the design of a dis-abled friendly dental chair by paul sweeney

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i The design of a dis-abled friendly dental chair AUTHOR Paul Sweeney A THESIS SUBMITTED FOR THE DEGREE OF BACHELOR OF ENGINEERING (HONOURS) IN MECHANICAL ENGINEERING, AT THE SCHOOL OF ENGINEERING, GALWAY-MAYO INSTITUTE OF TECHNOLOGY, IRELAND SUPERVISOR Dr. Gabriel J. Costello DEPARTMENT OF MECHANICAL & INDUSTRIAL ENGINEERING, GALWAY-MAYO INSTITUTE OF TECHNOLOGY, IRELAND SUBMITTED TO THE GALWAY-MAYO INSTITUTE OF TECHNOLOGY Date: 2/5/2014

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i

The design of a dis-abled friendly dental chair

AUTHOR

Paul Sweeney

A THESIS SUBMITTED FOR THE DEGREE OF BACHELOR OF ENGINEERING

(HONOURS) IN MECHANICAL ENGINEERING,

AT THE SCHOOL OF ENGINEERING,

GALWAY-MAYO INSTITUTE OF TECHNOLOGY, IRELAND

SUPERVISOR

Dr. Gabriel J. Costello

DEPARTMENT OF MECHANICAL & INDUSTRIAL ENGINEERING,

GALWAY-MAYO INSTITUTE OF TECHNOLOGY, IRELAND

SUBMITTED TO THE GALWAY-MAYO INSTITUTE OF TECHNOLOGY

Date: 2/5/2014

i

DECLARATION OF ORIGINALITY

May, 2014

The substance of this thesis is the original work of the author and due reference and

acknowledgement has been made, when necessary, to the work of others. No part of this

thesis has been accepted for any degree and is not concurrently submitted for any other

award. I declare that this thesis is my original work except where otherwise stated.

______________________

Paul Sweeney

______________

Date

i

Table of Contents

Table of Figures ................................................................................................................................ iv

Table of Tables .................................................................................................................................. vi

1.0 Introduction .................................................................................................................................. 1

1.1 Thesis Overview ....................................................................................................................... 1

1.2 Project Background .................................................................................................................. 1

1.3 Aims and Objectives ................................................................................................................ 4

1.4 Outline of the following chapters ............................................................................................. 4

Chapter 1 Introduction ............................................................................................................... 4

Chapter 2 Literature Review ...................................................................................................... 4

2.0 Literature Review ......................................................................................................................... 5

2.1 Introduction to dental chairs ..................................................................................................... 5

2.1 Introduction to Product Design and a Product designer’s role ................................................. 6

2.2 Product development ................................................................................................................ 7

2.3 Characteristics of successful Product Development ................................................................ 8

2.4 The challenges of product development ................................................................................... 9

2.5 Product development processes. ............................................................................................ 10

2.6 Product development process models .................................................................................... 11

2.6.1 “Eppinger” model ............................................................................................................ 11

2.6.2 Stage gate process: Robert G. Cooper ............................................................................. 12

2.6.3 Total Design .................................................................................................................... 13

2.7 Product development model selection .................................................................................... 15

2.8 Adaptation of development model ......................................................................................... 15

2.8.1 Planning: ......................................................................................................................... 17

2.8.2 Concept development ...................................................................................................... 18

2.8.3 System Level Design: ...................................................................................................... 20

2.8.4 Detail Design: .................................................................................................................. 20

ii

2.8.5 Testing and refinement: ................................................................................................... 20

2.9 Lead Users .............................................................................................................................. 21

3.0 Product Research .................................................................................................................... 21

3.1 Introduction ........................................................................................................................ 21

3.2 Market research .................................................................................................................. 21

3.3 Existing Product research ................................................................................................... 29

3.4 End user Research .............................................................................................................. 35

4.0 Material and Methods................................................................................................................. 39

4.1 Customer needs ...................................................................................................................... 39

4.2 Concept Generation ................................................................................................................ 42

4.2.1 Mind Mapping ................................................................................................................. 42

4.2.2 External Search ............................................................................................................... 43

4.3 Concept Selection ................................................................................................................... 44

4.4 Final Design ........................................................................................................................... 45

4.4.1 The Scissor Lift ............................................................................................................... 47

4.4.2 Connection between Lift and Chair ................................................................................. 48

4.4.3 Seat base .......................................................................................................................... 49

4.4.4 Retractable footrest ......................................................................................................... 49

4.4.5 Backrest ........................................................................................................................... 50

4.4.6 Arm Rests ........................................................................................................................ 50

4.5 Prototype ................................................................................................................................ 51

4.5.1 Introduction ..................................................................................................................... 51

4.5.2 Completed prototype ....................................................................................................... 51

4.5.3 Manufacturing Process .................................................................................................... 52

4.6 Testing .................................................................................................................................... 56

5.0 Discussion .................................................................................................................................. 63

6.0 Conclusion and Recommendations ............................................................................................ 65

6.1 Product Development Process: Eppinger Process .................................................................. 65

iii

6.2 Final Design ........................................................................................................................... 66

6.3 Recommendations .................................................................................................................. 67

7.0 Appendices ................................................................................................................................. 68

Appendix 1: Dental Chair Analysis report 1 (Torque Required to Raise Load) .......................... 69

Appendix 2: Dental Chair Analysis Report 2 (Calculating The Bending Moment) .................... 87

Appendix 3: Finite Element Analysis Report............................................................................. 106

Appendix 4: ISO Standards for a Dental Chair .......................................................................... 120

Appendix 5: Engineering Drawings ........................................................................................... 137

References ...................................................................................................................................... 149

[1]: .............................................................................................................................................. 149

[2]: .............................................................................................................................................. 149

[3]: .............................................................................................................................................. 149

[4]: .............................................................................................................................................. 149

[5]: .............................................................................................................................................. 149

[6]: .............................................................................................................................................. 149

[7]: .............................................................................................................................................. 149

[8]: .............................................................................................................................................. 150

[9]: .............................................................................................................................................. 150

[10]: ............................................................................................................................................ 150

[11]: ............................................................................................................................................ 150

[12]: ............................................................................................................................................ 150

[13]: ............................................................................................................................................ 150

[14]: ............................................................................................................................................ 150

[15]: ............................................................................................................................................ 150

[16]: ............................................................................................................................................ 150

[17]: ............................................................................................................................................ 150

iv

Table of Figures

Figure 1: The effects of oral disease caused by bad oral health. [6] .................................................. 3

Figure 2 - Dental chair design 1888 ................................................................................................... 5

Figure 3: Outlining the idea of product development. ....................................................................... 7

Figure 4: "Eppinger's" Product development model. [15] ............................................................... 11

Figure 5: The "Stage Gate" product development model. [5] .......................................................... 13

Figure 6: The "Total design" product development model. [12] ...................................................... 14

Figure 7: Design of a dis-abled friendly dental chair product development plan. ........................... 16

Figure 8: Approach in which should be taken when transferring a patient into a dental chair [7]... 24

Figure 9: Dental chair situated in Mayo General Hospital, Castlebar .............................................. 26

Figure 10: Belmont 037/039 dental chairs (Belmont, 2014). ........................................................... 29

Figure 11: Planmeca dental chair [11] ............................................................................................. 31

Figure 12: KaVo 1058 dental chair [10] .......................................................................................... 33

Figure 13: Three techniques used upon transferring from a wheelchair [16] .................................. 35

Figure 14: Positional wheelchair approach of someone trying to execute a wheelchair transfer [14]

.......................................................................................................................................................... 36

Figure 15: Various dental treatment being delivered (Google images) ........................................... 37

Figure 16: Customer Needs Raw Data ............................................................................................. 40

Figure 17: Concept Generation Mind Map ...................................................................................... 42

Figure 18: External ideas.................................................................................................................. 43

Figure 19: Final Design .................................................................................................................... 45

Figure 20: Dental Chair at Lowest Point .......................................................................................... 46

Figure 21: Final Design Features ..................................................................................................... 46

Figure 22: Scissor Lift ...................................................................................................................... 47

Figure 23: Scissor Lift Cap .............................................................................................................. 48

Figure 24: Seat Base ......................................................................................................................... 49

Figure 25: Retractable Footrest ........................................................................................................ 49

Figure 26: Seat Back ........................................................................................................................ 50

v

Figure 27: Arm Rests ....................................................................................................................... 50

Figure 28: Dental Chair Prototype ................................................................................................... 51

Figure 29: Prototype Assemblies ..................................................................................................... 52

Figure 30: Prototype Chair ............................................................................................................... 53

Figure 31: Footrest Mechanism ........................................................................................................ 53

Figure 32: Scissor Lift Assembly ..................................................................................................... 54

Figure 33: Slider Mechanism ........................................................................................................... 55

Figure 34: Motor, Collar and Bracket .............................................................................................. 55

Figure 35: Force on Lead Screw Graph ........................................................................................... 59

Figure 36: Torques Required to Raise Load Graph ......................................................................... 61

Figure 37: Disabled Friendly Dental Chair .................................................................................... 108

Figure 38: Location of Applied Loads ........................................................................................... 110

Figure 39: Plot of Nodes 381, 813 and 1245 .................................................................................. 111

Figure 40: Plot of Nodes 280, 712 and 1144 .................................................................................. 111

Figure 41: Plot of Nodes 1, 433 and 865 ........................................................................................ 112

Figure 42: Plot of Nodes 114, 546 and 978 .................................................................................... 113

Figure 43: Beam Section for Cross Members ................................................................................ 114

Figure 44: Beam Section for Pins .................................................................................................. 115

Figure 45: Basic Solution Controls ................................................................................................ 116

Figure 46: Nonlinear Solution Controls ......................................................................................... 116

Figure 47: Load vs Deflection Graph ............................................................................................. 117

vi

Table of Tables

Table 1: Disability thresholds for each disability type in the NDS. [4] ........................................... 23

Table 2: Prevalence of disability by disability type [4] .................................................................... 25

Table 3: Pros and Cons list of the Belmont 037/039 Dental chair models. ..................................... 30

Table 4: Pros and Cons list of the Planmeca Dental chair model. .................................................. 32

Table 5: Pros and Cons list of the KaVo 1058 Dental chair model. ................................................ 34

Table 6: Element Type ................................................................................................................... 109

Table 7: Material Properties ........................................................................................................... 109

Table 8: List of all Loads Applied ................................................................................................. 110

Table 9: List of all Constraints Applied ......................................................................................... 112

Table 10: Points for Figure 11........................................................................................................ 118

1

1.0 Introduction

The following section will outline the project, its background on why it was chosen, a brief

introduction to the subject and also the project objectives. This section will also give a summary of

what each chapter in this report is about.

1.1 Thesis Overview

The following work is a structured report of the product development of a disabled friendly dental

chair. The overall goal of the project is to apply product design techniques in order to design a

disabled friendly Dental Chair.

1.2 Project Background

The following section is an outline for the purpose of this project. In today’s society oral health is

promoted on a high level. For reason of maintaining good oral health is very important in

maintaining good general health. Therefore it is very important that oral health is promoted across

the entire population. A large part of maintaining good oral health is to have regular check-ups and

visits to the dentist. This is the reason why encouragement of regular dentist visitation is so

important in maintaining good oral health. In figure 1, the impacts of oral disease onset by poor

oral health can be seen.

Studies have suggested that if someone has difficulty in accessing oral treatment they are less

likely to seek it. Considering this, some ethnic groups may experience more difficulty in accessing

dental treatment than others which will lead to poorer oral health within these groups. For example

one of these ethnic groups maybe people with disability/disabilities.

Difficulties experienced by the disabled in gaining treatment may come in many forms for example

entering a dental clinic or sitting into a dental chair. If factors like these were minimised, and

access to dental treatment made as easy as possible to the disabled, then this would have a

profound effect on oral health throughout the disabled population.

Below is a statement from a journal bulleted by the world health organization; who is presenting

the opportunity of oral health promotion in schools.

