In Vitro Proof of Concept of a First-Generation Growth-Accommodating Heart Valved Conduit for Pediatric Use.

Currently available heart valve prostheses have no growth potential, requiring children with heart valve diseases to endure multiple valve replacement surgeries with compounding risks. This study demonstrates the in vitro proof of concept of a biostable polymeric trileaflet valved conduit designed for surgical implantation and subsequent expansion via transcatheter balloon dilation to accommodate the growth of pediatric patients and delay or avoid repeated open-heart surgeries. The valved conduit is formed via dip molding using a polydimethylsiloxane-based polyurethane, a biocompatible material shown here to be capable of permanent stretching under mechanical loading.

Design optimization of a cardiovascular stent with application to a balloon expandable prosthetic heart valve.

A cardiovascular stent design optimization method is proposed with application to a pediatric balloon-expandable prosthetic heart valve. The prosthetic valved conduit may be expanded to a larger permanent diameter via subsequent transcatheter balloon dilation procedures. While multiple expandable prosthetic heart valves are currently at different stages of development, this work is focused on one particular design in which a stent is situated inside of an expandable polymeric valved conduit.

Mechanical considerations for polymeric heart valve development: Biomechanics, materials, design and manufacturing.

The native human heart valve leaflet contains a layered microstructure comprising a hierarchical arrangement of collagen, elastin, proteoglycans and various cell types. Here, we review the various experimental methods that have been employed to probe this intricate microstructure and which attempt to elucidate the mechanisms that govern the leaflet's mechanical properties. These methods include uniaxial, biaxial, and flexural tests, coupled with microstructural characterization techniques such as small angle X-ray scattering (SAXS), small angle light scattering (SALS), and polarized light microscopy.

A novel phase field method for modeling the fracture of long bones.

A proximal humerus fracture is an injury to the shoulder joint that necessitates medical attention. While it is one of the most common fracture injuries impacting the elder community and those who suffer from traumatic falls or forceful collisions, there are almost no validated computational methods that can accurately model these fractures. This could be due to the complex, inhomogeneous bone microstructure, complex geometries, and the limitations of current fracture mechanics methods.

Probabilistic Model Updating for Sizing of Hole-Edge Crack Using Fiber Bragg Grating Sensors and the High-Order Extended Finite Element Method.

This paper presents a novel framework for probabilistic crack size quantification using fiber Bragg grating (FBG) sensors. The key idea is to use a high-order extended finite element method (XFEM) together with a transfer (T)-matrix method to analyze the reflection intensity spectra of FBG sensors, for various crack sizes. Compared with the standard FEM, the XFEM offers two superior capabilities: (i) a more accurate representation of fields in the vicinity of the crack tip singularity and (ii) alleviation of the need for costly re-meshing as the crack size changes.