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研究生: 柳文耀
Wen-yao Liu
論文名稱: 連續式雙管細胞植入器之開發
Development of Continuous Double-Syringe Cell Implanter
指導教授: 鄭逸琳
Yih-Lin Cheng
口試委員: 郭進星
Chin-hsing Kuo
林頌然
Sung-jan Lin
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: 86
中文關鍵詞: 積層製造植入器禿髮毛囊再生
外文關鍵詞: Implanter, Hair follicles regeneration
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  • 目前治療雄性禿(androgenetic alopecia)常見的方法包括口服柔沛(finasteride)、外用生髮水(minoxidil)與植髮(hair transplantation),但這些方法的效果因人而異。近年學者研究發現,將混合的真皮乳突細胞與表皮細胞植入禿髮處,可促進毛囊再生。但現階段的細胞植入方式多採用手術或注射器等方式植入細胞,手術過程耗費大量時間在製備及裝填細胞的步驟。為了縮短前置作業時間、加快植入速度與固定植入深度,本研究開發具有兩種細胞儲存能力的連續式細胞植入器。
    連續式雙管細胞植入器的設計概念是以注射筒做為儲存細胞的容器,且植入器可依照預期的順序植入細胞。兩種細胞分別裝填於注射筒內,將完成細胞裝填之注射筒安裝於細胞植入器上,藉由直線步進馬達及對應的機構使注射筒透過針具進行細胞的植入,並採用連桿滑塊機構與馬達達到交替兩個注射筒的效果。連續式雙管細胞植入器之各零組件於3D繪圖軟體中繪製完成後,即以積層製造技術中的SDM (Shape Deposition Manufacturing)製程與PolyJet™技術製作出原型零件。將組合完成之原型於裸鼠身上進行模擬植入測試。利用紅色與藍色兩種顏色之染劑分別做為兩種細胞之模擬,將其植入裸鼠背部,觀察表面情形,隨後取下其植入區域之皮膚,觀察植入效果並進行評估。測試結果發現連續式雙管細胞植入器能夠成功達成兩種細胞於同一位置之植入,並可依照需求控制兩種細胞的植入順序與植入量,針具與注射筒替換容易、迅速,且其具有良好的植入效果與植入成功率。


    The general treatments of androgenetic alopecia include finasteride, minoxidil, and hair transplantation. But the effects are still patient-dependent. In recent years, scholars have found that implanting mixtures of dermal papilla cells and epidermal cells into bald areas could promote hair follicle regeneration. However, most cell implantations nowadays use surgeries or manual syringe-ejection, which are time-consuming in preparations and cells filling. To shorten the lead time, to accelerate the implantation speed, and to control the implantation depths, this study planned to develop a continuous double-syringe cell implanter that can store and implant two kinds of cells.
    The design concepts of this cell implanter utilize syringes as containers for cells storage, and the implanter can implant cells in the expected orders. In particular, two kinds of cells were filled in the syringes separately and loaded in the implanter. Through the linear actuators and corresponding mechanisms, the syringe was engaged to the needles and ejected the cells. The slider-crank mechanism and the motor were adopted to alternate the two syringes. The components of the implanter was designed in the 3D CAD software and fabricated by SDM (Shape Deposition Manufacturing) process or PolyJet™ technology, ones of the Additive Manufacturing techniques. The assembled prototype was used to perform simulated implantation tests on nude mice. Red and blue gels, imitating two kinds of cells, were implanted into mice’s back. Observations were conducted on the back’s surfaces and also from the inside surface after cutting off the skin. The results showed that the continuous double-syringe cell implanter can successfully implant two kinds of cells into the same areas. The implantation orders and quantities are controllable. Moreover, the steps of exchanging needles and syringes are easy and fast, and the implantation effects and successful rates are satisfying.

