TY - JOUR A1 - Geith, Markus A. A1 - Sommer, Gerhard A1 - Schratzenstaller, Thomas A1 - Holzapfel, Gerhard A. T1 - Biomechanical and structural quantification of vascular damage: A unique investigation of stent implantation JF - Artery Research Y1 - 2017 U6 - https://doi.org/10.1016/j.artres.2017.10.025 VL - 20 IS - Issue C SP - 50 ER - TY - JOUR A1 - Zentgraf, Jan A1 - Nützel, Florian A1 - Mühlbauer, Nico A1 - Schultheiss, Ulrich A1 - Grad, Marius A1 - Schratzenstaller, Thomas T1 - Surface Treatment of Additively Manufactured Polyetheretherketone (PEEK) by Centrifugal Disc Finishing Process: Identification of the Key Parameters JF - Polymers N2 - Polyetheretherketone is a promising material for implants due to its good mechanical properties and excellent biocompatibility. Its accessibility to a wide range of applications is facilitated by the ability to process it with an easy-to-use manufacturing process such as fused filament fabrication. The elimination of disadvantages associated with the manufacturing process, such as a poor surface quality, is a main challenge to deal with. As part of the mass finishing process, centrifugal disc finishing has demonstrated good results in surface optimization, making it a promising candidate for the post-processing of additively manufactured parts. The objective of this study is to identify the key parameters of the centrifugal disc finishing process on the waviness of additively manufactured PEEK specimens, which has not been investigated previously. The waviness of the specimen was investigated by means of confocal laser scanning microscopy (CLSM), while weight loss was additionally tracked. Six parameters were investigated: type, amount and speed of media, use of compound, amount of water and time. Type of media, time and speed were found to significantly influence waviness reduction and weight loss. Surface electron microscopy images demonstrated the additional effects of deburring and corner rounding. Results on previous studies with specimens made of metal showed similar results. Further investigation is required to optimize waviness reduction and polish parts in a second post-processing step. KW - PEEK KW - fused deposition modeling KW - fused filament fabrication KW - centrifugal disc finishing KW - mass finishing KW - 3D printing KW - post-processing of 3D printed parts KW - surface treatment KW - high-performance polymers KW - additive manufacturing Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-73959 SN - 2073-4360 N1 - Corresponding author der OTH Regensburg: Jan Zentgraf VL - 16 PB - MDPI CY - Basel ER - TY - JOUR A1 - Wiesent, Lisa A1 - Schultheiß, Ulrich A1 - Lulla, Philipp A1 - Noster, Ulf A1 - Schratzenstaller, Thomas A1 - Schmid, Christof A1 - Nonn, Aida A1 - Spear, Ashley T1 - Computational analysis of the effects of geometric irregularities and post-processing steps on the mechanical behavior of additively manufactured 316L stainless steel stents JF - PLoS ONE N2 - Advances in additive manufacturing enable the production of tailored lattice structures and thus, in principle, coronary stents. This study investigates the effects of process-related irregularities, heat and surface treatment on the morphology, mechanical response, and expansion behavior of 316L stainless steel stents produced by laser powder bed fusion and provides a methodological approach for their numerical evaluation. A combined experimental and computational framework is used, based on both actual and computationally reconstructed laser powder bed fused stents. Process-related morphological deviations between the as-designed and actual laser powder bed fused stents were observed, resulting in a diameter increase by a factor of 2-2.6 for the stents without surface treatment and 1.3-2 for the electropolished stent compared to the as-designed stent. Thus, due to the increased geometrically induced stiffness, the laser powder bed fused stents in the as-built (7.11 ± 0.63 N) or the heat treated condition (5.87 ± 0.49 N) showed increased radial forces when compressed between two plates. After electropolishing, the heat treated stents exhibited radial forces (2.38 ± 0.23 N) comparable to conventional metallic stents. The laser powder bed fused stents were further affected by the size effect, resulting in a reduced yield strength by 41% in the as-built and by 59% in the heat treated condition compared to the bulk material obtained from tensile tests. The presented numerical approach was successful in predicting the macroscopic mechanical response