Safety of laparoscopic graspers with different configurations during liver tissue clamping

Biosurface and Biotribology

Wei Li¹  Jin Wang¹  Zhongrong Zhou¹  Li Ma¹ 

[1]School of Mechanical Engineering, Southwest Jiaotong University

关键词: liver;    clamps;    deformation;    biomechanics;    surgery;    endoscopes;    biomedical optical imaging;    bone;    dentistry;    laparoscopic graspers;    rabbit liver model;    jaw teeth profile;    nontraumatic graspers;    in vivo compression tests;    liver tissue damage assessment method;    jaw edge curvature radius;    jaw square window;    liver tissue clamping force;   

DOI  :  10.1049/bsbt.2018.0004

来源: DOAJ

【 摘 要 】

Laparoscopic graspers often induce liver damage when large forces are applied during clamping. Here, the safety of graspers with different edge curvature radii, teeth profiles, and jaw windows was evaluated experimentally using a tissue damage assessment method based on in vivo compression tests in a rabbit liver model. The results showed that the degree of damage to liver tissue was associated with the deformation in the tissue and the grasper configuration. Changing the jaw teeth profile from a wedge to a sine, increasing the curvature radius of the jaw edge, reducing the contact coefficient of the square window of the jaw, and increasing the length of the window edge alleviated the damage to liver tissue when a clamping force of 2 N was applied. The results can guide the selection and design of non-traumatic graspers.

【 授权许可】

Unknown