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Barua R, Das S, Roy Chowdhury A, Datta P. Experimental and simulation investigation of surgical needle insertion into soft tissue mimic biomaterial for minimally invasive surgery (MIS). Proc Inst Mech Eng H 2023; 237:254-264. [PMID: 36527297 DOI: 10.1177/09544119221143860] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The surgical needle insertion process is widely applied in medical interference. During the insertion process, the inhomogeneity and denseness of the soft tissues make it tough to detect the essential tissue damage, a rupture occurs that contains huge forces and material deformations. This study is very important, as all the above-mentioned factors are very significant for modern invasive surgery so that the success rate of the surgery can increase and the patient recovers smoothly. This investigation intends to perform minimally invasive surgical (MIS) procedures and reduce the living tissue damage while performing the biopsy, PCNL, etc. A fracture mechanics method was analyzed to create a needle insertion model which can estimate the needle insertion force during inset in tissue-like PVA gel. The force model was calculated by needle insertion experimentally, and also estimated the needle tip geometry, and diameter influences the fracture toughness. Validate exp. results with simulation results and other papers. It is observed that needle diameter has a significant effect on fracture toughness, whereas the insertion velocity has a slight impact on the fracture toughness. During the rotational needle insertion process, the winds-up of the gel occurs and the diameter of the hole was increasing with increased rpm. Maximum insertion force was noticed in the 27 G needle at 5 mm/s. The interaction function will be less at the maximum fracture development region.
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Affiliation(s)
- Ranjit Barua
- Indian Institute of Engineering Science and Technology, Shibpur, Howrah, West Bengal, India
| | - Surajit Das
- R.G. Kar Medical College and Hospital, Kolkata, West Bengal, India
| | - Amit Roy Chowdhury
- Indian Institute of Engineering Science and Technology, Shibpur, Howrah, West Bengal, India
| | - Pallab Datta
- National Institute of Pharmaceutical Education and Research, Kolkata, West Bengal, India
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Gidde STR, Islam S, Kim A, Hutapea P. Experimental study of mosquito-inspired needle to minimize insertion force and tissue deformation. Proc Inst Mech Eng H 2023; 237:113-123. [PMID: 36437600 DOI: 10.1177/09544119221137133] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The aim of this work is to propose a mosquito-inspired (bioinspired) design of a surgical needle that can decrease the insertion force and the tissue deformation, which are the main causes of target inaccuracy during percutaneous procedures. The bioinspired needle was developed by mimicking the geometrical shapes of mosquito proboscis. Needle prototypes were manufactured and tested to determine optimized needle shapes and geometries. Needle insertion tests on a tissue-mimicking polyvinylchloride (PVC) gel were then performed to emulate the mosquito-proboscis stinging dynamics by applying vibration and insertion velocity during the insertion. An insertion test setup equipped with a sensing system was constructed to measure the insertion force and to assess the deformation of the tissue. It was discovered that using the proposed bioinspired design, the needle insertion force was decreased by 60% and the tissue deformation was reduced by 48%. This finding is significant for improving needle-based medical procedures.
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Affiliation(s)
| | - Sayemul Islam
- Department of Electrical and Computer Engineering, Temple University, Philadelphia, PA, USA
| | - Albert Kim
- Department of Electrical and Computer Engineering, Temple University, Philadelphia, PA, USA
| | - Parsaoran Hutapea
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, USA
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Gidde STR, Acharya SR, Kandel S, Pleshko N, Hutapea P. Assessment of tissue damage from mosquito-inspired surgical needle. MINIM INVASIV THER 2022; 31:1112-1121. [DOI: 10.1080/13645706.2022.2051718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Sharad Raj Acharya
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, USA
| | - Shital Kandel
- Department of Bioengineering, Temple University, Philadelphia, PA, USA
| | - Nancy Pleshko
- Department of Bioengineering, Temple University, Philadelphia, PA, USA
| | - Parsaoran Hutapea
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, USA
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Antifriction Mechanism of Longitudinal Vibration-Assisted Insertion in DBS. Ann Biomed Eng 2021; 49:2057-2065. [PMID: 33475894 DOI: 10.1007/s10439-021-02730-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Accepted: 01/07/2021] [Indexed: 10/22/2022]
Abstract
Deep brain stimulation (DBS) is an effective treatment for Parkinson's disease. The insertion of brain tissue is an important procedure that affects the whole operation and the sequela. During the insertion process, the friction between the tissue and the needle shaft is the main factor affecting the degree of tissue damage and the accuracy of target location. Vibration-assisted needle insertion has been shown to reduce friction during needle insertion into biological tissue. LuGre model is a friction model that includes coulomb friction and viscous friction between two contact surfaces and accurately describes the Stribeck effect. This paper studies the influence of longitudinal vibration on the friction force during needle insertion. Based on LuGre model, the influence of longitudinal vibration parameters on friction force is discussed. Through experiments on porcine brain tissue and gel phantom, the friction force during insertion and the positive pressure of tissue against the needle under different vibration parameters were investigated. The experiment showed that the vibration can change the friction force by affecting the equivalent friction coefficient and the positive pressure of tissue against the needle. The equivalent friction coefficient showed a specific trend with the change of vibration parameters, while the positive pressure does not change with the vibration parameters.
