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A novel intra-abdominal retraction device with an extra-abdominal magnetic manipulator for minimally invasive surgery

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Abstract

Traction and retraction are important techniques used to increase visibility in the dissection plane during minimally invasive surgery (MIS). However, the complexity of performing these techniques during MIS requires the surgeon to have an assistant. Some devices have been devised to allow a surgeon to carry out these procedures without additional aid. However, these devices still have problems including having insufficient force, being difficult to use, and consisting of toxic materials. In this study, a remote magnetic traction and retraction device consisting of an extra-abdominal handheld magnetic manipulator and an intra-abdominal attractee made of a bullet, hook, and a wire is proposed. The attractee is made of biocompatible materials. To design a device with sufficient pulling force, magnetostatic finite element simulations were conducted. The device was verified in a series of non-survival porcine laparoscopic cholecystectomies; it was shown to eliminate the need for an assistant. The proposed device has the potential to be applied to MIS, improve health recovery for patients, and save medical costs.

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References

  1. N. Abe, H. Takeuchi, H. Ueki, O. Yanagida, T. Masaki, T. Mori, M. Sugiyama and Y. Atomi, Single–port endoscopic cholecystectomy: A bridge between laparoscopic and translumenal endoscopic surgery, Journal of Hepato–Biliary–Pancreatic Sciences, 16 (2009) 633–638.

    Article  Google Scholar 

  2. G. M. Dominguez, Magnetic surgical device to manipulate tissue in laparoscopic surgeries performed with single trocar or via natural orifices, US Patent (2009) 20090043246 A1.

    Google Scholar 

  3. D. J. Scott, S–J. Tang, R. Fernandez, R. Bergs, M. T. Goova, I. Zeltser, F. J. Kehdy and J. A. Cadeddu, Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments, Surgical Endoscopy, 21 (2007) 2308–2316.

    Article  Google Scholar 

  4. Z. Wang, L. Wang, B. Tang, T. Frank, S. Brown and A. Cuschieri, Retraction by surface ferromagnetisation of target tissues: Preliminary studies on feasibility of magnetic retraction for endoscopic surgery, Surgical Endoscopy, 22 (2008) 1838–1844.

    Article  Google Scholar 

  5. M. P. Milad and M. F. Terkildsen, The spinal needle test effectively measures abdominal wall thickness before cannula placement at laparoscopy, Journal of the American Association of Gynecologic Laparoscopists, 9 (2002) 514–518.

    Article  Google Scholar 

  6. J. P. Vidosic, Machine design projects, Ronald Press, New York (1957).

    Google Scholar 

  7. G. H. Eltabbakh, M. S. Piver, R. E. Hempling and F. O. Recio, Laparoscopic surgery in obese women, Obstetrics and Gynecology, 94 (1999) 704–708.

    Google Scholar 

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Authors and Affiliations

  1. Dept. of Mechanical Eng., College of Engineering, Ajou Univ., Suwon, 16499, Korea

    YongHo Jeon & Moon Gu Lee

  2. Advanced Railroad Vehicle Division, Korea Railroad Research Institute, 176 Cheoldobangmulgwanro, Uiwang, 16105, Korea

    Dahoon Ahn

  3. Dept. of Surgery, School of Medicine, Kyung Hee Univ., Seoul, 02447, Korea

    Kil Yeon Lee & Sun Jin Park

Authors
  1. YongHo Jeon
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  2. Dahoon Ahn
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  3. Kil Yeon Lee
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  4. Sun Jin Park
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  5. Moon Gu Lee
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Corresponding author

Correspondence to Moon Gu Lee.

Additional information

Recommended by Associate Editor Won Hyoung Ryu

Yongho Jeon is currently an Assistant Professor in the Department of Mechanical Engineering at Ajou University. He received his B.S. degree in mechanical engineering from Ajou University, South Korea and the Illinois Institute of Technology, USA, in 2003. He received his M.S. and Ph.D. degrees from the University of Wisconsin, Madison, Wisconsin, USA, in 2005 and 2008, respectively. His research interests are developing novel manufacturing processes using heat and vibration and the effect of fatigue on the processes’ durability.

Moon Gu Lee received his B.S. degree in precision engineering and his M.S. and Ph.D. degrees in mechanical engineering from the Korea Advanced Institute of Science and Technology, Korea, in 1995, 1997, and 2003, respectively. He later became a Senior Researcher for Samsung Electronics and a Visiting Associate Professor at Harvard Medical School. He is currently an Associate Professor in the Division of Mechanical Engineering, Ajou University, Suwon, Korea. His research interests include analysis, design, and control of high precision positioning systems and biomedical devices.

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Jeon, Y., Ahn, D., Lee, K.Y. et al. A novel intra-abdominal retraction device with an extra-abdominal magnetic manipulator for minimally invasive surgery. J Mech Sci Technol 32, 6029–6035 (2018). https://doi.org/10.1007/s12206-018-1153-1

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  • DOI: https://doi.org/10.1007/s12206-018-1153-1

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