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All sourcesNASA NTRSDOE OSTI
DOE OSTI2022

Evaluation Challenges for the Application of Extended Reality Devices in Medicine

Augmented and virtual reality devices are being actively investigated and implemented for a wide range of medical uses. However, significant gaps in the evaluation of these medical devices and applications hinder their regulatory evaluation. Addressing these gaps is critical to demonstrating the devices’ safety and effectiveness. We outline the key technical and clinical evaluation challenges discussed during the US Food and Drug Administration’s public workshop, “Medical Extended Reality: Toward Best Evaluation Practices for Virtual and Augmented Reality in Medicine” and future directions for evaluation method development. Evaluation challenges were categorized into several key technical and clinical areas. Finally, we highlight current efforts in the standards communities and illustrate connections between the evaluation challenges and the intended uses of the medical extended reality (MXR) devices. Participants concluded that additional research is needed to assess the safety and effectiveness of MXR devices across the use cases.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2019

An Analytical Model for Predicting Turn-ON Overshoot in Normally-OFF GaN HEMTs

Recently, a major challenge in the adoption of wide bandgap semiconductors for power electronic applications is the need to trade device performance for device safety. In this article, methods for predicting gate voltage overshoot in normally-OFF gallium nitride (GAN) high electron mobility transistors (HEMTs) are derived in order to deliver optimal device performance. Two models are proposed; a simple, yet less accurate second order model and a complex, yet more accurate fourth order model. These models allow for the calculation of gate resistances necessary for a desired amount of gate voltage overshoot. The nonlinear capacitances of the device are considered in the analysis. The models are validated with an experimental double-pulse tester. Furthermore, these newly developed models allow design engineers to extract the best possible performance of commercially available GaN devices while keeping the devices in their safe-operating region.

42 ENGINEERING↗
DOE OSTI2015

Andra's strategy and approach for operational safety of French underground facility Cigeo - 15127

According to the French Act on radioactive waste of 28 June 2006, Andra shall design a reversible repository. In response to this demand, Andra is developing the industrial project namely 'Cigeo', a reversible geological disposal facility for HLW and ILW located in Meuse/Haute-Marne. The previous safety cases of 2005, 2009 and 2012 give a sound basis to assess Cigeo's safety both for the operational and post-closure periods. Regarding operational safety, in this new stage of the project, the challenging issues for the preparation of the safety case are the following: - To adapt the various regulatory frameworks (nuclear and non-nuclear) to the underground facility - To design the underground facility and handling equipment's to reduce at first risks in the underground facility as such radioactive particles release, gas explosion, fire and co-activity and limit their consequence. - To establish waste acceptance criteria to be fulfilled by waste producers in line with operational safety and design options. The objective of the paper is to present the experience of Andra in operation safety of the underground facility of Cigeo. Operational safety for Cigeo is assessed as much as possible according to the existing French regulations and guidance for nuclear facilities. Indeed, compared to existing nuclear facilities, a geological repository is a specific case due to the existence of underground facilities with particularities such as: - ventilation management in a large scale underground facility, - fire risk management. As an input for the industrial design of Cigeo for operation, Andra defined a fire guidance and a specific reference safety guidance, based on the adaptation of the French nuclear regulatory texts for and when feasible to mines and tunnels regulatory texts and on its own experience gained through safety operational reports since 2005 and their reviews by the Safety Authority. - underground co-activity of nuclear operation with construction works. According to the common 'defense-in depth' principle for nuclear facilities, these guidelines for the industrial design of Cigeo for operation consider the successive levels of defense of: - Preventing the risk and its spreading by design and construction; - Detecting incidents and early fighting by design and operation dispositions (detection and control systems, survey procedure); - Controlling incidents and limiting of their consequences by safeguarding systems, specific procedures. At that stage, design options for Cigeo constitute an adequate response to the operational safety functions and requirements: - Two levels of containment are set up: the first one is ensured by the waste package, the second one is ensured from the surface facility to the disposal vaults by the transfer cask during the transfer of waste packages in the disposal vaults by the disposal vault itself and a nuclear ventilation with HEPA filter; - Favorable options for fire risk prevention and mitigation: transport system minimizing heat load (cable car for the transfer from the surface, electric transfer engines), twin access tunnels to ease fire-fighting and evacuation...; - Permanent complete physical separation of nuclear zone and construction zone (including ventilation systems). In practice, operation safety assessment of Cigeo, designed following the aforesaid reference safety guidelines, follows a common risk analysis (internal aggressions such as auxiliary losses, chemical and toxic risks, fall or collision, fire, human factors and external aggressions such as earthquake, air traffic, flooding) with the following steps: - Identification of the major risks and the design basis scenarios that have to be considered for dimensioning of the installations and the safety devices; - On the basis of these different situations, those who will have to be quantified are identified; one or more representative and envelop situations are chosen in order to evaluate robustness of the installation. Quantitative evaluation of these situations permits to: - identify the consequences on man, environment and installation, and in particular to gain confidence in the maintaining of the safety functions; - identify or define the technic and/or organisational dispositions classified as 'important elements for protection' (IEP); - Situations beyond dimensioning permit to verify the robustness of the installation. They permit, on one hand to identify possible complementary material or organisational dispositions; on the other hand, to define the 'hard core' i.e. structures, systems and components that permit to maintain the confinement function of radioactive substance. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2017