“Oral health is fundamental to general health and well-being. A healthy mouth enables an

individual to speak, eat and socialize without experiencing active disease, discomfort or

embarrassment. Children who suffer from poor oral health are 12 times more likely to have

restricted-activity days than those who do not. More than 50 million school hours are lost annually

2

because of oral health problems which affect children's performance at school and success in later

life.” [9]

The journals introduction in where this statement was exerted, it states how important oral health is

to the well-being of children. This can also be perceived as how important it is also within adults as

the study states that bad oral health can lead to illness which can lead to restricted activity days. In

other words missing work, or missing other important life activities. Therefore the message is that

promoting good oral health is imperative in trying to prevent illness and also to try and prevent

school/work absences.

When considering the promotion of oral health, if someone goes to the dentist and finds this

experience is highly unpleasant, then this person will have hesitations about going to seek further

treatment in the future. In other words this person has developed a negative perception of dental

treatment. So for example if this person develops a toothache which is giving substantial amount of

pain, because of the negative perception this person now has on dental treatment from the last time

he/she visited the dentist, this person now may decide to not seek dental treatment for the

toothache. Because of this person’s negative perception of dental treatment, he/she chose not to go

to the dentist to seek treatment which affected this person’s oral health. The bottom line from this

example is that a negative perception of dental treatment can have a negative impact on someone’s

oral health.

A study was done by the Centre for Health Promotion Studies, NUI, Galway between September

2000 and February 2002 investigating “Oral Health Promotion/Education Activity in the Republic

of Ireland & a study of attitudes, knowledge and behaviour towards special needs groups regarding

oral health.” This study outlines that one of the factors that impacts on a disabled persons

perception of dental treatment is accessibility. This means that unless ease of treatment access is

provided among the entire population than Oral health promotion will suffer, thus the reason for

the undertaking of this project in designing a disabled friendly dental chair. [6]

3

Figure 1: The effects of oral disease caused by bad oral health. [6]

4

1.3 Aims and Objectives

Here is a list of objectives in which will be achieved in the undertaking of this project.

Use a product development process in executing this project

Develop a final design for a wheelchair friendly dental chair

Fabricate a working scale prototype of the design

Write a thesis report

Present thesis to supervising lecturers

Construct project poster

1.4 Outline of the following chapters

Chapter 1 Introduction

In this chapter a brief outline of the project will be defined and the reasons for undertaking the

project will be explained. The aims and objectives of the project will also be outlined.

Chapter 2 Literature Review

The literature consists of all the research done regarding the project. The research consists of the

following

I. investigating product development

II. Researching product development models

III. Adapt model to suit project

IV. Conduct product research

5

2.0 Literature Review

In this section the term product design and development will be outlined. Three product

development models will then be described, where one will then be chosen to adapt to this project.

Then the product research will be outlined and discussed.

2.1 Introduction to dental chairs

Dental chairs are a vital tool in modern dentistry. Their design has paved the way for increasing

improvement in dental treatment. Since the 1900’s dental chair design has continuously evolved

and changed. Primitive chairs from the 19th century originally comprised of manually operated

mechanisms in which could hoist or lower patients from the floor. Also the tilting of the back-rest

was limited and in most designs non-existent. Below is an example of a dental chair patented in

1892. [13]

Figure 2 - Dental chair design 1888

Today’s examples of dental chairs are comprised of automated and electronically based

mechanisms. The chairs have large movement envelopes with vast amounts of orientation

capabilities. They also incorporate vital dental utensils and instruments which enables efficient

access to dental professional when delivering treatment to patients. Though, as well designed as

these dental chairs are in today’s market, most of these products seem to overlook the need for

universal design. In other words, these chairs cannot be accessed, understood and used to the

greatest extent possible by all people regardless of their age, size, ability or disability. The

intention of this thesis is to further improve the design of dental chairs in order to continue the

development and improvement of society.

6

2.1 Introduction to Product Design and a Product designer’s role

The idea of product design is to develop on existing designs or creating new ones and optimize to

peak performance by way of incorporating new and innovating technologies, materials, processes

and even services.

Each product designer must take into account how a new design is to impact on both user

experience and manufacturer. A Product designer must exercise the skill of gathering data from all

stakeholders and develop product concepts and specifications in which the final product design

will be based.

Communication between designer and each task force specialist such as marketing, management,

engineering and manufacturing ensure that a final design for a product satisfies all aspects of

stakeholder criteria.

The main focus of product design is to ensure that all aspects of stakeholders needs are satisfied

including product achievement goals, manufacturing feasibility, production costs and suitability for

the user when a new product is being designed.

While the study of product design educates designers upon design development and selection, it

also proclaims the obligation of a product designer to fulfil contractual responsibilities to clients

and to always observe ethical practice. [2]

7

2.2 Product development

In a primitive society, people designed things without being conscious of the effort. Stone Age

tools, doors to mud dwellings, and protection for the feet are examples of products that were

developed with no formal or awareness of the design process. Things were created without anyone

designing them and the existence of technology was not a necessity.

The modern design process emerged with the growth of the industrial society. While design by

drawing or sketching existed in some form or the other for more than 5,000 years, it became more

formalised with time. [1]

Nowadays the design process is not only aspiring to achieve one goal or to find the answer to one

problem, it is rather a complex and multi-disciplinary routine in which a large number of factors

are to be considered when trying to achieve a final product design.

The success of a modern day products success is defined by its economic performance, where

profit is the lead driver to a modern day manufacturing firm’s success. Figure 3 is a diagram of

“stage gate” product development process. The diagram outline’s the input is ideas and output is

profit.

Figure 3: Outlining the idea of product development.

A critical and fundamental element of a manufacturing firms economic success is the firm being

able to identify customer needs and develop a product in which satisfies these needs. It is also

imperative that when a product is developed it is designed to be cost beneficial and that selling the

product will lead to profit.

A product’s development is a set of tasks, phases, jobs or activities completed in order to output a

product which will reap benefits to the firm or organisation. The products development is started

off by getting a sense of a market opportunity and ends in the production, manufacture and sale of

the final product. [15]

8

2.3 Characteristics of successful Product Development

The overall goal or objective in which is hoped to be achieved in the application of product

development in the perspective of investors is that of profitability of the final product. Though,

profitability is not a straight forward measurable term and it can be hard to predict or forecast how

profitable a product is actually going to be. Although, there are five constituents which can be used

to assess the performance of a product development effort and give an organization the ability to

make calculated estimation on how profitable a product will be. These five elements are as listed

below. [15]

Product quality: A number of factors determine the product quality. Has the products design

satisfied all customer needs or the vast majority? Is the product reliable? Is there a sizeable

market share? Will customers buy the product?

Product cost: Is there a satisfactory profit margin? Considering manufacture costs, tooling,

capital equipment and such, will the acceptable sales price lead to profits.

Development time: Is in which the amount of time taken to complete the product development

effort. The development time defines whether an organisation can respond to competitors or

technological advancements. It also determines how quickly the organisation gets economic

feedback on the team efforts performance.

Development capability: Has an organisation used there passed product experience to develop

better products in the future. Capability is a quality in which an organisation can use to develop

products with increased efficiency in the future.

High performance in these five elements should conclude in economic success. Although other

variables such as other stakeholders in the enterprise and communities in where the product is

being manufactured. [15]

9

2.4 The challenges of product development

Significant challenges are often presented to a product development team whilst developing a new

product. There is an endless amount of reasons for this. A number of these reasons are listed

below.

Trade-offs: These are hugely common challenges in which product development teams will be

faced with. For example a mobile phone can be made with more memory space but this will

have a probable increase in the manufacturing costs.

Dynamics: with constant advances in technology and evolution of customer preference,

product developers have a largely difficult task of decision making in an ever changing

environment.

Details: Decisions of minute design features such as picking between snap fits or screws in a

design can have large implications in terms of cost.

Time pressure: Difficulties like all of these challenges listed could be easily manageable if by

oneself and given plenty of time to deal with, but often time is of the essence so decisions are

made quickly and often without complete information.

Economics: Investment is needed where product development is concerned. In order to gain

return on investment the product produced must be both appealing to customer and

inexpensive to produce. [15]

10

2.5 Product development processes.

The term product development process refers to the series of steps or activities carried out in order

to develop a product. In these processes a product is conceived, designed and commercialized.

Many organisations practise product development using a precise process, but others may have a

more unorganised approach. Also each organisation will not apply an identical process as small to

large alterations appear depending on the organisation. While, also one organisation may have

several different processes to be utilised on a project, the selected process to use, is dependant on

the type of project undertaken. [15]

Well specified development process is useful for the reasons in which can be seen listed below.

Quality assurance: Checkpoints and phases are specified throughout a development plan.

Having definitive checkpoints and phases enables a development to be tracked and assurances

can be made in quality of a product.

Coordination: A well connected process will enable role designation to be more reliable.

Where team members of an organisation know clearly when their contributions are needed and

to whom they will need to exchange their information and materials.

Planning: Each phase can be denoted as a milestone, the timing of the milestones give

backbone to a schedule of the overall development project.

Management: A development process can be used as a benchmark for assessing the

performance of a development effort. Comparing the constituted process and the actual events

enables a manager to identify possible problem areas.

Improvement: The note taking of an organisation’s established process enables to

organisation to build on continuous improvement. [15]

11

2.6 Product development process models

In the next section various types of product development process models was discussed and

compared. Comparing and contrasting these processes will enable the selection of the most relative

and effective process in which is to be adopted in the execution of this project.

In the section, the product development models the “Eppinger” model, “The Stage Gate” model,

and “The Total Design” model will be compared.

2.6.1 “Eppinger” model

The generic development model constructed by Steven D. Eppinger and Karl T. Ulrich is a generic

model, is a template to any type of product development project. It consists of six phases which

begins with a planning phase. This planning phase is the link to advanced research and technology

development activities and it also has the output of the projects mission statement. This mission

statement is then in turn the input required to begin the concept development phase. The mission

statement also acts as a guide to the development team. An outlook on this development plan is to

initially create a wide set of various product concepts and then ensuing narrowing of alternatives

and increasing specification of the product until the product can be reliably and repeatedly

produced by the production system. The six phases of this product development model are (0)

Planning, (1) Concept development, (2) System level up, (3) Detail design, (4) Testing and

refinement, (5) Production ramp-up [15]. A schematic of the Eppinger model can be seen below in

figure 4.

Figure 4: "Eppinger's" Product development model. [15]

12

2.6.2 Stage gate process: Robert G. Cooper

A Stage-Gate process is a conceptual and operational map for moving new product projects from

idea to launch and beyond—a blueprint for managing the new product development (NPD) process

to improve effectiveness and efficiency. Stage-Gate is a system or process not unlike a playbook

for a North American football team: It maps out what needs to be done, play by play, huddle by

huddle—as well as how to do it— in order to win the game. [5]

The innovation process can be visualized as a series of stages, with each stage composed of a set of

required or recommended best-practice activities needed to progress the project to the next gate or

decision point. Each stage costs more than the preceding one.

The activities within stages are undertaken in parallel and by a team of people from different

functional areas within the firm; that is, tasks within a stage are done concurrently, much like a

team of football players executing a play.

Each stage is cross-functional: There is no research and development (R&D) stage or marketing

stage; rather, every stage is marketing, R&D, production, or engineering. No department owns any

one stage.

Deliverables: what the project leader and team bring to the decision point (e.g., the results of a set

of completed activities).

Criteria against which the project is judged: These include must-meet criteria or knock-out

questions (a checklist) designed to weed out misfit projects quickly; and should-meet criteria that

are scored and added (a point count system), which are used to prioritize projects.

