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The CathPilot: A Novel Approach for Accurate Interventional Device Steering and Tracking

Accurate device navigation and control are significant challenges in various minimally invasive cardiovascular interventions. The long length of the devices used (e.g., catheters and guidewires), their high flexibility, and their engagement with the tortuous anatomy limit the accurate and reliable control and navigation of the device's tip. This article aims to design, develop, and assess a novel alternative solution that promises to overcome the major limitations of conventional devices. By utilizing an expandable cable-driven mechanism and a corresponding 3-D cam surface for cable length adjustment, we propose a fully manually operated system that can be navigated through the tortuous anatomy and then teleoperated to allow for accurate, reliable, and localized position control and tracking of the device. In this article, the methods of design, development, and verifications of this system are presented. The system's performance is assessed under different path tortuosity conditions and different opening diameters of the expandable frame. Our results indicate that the proposed system provides complete teleoperation of the device within the full reachable workspace of the mechanism and allows for positioning and tracking of the device with submillimeter accuracy irrespective of the tortuosity of the path and expansion size of the frame. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Ex-vivo</i> phantom model experiments also show the device significantly outperforms conventional devices in terms of navigation time and success rate. The CathPilot allows for direct manipulation, accurate positioning, and tracking of the device tip relative to the anatomy, promising to overcome some of the major limitations of conventional interventional devices.

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Decentralized project management concept for schedule-critical space projects

The Apollo moon missions of the 1960s pioneered the classic phased approach to space mission management. While successful at the time, this rigid and inflexible management philosophy has become synonymous with cost and schedule overruns of most high-profile space missions. The software industry has recently adopted modern, more flexible project management techniques based on “lean-agile” methods that enable team collaboration and communication through distributed task and schedule management, online document sharing and rolling-wave planning. However, due to the inherent schedule complexities of hardware development and the firm constraints of design review and launch timelines, flexible project management frameworks have not been widely adopted for space mission management. This paper presents a modified version of the traditional agile management philosophy, adapted to the unique needs of the space industry. A recent satellite development project was managed using the new modified-agile approach, while collecting project hours and task durations. Comparisons were made between this new style of space project management and a recently completed satellite development project using traditional space project management techniques. Results show that the new management approach reduced strain on the project team, improved overall productivity, and maintained a more level task loading when compared to the traditional management approach. This paper also illustrates how the new management approach can enable project resilience to change by analyzing its response to the labor disruptions caused by the COVID-19 pandemic.

Open Access
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