patient

Problem Statement • Create neck positioner for use in fluoroscopy • Accommodate comatose patient http: //www. massgeneralimaging. org http: //www. medi-fax. com 2/5/2022 3

Background Information • Cervical Spine – Determine disk health through neck movement • Fluoroscopy

Background Information • Cervical Spine – Determine disk health through neck movement • Fluoroscopy – X-ray imaging in motion – Metal not desirable in imaging areas • Non-motorized device created Spring 2006 2/5/2022 http: //homepages. cae. wisc. edu/~bme 402/ neck_positioner_s 06/ 4

Product Design Specifications • Must not induce neck injuries • Motorized to prevent human

Product Design Specifications • Must not induce neck injuries • Motorized to prevent human error • Simulate natural neck movement • Extension/flexion to 45˚ from neutral • Rate of rotation 1˚/sec • Remote control operation 2/5/2022 Neck Extension www. rad. washington. edu Neck Flexion 5

Motor & Gear Design • Bi-directional motor runs minor gear • Minor gear rotates

Motor & Gear Design • Bi-directional motor runs minor gear • Minor gear rotates planetary gear guide • Extension/ flexion centered about axis 2/5/2022 6

Motor & Gear Design Pros Cons • Easy assembly • • No obstruction for

Motor & Gear Design Pros Cons • Easy assembly • • No obstruction for lateral imaging • • Achieves desired range of rotation • Realistic (anatomic) • center of rotation • • Components beneath table Gear must always support head board Limited potential for expanding rotation range Awkward shape Mechanically complex 2/5/2022 7

Gear Actuator Design • Motorized worm gear controls shaft elevation • Pins stabilize shaft,

Gear Actuator Design • Motorized worm gear controls shaft elevation • Pins stabilize shaft, prevent rotation • Head board supported by roller guide 2/5/2022 8

Gear Actuator Design Pros Cons • Easy assembly • Frame limits lower • No

Gear Actuator Design Pros Cons • Easy assembly • Frame limits lower • No obstruction for rotation range lateral imaging • Possible interference • Achieves desired range • Mechanically complex of rotation • Realistic (anatomic) center of rotation • Components beneath table 2/5/2022 9

Linear Actuator Design • S-shaped board on table • Movement from actuator • Speed

Linear Actuator Design • S-shaped board on table • Movement from actuator • Speed of rotation altered by adjusting voltage – power supply – AC to DC signal conversion 2/5/2022 10

Linear Actuator Design Pros • Easily constructed • No obstruction of lateral imaging •

Linear Actuator Design Pros • Easily constructed • No obstruction of lateral imaging • Achieves desired range of motion • Easily powered 2/5/2022 Cons • Moments will occur at base of actuator • Base of actuator much lower than table • Rotational rate will vary 11

Design Matrix Criteria Gear and Motor Safety 30 25 27 22 Feasibility 40 39

Design Matrix Criteria Gear and Motor Safety 30 25 27 22 Feasibility 40 39 20 25 Aesthetics 10 6 6 9 Mechanics 20 16 15 15 100 86 68 71 Totals 2/5/2022 Linear Worm Weights Actuator Gear 12

Future Work • Research linear actuators/power supplies – How to modify linear actuators •

Future Work • Research linear actuators/power supplies – How to modify linear actuators • Research materials that will not interfere with radiographic imaging – How to machine these materials • Prototype design 2/5/2022 13

Acknowledgements • Professor Block, Department of Biomedical Engineering • Professor Fronczak, Department of Mechanical

Acknowledgements • Professor Block, Department of Biomedical Engineering • Professor Fronczak, Department of Mechanical Engineering • Professor Ranallo, Department of Radiology 2/5/2022 14

Questions? 2/5/2022 15

Questions? 2/5/2022 15