Medical Device Recalls in Radiation Oncology: Analysis of US Food and Drug Administration Data, 2002-2015

Purpose: To analyze all recalls involving radiation oncology devices (RODs) from the US Food and Drug Administration (FDA)'s recall database, comparing these with non–radiation oncology device recalls to identify discipline-specific trends that may inform improvements in device safety. Methods and Materials: Recall data on RODs from 2002 to 2015 were sorted into 4 product categories (external beam, brachytherapy, planning systems, and simulation systems). Outcomes included determined cause of recall, recall class (severity), quantity in commerce, time until recall termination (date FDA determines recall is complete), and time since 510(k) approval. Descriptive statistics were performed with linear regression of time-series data. Results for RODs were compared with those for other devices by Pearson χ{sup 2} test for categorical data and 2-sample Kolmogorov-Smirnov test for distributions. Results: There were 502 ROD recalls and 9534 other class II device recalls during 2002 to 2015. Most recalls were for external beam devices (66.7%) and planning systems (22.9%), and recall events peaked in 2011. Radiation oncology devices differed significantly from other devices in all recall outcomes (P≤.04). Recall cause was commonly software related (49% vs 10% for other devices). Recall severity was more often moderate among RODs (97.6% vs 87.2%) instead of severe (0.2% vs 4.4%; P<.001). Time from 510(k) market approval to recall was shorter among RODs (P<.001) and progressively shortened over time. Radiation oncology devices had fewer recalled devices in commerce than other devices (P<.001). Conclusions: Compared with other class II devices, RODs experience recalls sooner after market approval and are trending sooner still. Most of these recalls were moderate in severity, and software issues are prevalent. Comprehensive analysis of recall data can identify areas for device improvement, such as better system design among RODs.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

Hydrogen cooling options for MgB{sub 2}-based superconducting systems

With the arrival of MgB{sub 2} for low-cost superconducting magnets, hydrogen cooling has become an interesting alternative to costly liquid helium. Hydrogen is generally regarded as the most efficient coolant in cryogenics and, in particular, is well suited for cooling superconducting magnets. Cooling methods need to take into account the specific quench propagation in the MgB{sub 2} magnet winding and facilitate a cryogenically reliable and safe cooling environment. The authors propose three different multi-coolant options for MRI scanners using helium or hydrogen within the same design framework. Furthermore, a design option for whole-body scanners which employs technology, components, fueling techniques and safety devices from the hydrogen automotive industry is presented, continuing the trend towards replacing helium with hydrogen as a safe and cost efficient coolant.

42 ENGINEERING↗
DOE OSTI2017

Addressing embedded digital devices in safety-related systems of nuclear power plants - 307

The purpose of this paper is to provide an overview of the development of the approach to addressing embedded digital devices (EDD) in safety-related systems of nuclear power plants in the U.S. and around the world. In April, 2016, the U.S. Nuclear Regulatory Commission (US NRC) issued RIS 2016-05 to heighten awareness that EDDs might exist in procured equipment used in safety-related systems without the devices having been explicitly identified in procurement documentation. Inadequate consideration of these devices in digital technology system upgrades, component replacements, and new equipment applications could lead to an adverse safety consequence. The US NRC request was for addressees to implement early efforts to identify these devices. An area where this is being addressed is in regard to the performance of Diversity and Defense-In-Depth (D3) analyses, as addressed in US NRC Branch Technical Position 7-19. Nuclear facilities have increased their use and reliance on digital technology in systems and equipment (e.g., I and C, electrical systems, and fluid systems). In addition to digital instrumentation and control (I and C) systems, examples of safety-related equipment that may use digital technology include emergency diesel generators, pumps, valve actuators, motor control centers, breakers, priority logic modules, time-delay relays, and uninterruptible power sources. In the U.S. and around the world, engineering and licensing activities in standards and guidance have been, and are being developed to address this important consideration in protecting safety-related systems. This paper addresses development of an extended approach to evaluating common-cause failure vulnerability and mitigation in regard to equipment with an EDD. (authors)

