Innovating Ostomy Care:
Simulating Stoma Behavior Through Computational Models
Skills: ANSYS, Mechanical Testing, Data Analysis, Research, Standards
Skills: ANSYS, Mechanical Testing, Data Analysis, Research, Standards
Worked with a sponsor, Hollister, to create a computational model of their physical prototype of a stoma. The physical prototype had various limitations: not easily adjustable to different stoma types, very time-consuming to produce, and wasteful.
The prototype was rebuilt in SolidWorks and imported to ANSYS. Tensile testing was done on the individual layers of the prototype to calibrate the material model in ANSYS. Further mechanical testing, like compression and 3 point bending, was done on the whole prototype to validate the computational model.
The computational model is easily adjustable to change material model parameters and test unique stoma topographies.
Top View: Hollister physical prototype
Side View: Hollister physical prototype
Min-Max Strain on FEA Model [6]
Waller et al. created a finite element model on the effect of baseplate convexity on stoma site [6]:
Constructed a 3D model of muscle, fat, skin, and stoma using material properties found in other research
FEA simulation visualized distribution of strain
Limitations:
FEA model assumed homogeneous material properties and simplified geometries
Flat abdomen simulation
Only one type of force application was analyzed
Not validated with real-world data
The computational model must exhibit the mechanical properties of the puck
Data will be obtained from mechanical testing of the puck and mechanical properties will be input into the simulation
The model must be customizable for inclusion of a wide variety of patients
Models of various patient stomas will be developed in CAD and their mechanical behavior will be simulated
The model must have adjustable parameters to accommodate new research
Allows for the model to be updated as research on skin behavior is conducted and new information is discovered
A decision matrix was made to determine the mechanical tests to be conducted on the Hollister prototype to derive material properties.
The criteria included how relevant the test was to the actual mechanics occurring at the stoma site, how accessible the equipment needed to conduct the tests were to us, and the computing power required to replicate that test on ANSYS.
Tensile testing and torsion testing on the individual layers were chosen for material model calibration while compression and 3 point bend testing were chosen for the computational model validation.
Design matrix evaluating different types of mechanical testing
The physical prototype consists of three main layers, each with unique material properties. Tensile testing was conducted on each layer, three samples per four different speeds until failure, to determine if the material had viscoelastic behaviors. This testing was done according to ASTM D412-16 (2021) standard, with the layers being prepared into straight section specimen (1.5 by 3 inches).
Using MATLAB, an ANOVA test was done on the stress-strain curves collected from tensile testing to determine if the material was viscoelastic. This resulted in the stress-strain curves of different speeds being significantly similar, so the material was not considered viscoelastic.
Tensile Testing
Simulated Tensile Testing
Torsion testing was also conducted on the same specimen as tensile testing. However, the machine used did not have enough precision to be useful for material model calibration, and ideally, for torsion, a cylindrical sample of the material would be used. So, the data from this testing was excluded from calibration.
Torsion Testing
From the data analysis done on the tensile testing results, each layer was determined to be elastic, but not viscoelastic. When choosing the material model to best represent the individual layers, the silicone-based material was taken into account, as well as, its mechanical properties. Ogden's rubber material model was chosen and its parameters were optimized to match the stress-strain curves obtained from tensile testing, to make three customized material models.
Hollister provided various CT scans of real stoma sites to use as the surface of the 3D model. The three layers were then separated by matching the measurements of the different layers on the physical prototype. This was then meshed to use in ANSYS.
SolidWorks Stoma Topography
ANSYS Meshed Stoma Prototype 3D Model
Compression Testing
Simulated Compression
Compression Testing
Axial compression testing was conducted on the entire prototype using a Thwing-Albert Vantage Materials Tester. A downwards compressive force was applied at a low speed to output force-displacement curves. This test was repeated three times on two different physical prototypes. This test was then replicated in a 3D simulation on ANSYS, with each layer using the calibrated material models. The experimental and simulated force-displacement curves were compared and found within a margin of error.
3 Point Bend Testing
3 point bend testing was conducted on the physical prototypes. The middle point was centered with the stoma underneath and the bottom points were aligned to span the length of the prototype. This testing was set at the same low speed and max load as compression testing and also repeated three times across two prototypes.
3 Point Bend Testing
Simulated 3 Point Bend