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Wu W, Xu C, Pan C, Huang Z, Zhou J, Huang P. Effect of vibration frequency on frictional resistance of brain tissue during vibration-assisted needle insertion. Med Eng Phys 2020; 86:35-40. [PMID: 33261731 DOI: 10.1016/j.medengphy.2020.10.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Revised: 09/11/2020] [Accepted: 10/05/2020] [Indexed: 10/23/2022]
Abstract
Deep brain stimulation (DBS) is an effective treatment for Parkinson's disease. The cannula insertion process plays an important role in DBS. The friction force during needle insertion influences the precision of the insertion and the degree of damage to the brain tissue. This paper proposes a method of longitudinal vibration assisted insertion to reduce the friction during insertion and improve the effects of the insertion. Cannulas were inserted into twenty eight pig brains at multiple frequencies and fixed amplitudes, and the resulting friction force was measured. On this basis, the LuGre model was used to analyze the friction force trend under vibration-assisted conditions. The frictional forces of vibration-assisted insertion with frequencies ranging from 200-1200 Hz and an amplitude of 1 μm were measured. The results show that the friction between the needle shaft and the tissue is smaller with vibration than without vibration. In this experiment, the friction is reduced by up to 24.43%. The friction force trend of vibration-assisted insertion conforms to the simulation results of the LuGre model.
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Affiliation(s)
- Wenhao Wu
- School of Mechanical Engineering, Shandong University, Jinan 250061, China; Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China
| | - Changfeng Xu
- School of Mechanical Engineering, Shandong University, Jinan 250061, China; Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China
| | - Chunyang Pan
- School of Mechanical Engineering, Shandong University, Jinan 250061, China; Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China
| | - Zhixiang Huang
- School of Mechanical Engineering, Shandong University, Jinan 250061, China; Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China
| | - Jun Zhou
- School of Mechanical Engineering, Shandong University, Jinan 250061, China; Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China.
| | - Panling Huang
- School of Mechanical Engineering, Shandong University, Jinan 250061, China; Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China
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Reddy Gidde ST, Ciuciu A, Devaravar N, Doracio R, Kianzad K, Hutapea P. Effect of vibration on insertion force and deflection of bioinspired needle in tissues. BIOINSPIRATION & BIOMIMETICS 2020; 15:054001. [PMID: 32408278 DOI: 10.1088/1748-3190/ab9341] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The design of surgical needles used in biopsy procedures have remained fairly standard despite the increase in complexity of surgeries. Higher needle insertion forces and deflection can increase tissue damage and decrease biopsy sample integrity. To overcome these drawbacks, we present a novel bioinspired approach to reduce insertion forces and minimize needle-tip deflection. It is well known from the literature, design of bioinspired surgical needles results in decreasing insertion forces and needle-tip deflection from the needle insertion path. This technical note studies the influence of vibration on bioinspired needle to further reduce insertion forces and needle-tip deflection. Bioinspired needle geometrical parameters such as barb shapes and geometries were analyzed to determine the best design parameters. Static and dynamic (vibration) needle insertion tests were performed to determine the maximum insertion forces and to estimate needle-tip deflection. Our results show that introducing vibration on the bioinspired needle insertion can reduce the maximum insertion force by up to 50%. It was also found that the needle-tip deflection is decreased by 47%.