Outputs: a decision (Go/Kill/Hold/Recycle), along with an approved action plan for the next stage

(an agreed-to timeline and resources committed), and a list of deliverables and date for the next

gate. Gates serve as quality–control check points, go/kill and prioritization decisions points, and

points where the path forward for the next play or stage of the project is agreed to. The structure of

each gate is similar. [5]

(A schematic of the Cooper Stage gate process can be seen in Figure 5)

13

Figure 5: The "Stage Gate" product development model. [5]

2.6.3 Total Design

“Total design is the systematic activity necessary, from the identification of the market/user need,

to the selling of the successful product to satisfy that need.” [12]

“The user need/customer requirements/voice of the customer is paramount to the success or failure

of the product.” [12]

The above states that the total design product development model is basically an organised

approach; in where completing certain goals in a particular order will ensure a successful final

product. A primary goal in this product development as mentioned above is capturing the customer

needs and using these as template to the product design. The “Total design” product development

plan diagram can be seen in Figure 6.

14

Figure 6: The "Total design" product development model. [12]

As can be seen in Figure 5, the Total design product development process is very much like the

Stage gate model, where the key concept of the Total design process is that at each phase, it is a

decision milestone whether or not to move onto the next phase. It is similar to the other two

product development processes as its inputs (a gap in the market or product opportunity) and

outputs (a final product).

15

2.7 Product development model selection

In this section, the selected product development model to be used in this project will be identified.

Also reasons for its selection will be outlined.

In researching the various different Product development process models it was decided that the

Generic model constructed and described by Karl T. Ulrich and Steven D. Eppinger was to be

adopted and applied in the execution of this project.

The reason in which it was chosen was of its in depth detail on how each phase is to be conducted.

The process clearly defines how customer needs are to be established and also gives guidance on

how ideas are to be filtered down and selected. It was of because of its ease of understanding and

description detail of each development phase which was the reasons for its selection to be used in

the implementation of this project.

2.8 Adaptation of development model

In this section the selected adopted Eppinger development model will be tailored to fit this project.

The tailored process is also described and outlined. The major difference in the tailored process to

the original is the final outcome of the product development process. As this project is an academic

project and the final product will not be taken to market, phase five (production ramp up) was

altered. This was changed to final design presentation to supervising lecturers and the deadline was

set at the final project presentation date.

It is highly advised that an organization adopting the process in conducting a project is to tailor the

process in a way that will benefit both work effort and the final product. [15] In this section, the

Generic model constructed and described by Karl T. Ulrich and Steven D. Eppinger was

customised to suit this project of developing a disabled friendly dental chair. Each step or phase of

the model is broken down into individual goals outlined for each phase. These goals will be needed

to be completed to gain completion of the project. In Figure 7 the tailored Eppinger process in

which will be used in this project can be seen.

16

Figure 7: Design of a dis-abled friendly dental chair product development plan.

As can be seen in figure 7 the primary area in where the development model was changed was in

the Production ramp-up. As because this is an academic project the final product will not be

brought to market therefore there will be no product launch. Although the product will be

presented at the end of term, so the product presentation replaced product ramp-up. Also because

this product is not going to be mass produced the production line design steps were also excluded.

Therefore this development process primarily focuses on conducting product research, gathering

customer needs, developing a final design, producing a prototype and testing and finally presenting

the final design.

17

The following section is the outline of tasks which are to be done in order to complete each phase

of the product development process. The phases as can be seen in figure 7 are as listed below

Phase 0: Planning

Phase 1: Concept development

Phase 2: System level design

Phase 3: Detail design

Phase 4: Testing and refinement

Phase 5: Production ramp-up

2.8.1 Planning:

2.8.1.1 Research market:

Disabilities

- Types of disability

-Effects of the disability

Demographics

- Number of disabilities in Ireland

- Who will buy the dental chair: HSE, Private practice

Social and cultural factors

-Outlook on disability in Ireland

Economic

-Customer spending power

-HSE funding and allocation

Applicable technologies

Aesthetic parameters

-Common perception of a dental chair

-Current aesthetics of a dental chair

Environmental Factors

-Irish Dental Hygiene standards

-Safety standards

-Dental clinic standards

-Installation and maintenance standards

-Responsible materials

2.8.1.2 Research existing products:

Reverse engineering

18

-How a dental chair works

-Mechanical Features of a dental chair

-Materials used in a dental chairs design

-Functional behaviours of the dental chair

-Manufacturing processes used in dental chairs manufacture

Product Positioning

-Features and pricing of dental chairs on the market

2.8.1.3 Research end user:

Environmental

-Physical capabilities of the end user (People with disability)

-Apprehension of disabled users

-Application of dental treatment

-Dental Professional opinion

Observation of use

-Dental professional advice

-End user advice

-Surveys

2.8.1.4 Research Human Facors

Disability sufferer capabilities

Diseases and disabilities in which could effect dental chair users

Routines users have upon engaging with the dental chair in order to under go treatment, i.e.

getting into chair, stabilising oneself, etc.

Dental professional access to patient

Dental Professional access to treatment intruments

2.8.2 Concept development

2.8.2.1 Collect and Identify customer needs:

This phase of the project will be earmarked as being one of the most important aspects of the

product development. In the process of collecting customer needs using the technique of

identifying lead users of dental chairs and spending the resources available on collecting needs

from these individuals rather than surveying large numbers of people. This in turn reduces amount

of resource expenditure while still gaining accurate and relevant customer needs.

The steps of collecting customer needs are listed below.

19

Define scope

-Mission statement

Identify lead users

-Contact lead users

-Gain expertise

Gather raw data from lead users

-Interviews

-Surveys

-Observation

Interpret raw Data

-Customer needs statements

-Establish target specifications

Organize the needs

-Hierarchy

Establish Importance

-Surveys

-Quantified needs

Reflect on the process

-Continuous improvement

2.8.2.2 Product Concept Generation and Selection:

Using concept generation strategies, concepts ideas will be generated. These ideas will then be put

through rigorous screening as to enable selection of the relevant concepts to be incorporated into

the design of the dental chair.

The concept generation process in which will be executed is as follows.

Clarify problem

-Understanding

External search

-Contact Lead users and experts

-Research Patents

-Research Literature

-Benchmark existing dental chairs

Internal search

-Concept idea generation

Reflect on the process

20

-Continuous improvement

The concept selection will then be conducted. The concept selection will entail as follows:

Present concepts to experts to gather opinion

Prepare Matrix

Weight each concept

Rate each concept

Select high scoring concepts

Reflect on process

2.8.3 System Level Design:

System level design entails in developing a on the product based on the concept development stage

prior. In this phase, creativity becomes a defining factor. Creative techniques will not be planned

but will be noted in the implementation description in the material and method part of this thesis.

2.8.4 Detail Design:

The detail design is the process where the product will be defined and finalised before testing. All

concepts will be set in stone and final geometries outlined and dimensioned. The phases of the

detail design can be seen below.

Produce CAD model

Produce engineering drawing of components

Produce renderings

Construct proto-type

2.8.5 Testing and refinement:

The CAD model produced will be structurally analysed with the use of the ANSYS 14.5 software

as to conduct investigation whether the chair’s design will fail under use. Also physical tests may

be done on the proto-type of the Dental chair. When results of the tests are obtained, the Final

Dental chair design can be finalised and presented.

21

2.9 Lead Users

Accurate understanding of user need has been shown near-essential to the development of

commercially successful new products. Unfortunately, typical means of analysing the market or

conducting market research are not completely reliable especially in the instance of novel type

products or in product categories characterized by rapid change such as high technology products.

Although there are techniques that can be used to gain strong consumer needs while also

considerably decreasing the time it takes to obtain them. The technique of establishing “Lead

Users” is a fundamental tool in which allows a researcher to accomplish this.

Lead users are users whose present strong needs will become general in a marketplace months or

years in the future. Since lead users are familiar with conditions which lie in the future for most

others, they can serve as a need forecasting laboratory for marketing research. Moreover, since

lead users often attempt to fill the need they experience, they can provide new product concept and

design data as well.

In regards to product design, lead users can be systematically identified, where their perceptions

and preferences can be incorporated into industrial and consumer marketing research analyses of

emerging needs for new products, processes and services. [8]

3.0 Product Research

3.1 Introduction

The following section of the literature review is the product research done in the planning phase

(phase 0) of the product development plan highlighted in section 2.8.1. In this section the research

done such as research market, existing products and end users will be outlined.

3.2 Market research

3.2.1 Disabilities in Ireland

“Disabilities” is an umbrella term, covering impairments, activity limitations, and participation

restrictions. An “impairment” is a problem in body function or structure; an activity limitation is a

difficulty encountered by an individual in executing a task or action; while a participation

restriction is a problem experienced by an individual in involvement in life situations. [17]

Disability is thus not just a health problem. It is a complex phenomenon, reflecting the interaction

between features of a person’s body and features of the society in which he or she lives.

22

Overcoming the difficulties faced by people with disabilities requires interventions to remove

environmental and social barriers.

People with disabilities have the same health needs as non-disabled people – for immunization,

cancer screening etc. They also may experience a narrower margin of health, both because of

poverty and social exclusion, and also because they may be vulnerable to secondary conditions,

such as pressure sores or urinary tract infections. Evidence suggests that people with disabilities

face barriers in accessing the health and rehabilitation services they need in many settings. [17]

The above statement suggests that disability can be a major cause of difficulty in accessing health

services and rehabilitation. A form of this is difficulty for disabled people, is accessing dental

treatment, which is very important regarding oral health. Difficulties for disabled people engaging

with dental chairs impact on the Dental treatment delivery or service. In other words difficulty in

getting in or out of the chair, or discomfort and difficulty while sitting in it may affect a person’s

outlook on the dental treatment. For example if a disabled person had extreme difficulty upon

getting seated in a dental chair, the same person may be hesitant before seeking dental treatment

again. This may be because they feel very apprehensive about going through the ordeal again of

becoming seated in the chair. Episodes like this happen on a daily basis and the statistics are there

to prove it. As is stated: “Only about one half of people with disability consider their health to be

good.” [4]

In Ireland today there are over 184.1 thousand people with a mobility or dexterity disability in

which accounts for over 4.5% of the population. [4]

People living with these disabilities face constant obstacles in everyday life. Tasks such as getting

into the shower/bath, getting into a car and other daily activities can prove difficult and in cases

intimidating. Table 1 represents the opinion on level of difficulty in everyday life of disabled

people. The table shows that people who have disabilities suffer a lot of difficulties on a daily basis

and as related back to the WHO statement, has an associate effect on general health and well-

being.

23

Table 1: Disability thresholds for each disability type in the NDS. [4]

Disability thresholds for each disability type in the National Disability Survey

24

3.2.2 Wheelchair users

A common obstacle in a wheelchair user’s life is that of chair transfer. Wheelchair users may need

to transfer from the wheelchair to other places many times a day. Because of this it is important

that wheelchair transfer is made as easy as possible. Transfers may be needed because of going to

the toilet, taking a bath or shower, changing wheelchair etc. These seem like common and simple

daily tasks to a fully capable person, but considering the work effort needed for each transfer, each

task can be exhausting to a wheelchair user. Also studies show that repetitive wheelchair transfer is

not only exhausting but can develop injury to the shoulders. Therefore wheelchair transfer should

be kept as simple and as easy as possible to lower the risk of wheelchair users developing injury.

“Both the weight-relief raise and transfer result in scapular and humeral positions and directions of

motion that may negatively impact the available sub acromial space. This may present increased

risk for injury or progression of shoulder pain in persons who must routinely perform these tasks.”

[7]

Upon entering a Dental chair in order to receive dental treatment, a wheelchair user can still

experience the same difficulty. In a lot of cases the wheelchair user does not possess the capability

of transferring to a dental chair independently. Therefore assistance is needed either from Dental

treatment staff or from family and friends. This in turn leaving the wheelchair using patient reliant

on the transferring skills of these people mentioned. A picture taken from “the Wheelchair

Transfer: A Health Care Provider's Guide” in which outlines good practice upon aiding a

wheelchair user getting into a dental chair can be seen in Figure 6.

Figure 8: Approach in which should be taken when transferring a patient into a dental chair [7]

25

3.2.3 Demographics

Below in Table 2 is taken from “the National Disability survey 2006” It is a breakdown of the

number of people with disabilities in Ireland into the disability categories as shown in the table.

