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The objective of the study was to document the thoracic deformation contours in a simulated frontal impact. Unembalmed human cadavers and the Hybrid III anthropomorphic manikins were tested. Data from the newly developed External Peripheral Instrument for Deformation Measurement (EPIDM) was used to derive deformation patterns at upper and lower thoracic levels. Deceleration sled tests were conducted on three-point belt restrained surrogates positioned in the driver's seat (no steering assembly) using a horizontal impact test sled at velocities of approximately 14.0 m/s. Lap and shoulder belt forces were recorded with seat belt transducers. The experimental protocol included a Hybrid III manikin experiment followed by the human cadaver test. Both surrogates were studied under similar input and instrumentation conditions, and identical data acquisition and analysis procedures were used. All six testedcadavers demonstrated multiple bilateral rib fractures.

This study presents a design concept for a multi-configuration modular medical evacuation fixture that can be used to retrofit standard utility vehicles for emergency medical transport. The fixture has been designed so that when installed in a vehicle and configured for litter transport, it provides mounting structure for a single patient on a North Atlantic Treaty Organisation (NATO) style litter as well as for a variety of emergency medical equipment. When installed in a vehicle and configured for ambulatory patient transport, the device provides safe seating for multiple patients as well as mounting surfaces for medical equipment. When not installed, the fixture can be collapsed for ease of shipping and warehousing. A survey of potential host vehicles was conducted to evaluate the feasibility of the proposed design. Given a preliminary concept, factors such as expected patient anthropometry, and physical data of medical equipment were used to perform basic structural analyses.

Determination of human tolerance to injury is difficult because of the physical differences between humans and animals, dummies and cadaver tissue. Certain human volunteer testing has been done but at subinjurious levels [STAP 86] [EWIN 72] Considerable biomechanical engineering injury studies exist for the adult human cadaver however little is available for the pediatric population [SANC 99] [KLEI 98b]. Studies have been made of pediatric skull bone modulus, fetal tendon and early pediatric studies of the newborn during delivery, however, a paucity of information still exists in these areas. A number of dummies have recently been made available principally for airbag testing to bridge the gap between the 50 percentile Hybrid III male dummy and the 95 percentile male dummy.

The Federal Motor Vehicle Safety Standard 571.201 discusses occupant protection with interior impacts of vehicles. Recent rule making by the National Highway Traffic Safety Administration (NHTSA) has identified padding for potential injury reduction in vehicles. Head injury mitigation with padding on vehicular roll bars was evaluated. After market 2 to 2.5 cm thick padding and metal air gap padding reduced the head injury criterion (HIC) and angular acceleration compared to the stock foam roll bar padding. Studies were conducted with free falling Hybrid 50% male head form drops on the fore head and side of the head. Compared to the stock roll bar material, a nearly 90% reduction in HIC was observed at speeds up to 5.4 m/s. A concomitant 83% reduction in angular acceleration was also observed with the metal air gap padding. A 2 to 2.5 cm thick Simpson roll bar padding produced a 70 to 75% reduction in HIC and a 59 to 73% reduction in angular acceleration.

Significantly, more fatalities and serious injuries occur due to ejection in roll over accidents. The present study was conducted to determine the occupant retention and head-neck injury potential aspects of laminated glass in roll over accidents. The head injury and neck parameters were obtained from Hybrid III 50% male dummy test device impacting on various types of side windows with laminated glass. Results indicated that the glass contained the dummy assembly and the head neck biomechanical parameters were below the critical value injury tolerance limits in simulated rollover accidents.

The objective of the present study was to determine the biomechanics of the human thorax in a simulated frontal impact. Fourteen unembalmed human cadavers were subjected to deceleration sled tests at velocities of nine or 13 m/s. Air bag - knee bolster, air bag - lap belt, and air bag - three-point belt restraint systems were used with the specimen positioned in the driver's seat. Two chest bands were used to derive the deformation patterns at the upper and lower thoracic levels. Lap and shoulder belt forces were recorded with seatbelt transducers. After the test, specimens were evaluated using palpation, radiography, and a detailed autopsy. Thoracic trauma was graded according to the Abbreviated Injury Scale based on autopsy findings. Peak thoracic deformations were normalized with respect to the initial chest depth to facilitate comparison between the specimens.

