This research presents an experimental study evaluating stomach suturing using a precurved nickel–titanium (NiTi) guidewire for an endoscopic minimally invasive obesity treatment. Precise path planning is critical for accurate and effective suturing. A position measurement system utilizing a hand-held magnetic sensor was used to measure the shape of a precurved guidewire and to determine the radius of curvature before and after suturing. Ex vivo stomach suturing experiments using four different guidewire tip designs varying the radius of curvature and bevel angles were conducted. The changes in radius of curvature and suturing force during suturing were measured. A model was developed to predict the guidewire radius of curvature based on the measured suturing force. Results show that a small bevel angle and a large radius of curvature reduce the suturing force and the combination of small bevel angle and small radius of curvature can maintain the shape of guidewire for accurate suturing.
Issue Section:
Research Papers
References
1.
Kang
, H.
, and Wen
, J.
, 2002
, “Robotic Knot Tying in Minimally Invasive Surgeries
,” Proceedings of the IEEE/RSJ
International Conference on Intelligent Robots and Systems, IROS 2002, pp. 1421
–1426
.10.1109/IRDS.2002.10439542.
Ishikawa
, S.
, Kawasaki
, A.
, Neya
, K.
, Abe
, K.
, Suzuki
, H.
, Kadowaku
, S.
, Nakamura
, K.
, and Ueda
, K.
, 2008
, “Surgery for Infective Endocarditis: Determinate Factors in the Outcome
,” J. Cardiovasc. Surg.
, 49
(4
), pp. 545
–548
.3.
LeDuc
, M.
, Payandeh
, S.
, and Dill
, J.
, 2003
, “Toward Modeling of a Suturing Task
,” Graphics Interface
, 3, pp. 273
–279
.4.
Xu
, K.
, Zhao
, J. R.
, Geiger
, K.
, Shih
, A. J.
, and Zheng
, M. H.
, 2011
, “Design of an Endoscopic Stitching Device for Surgical Obesity Treatment Using a N.O.T.E.S Approach
,” Proceedings of the IEEE/RSJ
International Conference on Intelligent Robots and Systems, IROS 2011, San Francisco, CA, Sept. 25–30, pp. 961
–966
.10.1109/IROS.2011.60946465.
Dubrowski
, A.
, Sidu
, R.
, Park
, J.
, and Carnahan
, H.
, 2005
, “Quantification of Motion Characteristics and Forces Applied to Tissues During Suturing
,” Am. J. Surg.
, 190
(1
), pp. 131
–136
.10.1016/j.amjsurg.2005.04.0066.
Yang
, Y.
, Xu
, C. L.
, Deng
, S. J.
, and Xiao
, J. J.
, 2012
, “Insertion Force in Manual and Robotic Corneal Suturing
,” Int. J. Med. Rob. Comput. Assist. Surg.
, 8
(1
), pp. 25
–33
.10.1002/rcs.4197.
Capek
, L.
, Jacquet
, E.
, Dzan
, L.
, and Simunek
, A.
, 2012
, “The Analysis of Forces Needed for the Suturing of Elliptical Skin Wounds
,” Med. Biol. Eng. Comput.
, 50
(2
), pp. 193
–198
.10.1007/s11517-011-0857-58.
Jackson
, R. C.
, and Cavusoglu
, M. C.
, 2003
, “Modeling of Needle–Tissue Interaction Forces During Surgical Suturing
,” Proceedings of the 2003 IEEE
International Conference on Robotics and Automation, St. Paul, MN, May 14–18, pp. 2068
–2073
.10.1109/ICRA.2012.62247569.
Glozman
, D.
, and Shoham
, M.
, 2007
, “Image-Guided Robotic Flexible Needle Steering
,” IEEE Trans. Rob.
, 23
(3
), pp. 459
–467
.10.1109/TRO.2007.89897210.
Wedlick
, T. R.
, and Okamura
, A. M.
, 2009
, “Characterization of Pre-Curved Needles for Steering in Tissue
,” Proceedings of the IEEE
International Conference of the Engineering in Medicine and Biology Society, Minneapolis, MN, Sept. 3–6, pp. 1200
–1203
.10.1109/IEMBS.2009.533340711.
Okazawa
, S.
, Ebrahimi
, R.
, Chuang
, J.
, Salcudean
, S. E.
