Publications by authors named "Oleg Vesnovsky"

Non-contact infrared thermometers (NCITs) are being widely used during the COVID-19 pandemic as a temperature-measurement tool for screening and isolating patients in healthcare settings, travelers at ports of entry, and the general public. To understand the accuracy of NCITs, a clinical study was conducted with 1113 adult subjects using six different commercially available NCIT models. A total of 60 NCITs were tested with 10 units for each model.

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Article Synopsis
  • A new standardized connector design (ENFit) was created for enteral medical devices to prevent misconnections, replacing older syringes (legacy syringes) with LDT syringes designed for better dosing accuracy in low volumes (≤2 ml).
  • Despite the intention to improve safety, concerns about dosing errors with LDT syringes were necessary to investigate, prompting a study of their performance compared to legacy syringes.
  • Results indicated that while maximum errors for LDT and legacy syringes could be similar in some cases, issues like medication residue and syringe reuse significantly increased dosing errors in LDT syringes, raising potential safety risks.
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Corrosion and wear are commonly found at the taper-trunnion connection of modular total hip arthroplasty (THA) explanted devices. While metal/metal (M/M) modular taper-trunnion connections exhibit more wear/corrosion than ceramic/metal (C/M) modular taper-trunnion connections, damage is present in both, regardless of material. This study used a combination of assessment techniques including clinical data, visual scoring assessment, optical imaging, profilometry, and x-ray photoelectron microscopy (XPS), to investigate wear mechanisms and damage features at the modular taper-trunnion connection of 10 M/M and 8 C/M explanted THAs.

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The ability to assess the performance of a non-contact infrared thermometer (NCIT) may be limited due to the algorithms necessary to predict a reference site temperature (e.g., oral) from a measurement of the forehead skin temperature.

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Products from fretting wear and corrosion in the taper junction of total hip arthroplasty (THA) devices can lead to adverse local tissue reactions. Predicting damage as a function of design parameters would aid in the development of more robust devices. The objectives of this study were to develop an automated method for identifying areas of fretting wear on THA taper junctions, and to assess the predictive ability of a finite element model to simulate fretting wear in THA taper junctions.

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Adequate cleaning of reusable medical devices is critical for preventing cross-infection among patients. For reusable medical devices, cleaning using mechanical brushes and detergent may not be sufficient to completely remove the infectious contaminants from the surfaces. This study evaluates the role of fluid flow-induced shear stress in the detachment and removal of contaminants from device surfaces.

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Objectives: Automated oscillometric blood pressure (BP) monitors can be critical health assessment tools if they are accurate and can provide repeatable and reproducible readings. Commercial patient simulators are capable of screening for poorly performing oscillometric BP monitors. A valid screening bench test method to identify unreliable and underperforming BP monitors could advance surveillance of these devices and support regulatory decision making.

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Objectives: To investigate whether locking screws offer any advantage over nonlocking screws for plate fixation of humeral shaft fractures for weight-bearing applications.

Design: : Mechanical evaluation of stiffness in torsion, bending, and axial loading and failure in axial loading in synthetic and cadaveric bone.

Setting: Biomechanical laboratory in an academic medical center.

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