Development of a Novel Heart Positioner for Minimally Invasive Coronary Surgery
We developed a heart positioner, the Tentacles NEO, specifically designed for minimally invasive coronary artery bypass grafting (MICS-CABG). The device has 3 flexible suction tubes, with a suction cup at the tip of each tube. The suction tubes can be detached from the device body, allowing them to...
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| Veröffentlicht in: | The Annals of thoracic surgery 2020-11, Vol.110 (5), p.1746-1750 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 110 |
| creator | Mizuno, Tomohiro Ohuchi, Katsuhiro Fujiwara, Tatsuki Oi, Keiji Nagaoka, Eiki Oishi, Kiyotoshi Yashima, Masafumi Takeshita, Masashi Arai, Hirokuni |
| description | We developed a heart positioner, the Tentacles NEO, specifically designed for minimally invasive coronary artery bypass grafting (MICS-CABG).
The device has 3 flexible suction tubes, with a suction cup at the tip of each tube. The suction tubes can be detached from the device body, allowing them to be manipulated in any direction through a small incision around the small thoracotomy. When the device displaces the heart, the suction cup moves behind the chest wall and does not crowd the operative field.
Although the sideways suction force of the new device was as strong as that of the original device, Tentacles, the longitudinal and perpendicular force exerted was approximately 80% of the original device. Nevertheless, the new device could safely and favorably displace the heart in a pig model and even during off-pump CABG via sternotomy. During MICS-CABG, the device was able to displace the heart without crowding the operative field.
The new heart positioner, Tentacles NEO, is a useful and practical heart positioner suitable for MICS-CABG.
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| doi_str_mv | 10.1016/j.athoracsur.2020.04.145 |
| format | Article |
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The device has 3 flexible suction tubes, with a suction cup at the tip of each tube. The suction tubes can be detached from the device body, allowing them to be manipulated in any direction through a small incision around the small thoracotomy. When the device displaces the heart, the suction cup moves behind the chest wall and does not crowd the operative field.
Although the sideways suction force of the new device was as strong as that of the original device, Tentacles, the longitudinal and perpendicular force exerted was approximately 80% of the original device. Nevertheless, the new device could safely and favorably displace the heart in a pig model and even during off-pump CABG via sternotomy. During MICS-CABG, the device was able to displace the heart without crowding the operative field.
The new heart positioner, Tentacles NEO, is a useful and practical heart positioner suitable for MICS-CABG.
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The device has 3 flexible suction tubes, with a suction cup at the tip of each tube. The suction tubes can be detached from the device body, allowing them to be manipulated in any direction through a small incision around the small thoracotomy. When the device displaces the heart, the suction cup moves behind the chest wall and does not crowd the operative field.
Although the sideways suction force of the new device was as strong as that of the original device, Tentacles, the longitudinal and perpendicular force exerted was approximately 80% of the original device. Nevertheless, the new device could safely and favorably displace the heart in a pig model and even during off-pump CABG via sternotomy. During MICS-CABG, the device was able to displace the heart without crowding the operative field.
The new heart positioner, Tentacles NEO, is a useful and practical heart positioner suitable for MICS-CABG.