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Affiliation(s)
- Sai Teja Reddy Gidde
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, United States of America
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Han SF, Yang Y. Influence of needling conditions on the corneal insertion force. Comput Methods Biomech Biomed Engin 2019; 22:1239-1246. [PMID: 31553277 DOI: 10.1080/10255842.2019.1655002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Needle insertion plays an important part in the process of corneal graft surgery. In this paper, a three-dimensional symmetry model of the human cornea is constructed using the finite element method. Simplification of specific optic physiology is defined for the model: The cornea constrained by the sclera is presented as two layers consisting of epithelium and stroma. A failure criterion based on the distortion energy theory has been proposed to predict the insertion process of the needle. The simulation results show a good agreement with the experimental data reported in the literature. The influence of needling conditions (e.g. insertion velocity, rotation parameters and vibration parameters) on the insertion force are then discussed. In addition, a multi-objective optimization based on particle swarm optimization (PSO) is applied to reduce the insertion force. The numerical results provide guidelines for selecting the motion parameters of the needle and a potential basis for further developments in robot-assisted surgery.
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Affiliation(s)
- S F Han
- School of Mechanical Engineering and Automation, Beihang University , Beijing , P.R. China
| | - Y Yang
- School of Mechanical Engineering and Automation, Beihang University , Beijing , P.R. China
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Pritzker KPH, Nieminen HJ. Needle Biopsy Adequacy in the Era of Precision Medicine and Value-Based Health Care. Arch Pathol Lab Med 2019; 143:1399-1415. [PMID: 31100015 DOI: 10.5858/arpa.2018-0463-ra] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT.— Needle biopsy of diseased tissue is an essential diagnostic tool that is becoming even more important as precision medicine develops. However, the capability of this modality to efficiently provide samples adequate for diagnostic and prognostic analysis remains quite limited relative to current diagnostic needs. For physicians and patients, inadequate biopsy frequently leads to diagnostic delay, procedure duplication, or insufficient information about tumor biology leading to delay in treatment; for health systems, this results in substantial incremental costs and inefficient use of scarce specialized diagnostic resources. OBJECTIVE.— To review current needle biopsy technology, devices, and practice with a perspective to identify current limitations and opportunities for improvement in the context of advancing precision medicine. DATA SOURCES.— PubMed searches of fine-needle aspiration and core needle biopsy devices and similar technologies were made generally, by tissue site, and by adequacy as well as by health economics of these technologies. CONCLUSIONS.— Needle biopsy adequacy can be improved by recognizing the importance of this diagnostic tool by promoting common criteria for needle biopsy adequacy; by optimizing needle biopsy procedural technique, technologies, clinical practice, professional education, and quality assurance; and by bundling biopsy procedure costs with downstream diagnostic modalities to provide better accountability and incentives to improve the diagnostic process.
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Affiliation(s)
- Kenneth P H Pritzker
- From the Departments of Laboratory Medicine and Pathobiology, and Surgery, University of Toronto, Toronto, Ontario, Canada (Dr Pritzker); and the Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland (Dr Nieminen)
| | - Heikki J Nieminen
- From the Departments of Laboratory Medicine and Pathobiology, and Surgery, University of Toronto, Toronto, Ontario, Canada (Dr Pritzker); and the Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland (Dr Nieminen)
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Sahlabadi M, Hutapea P. Novel design of honeybee-inspired needles for percutaneous procedure. BIOINSPIRATION & BIOMIMETICS 2018; 13:036013. [PMID: 29261096 DOI: 10.1088/1748-3190/aaa348] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The focus of this paper is to present new designs of innovative bioinspired needles to be used during percutaneous procedures. Insect stingers have been known to easily penetrate soft tissues. Bioinspired needles mimicking the barbs in a honeybee stinger were developed for a smaller insertion force, which can provide a less invasive procedure. Decreasing the insertion force will decrease the tissue deformation, which is essential for more accurate targeting. In this study, some design parameters, in particular, barb shape and geometry (i.e. front angle, back angle, and height) were defined, and their effects on the insertion force were investigated. Three-dimensional printing technology was used to manufacture bioinspired needles. A specially-designed insertion test setup using tissue mimicking polyvinyl chloride (PVC) gels was developed to measure the insertion and extraction forces. The barb design parameters were then experimentally modified through detailed experimental procedures to further reduce the insertion force. Different scales of the barbed needles were designed and used to explore the size-scale effect on the insertion force. To further investigate the efficacy of the proposed needle design in real surgeries, preliminary ex vivo insertion tests into bovine liver tissue were performed. Our results show that the insertion force of the needles in different scales decreased by 21-35% in PVC gel insertion tests, and by 46% in bovine liver tissue insertion tests.
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Affiliation(s)
- Mohammad Sahlabadi
- Department of Mechanical Engineering, Temple University, Philadelphia, PA 19027, United States of America
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