Force sensing in natural orifice transluminal endoscopic surgery
Background Natural orifice transluminal endoscopic surgery (NOTES) may represent the next frontier for therapeutic minimally invasive surgery; however, its feasibility is currently limited by the lack of suitable instruments. Identifying the forces required to manipulate tissue during NOTES is a nec...
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| Veröffentlicht in: | Surgical endoscopy 2011, Vol.25 (1), p.186-192 |
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| creator | Trejos, Ana Luisa Jayaraman, Shiva Patel, Rajni V. Naish, Michael D. Schlachta, Christopher M. |
| description | Background
Natural orifice transluminal endoscopic surgery (NOTES) may represent the next frontier for therapeutic minimally invasive surgery; however, its feasibility is currently limited by the lack of suitable instruments. Identifying the forces required to manipulate tissue during NOTES is a necessary first step in the development of better instrumentation.
Methods
Sensorized instruments were used to measure the forces acting at the tip of the instruments during transgastric and transperineal NOTES procedures performed in two female pigs. The maximum and average forces when handling tissue were determined and compared.
Results
The results show that, for the transgastric approach, the average forces required are significantly less than in the transperineal approach (43% less), and that the maximum forces required are almost 8 and 16 N in the transgastric and transperineal approaches, respectively. The forces were higher than 5 N in 1.6% of the measurements in the transgastric approach and 2.9% in the transperineal approach.
Conclusions
This study presents an experimental measurement of tissue manipulation forces in a NOTES procedure. This information may be valuable for research groups interested in developing NOTES instruments and devices. It is recommended that NOTES instruments be designed to easily handle forces as high as 16 N. |
| doi_str_mv | 10.1007/s00464-010-1155-2 |
| format | Article |
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Natural orifice transluminal endoscopic surgery (NOTES) may represent the next frontier for therapeutic minimally invasive surgery; however, its feasibility is currently limited by the lack of suitable instruments. Identifying the forces required to manipulate tissue during NOTES is a necessary first step in the development of better instrumentation.
Methods
Sensorized instruments were used to measure the forces acting at the tip of the instruments during transgastric and transperineal NOTES procedures performed in two female pigs. The maximum and average forces when handling tissue were determined and compared.
Results
The results show that, for the transgastric approach, the average forces required are significantly less than in the transperineal approach (43% less), and that the maximum forces required are almost 8 and 16 N in the transgastric and transperineal approaches, respectively. The forces were higher than 5 N in 1.6% of the measurements in the transgastric approach and 2.9% in the transperineal approach.
Conclusions
This study presents an experimental measurement of tissue manipulation forces in a NOTES procedure. This information may be valuable for research groups interested in developing NOTES instruments and devices. It is recommended that NOTES instruments be designed to easily handle forces as high as 16 N.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-010-1155-2</identifier><identifier>PMID: 20559663</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Animals ; Appendectomy ; Biological and medical sciences ; Calibration ; Design ; Endoscopy ; Engineering ; Equipment Design ; Feedback, Sensory ; Female ; Gastroenterology ; Gastroscopes ; Gynecology ; Hepatology ; Humans ; Laparoscopy ; Medical sciences ; Medicine ; Medicine & Public Health ; Natural Orifice Endoscopic Surgery - instrumentation ; Perineum ; Pressure ; Proctology ; Stomach ; Stress, Mechanical ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Surgical Instruments ; Sus scrofa ; Swine ; Technology. Biomaterials. Equipments ; Touch</subject><ispartof>Surgical endoscopy, 2011, Vol.25 (1), p.186-192</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-2fe74bfee25dc306f3cf2fdeb4e4e5ed11fe1b7f3d29f05006850a19a4fceff23</citedby><cites>FETCH-LOGICAL-c400t-2fe74bfee25dc306f3cf2fdeb4e4e5ed11fe1b7f3d29f05006850a19a4fceff23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-010-1155-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-010-1155-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,4012,27906,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23811708$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20559663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trejos, Ana Luisa</creatorcontrib><creatorcontrib>Jayaraman, Shiva</creatorcontrib><creatorcontrib>Patel, Rajni V.</creatorcontrib><creatorcontrib>Naish, Michael D.</creatorcontrib><creatorcontrib>Schlachta, Christopher M.</creatorcontrib><title>Force sensing in natural orifice transluminal endoscopic surgery</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Natural orifice transluminal endoscopic surgery (NOTES) may represent the next frontier for therapeutic minimally invasive surgery; however, its feasibility is currently limited by the lack of suitable instruments. Identifying the forces required to manipulate tissue during NOTES is a necessary first step in the development of better instrumentation.
Methods
Sensorized instruments were used to measure the forces acting at the tip of the instruments during transgastric and transperineal NOTES procedures performed in two female pigs. The maximum and average forces when handling tissue were determined and compared.
Results
The results show that, for the transgastric approach, the average forces required are significantly less than in the transperineal approach (43% less), and that the maximum forces required are almost 8 and 16 N in the transgastric and transperineal approaches, respectively. The forces were higher than 5 N in 1.6% of the measurements in the transgastric approach and 2.9% in the transperineal approach.