    摘要 I Abstract II 誌謝 III 目錄 IV 圖目錄 VII 表目錄 XI 第一章 緒論 1 1.1 研究背景 1 1.2 研究動機與目的 1 1.3 研究方法 2 1.4 論文架構 4 第二章 文獻探討 5 2.1 雄性基因禿髮之病理機轉 5 2.1.1 毛髮週期的改變 6 2.1.2 毛囊微小化 7 2.1.3 發炎 7 2.2 雄性禿的治療 8 2.3 植髮技術(hair transplant technique) 10 2.4 毛髮移植之綜合性比較 13 2.5 植髮器械及植入工具介紹 14 2.5.1 Choi植髮器(Choi hair transplanter) 14 2.5.2 毛髮移植筆(hair transplanter pen) 16 2.5.3 轉盤式植髮器(hair implanter carousel) 18 2.5.4 KNU植髮器(KNU implanter) 19 2.5.5 顯微毛囊植髮器 21 2.5.6 科維創植髮系統(CalvitronR system) 22 2.5.7 第一代連續式細胞植入器 24 2.5.8 第二代連續式細胞植入器 25 2.5.9 其他工具 25 2.6 毛囊複製技術 28 2.6.1 ICX-TRC毛髮再生療法 30 2.6.2 真皮乳頭細胞之微組織培養 30 2.6.3 皮膚結構 31 2.7 積層製造技術(Additive Manufacturing) 33 2.7.1 PolyJetTM技術 34 2.7.2 形狀沉積製造 36 第三章 植入器之設計與原型製作 37 3.1 植入器設計概念 37 3.1.1 植入機制 38 3.1.2 植入量控制機制 39 3.1.3 替換機制 42 3.2 CAD繪製與模擬 44 3.3 原型製作 50 3.3.1 SDM製程之零件製作 50 3.3.2 Objet Eden330製作流程 53 3.4 控制系統 58 3.4.1步進馬達 59 3.4.2 單晶片 61 第四章 植入器原型之測試與比較 63 4.1 原型測試 63 4.1.1 替換機構測試 63 4.1.2 針頭定位測試 64 4.2 性能測試 65 4.2.1 模擬植入量之量測 65 4.2.2 外針與注射筒更換 67 4.3 植入效果 68 4.3.1 植入目標之選擇 68 4.3.2 測試方法 69 4.3.3 測試結果 71 4.4 操作與控制 71 第五章 結論與未來研究方向 73 5.1 結論 73 5.2 未來工作與展望 74 參考文獻 75 附錄一 注射針頭規格表 83 附錄二 步進馬達與驅動器規格 84

    【1】 Young, T. H., Lee, C. Y., Chiu, H. C., Hsu, C. J., Lin, S. J., "Self-Assembly of Dermal Papilla Cells into Inductive Spheroidal Microtissues on Poly(Ethylene-Co-Vinyl Alcohol) Membranes for Hair Follicle Regeneration," Biomaterials, Vol.29, No.26, pp.3521-3530 (2008)
    【2】 Intercytex, (http://www.intercytex.com)
    【3】 Sinclair, R. D., "Male Androgenetic Alopecia," The Journal of Men's Health & Gender, Vol.1, No.4, pp.319-327 (2004)
    【4】 蔡仁雨,皮膚美容外科學,武陵出版有限公司,台北,第84-135頁 (2000)
    【5】 蔡長祐、蔡仁雨,「台灣男性雄性禿之診療現況」,臺灣醫界,第五十一卷,第八期,第326-330頁 (2008)
    【6】 Olsen, E. A., Dunlap, F. E., Funicella, T., Koperski, J. A., Swinehart, J. M., Tschen, E. H., Trancik, R. J., "A Randomized Clinical Trial of 5% Topical Minoxidil Versus 2% Topical Minoxidil and Placebo in the Treatment of Androgenetic Alopecia in Men," Journal of the American Academy of Dermatology, Vol.47, No.3, pp.377-385 (2002)
    【7】 Kaufman, K. D., Olsen, E. A., Whiting, D., Savin, R., DeVillez, R., Bergfeld, W., Price, V. H., Van Neste, D., Roberts, J. L., Hordinsky, M., Shapiro, J., Binkowitz, B., Gormley, G. J., "Finasteride in the Treatment of Men with Androgenetic Alopecia. Finasteride Male Pattern Hair Loss Study Group," Journal of the American Academy of Dermatology, Vol.39, No.4 Pt 1, pp.578-589 (1998)
    【8】 Dermweb, (http://www.dermatology.org/hairinfo/02.html)
    【9】 蔡長祐、蔡仁雨,「植髮手術的現況與未來」,中華皮膚科醫學雜誌,第二十五卷,第三期,第186-193頁 (2007)
    【10】 Shiell, R. C., "A Review of Modern Surgical Hair Restoration Techniques," Journal of Cutaneous and Aesthetic Surgery, Vol.1, No.1, pp.13-16 (2008)
    【11】 Orentreich, N., "Autografts in Alopecias and Other Selected Dermatological Conditions," Annals of the New York Academy of Sciences, Vol.83, pp.463-479 (1959)
    【12】 Limmer, B. L., "Elliptical Donor Stereoscopically Assisted Micrografting as an Approach to Further Refinement in Hair Transplantation," Journal of Dermatologic Surgery & Oncology, Vol.20, No.12, pp.789-793 (1994)
    【13】 Bemstein, R. M., Rassman, W. R., Szaniawski, W., Halperin, A., "Follicular Transplantation," International Journal of Aesthetic and Restorative Surgery, Vol.3, pp.119-132 (1995)
    【14】 Rassman, W., "Mega-Transplants in Transition," Hair Transplant Forum International, Vol.3, pp.11 (1993)
    【15】 Kim, J. C., Choi, Y. C., "Regrowth of Grafted Human Scalp Hair after Removal of the Bulb," Dermatologic Surgery, Vol.21, No.4, pp.312-313 (1995)
    【16】 Limmer, R., "Bob Limmer Does It All One Hair at a Time!" Hair Transplant Forum, Vol.2, pp.8-9 (1991)


