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Wang YH, Lee KC, Wei WC, Wang CH, Liu HJ, Hou JR, Hsieh TC, Chen JK, Chen TY, Liaw SK, Lin CF, Wu CC, Chieh JJ, Chang CH. Hybrid Vibration and UV Fluorescence Technology for Rapid Imaging and Guidance for Manual Removal of Fish Bones from Fish Floss. SENSORS (BASEL, SWITZERLAND) 2022; 22:8978. [PMID: 36433573 PMCID: PMC9699430 DOI: 10.3390/s22228978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 11/05/2022] [Accepted: 11/10/2022] [Indexed: 06/16/2023]
Abstract
The objective of the proposed human-machine cooperation (HMC) workstation is to both rapidly detect calcium-based fish bones in masses of minced fish floss and visually guide operators in approaching and removing the detected fish bones by hand based on the detection of fingernails or plastic-based gloves. Because vibration is a separation mechanism that can prevent absorption or scattering in thick fish floss for UV fluorescence detection, the design of the HMC workstation included a vibration unit together with an optical box and display screens. The system was tested with commonly used fish (swordfish, salmon, tuna, and cod) representing various cooking conditions (raw meat, steam-cooked meat, and fish floss), their bones, and contaminating materials such as derived from gloves made of various types of plastic (polyvinylchloride, emulsion, and rubber) commonly used in the removal of fish bones. These aspects were each investigated using the spectrum analyzer and the optical box to obtain and analyze the fluorescence spectra and images. The filter was mounted on a charge-coupled device, and its transmission-wavelength window was based on the characteristic band for fish bones observed in the spectra. Gray-level AI algorithm was utilized to generate white marker rectangles. The vibration unit supports two mechanisms of air and downstream separation to improve the imaging screening of fish bones inside the considerable flow of fish floss. Notably, under 310 nm ultraviolet B (UVB) excitation, the fluorescence peaks of the raw fillets, steam-cooked meat, and fish floss were observed at for bands at longer wavelengths (500-600 nm), whereas those of the calcium and plastic materials occurred in shorter wavelength bands (400-500 nm). Perfect accuracy of 100% was achieved with the detection of 20 fish bones in 2 kg of fish floss, and the long test time of around 10-12 min results from the manual removal of these fish bones.
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Affiliation(s)
- Yen-Hsiang Wang
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Kuan-Chieh Lee
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Wen-Chun Wei
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Chung-Huang Wang
- Product and Process Research Center, Food Industry Research and Development Institute, Hsinchu 300, Taiwan
| | - Hao-Jie Liu
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Jia-Rong Hou
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Tien-Chen Hsieh
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Ju-Kai Chen
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Ting-Yuan Chen
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Shien-Kuei Liaw
- Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei 106, Taiwan
| | - Choa-Feng Lin
- Department of Electronic Engineering, Asia Eastern University of Science and Technology, New Taipei 220, Taiwan
| | - Chin-Cheng Wu
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
- Chemical Systems Research Division, National Chung-Shan Institute of Science & Technology, Taoyuan 325, Taiwan
| | - Jen-Jie Chieh
- Institute of Electro-Optical Engineering, National Taiwan Normal University, Taipei 116, Taiwan
| | - Chin-Hung Chang
- Product and Process Research Center, Food Industry Research and Development Institute, Hsinchu 300, Taiwan
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Chuang FJ, Townend PJ, Cooper ML. A case series of bread clip ingestions. J Surg Case Rep 2022; 2022:rjac163. [PMID: 35721266 PMCID: PMC9202639 DOI: 10.1093/jscr/rjac163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 03/18/2022] [Indexed: 11/13/2022] Open
Abstract
Abstract
The bread clip is one of the most insidious foreign body ingested. The bread clip poses a serious medical danger to patients yet may often fail to manifest itself clinically on initial ingestion. We present a case series of three patients with bread clips ingestions that were managed in the Gold Coast University Hospital, Queensland, Australia between 2020 and 2021. Bread clips are not always readily identifiable depending on imaging and the management of these patients will often require a multidisciplinary approach between the surgeons, gastroenterologists and radiologists.