Table 2: Prevalence of disability by disability type [4]

Table 2 shows that the number of Mobility & Dexterity disabilities accounts for 56% of the overall

population with disability. In which is a total number of 184 thousand people. [4]

These statistics present a huge market in the field of disabled friendly Dental chairs. As there are

specialised clinics in Ireland, there is not enough to provide people with disability ease of access to

Dental treatment. This in turn goes against the HSE’s effort in promoting oral health as, if it is

difficult to access treatment; it is more likely people won’t seek treatment.

Studies done in the National University of Ireland Galway, suggests factors in which have impact

of a disabled persons perceptions of Dental treatment. [6]

The study outlined that clinics not having adequate physical accessibility to the disabled, had

significant negative effect on a disabled person wanting to seek dental treatment. This information

presents a need to make dental chairs more disabled friendly as to further encourage and promote

oral health across the disabled population. Also referring back to the statistics presented by the

CSO 2006 survey (Table 2), with the use of disabled friendly dental chairs, considering the large

number of Mobility & Dexterity disabilities, will have a significant impact on overall oral health of

the disabled population.

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3.2.4 Aesthetic Parameters

In this section, standard dental chair designs will be discussed where common perceptions of

dental chair and its aesthetics will be noted and outlined.

In figure 7 are pictures taken of the dental chair in the Mayo General Hospital, Castlebar. This

chair is a standard model dentist chair. It can be said that this type of chair can be represented as

what a normal persons perceptions of what a dental chair is.

Figure 9: Dental chair situated in Mayo General Hospital, Castlebar

As can be seen in the pictures above, the chair has primary features that can be seen across most

dental chair design. These features are listed and described as follows.

Arm-rest

Head-rest

The Unit The Spittoon

Back-rest

Seat

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Feature 1: The Delivery system

The delivery systems are composed of two components. One component is the sink which is

known as the “Cuspidor” or “Spittoon”. This is where a patient may take a drink or spit out after

rinsing ones mouth.

The second component is the “cart” or “unit”. This is an important component of the dental chair.

It holds the Dental utensils in which a dentist will use while treating a patient. The position of the

“unit” can determine the efficiency of the dental treatment i.e. if a dentist has to stretch over to

reach for a utensil this in turn slows down treatment time and may cause fatigue on the dentist

should he/she be treating many patients throughout a working day. Usually the delivery systems

are fixed to the back of the chair or to the sides. It can be said that the larger the movement

envelope of the delivery components the better the service they provide.

Feature 2: The Seat

The seat on a standard dental chair is an elongated support in which integrates the seat for the

buttocks with the legs rest as one rigid structure. This structure is usually ergonomically shaped so

the human body can comfortably fit into the chair.

Feature 3: The Back Rest

The back rest on most common dental chair design are just simple back rests in which you would

see on any type office chair or seat. Usually they have very slight ergonomic shaping to improve a

patient’s comfort when seated.

Feature 4: The Arm Rests

On most dental chair designs the arm rests are rigid structures protruding from either side of the

seat. They are not usually detachable but on some models they can be rotated up or down like can

what be seen on the armrests of a bus.

Feature 5: The Headrest

The headrest on a typical dental chair is just a simple headrest which is mechanised to traverse up

(away from the back rest) and down (toward the back rest). This is to incorporate people of taller

stature. On most designs the headrest is merely that, there is no neck support provided.

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3.2.5 Environmental

In designing the dental chair the author will follow ISO 6875:2011 Dentistry - Patient Chair. ISO

6875:2011 outlines specifications in which the design and function of the dental chair needs to

abide by. An important spec outlined in the standard is that the chair not fail or topple over when

loaded by a patient of at least a mass of 135 kg. In designing the disabled friendly dental chair the

author will not only be looking to satisfy the customer needs but designing a chair that will satisfy

ISO 6875:2011. These standards can be seen in Appendix 4.

29

3.3 Existing Product research

In this section the research done investigates existing dental chairs on the market. In investigating

the market of top of the range dental chairs, there were three outstanding models of interest. These

models were chosen for the reason that if this project’s output of a final product design were to be

entered into the market these three models would be the products primary competitors.

The models chosen for research can be seen listed below.

Belmont 037/039

Planmeca chair

KaVo 1058 compact

3.3.1 Belmont 037/039

The Belmont 037/039 dental chair range incorporates a ground breaking concept. This is the

concept having a knee break in the seat component of the chair. Having an incorporated knee break

can solve many problems. For one, it means someone transferring from a wheelchair to the dental

chair can do so as if they were transferring into an ordinary chair. Below is a picture taken from

the Belmont 037/039 user’s manual.

Figure 10: Belmont 037/039 dental chairs (Belmont, 2014).

From scrutinising the Belmont 037/039 models, a pros and cons list was compiled to establish

concepts to take forward to the design phase and concepts to try and enhance.

30

Table 3: Pros and Cons list of the Belmont 037/039 Dental chair models.

Pros Cons

Knee Break

Knee break gives easier access to the

disabled and even easier access to fully

capable people.

Headrest

Headrest offers no support to the neck.

Small base footprint

The base does not take up as much space as

standard dental chair models. Thus leave

greater free space around the chair.

Armrests

The arm rests are not detachable and may

present a difficulty in wheelchair users

transferring to the chair.

Foot extension

The foot extension gives greater leg support

to someone who is large in height.

Backrest

The backrest is poorly ergonomically

shaped. The backrest does not provide

adequate support to the upper-body of the

patient.

From analysing the Belmont 037/039 dental chairs, two possible concepts to be taken into the

design stage were established (as can be seen in Table 3). These were the knee break and the

reduced size of the base footprint. These concepts will be considered in the concept development.

31

3.3.2 Planmeca chair

The Planmeca chair is a more recent model of chair. It takes the concept of the Knee break in the

seat while also incorporating the concept of detachable arm rests. Pairing these alongside the fact

that the base footprint is smaller again then that of its Belmont counterpart, This chair is designed

to suit the needs of a disabled person. Shown below is a picture of the Planmeca chair taken from

the Planmeca website.

Figure 11: Planmeca dental chair [11]

From scrutinising the Planmeca model, a pros and cons list was compiled to establish concepts to

take forward to the design phase and concepts to try and enhance.

32

Table 4: Pros and Cons list of the Planmeca Dental chair model.

Pros Cons

Knee break

The Knee break as mentioned with the

Belmont model gives easier access. Also

this models knee break is “invisible” when

the seat is fully elongated out.

Headrest

Headrest offers no support to the neck.

Detachable arm rests

The detachable arm rests means that a

wheelchair bound patient can access the

dental chair with easier.

Chair Height

Comparing the Planmeca model with the

Belmont models, the chair can only lower

to 495mm from the ground when the Knee

break is at 90 degrees. Whereas the

Belmont can lower to 455mm.

From Table 4 it can be seen that the Planmeca design has two desirable concepts. These are the

Knee break and the detachable arm rests. These concepts shall be considered in the concept

development phase.

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3.3.3 KaVo 1058 compact

The KaVo 1058 compact dental chair design incorporates two potentially interesting concepts of

both the Knee break and the retractable footrest. It also has rigid arm rests that retract like that of

the armrests on a bus. The Footprint of the base, like in the other models is reduced and offers a

greater amount of free space around the chair. Below in Figure 10 the KaVo 1058 Dental chair can

be seen.

Figure 12: KaVo 1058 dental chair [10]

From scrutinising the KaVo model, a pros and cons list was compiled to establish concepts to take

forward to the design phase and concepts to try and enhance.

34

Pros Cons

Knee Break

The knee break as mentioned in the other

two dental chair model present easier access

to the disabled.

Head rest

Headrest offers no support to the neck.

Foot extension

The Foot extension gives greater leg

support to those who are large in height.

Armrests

Although the armrests can rotate or fold

down and up, they are not fully detachable

and may cause obstruction to a wheelchair

bound patient trying to gain access to the

chair.

Table 5: Pros and Cons list of the KaVo 1058 Dental chair model.

The KaVo 1058 design represents the most optimal design as it seems to incorporate most of the

good features of the other two Dental chair models.

Conclusion

Considering the three Dental chair models; there a number of good concepts that can be considered

in the concept development phase. On the other hand there are a number of considerations that the

chairs have not taken into account. In none of the chairs has the concept of supporting the neck

been considered. Also the Back rest of all the chairs had very little upper body supports (such as

that as in a Bucket seat in a Rally car) in order to stabilise a patient while under treatment. All

these factors can be brought forward into the concept development phase, and depending on the

customer need statements may be used.

35

3.4 End user Research

In this section the capabilities and preferences of the end users will be discussed. The two areas in

which will be investigated will be ways in which wheelchair user’s transfer from the wheelchair

into other seats and positions Dentists and dental professionals take while treating patients. This

research was conducted because when trying to develop a final design it is important to understand

the approach the end users of the product take when engaging or using the product.

3.4.1 Wheelchair Transfer

Wheelchair transfer is the term used in describing the technique used in a wheelchair user getting

out of the wheelchair. When designing furniture in which are to be wheelchair user friendly, it is

important to understand wheelchair transfer techniques. Below in Figure 11 is a picture taken from

a study by the University of Pittsburgh on lower extremity weight bearing upon wheelchair

transfer.

Figure 13: Three techniques used upon transferring from a wheelchair [16]

36

In figure 13 it can be seen that within every transfer technique shown, the wheelchair is positioned

in an angled orientation positioned as close to the chair as possible. This wheelchair approach is

known as the diagonal approach. In each wheelchair transfer (a, b and c) the person is executing

different approaches of raising and transferring oneself. In (a); the person uses the front and side

most distant from himself on the chair to place his hand. In (b); the person grips the side-edge

closest to himself. Finally in (c); the person executing the transfer has his hand placed more

centrally to the chair. From this information it can be noted that when designing a chair that is to be

wheelchair user friendly, the seat component itself should be designed to enable these type of

wheelchair transfers. For example if someone wanted to perform a transfer like what’s shown in

Figure 14 picture (b), then the seat should be design that the edges are rigid and have adequate grip

to provide safe transfer.

While considering the three techniques of transferring oneself from a wheelchair, it is also

important to consider the positional approach of the wheelchair used when seeking to execute a

transfer. Below in Figure 14, these two approaches are outlined.

Figure 14: Positional wheelchair approach of someone trying to execute a wheelchair

transfer [14]

37

As can be seen in Figure 14 the two approaches are the “Diagonal approach and the “Side”

approach. When developing a design for furniture that is to be wheelchair friendly it is important

that these approaches are considered and that adequate free space is incorporated around the

furniture piece to enable either approach of transfer.

3.4.2 Dental Professionals

In designing a dental chair it is important to understand the point of view of the dental

professionals themselves. It is important to understand their relationship with a dental chair and

their interactions with it. It can be seen in Figure 15 various dental treatment being delivered.

Figure 15: Various dental treatment being delivered (Google images)

38

As can be seen in figure 15; when delivering treatment, a Dentist needs to be able to position

him/herself quite close to the patient. From this, it can be noted that free space is needed from

either side to allow a dentist access to the patient. It can also be noted that the thickness of the

backrest will need to be considered as to allow the knees of someone delivering treatment be in a

comfortable position. Also that the dental chair base footprint size has a direct effect on the free

space available, it is important that this factor be considered in design.

39

4.0 Material and Methods

In this section the gathering and application of the customer needs will be highlighted. The process

of reaching the final design and how it was achieved will be outlined. Finally in this section is the

prototyping of the final design and how it was fabricated.

4.1 Customer needs

The method in which the customer needs were gathered was by identifying dental chair lead users

and gathering data from these individuals. The author identified three primary lead users of dental

chair in particular. These can be seen listed below.

Dental professional

Dental Chair Expert

Wheelchair user

Dental professional

The author gained contact with a Dentist based in University College Cork who specialises in

special needs dentistry. From interviewing the dental professional over the phone, the author

gained insight into various disabilities in which might be overlooked by dental chair

manufacturers. He also gave the author some ideas of his own in how dental chairs can be

improved.