    【17】 Seager, D., "Binocular Stereoscopic Dissection Microscopes-Should We All Be Using Them?" Hair Transplant Forum International, Vol.6, pp.2-5 (1996)
    【18】 Rassman, W. R., Bernstein, R. M., McClellan, R., Jones, R., Worton, E., Uyttendaele, H., "Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation," Dermatologic Surgery, Vol.28, No.8, pp.720-728 (2002)
    【19】 ARTAS™ System (http://artashair.com)

    【20】 Marzola, M., "Single Scar Harvesting Technique in Hair Transplantation," Hair Transplant Forum 1ntemational, Vol.15, pp.113, 116 (2005)
    【21】 Whitworth, J. M., Stough, D. B., Limmer, B., Limrner, B., Seager, D., Boudjema, P., Barrera, A., Choi, Y.-C., Mangubat, A., "A Comparison of Graft Implantation Techniques for Hair Transplantation," Semlnars In Cutaneous Medlclne and Surgery, Vol.18, No.2, pp.177-183 (1999)
    【22】 Choi, Y. C., Kim, J. C., "Single Hair Transplantation Using the Choi Hair Transplanter," Journal of Dermatologic Surgery & Oncology, Vol.18, No.11, pp.945-948 (1992)
    【23】 Choi, Y. C., "Single-Hair Transplantation by Choi’s Procedure," International Journal of Cosmetic Surgery, Vol.2, No.3 (2000)
    【24】 Rassman, W. R., "Hair Implanting Instrument," U.S. Pat. 5817120 (1998)
    【25】 Leadm Corpooration, (http://www.leadm.com)
    【26】 Kim, J. C., "Hair Transplanter," U.S. Pat. US 6461369 B1 (2002)
    【27】 허을, "식모침 교환 식모기," K.R. Pat. 2020000024387 (2001)
    【28】 Boudjema, P., Boolauck, S. J., Automated Hair Transplant System: The Boudjema Techniqu, In: Stough Db, Haber Rs, Eds., St. Louis: Mosby, pp. 370-374 (1996)
    【29】 New Hair Institude, (http://www.newhair.com)
    【30】 Boudjema, P. J., "Device for Implanting Small-Diameter Capillary Grafts," U.S. Pat. 6059807 (2000)
    【31】 Rassman, W. R., Bernstein, R. M., "Rapid Fire Hair Implanter Carousel. A New Surgical Instrument for the Automation of Hair Transplantation," Dermatologic Surgery, Vol.24, No.6, pp.623-627 (1998)
    【32】 Lee, S. J., Lee, H. J., Hwang, S. J., Kim, D. W., Jun, J. B., Chung, S. L., Kim, J. C., "Evaluation of Survival Rate after Follicular Unit Transplantation Using the Knu Implanter," Dermatologic Surgery, Vol.27, No.8, pp.716-720 (2001)
    【33】 Shiao, T. K., Shiao, I. S., "Easier and More Efficient Implanting: A Two-Handed Technique for Faster and Less Traumatic Graft Placement," Hair Transplant Forum International, Vol.16, No.5, pp.169-170 (2006)
    【34】 Shiao, I. S., "Micro-Implanter for Hair Follicle," U.S. Pat. US 2008/0009896 A1 (2008)
    【35】 Boudjema, P. J., "Device for Transplanting Small Diameter Hair Grafts," U.S. Pat. 5827297 (1998)
    【36】 Boudjema, P. J., "Instrument for Cutting Calibrated Hair Grafts," U.S. Pat. 5662661 (1997)
    【37】 Medicamat, (http://www.medicamat.com/)
    【38】 梁耀中, "連續式毛囊真皮乳頭細胞植入器之開發," 台灣科技大學機械工程研究所碩士論文, 2009年
    【39】 林合宣, "連續式毛囊真皮乳頭細胞植入器之改良," 台灣科技大學機械工程研究所碩士論文, 2010年
    【40】 O'Brien, J. A., Lummis, S. C., "Diolistics: Incorporating Fluorescent Dyes into Biological Samples Using a Gene Gun," Trends Biotechnol, Vol.25, No.11, pp.530-534 (2007)
    【41】 Injex, (http://www.injex.com/)
    【42】 Bennett, S., Potter, C., "Pushing the Boundaries of Needle-Free Injection," Drug Delivery Report, pp.24-27 (2006)
    【43】 Zeranol Ralgro, (http://www.ralgro.com/)
    【44】 Gilson, Inc.,( http://www.gilson.com/)

