NMPA Key Laboratory for Quality Control of Traditional Chinese Medicine (Mongolian Medicine), Mongolian Medical College, Inner Mongolia Minzu University Tongliao 028000, China State Key Laboratory for Quality Insurance and Sustainable Use of Dao-di Herbs, National Resource Center for Chinese Materia Medica, China Academy of Chinese Medical Sciences Beijing 100700, China.
Bruce L Tai studies the effects of various drilling techniques on bone tissue during surgical procedures. Specifically, he examines how heat accumulates when drilling into bones using different tools, such as twist drills and K wires. His research aims to understand the thermal damage that can occur during surgeries like joint fusions, helping surgeons to select better methods that protect bone integrity and reduce the risk of complications for patients.
Key findings
Drilling with K wires raised bone temperature from 5°C after the first hole to 20°C after the sixth hole, highlighting significant heat accumulation.
Using twist drills instead of Kirschner wires resulted in less heat damage, which is crucial for preventing postoperative complications.
A cannulated drill produced more than double the heat compared to a twist drill of the same size, indicating its potential risk in surgeries.
Frequently asked questions
Does Dr. Tai study heat effects during bone drilling?
Yes, Dr. Tai's research focuses on how heat accumulates during different drilling techniques used in orthopedic surgeries.
What drilling tools has Dr. Tai researched?
He has compared the thermal effects of various tools, including twist drills, K wires, and cannulated drills when drilling into bone.
Is Dr. Tai's work relevant for patients undergoing joint surgery?
Absolutely, his studies help ensure safer drilling methods that can prevent heat-related damage during joint fusion surgeries.
Publications in plain English
A Data-Driven Methodology to Comprehensively Assess Bone Drilling Using Radar Plots.
2024
JB & JS open access
Nigam A, Kellam JF, Ambrose CG, Tai BL
Plain English This study looked at how to better assess the skills of doctors drilling into bones, especially in training settings. Researchers evaluated 25 participants across three skill levels—10 expert surgeons, 5 intermediate residents, and 10 novice residents—and found significant differences in their performance. For instance, novice residents had the least consistent drilling technique, while experts showed well-formed skills on a radar plot, indicating that a more structured assessment method can help improve training outcomes.
Who this helps: This benefits medical residents and their instructors by providing better training tools.
Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica
Tai BL, Sun TX, Dai NT, Yu MY, Liu Q +2 more
Plain English This study focused on identifying and analyzing the chemical compounds from the fragrant parts of a plant called Syringa oblata. Researchers found ten different compounds, including a new one called oblatanoid D, which showed strong protection against inflammation in a specific type of cell. This discovery is important because it could lead to new treatments for inflammatory diseases.
Who this helps: Patients suffering from inflammatory conditions.
An objective assessment for bone drilling: A pilot study on vertical drilling.
2023
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
Nigam A, Mohanty RR, Kellam JF, Ambrose CG, Krishnamurthy VR +1 more
Plain English This study looked at how experienced surgeons and beginner residents perform bone drilling during surgery using simulated bones. The findings showed that expert surgeons drilled nearly three times faster than the novices, averaging about 4 seconds compared to nearly 10 seconds for the beginners. Experts also demonstrated more consistent results and were better at controlling the drilling pressure, reducing excessive drilling force by around 5.5 Newtons on the second layer of bone. This research is important because it can lead to better training methods for new surgeons, helping them become more skilled and efficient.
Who this helps: This helps medical residents and ultimately benefits patients by improving the quality of surgical care.
A neural network framework for immediate temperature prediction of surgical hand-held drilling.
2023
Computer methods and programs in biomedicine
Kung PC, Heydari M, Tsou NT, Tai BL
Plain English This study focused on creating a system that can quickly predict the temperature when a surgical drill is used on bone. Researchers used advanced methods to analyze the heating process and found that their model could accurately predict temperatures with an average error of less than 5%. This is important because high temperatures during drilling can damage tissue, and having accurate predictions can help surgeons avoid such risks.