22 GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2014

Packaging - Materials review

Nowadays, a large number of different electrochemical energy storage systems are known. In the last two decades the development was strongly driven by a continuously growing market of portable electronic devices (e.g. cellular phones, lap top computers, camcorders, cameras, tools). Current intensive efforts are under way to develop systems for automotive industry within the framework of electrically propelled mobility (e.g. hybrid electric vehicles, plug-in hybrid electric vehicles, full electric vehicles) and also for the energy storage market (e.g. electrical grid stability, renewable energies). Besides the different systems (cell chemistries), electrochemical cells and batteries were developed and are offered in many shapes, sizes and designs, in order to meet performance and design requirements of the widespread applications. Proper packaging is thereby one important technological step for designing optimum, reliable and safe batteries for operation. In this contribution, current packaging approaches of cells and batteries together with the corresponding materials are discussed. The focus is laid on rechargeable systems for industrial applications (i.e. alkaline systems, lithium-ion, lead-acid). In principle, four different cell types (shapes) can be identified - button, cylindrical, prismatic and pouch. Cell size can be either in accordance with international (e.g. International Electrotechnical Commission, IEC) or other standards or can meet application-specific dimensions. Since cell housing or container, terminals and, if necessary, safety installations as inactive (non-reactive) materials reduce energy density of the battery, the development of low-weight packages is a challenging task. In addition to that, other requirements have to be fulfilled: mechanical stability and durability, sealing (e.g. high permeation barrier against humidity for lithium-ion technology), high packing efficiency, possible installation of safety devices (current interrupt device, valve, etc.), chemical inertness, cost issues, and others. Finally, proper cell design has to be considered for effective thermal management (i.e. cooling and heating) of battery packs.

25 ENERGY STORAGE↗
DOE OSTI2014

Poster — Thur Eve — 25: Sensitivity to inhomogeneities for an in-vivo EPID dosimetry method

Introduction: The electronic portal imaging device (EPID) has the potential to be used for in vivo dosimetry during radiotherapy as an additional dose delivery check. We recently proposed a simple method of using the EPID for 2D-IVD based on correlation ratios. In this work we have investigated the sensitivity of our EPID-IVD to inhomogeneities. Methods: We used slab phantoms that simulate water, bone, and lung, arranged in various geometries. To simulate body contours non-orthogonal to the field, we used a water wedge. CT data of these phantoms was imported into MATLAB, in conjunction with EPID images acquired during irradiation, to calculate dose inside the phantom in isocenter plane. Each phantom was irradiated using a linear accelerator while images were acquired with the EPID (cine mode). Comparisons between EPID-calculated and TPS dose maps were: pixel-by-pixel dose difference, and 3%,3mm gamma evaluation. Results: In the homogeneous case, CAX dose difference was <1%, and 3%,3mm gamma analysis yielded 99% of points with gamma<1. For the inhomogeneous phantoms, agreement decreased with increasing inhomogeneity reaching up to 10% CAX dose difference with 10cm of lung. Results from the water wedge phantom suggest that the EPID-calculated dose can account for surface irregularities of approximately ±3cm. Conclusions: The EPID-based IVD investigated has limitations in the presence of large inhomogeneities. Nonetheless, CAX doses never differed by >15% from the TPS. This suggests that this EPID-IVD is capable of detecting gross dose delivery errors even in the presence of inhomogeneities, supporting its utility as an additional patient safety device.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2014

SU-E-J-162: Quality Assurance Procedures for MR Guided Focused Ultrasound Treatment of Bone Metastasis

