簡易檢索 / 詳目顯示

研究生: 陳正宗
Cheng-tsung Chen
論文名稱: 膽管支架之設計與光纖雷射加工
Design and Fiber Laser Cutting of Biliary Stent
指導教授: 張復瑜
Fuh-Yu Chang
口試委員: 趙品尊
none
鄭正元
Jeng-Ywan Jeng
鄭逸琳
Yih-Lin Cheng
學位類別: 碩士
Master
系所名稱: 工程學院 - 機械工程系
Department of Mechanical Engineering
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 103
中文關鍵詞: 膽管支架有限元素分析光纖雷射形狀記憶
外文關鍵詞: Biliary stent, finite element method, fiber laser, shape setting
相關次數: 點閱:292下載:6
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 膽管支架放置術是一種侵入性較小的治療方法,而且成功率高、併發症低,是膽管阻塞疾病患者的理想治療方式,該手術是用細導管將支架送至膽管阻塞部位,支架擴張後撐開阻塞的膽管,使膽汁流通,使患者的病症得以緩解。
    本研究以市售支架之結構尺寸,並利用三維實體建模軟體 Pro/Engineer 與有限元素分析軟體 ANSYS 建立不同結構設計之鎳鈦合金支架模型,對其徑向強度、柔順性、植入性能和應變分佈進行分析及改良,最後成功設計出一新型支架結構。本研究使用光纖雷射進行加工,以不銹鋼管及鎳鈦合金管材料進行測試,利用焦距、功率、脈衝重複頻率等參數進行測試並找出適合加工之條件,且利用控制器同步雷射觸發功能成功改善原先雷射加工產生的熱效及翹曲的問題,並以加工路徑偏移的方式降低製程所需的時間。此外,在熱處理實驗中,將探討形狀記憶合金在不同熱處理溫度、恆溫時間及冷卻方式下,記憶效應、相轉變溫度及機械性質上之改變趨勢。


    Endoscopic biliary stenting is an invasive treatment method with high success rate and low complication. It is a treatment for bile duct obstruction disease patients. The surgery put thin catheter stent in the bile duct obstruction site, then the stent expand by itself, final the bile flowed by the blockage of the bile ducts, so that the patient's symptoms to be alleviated.
    This study first builds up the model by Pro/Engineer based on the structure size of commercial stents. The strain distribution of nitinol stents and the desired pattern which is more flexibility and the higher radial force are discussed by the finite element analysis software ANSYS. In biliary stent fabrication, fiber laser is determined to cut nitinol and stainless tubes. This study focuses on optimizing the laser parameters such as focal position, average power, and pulse repetition rate. The results show that the heat affected zone and fabrication time can be reduced by programmable synchronized output and cut with path offset. Furthermore, heat treatment experiments were carried out on the trend of shape memory alloy material properties in different treatment temperature, treatment time and cooling methods.

    摘要I AbstractII 誌謝III 目錄IV 圖目錄VII 表目錄XIII 第一章、緒論1 1.1 前言1 1.2 研究動機與目的2 第二章、文獻回顧3 2.1 血管支架研究回顧3 2.2 雷射特性與原理12 2.2.1 雷射加工文獻回顧15 2.3 形狀記憶合金熱處理20 第三章、研究方法24 3.1 膽管支架模擬25 3.1.1 市售支架外觀繪製25 3.1.2 建立有限元素模型28 3.1.3 定義材料性能28 3.1.4 網格大小收斂性分析31 3.1.5 支架的抗壓縮與彎曲性能測試設定方法33 3.1.6 儀器檢測36 3.2 新型支架設計38 3.3 光纖雷射加工39 3.3.1 光纖雷射實驗系統40 3.3.2 光纖雷射實驗試片43 3.4 鎳鈦合金形狀記憶試驗45 3.5 量測儀器48 3.5.1掃描式電子顯微鏡(Scanning electron microscope, SEM)48 3.5.2示差掃描熱量分析儀(Differential Scanning Calorimetry, DSC)48 3.5.3廣角度X-ray繞射儀 (Wide-angle X-ray Diffraction, WAXD)49 3.5.4光學顯微鏡 (Optical Microscope, OM)50 第四章、實驗結果與討論51 4.1光纖雷射加工實驗51 4.1.1雷射加工參數測試51 4.1.2雷射加工膽管支架61 4.2 形狀記憶及機械性質試驗結果65 4.2.1熱處理後鎳鈦合金之形狀記憶測試65 4.2.2不同熱處理溫度對於鎳鈦合金之機械性質影響66 4.3市售支架性能模擬與量測70 4.4新型支架性能模擬與量測75 第五章、結論與未來展望97 5.1 結論97 5.2 未來展望99 參考文獻100