Who this helps: This helps surgeons and their patients by reducing the risk of tissue damage during operations.
[Mechanism of Syringa oblata in treating angina pectoris based on GC-MS and network pharmacology].
2022
Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica
Gegen ZL, Gao Y, Site GL, Alatan CM, Tai BL +1 more
Plain English This study looked at the chemical ingredients in the oil of the Syringa oblata plant to see how they might help treat angina pectoris, a type of chest pain. Researchers found 46 active chemicals in the oil and identified 198 potential targets for these chemicals, with 71 targets shared with the disease. The findings indicate that these compounds may help reduce inflammation and cell death, shedding light on how Syringa oblata could be an effective treatment for angina pectoris.
Who this helps: Patients with angina pectoris benefit from this research.
Amphiphilic, thixotropic additives for extrusion-based 3D printing of silica-reinforced silicone.
2021
Soft matter
Suriboot J, Marmo AC, Ngo BKD, Nigam A, Ortiz-Acosta D +2 more
Plain English This study looked at how to improve a common silicone used in 3D printing, making it better for creating complex shapes. Researchers tested different additives to enhance its printability and water resistance, finding that one particular additive allowed the silicone to meet the necessary printing requirements while also making the surface more water-friendly. Specifically, a formulation with 17.3% of a special treated silica filler achieved the desired properties for effective printing.
Who this helps: This benefits manufacturers and engineers who use 3D printing for creating biomedical devices and other intricate silicone products.
3D Printed composite for simulating thermal and mechanical responses of the cortical bone in orthopaedic surgery.
2018
Medical engineering & physics
Tai BL, Kao YT, Payne N, Zheng Y, Chen L +1 more
Plain English This research focused on creating a new type of 3D printed material that mimics human bone, specifically for use in orthopedic surgery training and planning. The new material, called 3D polymer-infiltrated composite (3DPIC), was tested and found to have a similar flexibility to real bone but was weaker; it also performed well in simulating the forces and temperatures experienced during drilling. These findings are important because they suggest that 3DPIC could provide a more realistic training tool for surgeons, potentially improving surgical outcomes for patients.
Who this helps: This helps orthopedic surgeons and medical trainees.
A review of cutting mechanics and modeling techniques for biological materials.
2017
Medical engineering & physics
Takabi B, Tai BL
Plain English This paper reviewed how scientists model the cutting of biological materials like soft tissues and bones, which is important for improving surgical tools. The study highlighted different techniques used to analyze cutting forces and the shape of the material being cut. By understanding these processes better, researchers can create more accurate models that aid in developing effective surgical instruments, ultimately leading to safer operations.
Who this helps: This benefits patients and surgeons by improving the tools used in surgeries.
A mechanistic force model for simulating haptics of hand-held bone burring operations.
2017
Medical engineering & physics
Danda A, Kuttolamadom MA, Tai BL
Plain English This study developed a model to predict the forces felt by surgeons during a procedure called bone burring, which involves using a hand-held tool. By testing three different cutting angles and motions, the researchers found that their model could closely match the real forces experienced, showing that the main patterns of force remained consistent despite some variation. This is important because it can improve virtual reality surgical simulations, making training for surgeons safer and more effective.
Who this helps: This helps surgeons in training and surgical educators.
A physical simulator for endoscopic endonasal drilling techniques: technical note.
2016
Journal of neurosurgery
Tai BL, Wang AC, Joseph JR, Wang PI, Sullivan SE +3 more
Plain English This study focused on creating a hands-on model to train surgeons in a specific drilling technique used in surgery to access the skull base through the nose. The researchers found that the new training simulator gave realistic feedback about the bones and tools involved, making it a useful teaching aid. Overall, the simulator showed good results in initial tests, but a few improvements were recommended before it is widely used.
Who this helps: This helps surgeons learning endoscopic techniques.
