Design and Performance Analysis of Lamina Emergent Torsional Joints Based on Double-Laminated Material Structure

Flexibility and accuracy are two key aspects of the performances of compliant joints. In order to obtain high flexibility while maintain high accuracy, this paper proposes a design method to improve the tensile stiffness of Lamina Emergent Torsional (LET) joint by utilizing double-laminated material structure. The joint is made of a LET joint and a layer of flexible H18 aluminum foil fixing on it (called double-laminated LET, DL-LET). The kinetostatic model for the joint is given, and the equations needed to calculate the equivalent spring constant are derived. The model is verified using finite element analysis (FEA). The results obtained through two different ways coincide with each other very well. The results show that DL-LET and LET joints have similar bending stiffness, while the tensile stiffness of the DL-LET joint is much larger than that of the LET joint. The results are validated by tensile tests. Finally, to further demonstrate the extension of this idea, a DL-Triple-LET joint is presented and compared to the Triple-LET joint.

Intervertebral disc degeneration alters lumbar spine segmental stiffness in all modes of loading under a compressive follower load

BACKGROUND CONTEXT

Previous studies have investigated the relationship between the degeneration grade of the intervertebral disc (IVD) and the flexibility of the functional spinal unit (FSU) but were completed at room temperature without the presence of a compressive follower load. This study builds on previous work by performing the testing under more physiological conditions of a compressive follower load at body temperature and at near 100% humidity.

PURPOSE

The present work evaluates the effects of IVD degeneration on segmental stiffness, range of motion (ROM), hysteresis area, and normalized hysteresis (hysteresis area/ROM). This study also briefly evaluates the effect of the segment level, temperature, and follower load on the same parameters.

STUDY DESIGN

In vitro human cadaveric biomechanical investigation.

METHODS

Twenty-one FSUs were tested in the three primary modes of loading at both body temperature and room temperature in a near 100% humidity environment. A compressive follower load of 440 N was applied to simulate the physiological conditions. Fifteen of the 21 segments were also tested without the follower load to determine the effects of the follower load on segmental biomechanics. The grade of degeneration for each segment was determined using the Thompson scale, and the torque-rotation curves were fit with the Dual-Inflection-Point Boltzmann sigmoid curve.

RESULTS

Intervertebral disc degeneration resulted in statistically significant changes in segmental stiffness, ROM, and hysteresis area in axial rotation (AR) and lateral bending (LB) and statistically significant changes in ROM and normalized hysteresis in flexion-extension (FE). The progression of these changes with increased degeneration is nonlinear, with changes in the FE and LB tending to respond in concert and opposite to the changes in AR. The lumbosacral joint was significantly stiffer and demonstrated a decreased ROM and hysteresis area as compared with other lumbar segments in AR and LB. Temperature had a significant effect on the stiffness and hysteresis area in AR and on the hysteresis area in LB. Application of a compressive follower load increased the stiffness in all three modes of loading but was significant only in AR and LB. It also reduced the ROM and increased normalized hysteresis in all three modes of loading.

CONCLUSIONS

The results from this testing quantify the effects of degeneration on spinal biomechanics. Because the testing was conducted under physiological conditions (including a compressive follower load and at body temperature), we expect the measured response to closely match the in vivo response. The testing results can be used to guide the selection of appropriate surgical treatments in the context of IVD degeneration and to validate the mathematical and engineering models of the lumbar spine, including finite element models.

Grand challenge: applying regulatory science and big data to improve medical device innovation

Understanding how proposed medical devices will interface with humans is a major challenge that impacts both the design of innovative new devices and approval and regulation of existing devices. Today, designing and manufacturing medical devices requires extensive and expensive product cycles. Bench tests and other preliminary analyses are used to understand the range of anatomical conditions, and animal and clinical trials are used to understand the impact of design decisions upon actual device success. Unfortunately, some scenarios are impossible to replicate on the bench, and competitive pressures often accelerate initiation of animal trials without sufficient understanding of parameter selections. We believe that these limitations can be overcome through advancements in data-driven and simulation-based medical device design and manufacturing, a research topic that draws upon and combines emerging work in the areas of Regulatory Science and Big Data. We propose a cross-disciplinary grand challenge to develop and holistically apply new thinking and techniques in these areas to medical devices in order to improve and accelerate medical device innovation.