    1. Malvin, E. R., ''How a Dentist's Name Became a Synonym for a Life-saving Device: The Story of Dr. Charles Stent", Journal of the History of Dentistry, Vol. 49, No. 2, 2001.
    2. Dotter, C. T. and Judkins, M, P., "Translumininal Treatment of Arteriosclerotic Obstruction", 30, pp. 654-670, 1964.
    3. Dotter, C. T., "Transluminally-Placed Coil Spring Endarterial Tube Grafts: Long-term Patency in Canine Popliteal Artery", Investigative Radiology, Vol. 4, pp. 329-332, 1969.
    4. Stern, S., "Andreas Gruentzig-The Life and Death of a pioneer", Cardiology Journal formerly Folia Cardiologica, Vol. 13, No.4, pp. 348-350, 2006.
    5. Rosch, J., Keller, F. S. and Kaufman, A., "The Birth Early Years and Future of Interventional Radiology", Journal of Vascular and Interventional Radiology, Vol. 14, pp. 841-853, 2003.
    6. Maass, D., Zollikofer, C. L., Largiader, F., and Senning, A., "Radiological Follow-Up of Transluminally Inserted Vascular Endoprostheses: An Experimental Study Using Expanding Spirals", Radiology, Vol.152, pp. 59-63, 1984.
    7. Palmaz, J. C., Sibbit, R. R., Reuter, S. R., Tio, F. O., and Rice, W. J., "Expandable Intraluminal Graft: A Preliminary Study", Radiology, Vol. 156, pp. 73-77, 1985.
    8. Sigwart, U., Puel, J., Mirkovitch, V., Joffre, F., and Kappenberger, L., "Intravascular Stents to Prevent Occlusion and Restenosis after Transluminal Angioplasty", The New England Journal of Medicine, Vol. 316, pp. 701-706, 1987.
    9. Rousseau, H., Puel, J., and Joffre, F., "Self-Expanding Endovascular prosthesis: An Experimental Study", Radiology, Vol. 164, pp.709-714, 1987.
    10. Shabalovskaya, S., "On the Nature of the Biocompatibility and Medical Applications of NiTi Shape Memory and Superelastic Alloy", Bio-Medical Materials and Engineering, Vol. 6, pp. 267-289, 1996.
    11. Duerig, C. T., Melton, K. N., Wayman, C. M., Stockel, D., "Engineer Aspects of Shape-Memory Alloys", Butterworth-Heinemann, London, 1990.
    12. Wever, D. J., Veldhuizen, A. G., De Vries, J., and Busscher, H. J., "Electrochemical and Surface Characterization of a Nickel-Titanium Alloy", Biomaterials, Vol. 19, pp. 761-769,1998.
    13. Brown, S. A., Hughes, P. J., and Merritt, K., "In Vitro Studies of fretting Corrosion of Orthopaedic Materials", Journal of Orthopaedic Research, Vol. 6, pp. 572-579, 1988.
    14. Ryhanen, J., Niemi, E., Serlo, W., Niemela, E., Sandvik, P., Pernu, H., and Salo, T., "Biocompatibility of Nickel-Titanium Shape-Memory Metal and Its Corrosion Behavior in Human Cell Culture", Journal of Biomedical Materials Research: Part. A, Vol. 35, pp. 451-457, 1997.
    15. Duerig, T., Tolomeo, D., and Wholey, M., "An Overview of Superelastic Stent Design ", Minimally invasive therapy & allied technologies, Vol. 9, pp. 235-246, 2000..
    16. Duerig, T. W., and Wholey, M., "A Comparison of Balloon-and Self-expanding Stents ", Minimally Invasive Therapy & Allied Technologies. Vol. 11, pp. 173-178, 2002.
    17. Lorenza, P., Francesco, M., Ferdinando, A., Gabriele, D., "Numerical Investigation of the Intravascular Coronary Stent Flexibility", Journal of Biomechanics, Vol. 37, pp. 495-501, 2004.
    18. Lally, C., Kelly, D., Prendergast, P., Wiley Encyclopedia of Biomedical engineering, John Wiley and Sons, 2006.