of the stents under compression. During deformation, increased stiffness and local stress concentration were observed within the laser powder bed fused stents. Subsequent numerical expansion analysis of the derived stent models within a previously verified numerical model of stent expansion showed that electropolished and heat treated laser powder bed fused stents can exhibit comparable expansion behavior to conventional stents. The findings from this work motivate future experimental/numerical studies to quantify threshold values of critical geometric irregularities, which could be used to establish design guidelines for laser powder bed fused stents/lattice structures. KW - Heat treatment KW - Lasers KW - Surface treatments KW - Specimen preparation and treatment KW - Material properties KW - Stiffness KW - Deformation KW - Powders KW - Koronarendoprothese KW - Rapid prototyping KW - Numerische Methode Y1 - 2020 U6 - https://doi.org/10.1371/journal.pone.0244463 N1 - Corresponding author: Lisa Wiesent VL - 15 IS - 12 SP - 1 EP - 30 PB - PLOS ER - TY - JOUR A1 - Wessely, Rainer A1 - Hausleiter, Jörg A1 - Michaelis, Cornelia A1 - Jaschke, Birgit A1 - Vogeser, Michael A1 - Milz, Stefan A1 - Behnisch, Boris A1 - Schratzenstaller, Thomas A1 - Renke-Gluszko, Magdalena A1 - Stöver, Michael A1 - Wintermantel, Erich A1 - Kastrati, Adnan A1 - Schömig, Albert T1 - Inhibition of neointima formation by a novel drug-eluting stent system that allows for dose-adjustable, multiple, and on-site stent coating JF - Arteriosclerosis, Thrombosis, and Vascular Biology N2 - Objective The risk of in-stent restenosis can be considerably reduced by stents eluting cytostatic compounds. We created a novel drug-eluting stent system that includes several new features in the rapidly evolving field of stent-based drug delivery. Methods and Results The aim of the present study was the preclinical evaluation of a stent-coating system permitting individual, on-site coating of stents with a unique microporous surface allowing for individualizable, dose-adjustable, and multiple coatings with identical or various compounds, designated ISAR (individualizable drug-eluting stent system to abrogate restenosis). Stents were coated with 0.75% rapamycin solution, and high-performance liquid chromatography (HPLC)-based determination of drug release profile indicated drug release for >21 days. Rapamycin-eluting microporous (REMP) stents implanted in porcine coronary arteries were safe. To determine the efficacy of REMP stents, this novel drug-eluting stent platform was compared with the standard sirolimus-eluting stent. At 30 days, in-stent neointima formation in porcine coronary arteries was similar in both groups, yielding a significant decrease of neointimal area and injury-dependent neointimal thickness compared with bare-metal stents. Conclusion The ISAR drug-eluting stent platform as a novel concept for stent coating allows for a safe, effective, on-site stent coating process, thus justifying further clinical evaluation to decrease in-stent restenosis in humans. In-stent neointima formation can be successfully attenuated by drug-eluting stents. We introduce a novel conceptual approach for stent-coating that allows for dose-adjustable, on-site stent coating process if desired with multiple compounds. Microporous stents coated with rapamycin proved safe and effective for the limitation of neointima formation in a porcine coronary stent model. KW - drug-eluting stent KW - stent platform KW - sirolimus KW - rapamycin Y1 - 2005 U6 - https://doi.org/10.1161/01.ATV.0000157579.52566.ee SN - 1524-4636 VL - 25 IS - 4 SP - 748 EP - 753 ER - TY - JOUR A1 - Hausleiter, Jörg A1 - Kastrati, Adnan A1 - Wessely, Rainer A1 - Dibra, Alban A1 - Mehilli, Julinda A1 - Schratzenstaller, Thomas A1 - Graf, Isolde A1 - Renke-Gluszko, Magdalena A1 - Behnisch, Boris A1 - Dirschinger, Josef A1 - Wintermantel, Erich A1 - Schömig, Albert T1 - Prevention of restenosis by a novel drug-eluting stent system with a dose-adjustable, polymer-free, on-site stent coating JF - European Heart Journal - Clinical research N2 - Aims Drug-eluting stents (DES) represent a major advance in interventional cardiology. Along with the success shown, current DES also present limitations related to the presence of polymer-coating, fixed drug, and dose used. With the ISAR (Individualized Drug-Eluting Stent System to Abrogate Restenosis) project, a DES system has been developed that permits individualized choice of the drug and dose to use for the given