Security research of laparoscopic graspers during tissue clamping operation_Journal of Biomedical Engineering

Authors：

WANG Jin ,  LI Wei , ZHOU Zhongrong

School of Mechanical Engineering, Southwest Jiaotong University, Chengdu 610031, P.R.China;

Corresponding author：

LI Wei, Email: liweijiani@home.swjtu.edu.cn

Keywords：

laparoscopic grasper; rabbit large intestine; compression; trauma; pathological assessment

DOI：

10.7507/1001-5515.201611003

Video：

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Abstract Full text Figures/Tables Video References Cited by

The large force applied by laparoscopic grasper during clamping operation can cause tissue damage and induce various complications. In this research, the security of graspers with different radii of curvature and teeth were evaluated by using experimental investigation, finite element simulation and tissue damage assessment method based on in vivo compression tests with rabbit large intestines models. Results showed that the most serious tissue damages appeared in areas that were in contact with the jaw edges, which were the regions of stress concentration. The increase in radii of curvature of the edges or teeth could alleviate the tissue damages. The results could provide basic data for choosing and designing noninvasive graspers.

Citation： WANG Jin, LI Wei, ZHOU Zhongrong. Security research of laparoscopic graspers during tissue clamping operation. Journal of Biomedical Engineering, 2018, 35(1): 49-56. doi: 10.7507/1001-5515.201611003 Copy

1.	Heijnsdijk E A M, van der Voort M, de Visser H, et al. Inter- and intraindividual variabilities of perforation forces of human and pig bowel tissue. Surg Endosc, 2003, 17(12): 1923-1926.
2.	Cartmill J A, Shakeshaft A J, Walsh W R, et al. High pressures are generated at the tip of laparoscopic graspers. Aust N Z J Surg, 1999, 69(2): 127-130.
3.	de Visser H. Grasping safely: instruments for bowel manipulation investigated (dissertation). Delft: Delft University Press, 2003: 90-407.
4.	Marucci D D, Cartmill J A, Walsh W R, et al. Patterns of failure at the instrument-tissue interface. J Surg Res, 2000, 93(1): 16-20.
5.	Chen Huawei, Zhang Liwen, Zhang Deyuan, et al. Bioinspired surface for surgical graspers based on the strong wet friction of tree frog toe pads. ACS Appl Mater Interfaces, 2015, 7(25): 13987-13995.
6.	Brown A W, Brown S I, Mclean D, et al. Impact of fenestrations and surface profiling on the holding of tissue by parallel occlusion laparoscopic graspers. Surg Endosc, 2014, 28(4): 1277-1283.
7.	Bianchi G, Pucci A, Matteucci M, et al. Mechanical properties and biological interaction of aortic clamps: are these all minimally invasive? Innovations (Phila), 2013, 8(1): 42-49.
8.	Cheng Lei, Hannaford B. Evaluation of liver tissue damage and grasp stability using finite element analysis. Comput Methods Biomech Biomed Engin, 2016, 19(1): 31-40.
9.	Shakeshaft A J, Cartmill J A, Walsh W R, et al. A curved edge moderates high pressure generated by a laparoscopic grasper. Surg Endosc, 2001, 15(10): 1232-1234.
10.	Cheng Lei, Hannaford B. Finite element analysis for evaluating liver tissue damage due to mechanical compression. J Biomech, 2015, 48(6): 948-955.
11.	Bishoff J T, Allaf M E, Kirkels W I M, et al. Laparoscopic bowel injury: incidence and clinical presentation. J Urol, 1999, 161(3): 887-890.
12.	朱巍, 吕坤勇, 宋成利, 等. 腹腔镜器械与生物组织的接触力学分析. 医用生物力学, 2014, 29(3): 234-240.
13.	International Organization for Standardization. ISO 10993-2: 2006 Biological evaluation of medical devices -- Part 2: Animal welfare requirements [S/OL] (2006-07). [2016-11-02]. https://www.iso.org/standard/36405.html.
14.	Heijnsdijk E A M, Dankelman J, Gouma D J. Effectiveness of grasping and duration of clamping using laparoscopic graspers. Surg Endosc, 2002, 16(9): 1329-1331.
15.	Ogden R W. Large deformation isotropic elasticity—on the correlation of theory and experiment for incompressible rubberlike solids. Proceedings of the Royal Society of London. Series A, Mathematical and Physical Sciences, 1972, 326(1567): 565-584.
16.	李向党. 单用叔丁醇的扫描电镜样品制备法. 第四军医大学学报, 1993, 14(5): 383-384.
17.	高天文, 孙建方. 现代皮肤组织病理学. 北京: 人民卫生出版社, 2001.
18.	Marucci D D, Shakeshaft A J, Cartmill J A, et al. Grasper trauma during laparoscopic cholecystectomy. Aust N Z J Surg, 2000, 70(8): 578-581.
19.	Zhao Ran, Di Lana, Zhao Xiaozhuo, et al. Measuring surface temperature and grading pathological changes of airway tissue in a canine model of inhalational thermal injury. Burns, 2013, 39(4): 767-775.
20.	Wang Cheng, Zhao Ran, Liu Wei, et al. Pathological changes of the three clinical types of laryngeal burns based on a canine model. Burns, 2014, 40(2): 257-267.
21.	Saaty T L. Fundamentals of decision making and priority theory with the analytic hierarchy process. Pittsburgh: Rws Publications, 2000.
22.	Li W, Jia Z G, Wang J, et al. Friction behavior at minimally invasive grasper/liver tissue interface. Tribol Int, 2015, 81:190-198.
23.	Gregersen H, Emery J L, Mcculloch A D. History-dependent mechanical behavior of guinea-pig small intestine. Ann Biomed Eng, 1998, 26(5): 850-858.