    19. Azaouzi, M., Makradi, A., Belouettar, S., "Deployment of a Self-expanding Stent Inside an Artery: A Finite Element Analysis", Materials and Design, Vol. 41, pp. 410-420, 2012.
    20. 林三寶,雷射原理與應用,全華圖書股份有限公司,2009。
    21. Mannion, P., Magee, J., Coyne, E., O'Connor, G. M., "Ablation Thresholds in Ultrafast Laser micro-machine of Common Metal in Air " Optics and Photonics Technologies and Applications, Vol. 4876, pp. 470-478, 2003.
    22. 丁勝懋,雷設工程導論,中央圖書出版社,1995
    23. 許育豪,「飛秒雷射至做金屬玻璃微奈米轉印精密模具應用分析」,國立台灣科技大學,2011。
    24. Kleine, K. F., Whitney, B., Watkins, K. G., "Use of Fiber Laser for Micro Cutting Applications in the Medical Device Industry", Proceeding of 21st ICALEO, 2002.
    25. Uno, Y., "Study on Supplying Method of Assist Gas in Precision Cutting with Pulsed YAG Laser", Journal of the Japan Society for Precision Engineering, Vol. 65, pp. 1471-1475, 1999.
    26. Okamoto, Y., Kataoka, N., Tahara, H., Shiwayama, K., Uno, Y., "Micro Cutting of Thin Copper Plate by Fiber Laser with Laval Nozzle", Journal of Laser Micro/Nano engineering, Vol. 1, No. 3, 2006.
    27. Zhou, Y., Liao, J., Meng, H., and Lin. S., "Laser Micro-Fabrication of Endovascular Stent", Applied Laser, Vol. 25. No. 3, 2005.
    28. Meng. H., Liao, J., Guan, B., Zhang, Q., and Zhou, Y., "Fiber Laser Cutting Technology on Coronary Artery Stent", Chinese Journal of Lasers, Vol. 34. No. 5, 2007.
    29. Yeung. K. W. K., Cheung. K. M. C., Lu. W. W., Chung. C. Y., "Optimization of Thermal Treatment Parameter to Alter Austenitic Phase Transition Temperature of NiTi Alloy for Medical Implant", Materials Science and Engineering A, Vol. 383, pp. 213-218, 2004.
    30. Liu, X., Wang, Y., Yang, D., and Oi, M., "The Effect of Ageing Treatment on Shape-Setting and Superelasticity of a Nitinol Stent", Material Characterization, Vol.59, pp. 402-406, 2008.
    31. Vojtěch, D., "Influence of Heat Treatment of Shape Memory NiTi Alloy on its Mechanical Properties", Czech Academy of Science, 2010.
    32. Marchand, C., Heim, F., and Durand, B., Chafke, N., "Nitinol Stent for Percutaneous Heart Valve Implantation: Material Shape Setting", Materials and Manufacturing processes, Vol. 26, pp. 181-187, 2011.
    33. Http://www.nitinol.com/nitinol-facts/shape-setting-aging (NDC)
    34. Tonshoff, H., Momma, C., Nolte, S., and Kamlage, G., "Micro Drilling of Metals With Ultrashort Laser Pulses", Journal of Laser Applications, Vol. 12, 23-27, 1998.
    35. Henderson, E., Nash, D. H., and Dempster, W. M., "On the Experimental Testing of Fine Nitinol Wires for Medical Devices", Journal of the Mechanical Behavior of Biomedical Materials, Vol. 4, pp. 261-268, 2011.
    36. Paryab, M., Nasr, A., Bayat, O., and Eshraghi, A., "Efeect of Heat Treatment on the Micro-structural and Superelastic Behavior of NiTi Alloy with 58.5wt% Ni", Metalurgija, Vol.16, pp.123-131, 2010.
    37. Wei, W., Min, Q., Xiao-Peng, L., " Delivery and Release of Nitinol Stent in Carotid artery and their Interactions: A Finite Element Analysis", Journal of Biomechanics, Vol. 40, pp. 3034-3040, 2007

    無法下載圖示 全文公開日期 2018/01/29 (校內網路)
    全文公開日期 本全文未授權公開 (校外網路)
    全文公開日期 本全文未授權公開 (國家圖書館:臺灣博碩士論文系統)
    QR CODE