, and Rohling
, R.
, 2005
, “Hand-Held Steerable Needle Device
,” IEEE/ASME Trans. Mech.
, 10
(3
), pp. 285
–296
10.1109/TMECH.2005.84830012.
Majewicz
, A.
, Marra
, S. P.
, van Vledder
, M. G.
, Lin
, M. D.
, Choti
, M. A.
, Song
, D. Y.
, and Okamura
, A. M.
, 2012
, “Behavior of Tip-Steerable Needles in Ex Vivo and In Vivo Tissue
,” IEEE Trans. Biomed. Eng.
, 59
(10
), pp. 2705
–2715
.10.1109/TBME.2012.220474913.
Chen
, R. K.
, Wang
, Y. C.
, Tai
, B. L.
, and Shih
, A. J.
, 2013
, “The Haptic Position Measurement System for Position and Shape Measurement of Soft or Compliant Objects Based on Magnetic Tracking System
,” Manuf. Lett.
, 1
(1
), pp. 17
–20
.10.1016/j.mfglet.2013.08.00514.
Raab
, F. H.
, Blood
, E. B.
, Steiner
, T. O.
, and Jons
, H. R.
, 1979
, “The Magnetic Position and Orientation Tracking System
,” IEEE Trans. Aerosp. Electron. Syst.
, 15
(5
), pp. 709
–718
.10.1109/TAES.1979.30886015.
Kolker
, A. R.
, Brown
, D. J.
, Redstone
, J. S.
, Scarpinato
, V. W.
, and Wallack
, W. K.
, 2005
, “Multilayer Reconstruction of Abdominal Wall Defects With Acellular Dermal Allograft (AlloDerm) and Component Separation
,” Ann. Plast. Surg.
, 55
(1
), pp. 36
–41
.10.1097/01.sap.0000168248.83197.d416.
Wang
, Y. C.
, Spangler
, C.
, Tai
, B. L.
, and Shih
, A. J.
, 2013
, “Positional Accuracy and Transmitter Orientation of the 3D Electromagnetic Tracking System
,” Meas. Sci. Technol.
, 24
(10
), p. 105105
.10.1088/0957-0233/24/10/10510517.
Nemat-Nassera
, S.
, and Guo
, W. G.
, 2006
, “Superelastic and Cyclic Response of NiTi SMA at Various Strain Rates and Temperatures
,” Mech. Mater.
, 38
(5
), pp. 463
–474
.10.1016/j.mechmat.2005.07.00418.
Wang
, Y. C.
, Tai
, B. L.
, Van
, L. M.
, and Shih
, A. J.
, 2012
, “Grinding the Sharp Tip in Thin NiTi and Stainless Steel Wires
,” Int. J. Mach. Tools Manuf.
, 62
, pp. 53
–60
.10.1016/j.ijmachtools.2012.05.00919.
Timoshenko
, S.
, and Goodier
, J. N.
, 1951
, Theory of Elasticity
, McGraw-Hill Book Company, Inc.
, New York
.20.
Okamura
, A. M.
, Simone
, C.
, and O' Leary
, M. F.
, 2004
, “Force Modeling for Needle Insertion Into Soft Tissue
,” IEEE Trans. Biomed. Eng.
, 51
(10
), pp. 1707
–1716
.10.1109/TBME.2004.83154221.
Moore
, J. Z.
, Malukhin
, K.
, Shih
, A. J.
, and Ehmann
, K. F.
, 2011
, “Hollow Needle Tissue Insertion Force Model
,” CIRP Ann. Manuf. Technol.
, 60
(1
), pp. 157
–160
.10.1016/j.cirp.2011.03.10122.
Wang
, Y. C.
, Tai
, B. L.
, Chen
, R. K.
, and Shih
, A. J.
, 2013
, “The Needle With Lancet Point—Geometry for Needle Tip Grinding and Tissue Insertion Force
,” ASME J. Manuf. Sci. E
, 135
(4
), p. 041010
.10.1115/1.402371823.
Abolhassani
, N.
, Patel
, R.
, and Moallem
, M.
, 2007
, “Needle Insertion Into Soft Tissue: A Survey
,” Med. Eng. Phys.
, 29
(4
), pp. 413
–431
.10.1016/j.medengphy.2006.07.003Copyright © 2015 by ASME
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