Virtual Interrupted Suturing Exercise with the Endo Stitch Suturing Device

  • Sukitti Punak
  • Sergei Kurenov
  • William Cance
Part of the Lecture Notes in Computer Science book series (LNCS, volume 6939)

Abstract

This paper presents the surgical suturing simulator for wound closure, which is designed for education and training purposes. Currently it is designed specifically to support a simulation of the AutosutureTM Endo StitchTM suturing, but could be extended for other surgical instruments designed for intracorporeal suturing. The simulator allows a trainee to perform a virtual wound closure by interrupted suture with real surgical instrument handles customized to fit on haptic devices. The wound simulation is based on a triangular surface mesh embedded in a linear hexahedral finite element mesh, whereas the suture simulation is based on a simplified Cosserat theory of elastic rods. Our novel heuristic combination of physically-based and control-based simulations makes the simulator run efficiently in real time on mid-level desktop PCs and notebooks.

Keywords

Collision Detection Simulation Control Haptic Device Intracorporeal Suture Puncture Point 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Pattaras, J.G., Smith, G.S., Landman, J., Moore, R.G.: Comparison and analysis of laparoscopic intracorporeal suturing devices: preliminary results. Journal of Endourology 15, 187–192 (2001)CrossRefGoogle Scholar
  2. 2.
    Sissener, T.: Suture patterns. Companion Animal 11, 14–19 (2006)CrossRefGoogle Scholar
  3. 3.
    Punak, S., Kurenov, S.: A simulation framework for wound closure by suture for the endo stitch suturing instrument. In: Proceedings of Medicine Meets Virtual Reality (MMVR) 18. Studies in Health Technology and Informatics (SHTI), Long Beach, CA vol. 163, pp. 461–465. IOS Press, Amsterdam (2011)Google Scholar
  4. 4.
    Kurenov, S., Punak, S., Kim, M., Peters, J., Cendan, J.C.: Simulation for training with the autosuture endo stitch device. Surgical Innovation 13, 1–5 (2006)CrossRefGoogle Scholar
  5. 5.
    Nesme, M., Kry, P.G., Jeřábková, L., Faure, F.: Preserving topology and elasticity for embedded deformable models. ACM Trans. Graph. 28, 1–9 (2009)CrossRefGoogle Scholar
  6. 6.
    Baraff, D., Witkin, A.: Large steps in cloth simulation. In: SIGGRAPH 1998: Proceedings of the 25th Annual Conference on Computer Graphics and Interactive Techniques, pp. 43–54. ACM, New York (1998)CrossRefGoogle Scholar
  7. 7.
    Spillmann, J., Teschner, M.: CoRdE: Cosserat rod elements for the dynamic simulation of one-dimensional elastic objects. In: SCA 2007: Proceedings of the 2007 ACM SIGGRAPH/Eurographics Symposium on Computer Animation, pp. 63–72. Eurographics Association, Aire-la-Ville (2007)Google Scholar
  8. 8.
    Punak, S., Kurenov, S.: Simplified cosserat rod for interactive suture modeling. In: Proceedings of Medicine Meets Virtual Reality (MMVR) 18. Studies in Health Technology and Informatics (SHTI), Long Beach, CA, vol. 163, pp. 466–472. IOS Press, Amsterdam (2011)Google Scholar
  9. 9.
    Kubiak, B., Pietroni, N., Ganovelli, F., Fratarcangeli, M.: A robust method for real-time thread simulation. In: VRST 2007: Proceedings of the 2007 ACM Symposium on Virtual Reality Software and Technology, pp. 85–88. ACM, New York (2007)Google Scholar
  10. 10.
    Brown, J., Latombe, J.C., Montgomery, K.: Real-Time Knot-Tying Simulation. The Visual Computer 20(2-3), 165–179 (2004)CrossRefGoogle Scholar
  11. 11.
    Berkley, J., Turkiyyah, G., Berg, D., Ganter, M., Weghorst, S.: Real-time finite element modeling for surgery simulation: An application to virtual suturing. IEEE Transactions on Visualization and Computer Graphics 10, 314–325 (2004)CrossRefGoogle Scholar
  12. 12.
    Coles, T.R., Meglan, D., John, N.W.: The role of haptics in medical training simulators: A survey of the state of the art. IEEE Transactions on Haptics 4, 51–66 (2011)CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Sukitti Punak
    • 1
  • Sergei Kurenov
    • 1
  • William Cance
    • 1
  1. 1.Roswell Park Cancer InstituteUSA

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