[Display omitted]</description><subject>Animals</subject><subject>Coronary Artery Bypass - instrumentation</subject><subject>Coronary Artery Bypass - methods</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Suction</subject><subject>Swine</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtvEzEQgC0EomnhLyCLE5ddxq9sfITwaKVCkYCz5XjH1NHGDrY3Uv49jlLKkdPIM994Zj5CKIOeAVu-3fa23qdsXZlzz4FDD7JnUj0hC6YU75Zc6adkAQCik3pQF-SylG178lZ-Ti5Eq2sQakHuPuABp7TfYaw0eWrp19QS9BptrvRbKqGGFDFTnzL9EmLY2Wk60pt4sCUckK5TTtHmI_0-51-Yjy_IM2-ngi8f4hX5-enjj_V1d3v3-Wb97rZzUrHaecE3UqlhxXB0wwDScj_azYhuYNp5JlA4zRwIj4xbKTzAwK3FhkstHIor8vr8byo1mOJCRXfvUozoqmErBistGvTmDO1z-j1jqWYXisNpshHTXAyXTIOWw5I1dHVGXU6lZPRmn9ut-WgYmJNzszX_nJuTcwPSNOet9dXDlHmzw_Gx8a_kBrw_A9iEHALm074YHY4hn9YdU_j_lD__i5iM</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Mizuno, Tomohiro</creator><creator>Ohuchi, Katsuhiro</creator><creator>Fujiwara, Tatsuki</creator><creator>Oi, Keiji</creator><creator>Nagaoka, Eiki</creator><creator>Oishi, Kiyotoshi</creator><creator>Yashima, Masafumi</creator><creator>Takeshita, Masashi</creator><creator>Arai, Hirokuni</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>202011</creationdate><title>Development of a Novel Heart Positioner for Minimally Invasive Coronary Surgery</title><author>Mizuno, Tomohiro ; Ohuchi, Katsuhiro ; Fujiwara, Tatsuki ; Oi, Keiji ; Nagaoka, Eiki ; Oishi, Kiyotoshi ; Yashima, Masafumi ; Takeshita, Masashi ; Arai, Hirokuni</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-f32b455781edc7704a2fdabdec719cf13e3c91c03fe12a43f0072aae1ed493ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Animals</topic><topic>Coronary Artery Bypass - instrumentation</topic><topic>Coronary Artery Bypass - methods</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Suction</topic><topic>Swine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mizuno, Tomohiro</creatorcontrib><creatorcontrib>Ohuchi, Katsuhiro</creatorcontrib><creatorcontrib>Fujiwara, Tatsuki</creatorcontrib><creatorcontrib>Oi, Keiji</creatorcontrib><creatorcontrib>Nagaoka, Eiki</creatorcontrib><creatorcontrib>Oishi, Kiyotoshi</creatorcontrib><creatorcontrib>Yashima, Masafumi</creatorcontrib><creatorcontrib>Takeshita, Masashi</creatorcontrib><creatorcontrib>Arai, Hirokuni</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mizuno, Tomohiro</au><au>Ohuchi, Katsuhiro</au><au>Fujiwara, Tatsuki</au><au>Oi, Keiji</au><au>Nagaoka, Eiki</au><au>Oishi, Kiyotoshi</au><au>Yashima, Masafumi</au><au>Takeshita, Masashi</au><au>Arai, Hirokuni</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of a Novel Heart Positioner for Minimally Invasive Coronary Surgery</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2020-11</date><risdate>2020</risdate><volume>110</volume><issue>5</issue><spage>1746</spage><epage>1750</epage><pages>1746-1750</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>We developed a heart positioner, the Tentacles NEO, specifically designed for minimally invasive coronary artery bypass grafting (MICS-CABG).
The device has 3 flexible suction tubes, with a suction cup at the tip of each tube. The suction tubes can be detached from the device body, allowing them to be manipulated in any direction through a small incision around the small thoracotomy. When the device displaces the heart, the suction cup moves behind the chest wall and does not crowd the operative field.
Although the sideways suction force of the new device was as strong as that of the original device, Tentacles, the longitudinal and perpendicular force exerted was approximately 80% of the original device. Nevertheless, the new device could safely and favorably displace the heart in a pig model and even during off-pump CABG via sternotomy. During MICS-CABG, the device was able to displace the heart without crowding the operative field.
The new heart positioner, Tentacles NEO, is a useful and practical heart positioner suitable for MICS-CABG.
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| source | MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Animals Coronary Artery Bypass - instrumentation Coronary Artery Bypass - methods Equipment Design Humans Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Suction Swine |
| title | Development of a Novel Heart Positioner for Minimally Invasive Coronary Surgery |
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