Purpose: The purpose of this work is to develop and verify our quality assurance (QA) procedures to ensure the safety and efficacy of MR-guided focused ultrasound (MRgFUS) treatment of bone metastases. Methods: A practical QA program was developed. Monthly and daily QA (DQA) procedures were performed. The major QA items included the checks of the machine hardware, software and patient safety features. Briefly, these checks/tests include: 1) the cooling system reservoir and treatment table; 2) power to the treatment table; 3) the MR coil; 4) the transducer position with MRI; 5) image display on the treatment work station; 6) the effective focal spot in 3 directions using MR thermometry; and 7) all the safety devices including a sonication lamp, and the emergency stop-sonication switches. In order to avoid patient skin burn, it is important to remove gas bubbles in the interfaces between the treatment table and the gel pad, and the gel pad and patients skin during the patient setup. Our QA procedures have been verified and evaluated through patient treatments. Seven patients with scapula, humeral head, sacrum, ilium, pubic ramus and acetabular bone metastases were treated using MRgFUS. Results: Our study showed that all seven patients tolerated the MRgFUS treatment well. No skin toxicity or other complications were observed. The pain score (0–10) using the visual analog scale (VAS) was significantly reduced from 8.0 ± 1.1 before treatment to 4.7 ± 3.0, 3.0 ± 1.5, 3.2 ± 2.8 and 3.4 ± 1.5 at one day, one month, two months and three months after the MRgFUS treatment, respectively. Conclusion: We demonstrated that with the appropriate QA procedures, MRgFUS is a safe, effective and noninvasive treatment modality for palliation of bone metastases.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2020

Ion-Conducting Thermoresponsive Films Based on Polymer-Grafted Cellulose Nanocrystals

Mechanically robust, thermo-responsive, ion-conducting nanocomposite films are prepared from poly(2-phenylethyl methacrylate) grafted cellulose nanocrystals (MxG-CNC-g-PPMA). One-component nanocomposite films of the polymer grafted nanoparticle (PGN) MxG-CNC-g-PPMA are imbibed with 30 wt% imidazolium-based ionic liquid, to produce flexible ion-conducting films. These films with 1-hexyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide (MxG-CNC-g-PPMA/[H]) not only displays remarkable improvements in toughness (>25 times) and tensile strength (>70 times) relative to the corresponding nanocomposites consisting of the ionic liquid imbibed in the two component CNC/PPMA nanocomposite, but also shows higher ionic conductivity than the corresponding neat PPMA with the same wt.% of ionic liquid. Notably, the one-component film containing 1-ethyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide (MxG-CNC-g-PPMA/[E]) exhibits temperature responsive ionic conduction. The ionic conductivity decreases at around 60°C as a consequence of the lower critical solution temperature (LCST) phase transition of the grafted polymer in the ionic liquid, which leads to phase separation. Moreover, holding the MxG-CNC-g-PPMA/[E] film at room temperature for 24 hours returns the film to its original homogenous state. These materials exhibit properties relevant to thermal cutoff safety devices (e.g., thermal fuse) where a reduction in conductivity above a critical temperature is needed.

36 MATERIALS SCIENCE↗
DOE OSTI2014

Modeling the pressure increase in liquid helium cryostats after failure of the insulating vacuum

The pressure relief system of liquid helium cryostats requires a careful design, due to helium's low enthalpy of vaporization and due to the low operating temperature. Hazard analyses often involve the failure of the insulating vacuum in the worst-case scenario. The venting of the insulating vacuum and the implications for the pressure increase in the helium vessel, however, have not yet been fully analyzed. Therefore, the dimensioning of safety devices often requires experience and reference to very few experimental data. In order to provide a better foundation for the design of cryogenic pressure relief systems, this paper presents an analytic approach for the strongly dynamic process induced by the loss of insulating vacuum. The model is based on theoretical considerations and on differential equation modeling. It contains only few simplifying assumptions, which will be further investigated in future experiments. The numerical solutions of example calculations are presented with regard to the heat flux into the helium vessel, the helium pressure increase and the helium flow rate through the pressure relief device. Implications concerning two-phase flow and the influence of kinetic energy are discussed.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗
DOE OSTI2023

Connecting Electric Vehicle Charging Infrastructure to Commercial Buildings

Electric vehicles (EVs) are growing in popularity and gaining meaningful market share with record sales year over year in the last decade. EV charging equipment, also known as EV chargers (EVC) or EV supply equipment (EVSE), must proportionally match the growing number of new EVs on the road for a comparable experience to gas-powered vehicles. The majority of EV charging currently happens at residential buildings. However, demand for EV charging at commercial buildings will significantly increase with wider mainstream EV adoption and as businesses return to more normal operation following COVID-19 pandemic disruptions. Charging equipment can include various sub-systems like power conditioning module, control software, safety devices, metering, communication, cooling, connectors, and its wiring. EV charging at commercial buildings could be used for public, workplace, and commercial fleet charging. This document aims to describe how EVC can be connected to commercial buildings, including considerations for facility managers, and the effects that charging will have on the buildings electrical distribution system. More specifically, this resource provides an overview of: understanding EV charging basics: how charging equipment connects to the building and to EVs; required infrastructure updates needed at the building site to connect EVC to existing distribution systems; network strategies for cost-effective operation; metering and utility considerations for billing and incentives; charging equipment ownership options; future trends in EVC connection to buildings.