1. Heijnsdijk E A M, van der Voort M, de Visser H, et al. Inter- and intraindividual variabilities of perforation forces of human and pig bowel tissue. Surg Endosc, 2003, 17(12): 1923-1926.
2. Cartmill J A, Shakeshaft A J, Walsh W R, et al. High pressures are generated at the tip of laparoscopic graspers. Aust N Z J Surg, 1999, 69(2): 127-130.
3. de Visser H. Grasping safely: instruments for bowel manipulation investigated (dissertation). Delft: Delft University Press, 2003: 90-407.
4. Marucci D D, Cartmill J A, Walsh W R, et al. Patterns of failure at the instrument-tissue interface. J Surg Res, 2000, 93(1): 16-20.
5. Chen Huawei, Zhang Liwen, Zhang Deyuan, et al. Bioinspired surface for surgical graspers based on the strong wet friction of tree frog toe pads. ACS Appl Mater Interfaces, 2015, 7(25): 13987-13995.
6. Brown A W, Brown S I, Mclean D, et al. Impact of fenestrations and surface profiling on the holding of tissue by parallel occlusion laparoscopic graspers. Surg Endosc, 2014, 28(4): 1277-1283.
7. Bianchi G, Pucci A, Matteucci M, et al. Mechanical properties and biological interaction of aortic clamps: are these all minimally invasive? Innovations (Phila), 2013, 8(1): 42-49.
8. Cheng Lei, Hannaford B. Evaluation of liver tissue damage and grasp stability using finite element analysis. Comput Methods Biomech Biomed Engin, 2016, 19(1): 31-40.
9. Shakeshaft A J, Cartmill J A, Walsh W R, et al. A curved edge moderates high pressure generated by a laparoscopic grasper. Surg Endosc, 2001, 15(10): 1232-1234.
10. Cheng Lei, Hannaford B. Finite element analysis for evaluating liver tissue damage due to mechanical compression. J Biomech, 2015, 48(6): 948-955.
11. Bishoff J T, Allaf M E, Kirkels W I M, et al. Laparoscopic bowel injury: incidence and clinical presentation. J Urol, 1999, 161(3): 887-890.
12. 朱巍, 吕坤勇, 宋成利, 等. 腹腔镜器械与生物组织的接触力学分析. 医用生物力学, 2014, 29(3): 234-240.
13. International Organization for Standardization. ISO 10993-2: 2006 Biological evaluation of medical devices -- Part 2: Animal welfare requirements [S/OL] (2006-07). [2016-11-02]. https://www.iso.org/standard/36405.html.
14. Heijnsdijk E A M, Dankelman J, Gouma D J. Effectiveness of grasping and duration of clamping using laparoscopic graspers. Surg Endosc, 2002, 16(9): 1329-1331.
15. Ogden R W. Large deformation isotropic elasticity—on the correlation of theory and experiment for incompressible rubberlike solids. Proceedings of the Royal Society of London. Series A, Mathematical and Physical Sciences, 1972, 326(1567): 565-584.
16. 李向党. 单用叔丁醇的扫描电镜样品制备法. 第四军医大学学报, 1993, 14(5): 383-384.
17. 高天文, 孙建方. 现代皮肤组织病理学. 北京: 人民卫生出版社, 2001.
18. Marucci D D, Shakeshaft A J, Cartmill J A, et al. Grasper trauma during laparoscopic cholecystectomy. Aust N Z J Surg, 2000, 70(8): 578-581.
19. Zhao Ran, Di Lana, Zhao Xiaozhuo, et al. Measuring surface temperature and grading pathological changes of airway tissue in a canine model of inhalational thermal injury. Burns, 2013, 39(4): 767-775.
20. Wang Cheng, Zhao Ran, Liu Wei, et al. Pathological changes of the three clinical types of laryngeal burns based on a canine model. Burns, 2014, 40(2): 257-267.
21. Saaty T L. Fundamentals of decision making and priority theory with the analytic hierarchy process. Pittsburgh: Rws Publications, 2000.
22. Li W, Jia Z G, Wang J, et al. Friction behavior at minimally invasive grasper/liver tissue interface. Tribol Int, 2015, 81:190-198.
23. Gregersen H, Emery J L, Mcculloch A D. History-dependent mechanical behavior of guinea-pig small intestine. Ann Biomed Eng, 1998, 26(5): 850-858.

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