Dental Chair Expert

From contacting a local dentist in the Castlebar area the author got in touch with a dental chair

installation and maintenance engineer. The author then met with the engineer in the Mayo Genaral

Hospital in Castlebar, Co. Mayo dental clinic. The author was then shown a demonstration of how

dental chairs function. He also presented the author with some examples and ideas of how the chair

can be improved.

Wheelchair User

Through this projects supervising lecturer, the author gained contact with a wheelchair user. The

author compiled a survey in which was filled out by the wheelchair user. She presented the author

with various ways in which dental chairs can be improved and reasons for which standard dental

chair designs can be difficult for people in wheelchairs.

40

From gathering information from these “dental chair” lead users the author then compiled a list of

useful concepts and ideas which could be brought forward into the design phase. This list can be

seen in figure 16.

Figure 16: Customer Needs Raw Data

41

From the list shown in figure 16 the author funnelled this list to centrally focus on a couple of

elements in particular. In funnelling the list the author decided what could actually be achievable

considering the resources and time constraints and whether if the idea would actually be feasible.

The two pieces of information in which the author decided to address can be seen listed below.

Height of chair

Increased access for wheelchair users

The element of chair height was chosen as it is a major factor in how easily someone in a

wheelchair transfers into a dental chair. Increased access was also decided to be a main priority in

this project as in standard dental chairs the actual design features makes it difficult to perform

wheelchair transfer.

42

4.2 Concept Generation

In this section the concept generation phase will be outlined. Various mind maps and other forms

of ideas used in developing the final design will be discussed.

4.2.1 Mind Mapping

As part of the concept generation process mind mapping was used in order to generate a large

number of ideas. Figure 17 shows one of the mind maps constructed in the concept generation

process.

Figure 17: Concept Generation Mind Map

43

4.2.2 External Search

From consulting with the lead users and various colleagues further ideas were generated. Figure 18

shows a few of these ideas.

Figure 18: External ideas

44

4.3 Concept Selection

The concepts in which were under selection were the ideas generated in lifting and lowering the

chair. They weighted from 1-5 under three different criteria. The first was functionality.

Functionality was in terms of how high and low the lifting mechanism can go while also not being

an irrational or over the top concept. The second criterion was the likelihood of success. This was

in terms of the concept idea actually going to lift and lower the chair successfully without failure.

Ease of implementation was the final criterion. Scoring the concept ideas against this gave an idea

of which idea was best to implement in terms of it achievability considering the resources and time

constraints of the project.

Concept Functionality Likelihood of

success

Ease of

implementation

Score

Jack 3 4 4 11

Scissor 4 4 4 12

Telescopic 3 3 2 8

Lead screw 2 2 3 7

Rack & Pinion 3 4 2 9

45

4.4 Final Design

This section will outline the final developed design. Each feature of the final design is explained

and outlined with the use of CAD modelling. The final chosen design can be seen in figure 19.

Figure 19: Final Design

As can be seen in figure 19 (Also refer to figure 21) the final design is a simplistic but yet

innovative approach into giving greater access to wheelchair users in transferring into the dental

chair. The design frees up space both in front and to either side of the chair to allow for almost any

type of wheelchair transfer. As can be seen the seat itself is split into two components, the seat base

and a retractable footrest. The chair is also raised and lowered by a scissor lift which is actuated by

a lead screw. The seat back can be brought up to 90˚ and lowered down to 170˚. The chair can also

be lowered to a height of 670mm which is an ideal height for those perform in wheelchair transfer

as the person can lower themselves down into the dental chair. Figure 20 shows the height

comparison of the dental chairs lowest point and the average height of a wheelchair.

46

Figure 20: Dental Chair at Lowest Point

The chair is primarily comprised of a seat, retractable footrest, backrest, armrests and scissor lift.

These features are shown in figure 21.

Figure 21: Final Design Features

47

4.4.1 The Scissor Lift

The scissor lift is composed of 40mm * 15mm mild steel cross members. In total there are 12 of

these cross members making up the scissor lift. They are connected with Ø16mm silver-steel pins.

At the bottom of the scissor lift the members are connected to sliders to allow the lift to extend and

retract. The sliders are connected to a lead screw which powers the raise and lowering of the lift.

At the top of the scissor lift, runner wheels are connected to the cross members. These runner

wheels bear the load of the chair itself and of the patient sitting in the chair. The scissor lift

assembly can be seen in figure 22.

Figure 22: Scissor Lift

48

4.4.2 Connection between Lift and Chair

The Scissor lift is attached to chair via a 5mm thick mild steel cap which is positioned on the

runner wheels. The cap transfers the load of the chair and patient onto the runner wheels. The cap

can be seen in figure 23.

Figure 23: Scissor Lift Cap

49

4.4.3 Seat base

The seat base as shown in figure 24 is composed of a 25mm box iron structure. Connected under

the seat is two runner bars to allow the footrest to extend and retract underneath the seat. At the

back of the seat there are also connection tabs in where the back rest will be positioned.

Figure 24: Seat Base

4.4.4 Retractable footrest

The retractable footrest is made out of 19mm box iron. The under the footrest 19mm box iron

runners are connected to slot inside the runners of the seat as shown in figure 24. The extension

and retraction operation will be operated by a lead screw attached to the footrest. The footrest can

be seen in figure 25 below.

Figure 25: Retractable Footrest

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4.4.5 Backrest

The back and head rest are made up of 25mm box iron structure. The back rest is fixed to the seat

based via connection tabs positioned at the back of the seat base. The raise and lowering of the

back rest is operated by a bevel gear system which transfers the rotation of the motor into the

rotation of back of seat.

Figure 26: Seat Back

4.4.6 Arm Rests

The arm rest are made up of mild steel circular tubing which are fixed to circular mild steel plates.

On these plates there is 10mm mild steel dowel protruding which slot into the holding plate which

are fixed to the scissor lift cap.

Figure 27: Arm Rests

51

4.5 Prototype

In this section the final design prototype will be described in detail. The manufacturing process

will also be outlined.

4.5.1 Introduction

As the resources and funding for the final year projects were limited the author decided the best

approach in prototyping the final design was to fabricate a scale model. Manufacturing a scale

model prototype still presents most of the integrated concepts of the final design and demonstrates

the final design functionality. The scale chosen for the model was 1:2 or in other words half the

size of the original design.

4.5.2 Completed prototype

The scale model prototype as shown in figure 28 demonstrates the concept of the scissor lift, the

cantilevering of the chair and also the retractable footrest. All the components were scaled down as

accurately as possible to get a model as close as possible to the final design. As resources and

materials available were limited, there were some slight variations made in order to fully construct

the model.

Figure 28: Dental Chair Prototype

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4.5.3 Manufacturing Process

The dental chair model has three primary assemblies and these are listed below.

The chair

The scissor lift

The slider system

The three assemblies can be seen in figure 29 below.

Figure 29: Prototype Assemblies

These three assemblies will now be described and also how they were manufactured will be

outlined.

Chair

Scissor lift

Slider system

53

The Chair

The chair is comprised of a wooden structure. First of all the frame itself was made by cutting

25mm timber to size. The timber was then fixed together using wood glue, panel pins and screws.

Then the frame was fitted with 5mm plywood as to give the frame a seat like appearance. A drawer

like mechanism was also made which was to represent the retractable footrest. This was fixed

under the seat base. The prototype chair manufacturing phases can be seen in figure 30.

Figure 30: Prototype Chair

To make the footrest on the prototype extend and retract a lead screw and motor were connected to

the chair. This was done by firstly cutting a piece of threaded bar to size, then making an

aluminium connector attaching the 12 volt motor to the threaded bar. A special elongated nut was

then fitted to the back of the footrest. The motor was then positioned and fixed into place

underneath the chair. As the motor is turned on, the lead screw will turn and depending on which

way the motor is turning the footrest will extend or retract. The leg rest mechanism can be seen in

figure 21.

Figure 31: Footrest Mechanism

54

The Scissor Lift

In constructing the scissor lift first of all the cross members were made. 6 mm thick mild steel bars

were cut to length (250 mm). Then on each member three 6 mm holes were drilled in order to

accommodate the pins. There were 8 cross members made in total. The pins were then fabricated

from 6 mm silver steel which was threaded at both ends to allow a nut to hold the pins in position.

Small brackets were then made out of 25mm box iron to hold the lift onto the slider. These

components can be seen in figure 32.

Figure 32: Scissor Lift Assembly

Pins

Brackets

Cross members

55

Slider Mechanism

The slider mechanism in the prototype uses a lead screw to traverse the sliders. The lead screw and

sliders used in the prototype were salvaged from a broken 3-D printer. The sliders consist of a

bearing which is fixed in place and a lead nut slider which traverses along the track with rotation of

the lead screw. The tracks themselves were also salvaged. The author managed to obtain the

aluminium profile from old Control lab components which were no longer in use and ready to be

scrapped. The tracks were then fixed to a base with mild steel brackets. The base was made from

10mm chipboard. The slider mechanism can be seen in figure 33.

Figure 33: Slider Mechanism

The motor was then connected to the lead screw using grey steel collaring with grub screws

holding the collar in place. A bracket was made to hold the motor into position. This bracket was

then fixe to the base. The motor, collar and bracket can be seen in figure 34.

Figure 34: Motor, Collar and Bracket

Collar

Motor

Bracket

56

4.6 Testing

In this section the final design will be tested in various methods. Calculations have been performed

on various aspects of the dental chair to gain insight into whether or not the chair would fail under

use and on various aspects on how it performs. The test and calculations being performed can be

seen listed below.

4.6.1. Finite Element Analysis to see would the Scissor lift function under a load.

4.6.2. Calculation to find out what load is acting on the lead screw.

4.6.3. Calculation to find out the torque required to raise the chair.

4.6.4. Calculation in finding out what is the magnitude of bending moment acting on where

the chair is cantilevered.

4.6.5. Calculations of various ways the bending moment can be alleviated.

57

1. Finite Element Analysis

In conducting the Finite Element Analysis the author chose to analyse the scissor lift. What was

being analysed was whether the scissor lift would withstand the weight of the chair and patient

without buckling. To perform the Finite Element Analysis the ANSYS 14.5 software was used.

The scissor lift was modelled using beam elements. Loads were applied and then a non-linear

buckling analysis was conducted. The Buckling analysis determined that the scissor lift will buckle

under the load of 31,342 N. Putting this in perspective is the weight of 3,194.9 kg. This means that

the designed scissor lift complies with ISO 6875:2011 Dentistry-Patient Chair. Although

considering the scissor lift only needs to bear the weight of 1485.9 N (151.466 kg) the scissor lift

designed by the author may have to be revisited as the bucking analysis results show it is over

designed. The Finite Element Analysis report can be seen in Appendix 3.

58

2. Calculation to find out what load is acting on the lead screw

In this section the load acting on the pins and lead screw when a patient is sitting in the chair will

be calculated. The mass of the patient sitting in the chair being assumed is in accordance with ISO

6875:2011 Dentistry - Patient Chair.

The formula for finding the axial load acting on the lead screw can be seen in Equation 1.

Equation 1: Force Acting on Lead Screw

Where:

W = Weight of chair and patient

= Angle of cross member from the ground

Equation 1 was derived from a summary of the forces of the entire scissor lift. This derivation can

be seen in Appendix 1 (Dental Chair Analysis Report 1).

Assuming the chairs mass is 16.466 kg and the patient’s mass is 135 kg and that the angle in which

the chair is 20⁰ from the ground when chair is at its lowest point.

Knowing this, the load on the lead screw when the chair is at its lowest point is calculated below.

( ) ( )

Equation 1 was then used to find the axial force acting on the lead screw at each increase of 1

degree in angle from the ground starting at 20⁰ and finishing at 45⁰. This data shows that the higher

the scissor lift is lifted the less load acting on the lead screw. Refer to Appendix 3 to see the

calculated forces using Microsoft Excel. Figure 35 gives a representation of every degree in which

the cross member increases from the ground that the axial load on the lead screw decreases.