ADVANCED PROPULSION SYSTEMS,ENERGY CONSERVATION, C↗
DOE OSTI2021

Energy use of residential safety, security, and health devices

Miscellaneous electrical loads (MELs) are responsible for a significant fraction of energy consumption in buildings. This paper addresses one category of MELs: Safety, Security, and Health Devices (SSHDs). Common SSHDs include: electrical life safety equipment, smoke alarms, radon mitigation fans, and home oxygen concentrators. The installation or use of these devices is dictated by building codes, health providers, insurance companies, and other entities—none of which would ordinarily consider energy efficiency a priority. For this project, the most important residential devices were explored in terms of their governing regulations, functions, technologies, and energy use. The power consumption of 41 life safety SSHDs were measured. Individual power consumption of life safety devices is very small but many are typically required in every home. Devices performing the same functions have wide ranges in power use. Opportunities for reducing SSHD energy use were investigated, the results are summarized, and recommendations are made for further actions that could be taken to reduce SSHD energy use. Finally, SSHDs identified in this paper are responsible for at least one percent of current U.S. residential electricity consumption, but that number will climb steadily as existing buildings are upgraded and new types of SSHDs appear.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2025

Forced flow transient safety analysis of irradiation device with adjustable orifice for research reactor fuel assemblies

The Belgium Reactor 2 (BR2) of the Belgian Nuclear Research Centre (SCK CEN) has several irradiation devices or rigs that are dedicated to the fuel performance and qualification demonstration testing of research reactor fuels. In support of the U.S. High Performance Research Reactor (USHPRR) LEU conversion project, a new flexible irradiation apparatus, MUSTANG-R, has been constructed. SCK CEN has completed the design and safety study, in cooperation with Idaho National Laboratory (INL) and Argonne National Laboratory (ANL), to allow for the irradiation testing of a full-size fuel assembly in a 200 mm diameter channel in the BR2 reactor. The moveable valve is a key design feature of the device and acts like an adjustable orifice enhancing or restricting the flow through a coolant channel inlet located in the BR2 upper plenum. This moveable valve allows the flow through the device to be adjusted prior to each BR2 cycle to obtain the necessary conditions for the fuel qualification test. This ensures accurate and representative thermal-hydraulic conditions of the fuel design are achieved. The device was designed and qualified as passively safe, implying verification by a combination of mechanical and thermal-hydraulic analysis and testing. This includes characterization of the safety margin required for a scenario where the moveable valve is assumed to be erroneously closed during irradiation. A simplified and conservative method is proposed for analyzing the corresponding forced flow transient using a critical heat flux criterion. In conclusion, this allows the required minimum valve opening to be determined for the experiments' design and safety studies.

11 - NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗
DOE OSTI2017

Proximal Occlusion of Medium-Sized Vessels with the Penumbra Occlusion Device: A Study of Safety and Efficacy

PurposeTo retrospectively investigate the safety and efficacy of hybrid proximal coiling of various medium-sized vessels (4 to 8 mm) using the Penumbra Occlusion Device (POD).Materials and MethodsFrom October 2014 to February 2016, 37 proximal embolizations were performed with PODs in 36 patients (mean age: 50.8, range: 10–86; 29 male, 7 female). Vessel occlusions were achieved under fluoroscopic guidance using a 2.7 French microcatheter. Among the 36 vessels targeted, 16 were splenic arteries, 11 renal arteries, 4 mesenteric arteries, 3 arteriovenous fistulae, 1 iliac artery, and 1 gonadal vein. Intermittent follow-up angiography was performed to assess the flow for final occlusion. Outcomes and complications were assessed by clinical and/or imaging follow-up.ResultsTo produce proximal occlusion of the intended vessels, the POD was used alone in 19 embolizations (51.4 %). In 12 procedures (32.4 %), POD was used as a coil constrainer to secure the coil construct. In 6 procedures (16.2 %), additional embolic devices were used to achieve vessel occlusion after initial POD deployment. After a mean follow-up of 3.2 months, no POD migration was observed but two complications occurred (5.4 %): one post embolic syndrome and one extensive infarction with splenic abscess.ConclusionThe POD system allows safe and effective proximal embolization of medium-sized vessels in a variety of clinical settings.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Feasibility and Safety of Vascular Closure Devices in an Antegrade Approach to Either the Common Femoral Artery or the Superficial Femoral Artery

