Novel needle cutting edge geometry for end-cut biopsy

Purpose: To introduce and determine the biopsy length performance of the novel enhanced cutting edge (ECE) needle tip design, which contains high inclination angles that allow for more efficient tissue cutting. Methods: ECE and regular two-plane symmetric needle tip’s biopsy performance and cutting...

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Veröffentlicht in:Medical physics (Lancaster) 2012-01, Vol.39 (1), p.99-108
Hauptverfasser: Moore, Jason Z., McLaughlin, Patrick W., Shih, Albert J.
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creator Moore, Jason Z.
McLaughlin, Patrick W.
Shih, Albert J.
description Purpose: To introduce and determine the biopsy length performance of the novel enhanced cutting edge (ECE) needle tip design, which contains high inclination angles that allow for more efficient tissue cutting. Methods: ECE and regular two-plane symmetric needle tip’s biopsy performance and cutting force are compared over a series of needle insertion experiments into bovine liver under varying levels of internal needle vacuum. An earlier developed needle tip force model is also applied. From these experiments and force model, the effect of needle tip geometry and vacuum on biopsy performance and force is studied. Results: Biopsy sample length is on average 22%, 30%, and 49% longer for ECE needles compared to that of regular needles for the internal pressures of 0, −33.9, and −67.7 kPa, respectively. For ECE needles the vacuum level of −67.7 kPa produces on average biopsy lengths that are 41%, 31%, 29%, 45%, and 42% longer compared to no vacuum for two-plane needle tip bevel angles of 10°, 15°, 20°, 25°, and 30°, respectively. The force results show the ECE needle can be inserted with less initial insertion force than the regular two-plane needle for needles where the needle tip is fully contacting the tissue upon insertion. Vacuum is also showed to help lower insertion forces. Conclusions: The novel ECE needle tip design outperforms the regular two-plane symmetric needle by yielding longer biopsy samples and lower insertion forces, thereby demonstrating the benefits of needle geometries that contain higher inclination angles. The use of vacuum further improves the ECE needle tip biopsy sample length and lowers insertion forces.
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The force results show the ECE needle can be inserted with less initial insertion force than the regular two-plane needle for needles where the needle tip is fully contacting the tissue upon insertion. Vacuum is also showed to help lower insertion forces. Conclusions: The novel ECE needle tip design outperforms the regular two-plane symmetric needle by yielding longer biopsy samples and lower insertion forces, thereby demonstrating the benefits of needle geometries that contain higher inclination angles. 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Punching; Cutting‐out; Stamping‐out; Severing by means other than cutting</topic><topic>tissue cutting</topic><topic>Tissue diagnostics</topic><topic>Tissue engineering</topic><topic>Tissues</topic><topic>Vacuum gauges</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moore, Jason Z.</creatorcontrib><creatorcontrib>McLaughlin, Patrick W.</creatorcontrib><creatorcontrib>Shih, Albert J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Medical physics (Lancaster)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moore, Jason Z.</au><au>McLaughlin, Patrick W.</au><au>Shih, Albert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel needle cutting edge geometry for end-cut biopsy</atitle><jtitle>Medical physics (Lancaster)</jtitle><addtitle>Med Phys</addtitle><date>2012-01</date><risdate>2012</risdate><volume>39</volume><issue>1</issue><spage>99</spage><epage>108</epage><pages>99-108</pages><issn>0094-2405</issn><eissn>2473-4209</eissn><coden>MPHYA6</coden><abstract>Purpose: To introduce and determine the biopsy length performance of the novel enhanced cutting edge (ECE) needle tip design, which contains high inclination angles that allow for more efficient tissue cutting. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection
subjects Animals
biological tissues
biomechanics
Biomedical engineering
biomedical equipment
Biomedical instrumentation and transducers, including micro‐electro‐mechanical systems (MEMS)
biopsy
Biopsy, Needle - instrumentation
Cancer
Cattle
Computer-Aided Design
cutting
Cutting
Details common to machines for severing, e.g. by cutting, perforating, punching, stamping‐out
Electrical, thermal, and mechanical properties of biological matter
Equipment Design
Equipment Failure Analysis
Experiment design
Friction
High pressure
liver
Liver - cytology
Liver - physiology
Mechanical and electrical properties of tissues and organs
Medical imaging
needle geometry
Needles
Perforating
Punching
Cutting‐out
Stamping‐out
Severing by means other than cutting
tissue cutting
Tissue diagnostics
Tissue engineering
Tissues
Vacuum gauges
title Novel needle cutting edge geometry for end-cut biopsy
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