59

Figure 35: Force on Lead Screw Graph

Conclusion

In calculating the force on the lead screw the torque required by the motor to raise the load can

now be calculated.

3. Calculation to find out the torque required to raise the chair.

In this section the torque required to turn the lead screw in order to raise the chair will be

calculated. In order to be able to calculate the torque required first of all the lead screw dimensions

need to be specified. They are as follows.

Thread depth = 2mm

Thread width = 2mm

Major diameter = 32 mm

Mean diameter (dm) = 30mm

Root diameter (dr) = 28mm

Lead = 8mm

The coefficient of friction for threads = 0.14

Also the assumption will be made that all other friction occurring are negligible.

The formula used to find the torque required to raise the load can be seen in Equation 2.

0

1000

2000

3000

4000

5000

20 22 24 26 28 30 32 34 36 38 40 42 44

Force on lead screw (N)

Force on lead screw

Angle of cross

member from

ground

60

(

)

Equation 2: Torque Required to Raise the Load

Where:

= Torque required raise the load

F = Force acting on the lead screw

= Mean diameter

l = lead

= Coefficient of friction

The torque required to raise the load from its lowest position of 20⁰ can be shown calculated using

equation 2 below.

(

)

Although as stated earlier that the higher the chair is lifted the less force acting on the lead screw.

This means that the less torque is required the higher the chair is raised so long as friction remains

constant. Refer to Appendix 3 to see the calculated Torques using Microsoft Excel. Figure 36 gives

a representation of every degree in which the cross member increases from the ground that the

torque required to raise the load decreases.

61

Figure 36: Torques Required to Raise Load Graph

Conclusion

In calculating the force required to raise the load it was found that when the chair was lowest to the

ground this needed the largest amount of torque. This was found to be 13.9 N.m. This means that

the motor to be used in the design must have and output torque of at least 14 N.m.

0

2

4

6

8

10

12

14

16

20 22 24 26 28 30 32 34 36 38 40 42 44

Torque required to raise load (N.m)

Torque required toraise load (N.m)

Angle of cross

member from

ground

62

4. Calculation in finding out what is the magnitude of bending moment acting on where the

chair is cantilevered.

It was calculated that the bending moment acting on the top of the scissor lift was 758.254 N.m.

These calculations can be seen in Appendix 2 (Dental Chair Analysis Report 2).

Conclusion

From calculations, the author noted that the bending moment acting at the point of where the dental

chair is cantilevered was great as it amounted to 758.3N.m. Putting this in perspective it is the

equivalent of placing a 77kg mass on the end of a metre stick. In order to satisfy ISO 6875:2011

the chair must be able to lift a patient without failure or toppling over. From the bending moment

calculated the author can now look at ways in which ensure that toppling or failure would not take

place.

5. Calculations of various ways the bending moment can be alleviated.

For alleviating the bending moment on the top of the scissor lift two ideas were analysed

theoretically. The idea having a counter weight at the back of the chair was looked into and also

the idea of having an extra leg support underneath the footrest was investigated. It was calculated

in order to fully alleviate the bending moment of a fully loaded chair a counter weight of 643.5N

(65.6kg) must be applied. Also if the extra leg support were to be chosen it would have to be

designed to at least bear the weight of 650.8N (66.34kg) in order to support the loaded chair.

Refer to Appendix 2 (Dental Chair Analysis Report 2) for calculations.

Conclusion

The two design ideas would work in alleviating the bending moment but both these design ideas

are not entirely practical as the counter weight would further load the scissor lift increasing the

torque required by the motor to raise the load. Also the extra leg support would also have its

impracticalities as the end user of the dental chair may forget to use it.

63

5.0 Discussion

In this section the project as a whole will be discussed. The discussion includes the selection of the

product development process used in this project, the Research conducted, the final design

achieved, the design prototype and the calculations results.

The project firstly began with investigating various product development process models. The

product development models investigated were the Stage Gate process, Total design process and

the Eppinger process. From investigating the three development processes the author selected the

Eppinger process to use as a template in conducting this project. The reason of which the author

chose this process was because the Eppinger process had detailed instruction in how to accomplish

each stage of the process. Upon selection of the process it was then tailored to fit the scope and

timeframe of the final year project. Various phases of the process were changed or slightly altered.

The major area that was changed was phase five which comprised of production ramp up of the

final product. As this was an academic project, it was decided to change phase five to the

presentation of the final design as the final product was not being brought to market. From this the

author assigned tasks and deadlines for each phase of the development process in order to further

give the project structure in its execution. These tasks and dates were inserted into MS project

which was used to continuously track the project.

Following the tailored Eppinger process, the research phase began on the project. From the

research the author gained insight into a market need for further developments in dental chair

design to make it easier for disabled people to access them. Also various wheelchair transfer

techniques were investigated which gave insight into what is the problem with standard dental

chair designs which further backed up the case of a need for further developments needed in dental

chair design. The author also researched existing dental chairs on the market, and from this, the

author gained some valuable ideas to bring forward to the next phase which was the concept

development phase.

The concept development phase began with capturing the customer needs. To do this the author

used the techniques described by Eric von Hippel in identifying lead users. The lead users

contacted by the author were a dental professional, a dental chair engineer and a wheelchair user.

From interviewing and surveying the lead users the author was able to compile a list of customer

needs statements. Using this, the author targeted two main customer needs when developing the

design and they were the height in which the chair could be lowered and to make it easier for

wheelchair transfer be made onto the chair. From outlining these objectives the author then

conducted various creative techniques in generating concepts that will satisfy the newly established

customer needs. From talking to the lead users and conducting more existing technology research

64

the author gathered a substantial amount of ideas to bring forward to concept selection. To funnel

down these ideas the author compiled a scoring matrix where each concept was scored according

to its performance against the elected criteria. The concept in which scored the greatest was then

selected to be developed into the final design.

In the developing the final design, the author sketched many ideas of how the chosen concepts

would be integrated. Also primitive CAD prototypes were made to gain further insight. From the

cycles of sketching ideas and modelling CAD prototypes the final design was achieved. The final

design was then accurately modelled on CAD from which the prototype was based.

As resources and time was limited the author decided that the prototype was going to be a scaled

down model of the final design. The scale selected was 1:2 or in other words half the size. In

fabricating the prototype, the author had many complications in trying to scale down the design as

materials available were limited. The author decided to outline the important features in which

needed to be presented by the prototype. The two major features outlined were the scissor lift and

the retractable footrest. From outlining these two features the author successfully developed a

functioning prototype.

The design was then looked into in a technical sense. Various calculations and tests were

performed on the final design. These tests gave the author feedback on where the final design

needed further enhancement and improvement. One aspect where the author noted where

improvement could be made was of the large bending moment acting on the top of the scissor lift.

The author then came up with two undeveloped ideas to alleviate this bending moment but these

ideas would need further development and thus were not then incorporated into the final design.

65

6.0 Conclusion and Recommendations

This section will conclude on the thesis report. The outcomes of the project work done and its

respective results will be outlined. Recommendations will also be made for the project in where if

it is to be undertaken again. The section is broken down into the product development process and

its effectiveness in its execution, then the final design achieved and its performance in terms of

satisfying the customer needs will be concluded.

6.1 Product Development Process: Eppinger Process

The Eppinger product development process was elected to follow in executing this project. As

part of the Eppinger process it is important to reflect on every stage of the product development as

to ensure that the process is continuously improved. Below each phase from phase 0 to 5 will be

discussed, highlighting how the process can be improved.

Phase 0

In before executing phase 0 gain clarity in what wants to be achieved by the project. The author

found that after phase 0 a lot of time was spent researching on areas in where when the project

gained further clarity this research seemed redundant. In this project more time could have been

spent on researching actual existing technology and this change could most definitely improve on

the process.

Phase 1

In this phase the customer needs were quite accurately gathered. Although the author felt that if

more contact was made with people who rely on wheelchairs, a more comprehensive customer

needs list would have been achieved.

Phase 2

In executing phase 2, there were a number of aspects in which could improve the process. If early

testing was conducted even at this early stage, it would have meant the final design could have

been more easily achieved, as the author found that some aspects or features being brought through

to testing and refinement had to be revisited after testing and calculation, meaning phase 2 had to

be revisited numerous times.

Phase 3

66

In constructing the prototype the author found difficulties in scaling down the final design. In this

project a scale was selected and then a material search began to try and source materials which

would be adequate to the scaling. If the material search was done first and then the scale of the

prototype was selected upon the materials available this would dramatically improve both process

and the final prototype.

Phase 4

If preliminary testing was done in Phase 2 this would reduce the chance of having to make

alterations to the design when reaching Phase 4.

Phase 5

Phase 5 seemed to run smoothly so there would be little or no change required for this phase.

Overall the Eppinger process used seemed quite effective although the conclusion can be made

that if testing was to begin at Phase 2 the overall process would be improved.

6.2 Final Design

The final design achieved satisfied the two customer needs collected from the lead users, which

were to reduce the height of chair and give increased access to wheelchair users. From the testing

done on the final design, the author found that the scissor lift in the design would not fail in lifting

a load of a 135 kg patient and the weight of the chair itself. Although as the scissor is not fixed to

the chair on its centre of gravity this means there is a large bending moment acting on the scissor

lift. With the time constraints of the project the author was unable to verify whether the scissor lift

would fail under this bending moment and therefore cannot conclude that the scissor will not fail.

Therefore the author would like to make the recommendation that further testing and analysis be

done on the design to establish whether the scissor can withstand the bending moment. As can be

seen in Appendix 2 the author devised two methods of alleviating this bending moment. Another

recommendation the author has made is to spend further time developing on these concepts in

order to improve the dental chair design.

67

6.3 Recommendations

Upon reflection on the project there were a number of aspects in which the author would make

recommendation. In the execution of the product development process amendments should be

made to phase 2 to begin preliminary testing at this phase. This would ensure that when more in

depth testing is done in phase 4 that major alterations to the design would not have to be made.

Also for future work the author would recommend that a finite element analysis be conducted upon

the scissor lift to see if the scissor lift will buckle under the bending moment caused by the loaded

chair. The author will also advise that the two concept ideas outlined in Appendix 2 be further

investigated and developed as to alleviate the bending moment acting on the scissor lift.

68

7.0 Appendices

69

Appendix 1: Dental Chair Analysis report 1 (Torque Required to Raise

Load)

70

Contents

Introduction ........................................................................................................................................... 71

What is being analysed? ........................................................................................................................ 72

Examples of scissor lifts and where they are used ................................................................................ 73

Finding the power needed to raise load. ................................................................................................ 74

Magnitude of the loads ...................................................................................................................... 75

Finding the component of force acting on the lead screw ................................................................. 76

Dimensions of the lead screw ............................................................................................................ 80

Torque required to raise load ............................................................................................................ 81

Power needed to raise chair ............................................................................................................... 83

Energy needed to fully raise chair ......................................................................................................... 84

Discussion ............................................................................................................................................. 85

Conclusion............................................................................................................................................. 86

References ............................................................................................. Error! Bookmark not defined.

71

Introduction

The scope of the major project is to design a dental chair in which will have enhanced accessibility

to wheelchair users. In order for the chair to be still classed as a dental chair it must have the

following functions.

The chair must be able to be raised and lowered.

The chair must be able to support the weight of a patient of at least 135kg and its

additional self-weight.

The chair must not tip or lift off the ground when loaded or unloaded.

These three requirements were taken from ISO 6875:2011 (Dentistry patient chair).

In this report the design in which has been achieved for the chair is going to be analysed. The

Design will be theoretically placed under a load of 135 kg. Then torque on the lead screw required

to raise the load will be found, in turn the power needed by motor to raise the load can then be

found. Using this power rating the energy consumption to fully raise chair to max height when

loaded will be then calculated.

72

What is being analysed?