Simulator and 2 tools: Validation of performance measures from a novel neurosurgery simulation model using the current Standards framework.
2016
Surgery
Rooney DM, Tai BL, Sagher O, Shih AJ, Wilkinson DA +1 more
Plain English This study focused on improving the training of neurosurgeons learning how to perform a procedure called ventriculostomy, which can be difficult to master. Researchers tested a new simulator and two assessment tools with 14 participants, including 11 beginners and 3 experts. They found that novices scored significantly lower than experts, particularly on one of the assessment tools, indicating that the simulator and tools effectively measure surgical skills.
Who this helps: This research benefits neurosurgery trainees and their educators by providing a structured way to enhance their skills safely.
Two-Finger Tightness: What Is It? Measuring Torque and Reproducibility in a Simulated Model.
2016
Journal of orthopaedic trauma
Acker WB, Tai BL, Belmont B, Shih AJ, Irwin TA +1 more
Plain English This study examined the technique called "two-finger tightness" used by medical residents to safely tighten screws in bones without damaging them. Researchers found that the amount of torque applied by residents varied greatly, with junior residents being less consistent compared to more experienced ones, yielding average torque values that did not reliably match the ideal threshold for successful screw placement. This variability may undermine the effectiveness of using the two-finger method as a teaching tool, suggesting that medical training programs need to improve hands-on skills training for residents.
Who this helps: This helps medical residents and their trainers.
Heat accumulation during sequential cortical bone drilling.
2016
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
Palmisano AC, Tai BL, Belmont B, Irwin TA, Shih A +1 more
Plain English This study examined how heat builds up during repeated drilling into bone, specifically using two types of drills. Researchers found that drilling with a K wire raised the bone temperature from 5°C after the first hole to 20°C after the sixth hole, while standard drills caused a smaller temperature increase. This matters because high temperatures can harm bone tissue, so understanding this heat buildup can help improve drilling techniques and reduce injury during surgeries.
Who this helps: This helps surgeons and their patients by providing insights to prevent bone damage during surgical procedures.
Study of insertion force and deformation for suturing with precurved NiTi guidewire.
2015
Journal of biomechanical engineering
Wang Y, Chen RK, Tai BL, Xu K, Shih AJ
Plain English This study looked at how a special guidewire made of nickel-titanium helps doctors stitch the stomach during a minimally invasive weight loss procedure. Researchers tested different designs of this guidewire and found that using a small bevel angle and a large curve in the guidewire reduced the amount of force needed to suture effectively, making the process smoother. This is important because it can lead to better outcomes in surgeries by ensuring that sutures are placed accurately and with less effort.
Who this helps: This benefits patients undergoing minimally invasive obesity treatments and the doctors performing the procedures.
Bone geometry on the contact stress in the shoulder for evaluation of pressure ulcers: finite element modeling and experimental validation.
2015
Medical engineering & physics
Luo Y, Wang Y, Tai BL, Chen RK, Shih AJ
Plain English This research focused on understanding how the shape of shoulder bones affects pressure on the skin, which can lead to pressure ulcers. The study found that the greatest stress occurs at the sharp edges of the shoulder blade, making it a key factor in developing these painful sores. By using advanced computer modeling and 3D printing to create a physical shoulder model, the researchers were able to accurately predict the stress on the shoulder, which is important for improving pressure ulcer prevention strategies.
Who this helps: This helps patients at risk for pressure ulcers, especially those who are immobile.
Development of a 3D-printed external ventricular drain placement simulator: technical note.
2015
Journal of neurosurgery
Tai BL, Rooney D, Stephenson F, Liao PS, Sagher O +2 more
Plain English This study created a 3D-printed model that helps doctors practice placing external ventricular drains (EVD), which are used to monitor brain pressure and drain fluid. The model is realistic, providing both touch and visual feedback during practice, and it was developed using actual brain scans for accuracy. This matters because it offers a practical training tool for neurosurgical residents, improving their skills without the need for expensive virtual reality systems.