Conclusions
This study presents an experimental measurement of tissue manipulation forces in a NOTES procedure. This information may be valuable for research groups interested in developing NOTES instruments and devices. It is recommended that NOTES instruments be designed to easily handle forces as high as 16 N.</description><subject>Abdominal Surgery</subject><subject>Animals</subject><subject>Appendectomy</subject><subject>Biological and medical sciences</subject><subject>Calibration</subject><subject>Design</subject><subject>Endoscopy</subject><subject>Engineering</subject><subject>Equipment Design</subject><subject>Feedback, Sensory</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastroscopes</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Natural Orifice Endoscopic Surgery - instrumentation</subject><subject>Perineum</subject><subject>Pressure</subject><subject>Proctology</subject><subject>Stomach</subject><subject>Stress, Mechanical</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical Instruments</subject><subject>Sus scrofa</subject><subject>Swine</subject><subject>Technology. Biomaterials. Equipments</subject><subject>Touch</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1r3DAQhkVoaTZJf0AvxRRKTk5m9GHLt4bQpIWFXpKz0cqjRcErbzXrQ_59tOwmgUJPYjTPzLw8QnxBuEKA9poBdKNrQKgRjanliVigVrKWEu0HsYBOQS3bTp-KM-YnKHiH5pM4lWBM1zRqIX7cTdlTxZQ4pnUVU5Xcbs5urKYcQyytXXaJx3kTU_mkNEzsp230Fc95Tfn5QnwMbmT6fHzPxePdz4fbX_Xyz_3v25tl7TXArpaBWr0KRNIMXkETlA8yDLTSpMnQgBgIV21Qg-wCGIDGGnDYOR08hSDVubg87N3m6e9MvOs3kT2No0s0zdxbCa21YFUhv_1DPk1zLukLhLa1Uja2QHiAfJ6YM4V-m-PG5eceod_L7Q9ye9jXRW6_j_D1uHhebWh4m3i1WYDvR8Cxd2Mo5nzkd05ZxBb2x-WB49JKxeJ7wv9ffwHcBZHv</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Trejos, Ana Luisa</creator><creator>Jayaraman, Shiva</creator><creator>Patel, Rajni V.</creator><creator>Naish, Michael D.</creator><creator>Schlachta, Christopher M.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>Force sensing in natural orifice transluminal endoscopic surgery</title><author>Trejos, Ana Luisa ; Jayaraman, Shiva ; Patel, Rajni V. ; Naish, Michael D. ; Schlachta, Christopher M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-2fe74bfee25dc306f3cf2fdeb4e4e5ed11fe1b7f3d29f05006850a19a4fceff23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Surgery</topic><topic>Animals</topic><topic>Appendectomy</topic><topic>Biological and medical sciences</topic><topic>Calibration</topic><topic>Design</topic><topic>Endoscopy</topic><topic>Engineering</topic><topic>Equipment Design</topic><topic>Feedback, Sensory</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastroscopes</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Natural Orifice Endoscopic Surgery - instrumentation</topic><topic>Perineum</topic><topic>Pressure</topic><topic>Proctology</topic><topic>Stomach</topic><topic>Stress, Mechanical</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Surgical Instruments</topic><topic>Sus scrofa</topic><topic>Swine</topic><topic>Technology. Biomaterials. Equipments</topic><topic>Touch</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trejos, Ana Luisa</creatorcontrib><creatorcontrib>Jayaraman, Shiva</creatorcontrib><creatorcontrib>Patel, Rajni V.</creatorcontrib><creatorcontrib>Naish, Michael D.</creatorcontrib><creatorcontrib>Schlachta, Christopher M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trejos, Ana Luisa</au><au>Jayaraman, Shiva</au><au>Patel, Rajni V.</au><au>Naish, Michael D.</au><au>Schlachta, Christopher M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Force sensing in natural orifice transluminal endoscopic surgery</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2011</date><risdate>2011</risdate><volume>25</volume><issue>1</issue><spage>186</spage><epage>192</epage><pages>186-192</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
Natural orifice transluminal endoscopic surgery (NOTES) may represent the next frontier for therapeutic minimally invasive surgery; however, its feasibility is currently limited by the lack of suitable instruments. Identifying the forces required to manipulate tissue during NOTES is a necessary first step in the development of better instrumentation.
Methods
Sensorized instruments were used to measure the forces acting at the tip of the instruments during transgastric and transperineal NOTES procedures performed in two female pigs. The maximum and average forces when handling tissue were determined and compared.
Results
The results show that, for the transgastric approach, the average forces required are significantly less than in the transperineal approach (43% less), and that the maximum forces required are almost 8 and 16 N in the transgastric and transperineal approaches, respectively. The forces were higher than 5 N in 1.6% of the measurements in the transgastric approach and 2.9% in the transperineal approach.
Conclusions
This study presents an experimental measurement of tissue manipulation forces in a NOTES procedure. This information may be valuable for research groups interested in developing NOTES instruments and devices. It is recommended that NOTES instruments be designed to easily handle forces as high as 16 N.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20559663</pmid><doi>10.1007/s00464-010-1155-2</doi><tpages>7</tpages></addata></record> |
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| subjects | Abdominal Surgery Animals Appendectomy Biological and medical sciences Calibration Design Endoscopy Engineering Equipment Design Feedback, Sensory Female Gastroenterology Gastroscopes Gynecology Hepatology Humans Laparoscopy Medical sciences Medicine Medicine & Public Health Natural Orifice Endoscopic Surgery - instrumentation Perineum Pressure Proctology Stomach Stress, Mechanical Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical Instruments Sus scrofa Swine Technology. Biomaterials. Equipments Touch |
| title | Force sensing in natural orifice transluminal endoscopic surgery |
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