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鼓阶内三维热传递模型的实验验证及其在磁刺激耳蜗植入术中的应用。

Experimental Validation of a Three-Dimensional Heat Transfer Model Within the Scala Tympani With Application to Magnetic Cochlear Implant Surgery.

出版信息

IEEE Trans Biomed Eng. 2021 Sep;68(9):2821-2832. doi: 10.1109/TBME.2021.3055976. Epub 2021 Aug 23.

Abstract

UNLABELLED

Magnetic guidance of cochlear implants is a promising technique to reduce the risk of physical trauma during surgery. In this approach, a magnet attached to the tip of the implant electrode array is guided within the scala tympani using a magnetic field. After surgery, the magnet must be detached from the implant electrode array via localized heating, which may cause thermal trauma, and removed from the scala tympani.

OBJECTIVES

The objective of this work is to experimentally validate a three-dimensional (3D) heat transfer model of the scala tympani which will enable accurate predictions of the maximum safe input power to avoid localized hyperthermia when detaching the magnet from the implant electrode array.

METHODS

Experiments are designed using a rigorous scale analysis and performed by measuring transient temperatures in a 3D-printed scala tympani phantom subjected to a sudden change in its isothermal environment and localized heating via a small heat source.

RESULTS

The measured and predicted temperatures are in good agreement with an error less than 6 % ( p= 0.84). For the most conservative case where all boundaries of the model except the insertion opening are adiabatic, the power required to release the magnet attached to the implant electrode array by 1 mm of paraffin is approximately half of the predicted maximum safe input power.

CONCLUSIONS

A 3D heat transfer model of the scala tympani is successfully validated and enables predicting the maximum safe input power required to detach the magnet from the implant electrode array.

SIGNIFICANCE

This work will enable the design of a thermally safe magnetic cochlear implant surgery procedure.

摘要

未加标签

耳蜗植入物的磁引导是一种很有前途的技术,可以降低手术过程中物理创伤的风险。在这种方法中,将附着在植入物电极阵列尖端的磁铁通过磁场引导到耳蜗鼓阶内。手术后,必须通过局部加热将磁铁从植入物电极阵列上卸下,这可能会导致热创伤,并从耳蜗鼓阶中取出。

目的

本工作的目的是对耳蜗鼓阶的三维(3D)传热模型进行实验验证,以便能够准确预测最大安全输入功率,以避免在从植入物电极阵列上卸下磁铁时发生局部过热。

方法

使用严格的比例分析设计实验,并通过测量 3D 打印的耳蜗鼓阶模型在其等温环境突然变化和通过小热源进行局部加热时的瞬态温度来进行实验。

结果

测量和预测的温度吻合良好,误差小于 6%(p=0.84)。对于最保守的情况,即模型的所有边界除插入开口外均为绝热,释放附着在植入物电极阵列上的磁铁所需的功率大约是预测的最大安全输入功率的一半。

结论

成功验证了耳蜗鼓阶的 3D 传热模型,并能够预测从植入物电极阵列上卸下磁铁所需的最大安全输入功率。

意义

这项工作将能够设计出安全的热磁耳蜗植入手术程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/8415572/f7654a232059/nihms-1735319-f0001.jpg

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[Design of Scalable Model of Cochlear Scala Tympani].[耳蜗鼓阶可扩展模型的设计]
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本文引用的文献

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An overview of cochlear implant electrode array designs.人工耳蜗电极阵列设计概述。
Hear Res. 2017 Dec;356:93-103. doi: 10.1016/j.heares.2017.10.005. Epub 2017 Oct 18.

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