Introduction: The purpose of the present study was to analyze complications following antegrade puncture of the common femoral artery (CFA) and the superficial femoral artery (SFA) using vascular closure systems (VCS). Methods: A single-center, retrospective study was performed after obtaining approval from the institutional review board and informed consent from all patients. At our center, the CFA or SFA are used for arterial access. All patients were evaluated clinically on the same day. If there was any suspicion of an access site problem, Duplex ultrasound was performed. Results: Access location was the CFA in 50 patients and the SFA in 130 patients. The sheath size ranged from 4F to 10F. Two patients had to be excluded because of lack of follow-up. Successful hemostasis was achieved in 162 of 178 cases (91 %). The following complications were observed in 16 patients (8.9 %): 4 pseudoaneurysms (2.2 %), 11 hematomas (6.2 %), and 1 vascular occlusion (0.5 %). The two pseudoaneurysms healed spontaneously, in one case an ultrasound-guided thrombin injection was performed, and one aneurysm was compressed manually. No further medical therapy was needed for the hematomas. The one vascular occlusion was treated immediately with angioplasty using a contralateral approach. No significant difference was noted between the CFA and the SFA group with respect to complications (p = 1.000). Conclusions: The use of closure devices for an antegrade approach up to 10F is feasible and safe. No differences in low complication rates were observed between CFA and SFA.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Feasibility and Safety of Endovascular Stripping of Totally Implantable Venous Access Devices

Purpose: To evaluate the safety and feasibility of percutaneous stripping of totally implantable venous access devices (TIVAD) in case of catheter-related sleeve and to report a technique to free the catheter tip from vessel wall adherence. Materials and Methods: A total of 37 stripping procedures in 35 patients (14 men, 40%, and 21 women, 60%, mean age 53 {+-} 14 years) were reviewed. Totally implantable venous access devices were implanted because of malignancy in most cases (85.7%). Catheter-related sleeve was confirmed as cause of persistent catheter dysfunction despite instillation of thrombolytics. A technique to mobilize the catheter tip from the vessel wall was used when stripping with the snare catheter was impossible. Technical success, complication rate, and outcome were noted. Results: A total of 55.9% (n = 19) of the 34 technically successful procedures (91.9%) could be done with the snare catheter. In 15 cases (44.1%), additional maneuvers to free the TIVAD's tip from the vessel wall were needed. Success rate was not significantly lower before (72.4%) than after (96.7%) implementation of the new technique (P = 0.09). No complications were observed. Follow-up was available in 67.6% of cases. Recurrent catheter dysfunction was found in 17 TIVADs (78.3%) at a mean of 137.7 days and a median of 105 days. Conclusions: Stripping of TIVADs is technically feasible and safe, with an overall success rate of 91.9%. Additional endovascular techniques to mobilize the distal catheter tip from the wall of the superior vena cava or right atrium to allow encircling the TIVAD tip with the snare catheter may be needed in 44.1% of cases.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

Transient heat transfer in helium II due to a sudden vacuum break

To ensure future cryogenic devices meet safety and operational specifications, significant value is gained from a developed understanding of the transient heat fluxes that result from failure of an insulating vacuum jacket around a helium II (He II)-cooled device. A novel, one-dimensional experiment is successfully performed examining the phenomena immediately following a vacuum rupture onto a cryosurface. In the experiment, a fast-opening (∼10 ms) valve isolates a rigid container of ultra high purity nitrogen (N{sub 2}) gas kept at room temperature and adjustable pressure from a vertically oriented, highly evacuated (∼10{sup −3} Pa) tube roughly 1 m in length. The bottom of the evacuated tube is sealed via a 2.54 mm thick copper disk, whose bottom surface is in intimate contact with an open column of He II (∼1.8 K). The evacuated tube, disk, and He II column share a diameter of 24 mm. Opening the valve results in a vacuum rupture. N{sub 2} gas is immediately drawn into the evacuated space and cryopumped onto the disk as a growing layer of solid cryodeposit. Various coupled transient heat transfer processes proceed as the internal energy of the warm gas is transferred through the growing layer of solid N{sub 2}, through the copper disk, and into the He II column. This work examines the qualitative nature of these transient phenomena and the magnitude of the heat fluxes present through each of the series of thermal resistances.

42 ENGINEERING↗