The objective of the study was to investigate the biomechanical response of the intact cranium. Unembalmed human cadavers were used in the study. The specimens were transected at the base of the skull leaving the intracranial contents intact; x-ray and computed tomography (CT) scans were obtained. They were fixed in a specially designed frame at the auditory meatus level and placed on the platform of an electrohydraulic testing device via a six-axis load cell. Following radiography, quasistatic loading to failure was applied to one of the following sites: frontal, vertex, parietal, temporal, or occipital. Retroreflective targets were placed in two mutually orthogonal planes to record the localized temporal kinematics. Applied load and piston displacement, and the output generalized force (and moment) histories were recorded using a modular digital data acquisition system. After the test, x-ray and CT images were obtained, and defleshing was done.

Head injury is a serious threat to lives of people working around farm machinery. The consequence of head injuries are costly, paralytic, and often fatal. Clinical and biomechanical data on head injuries are reviewed and their application in the analysis of head injury risk associated with farm tractor discussed. A significant proportion of tractor-related injuries and deaths to adults, as well as children, is due directly or indirectly to head injury. An improved injury reporting program and biomechanical studies of human response to tractor rollover, runover, and falls, are needed to understand mechanisms of the associated head injury.

Sixty-three simulated frontal impacts using cadaveric specimens were performed to examine and quantify the performance of various contemporary automotive restraint systems. Test specimens were instrumented with accelerometers and chest bands to characterize their mechanical responses during the impact. The resulting thoracic injury severity was determined using detailed autopsy and was classified using the Abbreviated Injury Scale. The ability of various mechanical parameters and combinations of parameters to assess the observed injury severities was examined and resulted in the observation that belt restraint systems generally had higher injury rates than air bag restraint systems for the same level of mechanical responses. To provide better injury evaluations from observed mechanical parameters without prior knowledge of what restraint system was being used, a dichotomous process was developed.

This paper presents the experimental dynamic tolerance and the force-deformation response corridor of the human cervical spine under compression loading. Twenty human cadaver head-neck complexes were tested using a crown impact to the head at speeds from 2.5 m/s to 8 m/s. The cervical spine was evaluated for pre-alignment by using the concept of the stiffest axis. Mid cervical column (C3 to C5) vertebral body wedge, burst, and vertical fractures were produced in compression. Posterior ligament tears in the lower column occurred under flexion. Anterior longitudinal ligament tears and spinous process fractures occurred under extension. Mean values were: force at failure, 3326 N; deformation at failure, 18 mm; stiffness, 555 N/mm. The deformation at failure parameter was associated with the least variance and should describe the most accurate tolerance measure for the population as a whole.

The purpose of this study was to investigate the use of the chestband in side impact conditions by conducting validation experiments, and evaluating its feasibility by conducting a series of human cadaver tests under side impact crash scenarios. The chestband validation tests were conducted by wrapping the device around the thorax section of the Side Impact Dummy at its uppermost portion. The anthropomorphic test device was seated on a Teflon pad on a platform to accept impact from the side via a pendulum system. Tests were conducted at 4.5, 5.7, and 6.7 m/sec velocities using round and flat impactors. Retroreflective targets were placed at each strain gauge channel on the edge of the chestband. The test was documented using a high-speed digital video camera operating at 4500 frames/sec. Deformation contours and histories were obtained using the chestband electronic signals in combination with the RBAND-PC software.

The patho-anatomic alterations due to vertical loading of the human cervical column were documented and correlated with biomechanical kinematic data. Seven fresh human cadaveric head-neck complexes were prepared, and six-axis load cells were placed at the proximal and distal ends of the specimens to document the gross biomechanical response. Retroreflective markers were placed on bony landmarks of vertebral bodies, articular facets, and spinous processes along the entire cervical column. Targets were also placed on the occiput and arch of C1. The localized movements of these markers were recorded using a video analyzer during the entire loading cycle. Pre-test two-dimensional, and three-dimensional computerized tomography (CT), and plane radiographs were taken. The specimens were loaded to failure using an electrohydraulic testing device at a rate of 2 mm/s.