In the below design the wheelchair friendly dental chair incorporates a scissor lift mechanism in

which raises and lowers the chair. A scissor lift or “Jack” mechanism is a device used to extend or

position a platform by mechanical means. The term “Scissor” comes from the mechanism utilized

which is configured with linked, folding supports in a crisscross “X” pattern. The extension or

displacement motion is achieved applying of force to one of the supports resulting in an elongation

of the crossing pattern.

The force applied to extend the scissor mechanism may be hydraulic, pneumatic or mechanical (via

lead screw or rack and pinion system).

It will be this scissor lift mechanism in which is adopted into the wheelchair friendly dental chair

design that will be analysed in this report. In order for the scissors to function an applied force is

needed to the lift members. In this case a lead screw connected to a motor will traverse one of

members along a slider to elongate the scissors lift. In this report the applied torque needed from

the motor onto the lead screw in order to lift the load will be calculated. Also the power needed by

the motor and the energy consumption of the motor when fully lifting the chair to max height will

be calculated.

73

Examples of scissor lifts and where they are used

Car hoist scissor lift.

These heavy duty lifts are designed to lift large loads and most can lift well over 2.7 tonnes. In

most car hoists the scissor mechanism is powered by hydraulic rams in which engage the lift in its

central pin. Lifting from the central pin has its advantages as it reduces the amount of friction

between the ground and the bottom elements meaning a more efficient lifting when large loads are

concerned.

Cherry picker scissor lift

These lifts are designed to provide a raised work platform. They are designed to gain large heights

and remain rigid when fully elongated. As can be seen in the above picture there are a number of

scissor mechanisms which all work in conjunction which each other.

74

Finding the power needed to raise load.

In order to find the motor efficiency the following formulas and information is needed.

1. Magnitude of load

2. The dimensions of the lead screw as listed below

o Pitch

o Single or double threaded

o Coefficient of friction

o Thread depth

o Thread width

o Pitch diameter

o Minor diameter

o lead

3. Torque required to raise the load

Also the following formulas are needed.

Where

P = power

T = Torque required to lift the load

75

In most dental chairs 12 volt motors are generally used that have a rotational output of 110 R.P.M.

or 52.521 rads/second. This will be the motor selected to be used in this analysis.

Magnitude of the loads

In compliance with ISO 6875:2011 (Dentistry patient chair) the mass of 135kg will be used in

loading the chair. Self-weight will be ignored in this analysis. Note 135kg is equal to 1324.35 N.

Note: As the lead screw is not taking just taking the load of 1324.35 N. The component of force

that is acting on the lead screw needs to be found.

1324.35 N

76

Finding the component of force acting on the lead screw

The total load in the chairs is 1324.35 N. This is not the force that will be put into the torque

formula as it is the load acting upon the lead screw (down the axis of the lead screw) is the force

that needs to be considered. Here this component of force will be found.

Wheel Chair Friendly Design:

512mm

20.7 degrees

77

78

79

80

Dimensions of the lead screw

The dimensions of the power screw to be used in the calculations are listed below.

Thread depth = 2mm

Thread width = 2mm

Major diameter = 32 mm

Mean diameter (dm) = 30mm

Root diameter (dr) = 28mm

Lead = 8mm

The coefficient of friction for threads = 0.14

662.175 N

3504.790 N

Note:

As the lead screw will

only be bearing the load in

the x direction it will be

3504.790 N used when

calculating the Torques for

raising.

81

Torque required to raise load

The torque required to raise load will now be calculated. Coefficient of friction on elements of the

chairs will be ignored and only power screw threads friction between nuts will be taken into

account. Also there is no collar friction so this is also being ignored.

Dimensions of the lead screw:

The dimensions of the power screw to be used in the calculations are listed below.

Thread depth = 2mm

Thread width = 2mm

Major diameter = 32 mm

Mean diameter (dm) = 30mm

Root diameter (dr) = 28mm

Lead = 8mm

The coefficient of friction for threads = 0.14

82

83

Power needed to raise chair

84

Energy needed to fully raise chair

85

Discussion

The author noted that the direction of the Reaction in the X-direction at the bottom of the scissor

lift member was the component of force acting upon the lead screw. So the formula

was derived. This formula was then used to find Rx which is 3504.8 N. This force was then used in

the Torque formula to find the torque required to raise the load which is 11.96 N.m. It was this

torque which was then used to find the power needed by the motor to raise the load which was

calculated to be 628.414 W. Also so speed at which the chair is to raise was found to be 0.015 m/s.

This was found by multiplying the output RPM of the motor by the lead of the screw and then

dividing by sixty. Then the energy required to fully raise the chair was found. This was done by

dividing the length at which the chair must travel to reach max height by the upward chair velocity

(as mentioned previous) to find the time it takes to reach max height. Then the power needed by

motor to raise the chair was multiplied by this time giving a measure of energy needed to fully

raise the chair which was 18852.42 Joules.

86

Conclusion

In conclusion of this analysis the author gained valuable insight into scissor lift design and motor

selection. As the only information given at the start of this report was the applied load and the

scissor lift dimensions, the author broke down the force into its respective reactions then these

reactions were used in order to find the torque required to raise the chair. This torque was then

used in turn to calculate the power needed by the motor to raise the load. After this power rating

was used to find the actual energy needed to fully raise the load to max height.

Learning outcomes:

Searching, obtaining and interpreting ISO standards

Further insight into summarising forces and finding reactions

Practical application of torque formulas

Practical application of Power formula and

calculating energy consumption of a mechanism

87

Appendix 2: Dental Chair Analysis Report 2 (Calculating The Bending

Moment)

88

Contents

Introduction ........................................................................................................................................... 89

What is being analysed? ........................................................................................................................ 90

Examples of Cantilever solutions ......................................................................................................... 91

Counterweights ................................................................................................................................. 91

Suspension Bridge concept ............................................................................................................... 91

Calculating the bending moment .......................................................................................................... 93

Possible Design Alterations to Reduce Bending Moment .................................................................... 99

Counter weight ................................................................................................................................ 100

Extra leg support ............................................................................................................................. 102

Discussion ........................................................................................................................................... 104

Conclusion .......................................................................................................................................... 105

References ............................................................................................. Error! Bookmark not defined.

89

Introduction

The scope of the major project is to design a dental chair in which will have enhanced

accessibility to wheelchair users. In order for the chair to be still classed as a dental chair it must

have the following functions.

The chair must be able to be raised and lowered.

The chair must be able to support the weight of a patient of at least 135kg and its

additional self-weight.

The chair must not tip or lift off the ground when loaded or unloaded.

These three requirements were taken from ISO 6875:2011 (Dentistry patient chair).

In this report the design in which has been achieved for the chair is going to be analysed. The

Design will be theoretically placed under a load of 135 kg. Then the bending moment acting upon

the point at which the chair is cantilevered will be calculated. Upon finding this, Ways upon

reducing this bending moment will be researched and possible design improvements will be

discussed.

90

What is being analysed?

In the below design the wheelchair friendly dental chair incorporates a scissor lift mechanism in

which raises and lowers the chair. As can be seen in the design, the chair is cantilevered meaning

the weight of the chair is only transferred to the ground at one point. Understandably this puts a

large stress on the point at which it is cantilevered.

In order to find the bending moment about the point of where the chair is cantilevered the actual

weight of the chair (Not the weight of the scissor lift) will be found and also the position of its

centre of gravity. Also the weight of the patient sitting on the chair is not a uniform distributed

load but will be broken down into body parts with respective weights and positions on the chair.

The bending moment can then be calculated knowing the position, distribution and magnitudes of

the loads.

Point at which is chair is

cantilevered

91

Examples of Cantilever solutions

In this section methods of relieving a bending moment on a cantilever structure will be researched

and discussed. These concepts can be possible solutions in the design of the cantilevered dental

chair and its subsequent bending moment acting at the fixing point.

Counterweights

A counterweight is an equivalent counterbalancing weight that balances a load. Counterweights

are often used in traction lifts (elevators), cranes and funfair rides. In these applications, the

expected load multiplied by the distance that load will be spaced from the central support (called

the "tipping point") must be equal to the counterweight's mass times its distance from the tipping

point in order to prevent over-balancing either side. This distance times mass is called the load

moment. Below are some counterweight examples.

Suspension Bridge concept

A suspension bridge is a type of bridge in which the deck (the load-bearing portion) is hung

below suspension cables on vertical suspenders. The suspension cables must be anchored at each

end of the bridge, since any load applied to the bridge is transformed into a tension in these main

cables. The main cables continue beyond the pillars to deck-level supports, and further continue to

connections with anchors in the ground.

92

The roadway is supported by vertical suspender cables or rods, called hangers. In some

circumstances, the towers may sit on a bluff or canyon edge where the road may precede directly

to the main span, otherwise the bridge will usually have two smaller spans, running between

either of the pillars and the highway, which may be supported by suspender cables or may use a

truss bridge to make this connection. In the latter case there will be very little arc in the outboard

main cables.

93

Calculating the bending moment

In this section the bending moment acting upon the point of where the chair is cantilevered will be

calculated. Upon calculating the bending moment of the current design, alterations will then be

made to the design in an attempt to reduce bending moment and the resulting bending moment

will be found for the improved design.

In order to calculate the bending moment the weight and weight distribution of the patient sitting

on the chair will need to be specified. In accordance to ISO 6875:2011 (Dentistry patient chair)

the specification for a person of mass of 135 kg will be used in this analysis. The table of how this

weight is distributed is also specified in the ISO 6875:2011 standard and can be seen below.

The actual self-weight of the chair (excluding scissor lift) is also needed. This is found using the

CAD model of the chair. The volume of the steel frame will first be found using the CAD

software and then a density of the material selected for the frame will be specified. Multiplying

the selected material density by the volume obtained from the CAD model will give a close

estimation of the weight of the chair. The volumes can be seen in the figure.

94

The material being used in the frame is a low carbon steel hollow box section. It has a density of

7800 kg/m³. The centre of gravity of the chair was obtained through the CAD software (CREO)

and is 402.714mm from the point at which the chair is cantilevered.

The entire volume of the chair is 2111111mm³ (2.111111e-3m³) as can be seen obtained from the

CAD model below.

Footrest: 387200mm³

Seat-base: 1104153mm³

Seat-back: 337998mm³

Head-rest: 99360mm³

Leg-rest runners: 182400mm³

Centre of Gravity

95

The total weight is therefore…

( )( )

Therefore the Free body diagram of the chair taking the weight of the chair is represented as

shown below.

A

402.714mm

161.541 N

96

The body weight distribution can be seen in the figure below.

(1) Weight of…..

Head and Neck

Upper trunk and upper

arms

Lower trunk, Lower arms

and hands and thighs

(1)

(2) Weight of…..

Legs and feet

(2)

97

(1): This weight acting on the chair is a composition of three body parts. Worst case scenario is

assumed and this is that the back of the seat is completely upright. This means that the weight of

the head and neck and upper trunk are acting in positive clockwise direction rather than if the

back of seat was lying back, then they would act in counter-clockwise direction. It is also so

assumed that this weight is acting in the centre of the seat base

As can be read off the ISO 6875:2011 table, the combined mass of…

Head and neck = 10kg

Upper trunk and upper arms = 45kg

Lower trunk, Lower arms and hands and thighs = 55kg

Total mass = 110kg

Total weight = 1079.1 N

(2): It is assumed that this weight is acting through the centre of the fully extended footrest.

Also read off the ISO 6875:2011 table, the mass of…

Legs and feet = 25kg

Total weight = 245.25 N

Therefore the overall bending moment diagram can be seen below.

98

Calculating the bending moment about A:

( )( ) ( )( ) ( )( )

Putting the calculated bending moment into perspective, it is the equivalent of loading the end of

a metre stick with 77kg. This presents a large bending moment about point A. Now alterations in

the design will be discussed in order to lower the bending moment.

402.714 mm

435 mm

912.5 mm

1079.1 N 245.25 N

161.541 N

A

99

Possible Design Alterations to Reduce Bending Moment

There are three concepts in which can be used to reduce the bending moment acting at the scissor

lift. These are as listed…

1. Counter weight with suspension cables and pulley

2. Extra leg support

These concepts will now be analysed as to determine which performs greatest and is best suited to

the design.