Who this helps: This benefits neurosurgical residents and doctors training to perform EVD placements.
Comparison of cortical bone drilling induced heat production among common drilling tools.
2015
Journal of orthopaedic trauma
Palmisano AC, Tai BL, Belmont B, Irwin TA, Shih A +1 more
Plain English This study looked at how much heat is produced when drilling into bone using different tools: twist drills, K wires, and a cannulated drill. It found that twist drills generated the least heat, while the cannulated drill created more than double the heat of a twist drill of a similar size. This matters because excessive heat during drilling can damage the bone, so understanding which tools produce less heat is important for patient safety.
Who this helps: This helps surgeons and their patients by providing information on safer drilling techniques in orthopedic surgery.
Numerical evaluation of sequential bone drilling strategies based on thermal damage.
2015
Medical engineering & physics
Tai BL, Palmisano AC, Belmont B, Irwin TA, Holmes J +1 more
Plain English This study looked at how the method of drilling holes in bones affects the heat produced and potential damage to the bone tissue. Researchers found that using twist drills instead of Kirschner wires led to less heat damage, and that shorter time intervals between drilling steps helped reduce heat exposure. Understanding these factors is important because minimizing heat damage can prevent complications in patients undergoing joint fusion surgeries.
Who this helps: This benefits patients who need joint surgeries, as well as the doctors performing these procedures.
Optimal needle design for minimal insertion force and bevel length.
2014
Medical engineering & physics
Wang Y, Chen RK, Tai BL, McLaughlin PW, Shih AJ
Plain English This study looked at how to design better needles that are easier to insert by changing their shape. Researchers found that an optimized needle design could reduce the force needed to insert a needle by 11% while keeping the same length of the pointed tip. Additionally, they discovered a design that could shorten the tip's length by 46% without increasing the force required to insert it. This is important because easier-to-insert needles can make procedures less painful and more accurate for patients.
Who this helps: This benefits patients undergoing treatments that require needle insertions, such as brachytherapy.
Cool Mist Irrigation Improves Heat Dissipation during Surgical Bone Drilling.
2014
Journal of neurological surgery. Part B, Skull base
Siljander BR, Wang AC, Zhang L, Shih AJ, Sullivan SE +1 more
Plain English Researchers studied a method to keep temperatures down during bone drilling in surgeries by using a cold mist instead of a traditional water flow. They found that the cold mist cooling system kept temperatures about 4°C lower than the regular flood irrigation, even with a lower liquid flow, which can help protect sensitive tissues during surgery. This is important because it could improve surgical outcomes and safety for patients undergoing procedures involving cranial lesions.
Who this helps: Patients undergoing brain surgery.
Thermal model to investigate the temperature in bone grinding for skull base neurosurgery.
2013
Medical engineering & physics
Zhang L, Tai BL, Wang G, Zhang K, Sullivan S +1 more
Plain English This study looked at how hot the bone gets when grinding during skull surgery, specifically when accessing tumors at the base of the skull. Researchers used a specialized model to measure the temperature increase, finding that if the grinding reaches 50°C, heat can damage areas up to 3 mm away from the grind site. This matters because overheating can harm nearby nerves and blood vessels, which could complicate surgeries.
Who this helps: This helps neurosurgeons and their patients by improving surgical safety.
Temperature prediction in high speed bone grinding using motor PWM signal.
2013
Medical engineering & physics
Tai BL, Zhang L, Wang AC, Sullivan S, Wang G +1 more
Plain English This study looked at how to predict temperature changes during high-speed bone grinding, which is used in brain surgeries to remove skull bone. Researchers found that they could estimate the temperature in the grinding area with less than 20% error by analyzing the motor's electrical signals, specifically through a method called pulse-width modulation. This is important because controlling the temperature can help prevent injury to nearby nerves and blood vessels during surgery.
Who this helps: This helps neurosurgeons performing delicate brain surgeries.