patient. The objective of this prospective dose finding study was to assess the feasibility, safety, and efficacy of a polymer-free on-site stent coating with increasing rapamycin doses. Methods and results In this dose finding study, 602 patients were sequentially enrolled in four groups: microporous bare metal stent (BMS), DES stents coated with a 0.5, 1.0, and 2.0% rapamycin solution. The angiographic in-segment restenosis rate at follow-up angiography was the primary study endpoint. In-segment restenosis was significantly reduced from 25.9% with BMS to 18.9, 17.2, and 14.7% with 0.5, 1.0, and 2.0% rapamycin-eluting stents, respectively (P=0.024). Similarly, the need for target lesion revascularization at 1 year follow-up was reduced from 21.5% with BMS to 16.4, 12.6, and 8.8% with 0.5, 1.0, and 2.0% rapamycin-eluting stents, respectively (P=0.006). Conclusion The placement of polymer-free stents coated on-site with rapamycin is feasible and safe. Furthermore, a dose-dependent efficacy in restenosis prevention is achievable with this new DES concept. KW - Restenosis KW - Stents KW - Randomized KW - Rapamycin KW - Polymer Y1 - 2005 U6 - https://doi.org/10.1093/eurheartj/ehi405 VL - 26 IS - 15 SP - 1475 EP - 1481 ER - TY - JOUR A1 - Prantl, Lukas A1 - Eigenberger, Andreas A1 - Klein, Silvan A1 - Limm, Katharina A1 - Oefner, Peter J. A1 - Schratzenstaller, Thomas A1 - Felthaus, Oliver T1 - Shear Force Processing of Lipoaspirates for Stem Cell Enrichment Does Not Affect Secretome of Human Cells Detected by Mass Spectrometry In Vitro JF - Plastic and Reconstructive Surgery N2 - Background: Lipofilling is one of the most often performed surgical procedures in plastic and reconstructive surgery. Lipoaspirates provide a ready source of stem cells and secreted factors that contribute to neoangiogenesis and fat graft survival. However, the regulations about the enrichment of these beneficial cells and factors are ambiguous. In this study, the authors tested whether a combination of centrifugation and homogenization allowed the enrichment of viable stem cells in lipoaspirates through the selective removal of tumescent solution, blood, and released lipids without significantly affecting the cell secretome. Methods: Human lipoaspirate was harvested from six different patients using water jet–assisted liposuction. Lipoaspirate was homogenized by first centrifugation (3584 rpm for 2 minutes), shear strain (10 times intersyringe processing), and second centrifugation (3584 rpm for 2 minutes). Stem cell enrichment was shown by cell counting after stem cell isolation. Lipoaspirate from different processing steps (unprocessed, after first centrifugation, after homogenization, after second centrifugation) was incubated in serum-free cell culture medium for mass spectrometric analysis of secreted proteins. Results: Lipoaspirate homogenization leads to a significant 2.6 ± 1.75-fold enrichment attributable to volume reduction without reducing the viability of the stem cells. Protein composition of the secretome did not change significantly after tissue homogenization. Considering the enrichment effects, there were no significant differences in the protein concentration of the 83 proteins found in all processing steps. Conclusions: Stem cells can be enriched mechanically without significantly affecting the composition of secreted proteins. Shear-assisted enrichment of lipoaspirate constitutes no substantial manipulation of the cells’ secretome. Y1 - 2020 U6 - https://doi.org/10.1097/PRS.0000000000007343 VL - 146 IS - 6 SP - 749e EP - 758e PB - American Society of Plastic Surgeons ER - TY - JOUR A1 - Geith, Markus A. A1 - Eckmann, Jakob D. A1 - Haspinger, Daniel Ch. A1 - Agrafiotis, Emmanouil A1 - Maier, Dominik A1 - Szabo, Patrick A1 - Sommer, Gerhard A1 - Schratzenstaller, Thomas A1 - Holzapfel, Gerhard A. T1 - Experimental and mathematical characterization of coronary polyamide-12 balloon catheter membranes JF - PLoS One N2 - The experimental quantification and modeling of the multiaxial mechanical response of polymer membranes of coronary balloon catheters have not yet been carried out. Due to the lack of insights, it is not shown whether isotropic material models can describe the material response of balloon catheter membranes expanded with nominal or higher, supra-nominal pressures. Therefore, for the first time, specimens of commercial polyamide-12 balloon catheters membranes were investigated during uniaxial and biaxial loading scenarios. Furthermore, the influence of kinematic effects