Skip to main content
SpringerLink
Log in

Endoscopic suturing device using new reciprocating curved needle: An Ex Vivo comparison study

  • Published:
International Journal of Precision Engineering and Manufacturing Aims and scope Submit manuscript

Abstract

Many operation methods have been developed in an attempt to minimize operative stress. Gastrointestinal endoscopic surgery is a novel method in which a natural orifice is used to approach the target organ. With the endoscopic surgery, suturing is particularly important. The goal of this study is to develop an endoscopic suturing device and to demonstrate the feasibility of the device by showing the strength of closure. In the endoscopic closer (En-closer) technique, the wound is sutured with a curved needle using a reciprocating movement. After the mechanism implementation, we carried out a feasibility study on 10 porcine stomach models. Air leakage pressure was used to determine the strength of the perforation closure. Each endoscopic clip (endoclip) method and fullthickness stitches involved hand suturing was used 10 times to increase reliability. The average leakage pressure for the En-closer was 43.25mmHg. The average closer strength of the En-closer does not significantly differ from that of the endoclip, but standard deviation of the En-closer is significantly smaller than that of the endoclip. The En-closer had similar closure strength to that of the endoclips but showed a more consistent sequence than the endoclips. This research proposes a new approach for endoscopic suturing devices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Rattner, D. W., Hawes, R., Schwaitzberg, S., Kochman, M., and Swanstrom, L., “The Second Sages/Asge White Paper on Natural Orifice Transluminal Endoscopic Surgery: 5 Years of Progress,” Surgical Endoscopy, Vol. 25, No. 8, pp. 2441–2448, 2011.

    Article  Google Scholar 

  2. Song, Y., Kim, Y., Shin, C. S., and Hong, D., “Natural Orifice Translumenal Endoscopic Surgery: Current Status and Future Technical Development,” Int. J. Precise. Eng. Manuf., Vol. 14, No. 5, pp. 859–867, 2013.

    Article  Google Scholar 

  3. Gottumukkala, S. R., “Gastrointestinal Perforations: Role of Endoscopic Closure,” Current Opinion in Gastroenterology, Vol. 27, No. 5, pp. 418–422, 2011.

    Article  Google Scholar 

  4. Sodergren, M. H., Coomber, R., Clark, J., Karimyan, V., Athanasiou, T., et al., “What are the Elements of Safe Gastrotomy Closure in Notes? A Systematic Review,” Surgical Innovation, Vol. 17, No. 4, pp. 318–331, 2010.

    Article  Google Scholar 

  5. Al Ghossaini, N., Lucidarme, D., and Bulois, P., “Endoscopic Treatment of Iatrogenic Gastrointestinal Perforations: An Overview,” Digestive and Liver Disease, Vol. 46, No. 3, pp. 195–203, 2014.

    Article  Google Scholar 

  6. Song, Y., Choi, H. S., Kim, K., Kim, Y., Kim, B. G., et al., “A Simple Novel Endoscopic Successive Suture Device: A Validation Study for Closure Strength and Reproducibility,” Endoscopy, Vol. 45, No. 8, pp. 655–660, 2013.

    Article  MathSciNet  Google Scholar 

  7. Liu, L., Chiu, P. W. Y., Teoh, A. Y. B., Lam, C. C. H., Ng, E. K. W., and Lau, J. Y. W., “Endoscopic Suturing is Superior to Endoclips for Closure of Gastrotomy after Natural Orifices Translumenal Endoscopic Surgery (Notes): An Ex Vivo Study,” Surgical Endoscopy, Vol. 28, No. 4, pp. 1342–1347, 2014.

    Article  Google Scholar 

  8. Kumar, N. and Thompson, C. C., “A Novel Method for Endoscopic Perforation Management by using Abdominal Exploration and Full-Thickness Sutured Closure,” Gastrointestinal Endoscopy, Vol. 80, No. 1, pp. 156–161, 2014.

    Article  Google Scholar 

  9. Desilets, D. J., Romanelli, J. R., Earle, D. B., Surti, V. C., Willingham, F. F., and Brugge, W. R., “Loop-Anchor Purse-String Versus Endoscopic Clips for Gastric Closure: A Natural Orifice Transluminal Endoscopic Surgery Comparison Study using Burst Pressures,” Gastrointestinal Endoscopy, Vol. 70, No. 6, pp. 1225–1230, 2009.

    Article  Google Scholar 

  10. Ryou, M., Pai, R., Sauer, J., Rattner, D., and Thompson, C., “Evaluating an Optimal Gastric Closure Method for Transgastric Surgery,” Surgical Endoscopy, Vol. 21, No. 4, pp. 677–680, 2007.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Mechanical Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, Seoul, 136-713, South Korea

    Semi Yoon, Yoonjin Kim, Byung-Gon Kim, Sei-Hoon Park, Yongnam Song & Daehie Hong

  2. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine, Inchon-ro, 73, Seongbuk-gu, Seoul, 136-705, South Korea

    Hyuk-Soon Choi, Bora Keum & Hoon-Jai Chun

Authors
  1. Semi Yoon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hyuk-Soon Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yoonjin Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Byung-Gon Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sei-Hoon Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Bora Keum
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Yongnam Song
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Daehie Hong
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Hoon-Jai Chun
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Yongnam Song, Daehie Hong or Hoon-Jai Chun.

Additional information

Semi Yoon and Hyuk-Soon Choi contributed equally to this work

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yoon, S., Choi, HS., Kim, Y. et al. Endoscopic suturing device using new reciprocating curved needle: An Ex Vivo comparison study. Int. J. Precis. Eng. Manuf. 16, 1215–1219 (2015). https://doi.org/10.1007/s12541-015-0157-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12541-015-0157-3

Keywords

Search

Navigation