    【45】 MAFT-GUNR , (http://www.maft-gun.com/)

    【46】 Li, Y., Li, G. Q., Lin, C. M., Cai, X. N., "One-Step Collagenase I Treatment: An Efficient Way for Isolation and Cultivation of Human Scalp Dermal Papilla Cells," Journal of Dermatological Science, Vol.37, No.1, pp.58-60 (2005)
    【47】 Osada, A., Iwabuchi, T., Kishimoto, J., Hamazaki, T. S., Okochi, H., "Long-Term Culture of Mouse Vibrissal Dermal Papilla Cells and De Novo Hair Follicle Induction," Tissue Engineering, Vol.13, No.5, pp.975-982 (2007)

    【48】 Kelm, J. M., Timmins, N. E., Brown, C. J., Fussenegger, M., Nielsen, L. K., "Method for Generation of Homogeneous Multicellular Tumor Spheroids Applicable to a Wide Variety of Cell Types," Biotechnol Bioeng, Vol.83, No.2, pp.173-180 (2003)
    【49】 林頌然, 詹智傑, 許致榮,「再生醫學在皮膚疾病之運用」,再生醫學,台北,第115-128頁 (2008)
    【50】 Shimizu, H., Shimizu's Textbook of Dermatology, Nakayama Shoten, Tokyo, pp. 1-20 (2007)
    【51】 Farjo Medical Center, (http://www.farjo.net/)
    【52】 Teumer, J., Cooley, J., "Follicular Cell Implantation: An Emerging Cell Therapy for Hair Loss," Seminars in Plastic Surgery, Vol.19, No.2, pp.193-200 (2005)
    【53】 Kodama, H., "Automatic Method for Fabricating a Three-Dimensional Plastic Model with Photo-Hardening Polymer," Review of Scientific Instruments, Vol.52, No.11 (1981)
    【54】 Jacobs, P. F., Stereolithography and other RP&M Technologies: From Rapid Prototyping to Rapid Tooling, Dearborn, Michigan: Society of Manufacturing Engineers (1996)
    【55】 Hull, C. W., "Apparatus for Production of Three-Dimensional Objects by Stereolightography," U.S. Pat. 4575330 (1986)
    【56】 Deckard, C. R., "Selective Laser Sintering," PhD Thesis, The University of Texas at Austin, Austin, Texas (1988)
    【57】 Deckard, C. R., "Method and Apparatus for Producing Parts by Selective Sintering," U.S. Pat. 4863538 (1989)

    【58】 Stratasys, Inc., "Fast, Precise, Safe Prototypes with FDM," Proceedings of the 1991 Solid Freeform Fabrication Symposium, Austin, Texas, pp. 115-122 (1991)
    【59】 Crump, S. S., "Apparatus and Method for Creating Three-Dimensional Objects," U.S. Pat. 5121329 (1992)
    【60】 MSOE Research Experience for Undergraduates Program(REU), (http://www.rpc.msoe.edu/machines_lom.php)

    【61】 Gothait, H., "Apparatus and Method for Three Dimensional Model Printing," U.S. Pat. 6259962 (2001)
    【62】 Objet Geometries Ltd., (http://www.objet.com/)
    【63】 R. Merz, F. Prinz, K. Ramaswami, K. Terk, and L. Weiss, "Shape Deposition Manufacturing," Proceedings of the Solid Freeform Fabrication Symposium, pp.1-8, August(1994)
    【64】 Aaron M. Dollar and Robert D Howe, "Design and Evaluation of a Robust Compliant Grasper using Shape Deposition Manufacturing," Proceedings of the 2005 ASME International Mechanical Engineering Congress and Exposition (IMECE), Robotics panel of the Dynamic Systems and Control Division, p.2, November 2005.
    【65】 Montrol Systems, (http://www.montrol.com.tw/)

    【66】 顏鴻森,吳隆庸, "機構學",東華書局,第192-196頁 (2006)
    【67】 洪芳州, "電動機電力電子入門",全華科技圖書股份有限公司,
    民84。
    【68】 許益適, "步進馬達原理與應用" ,全華出版社, (1994)
    【69】 孫駿榮,吳明展,盧聰勇,"最簡單的互動設計arduino一試就上手",碁峯資訊股份有限公司,(2010)
    【70】 財團法人國家實驗研究院國家實驗動物中心, (http://www.nlac.org.tw/n2/n2-2-1-7.asp)

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