on the material response was observed by comparing results from quasi-static and dynamic biaxial extension tests. Novel clamping techniques are described, which allow to test even tiny specimens taken from the balloon membranes. The results of this study reveal the semi-compliant, nonlinear, and viscoelastic character of polyamide-12 balloon catheter membranes. Above nominal pressure, the membranes show a pronounced anisotropic mechanical behavior with a stiffer response in the circumferential direction. The anisotropic feature intensifies with an increasing strain-rate. A modified polynomial model was applied to represent the realistic mechanical response of the balloon catheter membranes during dynamic biaxial extension tests. This study also includes a compact set of constitutive model parameters for the use of the proposed model in future finite element analyses to perform more accurate simulations of expanding balloon catheters. KW - Catheters KW - Anisotropy KW - Polymers KW - Viscoelasticity KW - Coronary stenting KW - Finite element analysis KW - Deformation KW - Adhesives Y1 - 2020 U6 - https://doi.org/10.1371/journal.pone.0234340 VL - 15 IS - 6 SP - 1 EP - 22 PB - PLOS ER - TY - CHAP A1 - Geith, Markus A. A1 - Sommer, Gerhard A1 - Schratzenstaller, Thomas A1 - Holzapfel, Gerhard A. T1 - First Approaches in Quantifying Acute Vascular Damage due to Stenting T2 - 23rd Congress of the European Society of Biomechanics, July 2-5,2017, Seville, Spain KW - Stent KW - Implantation KW - Gefäßverletzung Y1 - 2017 ER - TY - JOUR A1 - Bartsch, Alexander A1 - Beham, Daniela A1 - Gebhardt, Jakob A1 - Ehrlich, Ingo A1 - Schratzenstaller, Thomas A1 - Monkman, Gareth J. T1 - Mechanical Properties of NdPrFeB Based Magnetoactive Bisphenol-Free Boron-Silicate Polymers JF - Journal of Nanomedicine and Nanotechnology N2 - Following a ban on many materials containing bisphenol-A, new bisphenol-free Boron silicates have been found as substitutes. The purpose of this study is to describe the mechanical properties of these bisphenol-free magnetoactive borosilicate polymers containing hard magnetic particles. Samples of 0%, 33% and 66% by wt. were loaded for compression using a universal testing machine. The maximum forces occurring for different travel speeds were compared before and after post-magnetization treatments. The post-magnetization included 2 stages. In addition, the change in mechanical properties within 24 hours after the post-magnetization process was investigated. Furthermore, the influence of speed and particle content were investigated. In general, there is a correlation between the required compressive force and, the level of post-magnetization stress, the increase in travel speed and particle content in the boron silicate. Comparison of the non-post-magnetized and post-magnetized samples using two-tailed t-tests shows that the p-values for all weight fraction changes in NdPrFeB particles and travel speeds are less than 0.001. Also, a comparison between tests in which the traverse speed was varied also showed significant changes in the resulting compression forces. The same is valid for changes in the weight ratio of the NdPrFeB particles in the samples. For post-magnetized samples, no significant difference can be observed in the first 24 hours following magnetization. In summary, the material presents viscoelastic, plastic force-displacement behavior, which can be well recognized by its bi-linear curve shape. The investigation shows that borosilicate polymers based on NdPrFeB can have their mechanical behavior modified and controlled by post-magnetization processes. This opens new possibilities for many future applications. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-67425 UR - https://www.walshmedicalmedia.com/open-access/mechanical-properties-of-ndprfeb-based-magnetoactive-bisphenolfree-boronsilicate-polymers-124385.html SN - 2157-7439 N1 - Corresponding author: Alexander Bartsch VL - 14 IS - 6 PB - Walsh Medical Media ER - TY - JOUR A1 - Bartsch, Alexander A1 - Burger, Moritz A1 - Grad, Marius A1 - Esper, Lukas A1 - Schultheiß, Ulrich A1 - Noster, Ulf A1 - Schratzenstaller, Thomas T1 - Enhancement of laser cut edge quality of ultra-thin titanium grade 2 sheets by applying an in-process approach using modulated Yb:YAG continuous wave fiber laser JF - Discover Mechanical Engineering N2 - Titanium is used in many areas due to its excellent mechanical, biological and corrosion-resistant properties. Implants often have thin and filigree structures, providing