100

Counter weight

101

102

Extra leg support

103

104

Discussion

From calculations, the author noted that the bending moment acting at the point of where the

dental chair is cantilevered was great as it amounted to 758.3N.m. Putting this in perspective it is

the equivalent of placing a 77kg mass on the end of a metre stick. Two possible solutions to try

and alleviate the bending moment were:

Adding the feature of a counter weight with the use of cables and a pulley

or

The addition of an extra leg support underneath the leg rest.

In regards to the counter weight, It was calculated that the additional mass needed to balance the

chair was 65.6kg. The concept would in theory work well, although there are a number of

problems with this solution. For one the wire cables impede access to the side of the chair. Also

the extra weight has further strain on both the scissor lift and the motor which will therefore

increase the power needed to raise and lower the chair. The second concept of adding an extra leg

under the foot rest also counteracted the bending moment transferring the load to the ground. It

was calculated that the force acting upon the leg was 650.8 N or in other words supporting the

mass of 66.34kg. This concept seemed to be most adequate as it did not add substantial weight to

the dental chair and having minimal effect on the power needed to raise the load. It was also the

most achievable design as it uses the concept of a walking aid crutch which is both light weight

and strong as most standard crutches are designed to take the weight of a 110kg person whilst

only weighing 10-12kg themselves.

105

Conclusion

In conclusion of this report the author gained valuable insight into various bending moment

solutions. Also the bending moment acting on the point at which the dental chair is cantilevered

was calculated. Various ways in which could try and alleviate this bending moment were then

investigated. The two concepts which were chosen to further analyse were adding the feature of a

counter weight with the use of cables and a pulley and the addition of an extra leg support

underneath the leg rest. These were then analysed first of all finding the weight needed to zero the

bending moment and then finding the force acting on the extra leg support. From these results it

was concluded that the use of the extra leg support would be most viable as it has the least amount

of impact of the scissor lift and the impact on the power needed to raise and lower the dental

chair.

Learning outcomes:

Searching, obtaining and interpreting ISO standards

Further insight into analysing cantilevered structures

Further insight into summarising forces and finding reactions

Practical application of bending moment analysis

Further insight into mechanical design

106

Appendix 3: Finite Element Analysis Report

107

Contents

1.0 Introduction ................................................................................................................ 108

2.0 Element Type ............................................................................................................. 109

3.0 Material Properties ..................................................................................................... 109

4.0 Loads and Boundary Constraints: ......................................................................... 110

5.0 Beam Sections ............................................................................................................ 114

5.0 Results ........................................................................................................................ 116

6.0 Conclusion and Discussion ........................................................................................ 119

List of Figures

Figure 1: Disabled Friendly Dental Chair ........................................................................ 108

Figure 2: Location of Applied Loads ............................................................................... 110

Figure 3: Plot of Nodes 381, 813 and 1245 ..................................................................... 111

Figure 4: Plot of Nodes 280, 712 and 1144 ..................................................................... 111

Figure 5: Plot of Nodes 1, 433 and 865 ........................................................................... 112

Figure 6: Plot of Nodes 114, 546 and 978 ....................................................................... 113

Figure 7: Beam Section for Cross Members .................................................................... 114

Figure 8: Beam Section for Pins ...................................................................................... 115

Figure 9: Basic Solution Controls .................................................................................... 116

Figure 10: Nonlinear Solution Controls ........................................................................... 116

Figure 11: Load vs Deflection Graph .............................................................................. 117

List of Tables

Table 1: Element Type ..................................................................................................... 109

Table 2: Material Properties............................................................................................. 109 Table 3: List of all Loads Applied ................................................................................... 110 Table 4: List of all Constraints Applied ........................................................................... 112 Table 5: Points for Figure 11 ........................................................................................... 118

108

1.0 Introduction

The following is a report on the Finite element analysis performed on a feature of the

author’s final design of a disabled friendly dental chair which is the author’s final year

project. The final design can be seen in figure 1.

The feature of the design in which is analysed is the scissor lift which will raise and lower

the dental chair. In order for the design to be satisfactory the scissor lift must be able to

raise and lower the weight of a patient and the self-weight of the actual chair without

failure. Failure in this case is the load at which the scissor lift will buckle. It is this

buckling load in which is going to be obtained during the finite element analysis. The

buckling load will then be compared to the weight of the chair and the weight of the

patient (obtained from ISO 6875:2011 Dentistry-Patient Chair). If the load from the chair

and patient is greater than the buckling load of the scissor lift then the design has not

satisfied ISO 6875:2011 and therefore the design will have to be revisited.

Figure 37: Disabled Friendly Dental Chair

109

2.0 Element Type

The element type used for this Non liner Buckling Analysis is the Beam189. As shown

below in table 1.

Table 6: Element Type

LIST ELEMENT TYPES FROM 1 TO 2 BY 1 ELEMENT TYPE 1 IS BEAM189 3-D 3-NODE BEAM KEYOPT( 1- 6)= 0 0 0 0 0 0 KEYOPT( 7-12)= 0 0 0 0 0 0 KEYOPT(13-18)= 0 0 0 0 0 0 CURRENT NODAL DOF SET IS UX UY UZ ROTX ROTY ROTZ THREE-DIMENSIONAL MODEL

3.0 Material Properties

The material properties used in this analysis are listed in Table 2, which is presented

below. These values were obtained from CES Edu-Pak.

Modulus of Elasticity 200GPa

Poisson’s ratio 0.285

Table 7: Material Properties

EVALUATE MATERIAL PROPERTIES FOR MATERIALS 1 TO 1 IN INCREMENTS OF 1 MATERIAL NUMBER = 1 EVALUATED AT TEMPERATURE OF 0.0000 EX = 0.20000E+12 NUXY = 0.28500 PRXY = 0.28500

110

4.0 Loads and Boundary Constraints:

Table 8: List of all Loads Applied

Table 3, given below, is a list of all loads applied to the scissor lift: LIST NODAL FORCES FOR SELECTED NODES 1 TO 1320 BY 1 CURRENTLY SELECTED NODAL LOAD SET= FX FY FZ MX MY MZ NODE LABEL REAL IMAG 280 FX -65307.1794 0.00000000 280 FY -75729.6000 0.00000000 280 FZ 200.000000 0.00000000 381 FX 65307.1794 0.00000000 381 FY -75729.6000 0.00000000 381 FZ 200.000000 0.00000000 712 FX -65307.1794 0.00000000 712 FY -75729.6000 0.00000000 712 FZ 200.000000 0.00000000 813 FX 65307.1794 0.00000000 813 FY -75729.6000 0.00000000 813 FZ 200.000000 0.00000000 1144 FX -65307.1794 0.00000000 1144 FY -75729.6000 0.00000000 1144 FZ 200.000000 0.00000000 1245 FX 65307.1794 0.00000000 1245 FY -75729.6000 0.00000000 1245 FZ 200.000000 0.00000000

Figure 2, shows the location of the nodes in which shows the position of the applied

loads. (Black background as to distinguish the lines clearer).

Figure 38: Location of Applied Loads

111

Figure 39: Plot of Nodes 381, 813 and 1245

Figure 40: Plot of Nodes 280, 712 and 1144

112

Below is list of all constraints applied to the Scissor lift:

Table 9: List of all Constraints Applied

LIST CONSTRAINTS FOR SELECTED NODES 1 TO 1320 BY 1 CURRENTLY SELECTED DOF SET= UX UY UZ ROTX ROTY ROTZ NODE LABEL REAL IMAG 1 UX 0.00000000 0.00000000 1 UY 0.00000000 0.00000000 1 UZ 0.00000000 0.00000000 114 UX 0.00000000 0.00000000 114 UY 0.00000000 0.00000000 114 UZ 0.00000000 0.00000000 433 UX 0.00000000 0.00000000 433 UY 0.00000000 0.00000000 433 UZ 0.00000000 0.00000000 546 UX 0.00000000 0.00000000 546 UY 0.00000000 0.00000000 546 UZ 0.00000000 0.00000000 865 UX 0.00000000 0.00000000 865 UY 0.00000000 0.00000000 865 UZ 0.00000000 0.00000000 978 UX 0.00000000 0.00000000 978 UY 0.00000000 0.00000000 978 UZ 0.00000000 0.00000000

Figure 3 shows the location of area 75, while Figure 4 presents the location of area 69.

Figure 41: Plot of Nodes 1, 433 and 865

.1

113

Figure 42: Plot of Nodes 114, 546 and 978

114

5.0 Beam Sections

A screen shot of the beam sections used in the scissor lift cross members can be seen be

in Figure 7.

Figure 43: Beam Section for Cross Members

115

A screen shot of the beam section used to represent the pins can be seen in Figure 8.

Figure 44: Beam Section for Pins

116

5.0 Results

To obtain the results from the buckling analysis first of all the solution controls were set.

These settings can be seen in figure 9 and 10.

Figure 45: Basic Solution Controls

Figure 46: Nonlinear Solution Controls

In solving, ANSYS applies the applied loads to the scissor lift in stages; it applies a

portion of the applied load at each stage. The portion is increased at every stage or

iteration. As the proportion of the load is increased, the deflection of the scissors also

increases linearly. When a load is then reached where the deflection value is no longer

linear to the load applied this is can be identified as the buckling load.

In this case a load of 100,000 N was applied to the scissor lift. When this was solved, a

proportion of this was first applied and this gave a respective deflection of the scissors

where the load proportion was slightly increased after every iteration. In figure 11, the

applied loads and respective deflections can be seen graphed.

117

Figure 47: Load vs Deflection Graph Deflection (m) * 1000

Load (N)

118

The table of points for the graph in Figure 11 can be seen in table X.

Table 10: Points for Figure 11

Load

Proportion

Load Applied (N) Deflection (m) Deflection * 1000

1.49E-02 1492.5 -1.54E-03 -1.54222

2.99E-02 2985.1 -3.12E-03 -3.11606

4.48E-02 4477.6 -4.72E-03 -4.72285

5.97E-02 5970.1 -6.36E-03 -6.36348

7.46E-02 7462.7 -8.04E-03 -8.03909

8.96E-02 8955.2 -9.75E-03 -9.75087

0.10448 10448 -1.15E-02 -11.5001

0.1194 11940 -1.33E-02 -13.2882

0.13433 13433 -1.51E-02 -15.1167

0.14925 14925 -1.70E-02 -16.9872

0.16418 16418 -1.89E-02 -18.9017

0.1791 17910 -2.09E-02 -20.8624

0.19403 19403 -2.29E-02 -22.8721

0.20896 20896 -2.49E-02 -24.9344

0.22388 22388 -2.71E-02 -27.0544

0.23881 23881 -2.92E-02 -29.2401

0.25373 25373 -3.15E-02 -31.5059

0.26866 26866 -3.39E-02 -33.88

0.28358 28358 -3.65E-02 -36.5485

0.29851 29851 -4.02E-02 -40.161

0.31343 31343 -4.42E-02 -44.2386

0.32836 32836 -1.64424 -1644.24

1 100000 -11252.6 -11252600

From reading the graph it can be seen that the point in which the deflection and the load

become non-linear is when 31.343% of the load is applied, which amounts to 31,343

Newtons.

119

6.0 Conclusion and Discussion

In conclusion the scissor lift was modelled using beam elements. Loads were applied and

then a non-linear buckling analysis was conducted. The Buckling analysis determined that

the scissor lift will buckle under the load of 31,342 N. Putting this in perspective is the

weight of 3,194.9 kg. This means that the designed scissor lift complies with ISO

6875:2011 Dentistry-Patient Chair. Although considering the scissor lift only needs to bear

the weight of 1485.9 N (151.466 kg) the scissor lift designed by the author may have to be

revisited as the bucking analysis results show it is over designed.

120

Appendix 4: ISO Standards for a Dental Chair

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

136

137

Appendix 5: Engineering Drawings

138

139

140

141

142

143

144

145

146

147

148

149

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