In vitro biomechanical studies were conducted on fresh human cadaveric thoracolumbar spines to establish the limits of tolerance, explain the mechanism of failure, and investigate the effects of improvement in strength and stability of the injured column using Harrington distraction rods, Luque rods and modified Weiss springs. Quasistatic axial tensile loading on ligaments, compressive loads on vertebra) bodies and intervertebral discs, and flexure and compression-flexion force vectors on ligamentous columns, intact torsos and injured spines were applied to delineate the biomechanical and functional patho-anatomic characteristics. Vertical drop tests were conducted with the Hybrid II manikin to predict the forces and accelerations on the vertebral column.

Studies were conducted on twenty-two fresh human cadavers to determine the probability of facial bone fracture following dynamic contact with steering wheel assemblies of both standard (a commercially available) and energy absorbing (EA) types. Using a specially designed and validated vertical-drop impact test system, either zygoma was impacted once onto the junction of the lower left spoke and rim with velocities ranging from 2.0 to 6.9 m/s. Generalized force histories were recorded with a six-axis load cell placed below the hub. The wheel was inclined 30 degrees to the horizontal. Steering wheel deformations were recorded with a system of potentiometers placed below the impact site on the wheel. Dynamic forces at the zygoma (impact site) were computed using transformation principles. A triaxial accelerometer was placed at the posterior parietal region of the specimen opposite to the impact site to record acceleration histories. High speed photography documented the kinematics.

In the present investigation a tractor wheel runover accident was simulated to obtain biomechanical information relating to mechanism of injury. Twelve cadaver porcine specimens were runover with the right front wheel of a tractor. Specimens were placed on a six-axis force plate and thorax contours were recorded temporally. Results indicated up to 68% compression of the chest occurred during the runover event. The shear force in the direction of travel was a significant factor in the type of fractures that occurred to the rib cage. Pathology determined from x-ray revealed multiple fractures per rib in the area directly below the path of the tire. Autopsy evaluation revealed soft tissue contusion on the left side in the area of wheel path. There was often extra blood in the pericardial space and examination of the brain showed petechial hemorrhaging subdurally.

Phase I, Phase II, Caterpillar, Allis-Chalmers, Clark, Hyster, Toyota, and Entwistle fork lift upset studies have been conducted with Hybrid II dummies, Side Impact Dummies, and stunt men. The investigations concluded that the dummy lacks the ability to brace itself, hold on, and does not have adequate biofidelity to represent the human in a fork lift upset. Crushing injuries and death typically occur when the operator is thrown or jumps from the overturning forklift and is pinned by the overhead guard or canopy. The dummy studies demonstrated a wide range of Head Injury Criteria (HIC) values that were not reproducible. Furthermore, other injury producing variables such as angular acceleration, angular velocity or induced brain stress were not investigated. The injury level of 1000 for the HIC for the mid-sized male, small female, and 6 year-old has been recommended by the National Highway Transportation Safety Administration (NHTSA).

Engineering efforts directed at better occupant safety require a thorough understanding of available epidemiologic data. Epidemiologic studies using clinical as well as accident information facilitates the prioritization of biomechanics research so that controlled laboratory experimentation and/or analytical models can be advanced. This information has also value in dictating levels and types of injury that are critical to the development of anthropomorphic test devices used in crash environments. In this paper, motor vehicle accident related (excluding pedestrians, bicyclists, and motorcyclists) epidemiologic data were obtained from clinical and computerized accident (National Accident Sampling System-NASS) files. Clinical data were gathered from patients admitted to the Medical College of Wisconsin Affiliated Hospitals, and fatalities occurring in Milwaukee County, State of Wisconsin. NASS database with specific focus on spinal injuries of motor vehicle occupants was also used.