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Affiliation(s)
- Fred J Chuang
- Department of General Surgery , Gold Coast Health, Gold Coast University Hospital, QLD, Australia
| | - Philip J Townend
- Department of General Surgery , Gold Coast Health, Gold Coast University Hospital, QLD, Australia
| | - Michelle L Cooper
- Department of General Surgery , Gold Coast Health, Gold Coast University Hospital, QLD, Australia
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Mulcahy CF, Park JC, Rubio EI, Speer AL, Badillo A, Pena M. Severe acquired tracheomalacia caused by a chronic esophageal foreign body. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2019. [DOI: 10.1016/j.epsc.2019.101253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Cappell MS, Gjeorgjievski M. Gastroenterologist successfully extracting at EGD a blunt, semi-rigid, foreign body tightly impacted at the UES. MINERVA GASTROENTERO 2019; 65:239-241. [PMID: 31115205 DOI: 10.23736/s1121-421x.19.02582-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Mitchell S Cappell
- Division of Gastroenterology and Hepatology, Department of Medicine, William Beaumont Hospital at Royal Oak, Royal Oak, MI, USA - .,Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA -
| | - Mihajlo Gjeorgjievski
- Division of Gastroenterology and Hepatology, Department of Medicine, William Beaumont Hospital at Royal Oak, Royal Oak, MI, USA
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Wang L, Zhang L, Li D, Li C, Wang Y, Gao M, Liang H, Meng F. Successful retrieval of a plastic bead from the airway of a child by flexible bronchoscopy and a balloon-tipped catheter: A case report and literature review. Medicine (Baltimore) 2018; 97:e12147. [PMID: 30212940 PMCID: PMC6155973 DOI: 10.1097/md.0000000000012147] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
RATIONALE Bronchial foreign body aspiration is a critical condition that jeopardizes the respiratory function of children. Prompt diagnosis and removal of the foreign body can reduce occurrence of foreign body complications and mortality. Aspiration of spherical plastic beads is rare, and the bead is difficult to retrieve. PATIENT CONCERNS An 8-year-old girl developed cough, transient throat wheezing, and intermittent cough after she accidentally inhaled a plastic bead 7 hours ago. Chest computed tomography scan revealed a round shadow 1.2 cm in diameter in the right main bronchus. DIAGNOSES Foreign body in the right main bronchus. INTERVENTIONS Retrieval by balloon-tipped catheter via flexible bronchoscopy was undertaken. OUTCOMES The bead was successfully retrieved and the child recovered uneventfully. LESSONS Foreign body aspiration in children constitutes a medical emergency in severe cases. Flexible bronchoscopy and balloon-tipped catheter retrieval can be used as an effective noninvasive treatment for aspiration of plastic beads.
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Alsharief AN, Blackmore C, Schmit P. Small bowel obstruction due to ingestion of rubber balls. Pediatr Radiol 2017; 47:1539-1541. [PMID: 28516221 DOI: 10.1007/s00247-017-3894-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 04/11/2017] [Accepted: 05/04/2017] [Indexed: 11/25/2022]
Abstract
We report a case of a 10-month-old girl who presented with a 10-day history of emesis that became bilious on the last day. The initial evaluation suggested small bowel obstruction. An upper gastrointestinal study confirmed the normal location of the duodenojejunal junction with normal rotation and no evidence of midgut volvulus. Ultrasound (US) evaluation demonstrated two intraluminal lesions that do not follow the typical features of solid or cystic lesions. Two rubber balls were found at surgery to be responsible for the small bowel obstruction. Foreign body ingestion is common in children, but this case demonstrates a unusual foreign object to be ingested as well as the US appearance of this particular foreign body.
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Affiliation(s)
- Alaa N Alsharief
- Diagnostic Imaging Department, IWK Health Centre Dalhousie University, Halifax, NS, Canada. .,Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
| | - Christopher Blackmore
- Pediatric General Surgery Department, IWK Health Centre, Dalhousie University, Halifax, NS, Canada
| | - Pierre Schmit
- Diagnostic Imaging Department, IWK Health Centre Dalhousie University, Halifax, NS, Canada
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Anderson JE, Brown EG, Greenholz SK. Multifocal small bowel obstruction in an infant. J Pediatr Surg 2015; 50:1413-4. [PMID: 26103792 DOI: 10.1016/j.jpedsurg.2015.05.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Revised: 04/23/2015] [Accepted: 05/27/2015] [Indexed: 01/23/2023]
Abstract
This is a case report of an acute small bowel obstruction in a 17-month-old girl with no significant past medical history. Computerized tomography (CT) of the abdomen demonstrated complete obstruction at the proximal jejunum as well as perplexing dilation and air-fluid levels within the distal jejunum beyond the initial obstruction. Imaging demonstrated no evidence of malrotation, volvulus, or intussusception, but a clear diagnosis was not evident. Exploratory laparotomy was performed and multiple foreign bodies that appeared to be rubber balls were found within the small bowel. This case study identifies important clinical and radiologic considerations when assessing infants for small bowel obstruction.
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Affiliation(s)
- Jamie E Anderson
- University of California Davis Medical Center, Sacramento CA, United States.
| | - Erin G Brown
- University of California Davis Medical Center, Sacramento CA, United States
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