Surgery Today

, Volume 48, Issue 6, pp 649–655 | Cite as

A novel suction/coagulation integrated probe for achieving better hemostasis: development and clinical use

  • Hidekazu Takahashi
  • Naotsugu Haraguchi
  • Junichi Nishimura
  • Taishi Hata
  • Chu Matsuda
  • Hirofumi Yamamoto
  • Tsunekazu Mizushima
  • Masaki Mori
  • Yuichiro Doki
  • Kiyokazu NakajimaEmail author
Original Article



Modern electrosurgical tools have a specific coagulation mode called “soft coagulation”. However, soft coagulation has not been widely accepted for surgical operations. To optimize the soft coagulation environment, we developed a novel suction device integrated with an electrosurgical probe, called the “Suction ball coagulator” (SBC). In this study, we aimed to optimize the SBC design with a prototyping process involving a bench test and preclinical study; then, we aimed to demonstrate the feasibility, safety, and potential effectiveness of the SBC for laparoscopic surgery in clinical settings.


SBC prototyping was performed with a bench test. Device optimization was performed in a preclinical study with a domestic swine bleeding model. Then, SBC was tested in a clinical setting during 17 clinical laparoscopic colorectal surgeries.


In the bench tests, two tip hole sizes and patterns showed a good suction capacity. The preclinical study indicated the best tip shape for accuracy. In clinical use, no device-related adverse event was observed. Moreover, the SBC was feasible for prompt hemostasis and blunt dissections. In addition, SBC could evacuate vapors generated by tissue ablation using electroprobe during laparoscopic surgery.


We successfully developed a novel, integrated suction/coagulation probe for hemostasis and commercialized it.


Hemostasis Device development Soft coagulation Laparoscopic surgery 



Endoscopic mucosal resection


Endoscopic submucosal dissection


Suction ball coagulator


Pharmaceuticals and medical devices agency


Complete mesocolic excision


Total mesorectal excision


Laparoscopic coagulation scissors


Carbon dioxide


Computer-aided design


Inferior mesenteric artery



The authors acknowledge AMCO Incorporated, Tokyo, Japan, and Yamashina Seiki Co., Ltd., Siga, Japan, for their technical support.

Compliance with ethical standards

Conflict of interest

Hidekazu Takahashi, Naotsugu Haraguchi, Junichi Nishimura, Taishi Hata, Chu Matsuda, Hirofumi Yamamoto, Tsunekazu Mizushima, Masaki Mori, Yuichiro Doki, and Kiyokazu Nakajima have no conflicts of interest to declare.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Hidekazu Takahashi
    • 1
  • Naotsugu Haraguchi
    • 1
  • Junichi Nishimura
    • 1
  • Taishi Hata
    • 1
  • Chu Matsuda
    • 1
  • Hirofumi Yamamoto
    • 1
  • Tsunekazu Mizushima
    • 1
  • Masaki Mori
    • 1
  • Yuichiro Doki
    • 1
  • Kiyokazu Nakajima
    • 1
    • 2
    Email author
  1. 1.Department of Gastroenterological SurgeryOsaka University Graduate School of MedicineSuitaJapan
  2. 2.Division of Next Generation Endoscopic Intervention (Project ENGINE), Center of Medical Innovation and Translational Research, Global Center for Medical Engineering and InformaticsOsaka UniversitySuitaJapan

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