DocumentCode :
997000
Title :
Bipolar coagulation - capable microforceps
Author :
Kawai, Toshikazu ; Kan, Kazutoshi ; Hongo, Kazuhiro ; Nishizawa, Kouji ; Tajima, Fujio ; Fujie, Masakatsu G. ; Dohi, Takeyoshi ; Takakura, Kintomo
Author_Institution :
Mech. Eng. Res. Lab., Hitachi, Ltd., Ibaraki, Japan
Volume :
24
Issue :
4
fYear :
2005
Firstpage :
57
Lastpage :
62
Abstract :
Microforceps that can be used with the hyper utility mechatronic assistant system (HUMAN) for bipolar coagulation in minimally invasive neurosurgery were developed. A method of using two sets of those forceps for bipolar coagulation was developed, in which electrical current is passed through the drive wires to the forceps tips to form an electrical circuit. A prototype mechanism that employs a torque tube to achieve an opening and closing speed of 138°/s was fabricated. A forceps drive system that has a delay time of 0.06 s was constructed by using a fast control algorithm. In vivo experiments on rat abdomen and rat brain blood vessels confirmed that the bipolar coagulation function is of a practical level. Three neurosurgical clinicians confirmed the good operability and practicality of the gripping function in experiments on a human cadaveric brain. Furthermore, both doctors and engineers confirmed that the microforceps described here can be used in their present form in tumor removal and other such procedures. Following these basic engineering experiments, basic medical experiments (including experiments on the optimum distance between the lens of the endoscope and, the object of manipulation), various surgical procedures performed on living rat brain, surgical simulations performed on a human cadaver, and experiments on safety in ethylene oxide gas sterilization were performed. They lead to the conclusion that clinical use of the HUMAN system is feasible.
Keywords :
bioelectric phenomena; blood vessels; brain; coagulation; endoscopes; mechatronics; medical robotics; neurophysiology; surgery; tumours; 0.06 s; bipolar coagulation; electrical current; endoscope; ethylene oxide gas sterilization; fast control algorithm; human cadaveric brain; hyper utility mechatronic assistant system; microforceps; minimally invasive neurosurgery; rat abdomen; rat brain blood vessels; tumor removal; Biomedical engineering; Circuits; Coagulation; Humans; Mechatronics; Minimally invasive surgery; Neurosurgery; Prototypes; Torque; Wires; Animals; Electrocoagulation; Equipment Design; Equipment Failure Analysis; Hemostasis, Surgical; Humans; Micromanipulation; Microsurgery; Miniaturization; Neuroendoscopes; Neurosurgical Procedures; Rats; Stress, Mechanical; Surgical Instruments; Surgical Procedures, Minimally Invasive; Vascular Surgical Procedures;
fLanguage :
English
Journal_Title :
Engineering in Medicine and Biology Magazine, IEEE
Publisher :
ieee
ISSN :
0739-5175
Type :
jour
DOI :
10.1109/MEMB.2005.1463397
Filename :
1463397
Link To Document :
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