an ideal application for fine cutting with laser. In the literature, the main focus is primarily on investigating and optimizing the parameters for titanium sheets with thicknesses greater than 1 mm. Hence, in this study, the basic manufacturing parameters of laser power, cutting speed and laser pulse of a 200 W modulated fiber laser are investigated for 0.15 mm thick grade 2 titanium sheets. A reproducible, continuous cut could be achieved using 90 W laser-power and 2 mm/s cutting-speed. Pulse pause variations between 85 and 335 μs in 50 μs steps and a fixed pulse width of 50 μs show that a minimum kerf width of 23.4 μm, as well as a minimum cut edge roughness Rz of 3.59 μm, is achieved at the lowest pulse pause duration. An increase in roughness towards the laser exit side, independent of the laser pulse pause duration, was found and discussed. The results provide initial process parameters for cutting thin titanium sheets and thus provide the basis for further investigations, such as the influence of cutting gas pressure and composition on the cut edge. KW - Laser cutting KW - Titanium sheet KW - Kerf Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-65647 N1 - Corresponding author: Alexander Bartsch IS - 10 PB - Springer ER - TY - JOUR A1 - Kheiroddin, Parastoo A1 - Schöberl, Patricia A1 - Althammer, Michael A1 - Cibali, Ezgi A1 - Würfel, Thea A1 - Wein, Hannah A1 - Kulawik, Birgit A1 - Buntrock-Döpke, Heike A1 - Weigl, Eva A1 - Gran, Silvia A1 - Gründl, Magdalena A1 - Langguth, Jana A1 - Lampl, Benedikt A1 - Judex, Guido A1 - Niggel, Jakob A1 - Pagel, Philipp A1 - Schratzenstaller, Thomas A1 - Schneider-Brachert, Wulf A1 - Gastiger, Susanne A1 - Bodenschatz, Mona A1 - Konrad, Maike A1 - Levchuk, Artem A1 - Roth, Cornelius A1 - Schöner, David A1 - Schneebauer, Florian A1 - Rohrmanstorfer, René A1 - Burkovski, Andreas A1 - Ambrosch, Andreas A1 - Wagner, Thomas A1 - Kabesch, Michael ED - Buonsenso, Danilo T1 - Results of WICOVIR Gargle Pool PCR Testing in German Schools Based on the First 100,000 Tests JF - Frontiers in Pediatrics N2 - Background: Opening schools and keeping children safe from SARS-CoV-2 infections at the same time is urgently needed to protect children from direct and indirect consequences of the COVID-19 pandemic. To achieve this goal, a safe, efficient, and cost-effective SARS-CoV-2 testing system for schools in addition to standard hygiene measures is necessary. Methods: We implemented the screening WICOVIR concept for schools in the southeast of Germany, which is based on gargling at home, pooling of samples in schools, and assessment of SARS-CoV-2 by pool rRT-PCR, performed decentralized in numerous participating laboratories. Depooling was performed if pools were positive, and results were transmitted with software specifically developed for the project within a day. Here, we report the results after the first 13 weeks in the project. Findings: We developed and implemented the proof-of-concept test system within a pilot phase of 7 weeks based on almost 17,000 participants. After 6 weeks in the main phase of the project, we performed >100,000 tests in total, analyzed in 7,896 pools, identifying 19 cases in >100 participating schools. On average, positive children showed an individual CT value of 31 when identified in the pools. Up to 30 samples were pooled (mean 13) in general, based on school classes and attached school staff. All three participating laboratories detected positive samples reliably with their previously established rRT-PCR standard protocols. When self-administered antigen tests were performed concomitantly in positive cases, only one of these eight tests was positive, and when antigen tests performed after positive pool rRT-PCR results were already known were included, 3 out of 11 truly positive tests were also identified by antigen testing. After 3 weeks of repetitive WICOVIR testing twice weekly, the detection rate of positive children in that cohort decreased significantly from 0.042 to 0.012 (p = 0.008). Interpretation: Repeated gargle pool rRT-PCR testing can be implemented quickly in schools. It is an effective, valid, and well-received test system for schools, superior to antigen tests in sensitivity, acceptance, and costs. KW - children KW - COVID-19 KW - Germany KW - PCR KW - pooling KW - gargle KW - schools KW - pandemic KW - Covid-19 KW - Polymerase-Kettenreaktion KW - Nachweis KW - Schulkind KW - Deutschland Y1 - 2021 U6 - https://doi.org/10.3389/fped.2021.721518 SN - 2296-2360 VL - 9 PB - frontiers ER - TY - JOUR A1 - Schaeffer, Leon A1 - Herrmann, David A1 - Schratzenstaller, Thomas A1 - Dendorfer, Sebastian A1 - Böhm, Valter T1 - Theoretical considerations on stiffness characteristics of a 3-dimensional tensegrity joint model for the use in dynamic hand orthoses JF - Journal of Medical Robotics Research Y1 - 2025 U6 - https://doi.org/10.1142/S2424905X25400069 PB - World Scientific ER - TY - JOUR A1 - Maier, Eva A1 - Zentgraf, Jan A1 - Angele, Eveline A1 - Zorzin, José A1 - Taschner, Michael A1 - Widbiller, Matthias A1 - Galler, Kerstin A1 - Schratzenstaller, Thomas T1 - A re-usable 3D-printed training model for the endodontic management of dental trauma in immature teeth JF - International endodontic journal N2 - AIM: To develop a 3D-printed model enabling treatment simulation of trauma-related endodontic and restorative procedures like revitalization or placement of an apical plug on teeth with incomplete root formation. METHODOLOGY: To generate a realistic training model suitable for trauma-related simulations, CT-Data sets were segmented, combined, adjusted and optimized using computer-aided design features. Specific focus was on optimally reflecting characteristics of immature teeth like open apical foramina and thin root walls. For reflection of the revitalization process, a set-up including a tube filled with red liquid under pressure was developed to be perforated during the procedure by the trainee, simulating bleeding from the apical papilla into the root canal system. Design was based on a combination of cost-effective simple parts combined with 3D-printed components to achieve maximal accessibility, exchangeability and re-usability. Model assembly and preparation were described in step-by-step instructions. RESULTS: As a result of the developmental process, the presented model qualifies for the training of the endodontic management of complications on immature teeth after dental trauma. Step-by-step descriptions aligned with the clinical procedures are performable for a revitalization procedure, for pulpotomy followed by fragment re-attachment and splint application and for placement of an apical plug using hydraulic calcium silicate cements. CONCLUSIONS: The model successfully achieved its intended objectives, so that it may be used in the future in various dental trauma treatment simulations for undergraduate and postgraduate education on the endodontic management of trauma-related therapies in immature teeth. Its common manufacturing process, affordability and re-usability support accessibility and sustainability. Y1 - 2025 U6 - https://doi.org/10.1111/iej.14235 SN - 1365-2591 VL - 2025 PB - Wiley ER - TY - JOUR A1 - Bartsch, Alexander A1 - Eigenberger, Andreas A1 - Felthaus, Oliver A1 - Booth, Brian W. A1 - Krenkel, Lars A1 - Schratzenstaller, Thomas A1 - Prantl, Lukas T1 - Quantification of Cannula Influence on Negative Pressure in Syringe Assisted Liposuction JF - Plastic & Reconstructive Surgery N2 - To make the results of the autologous fat transfer more satisfactory, all parameters of suction, preparation, and reapplication must be well understood. Since syringe-assisted liposuction is frequently used for small-volume procedures, we quantified the influence of the cannula on negative pressure. For these experiments, we used a digital manometer to which a syringe and one of seven different cannulas were connected. Data was collected and analyzed using LabVIEW and Matlab. The volume of our measurement setup was calculated using Boyle-Mariotte's law to ease interpretation, which revealed a volume of 2.82 ± 0.03 mL. We demonstrate that the volume of the measurement setup significantly affects the measurement results. Consequently, we accounted for this factor and calculated the theoretical values accordingly. Statistical analysis shows a significant influence on negative pressure across different cannulas, except for two pairs, which had minimal volume differences. Exemplary, for cannulas with volumes under 1.75 mL, a 2 mL syringe plunger pull was sufficient to create a - 0.5 bar (- 14.8 inHg) negative pressure. The present data indicate that the size of the suction cannula must be considered in syringe-assisted suction to ensure a specific negative pressure is not exceeded. Other research groups have demonstrated that adipocyte vitality and the amount of stromal vascular fraction are reduced by excessively strong negative pressure. Y1 - 2025 U6 - https://doi.org/10.1097/PRS.0000000000012477 SN - 0032-1052 PB - American Society of Plastic Surgeons ER -