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Narayan M, Majewicz Fey A. Model-free control for autonomous prevention of adverse events in robotics. Front Robot AI 2024; 10:1271748. [PMID: 38250471 PMCID: PMC10796768 DOI: 10.3389/frobt.2023.1271748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 12/11/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction: Preventive control is a critical feature in autonomous technology to ensure safe system operations. One application where safety is most important is robot-assisted needle interventions. During incisions into a tissue, adverse events such as mechanical buckling of the needle shaft and tissue displacements can occur on encounter with stiff membranes causing potential damage to the organ. Methods: To prevent these events before they occur, we propose a new control subroutine that autonomously chooses a) a reactive mechanism to stop the insertion procedure when a needle buckling or a severe tissue displacement event is predicted and b) an adaptive mechanism to continue the insertion procedure through needle steering control when a mild tissue displacement is detected. The subroutine is developed using a model-free control technique due to the nonlinearities of the unknown needle-tissue dynamics. First, an improved version of the model-free adaptive control (IMFAC) is developed by computing a fast time-varying partial pseudo derivative analytically from the dynamic linearization equation to enhance output convergence and robustness against external disturbances. Results and Discussion: Comparing IMFAC and MFAC algorithms on simulated nonlinear systems in MATLAB, IMFAC shows 20% faster output convergence against arbitrary disturbances. Next, IMFAC is integrated with event prediction algorithms from prior work to prevent adverse events during needle insertions in real time. Needle insertions in gelatin tissues with known environments show successful prevention of needle buckling and tissue displacement events. Needle insertions in biological tissues with unknown environments are performed using live fluoroscopic imaging as ground truth to verify timely prevention of adverse events. Finally, statistical ANOVA analysis on all insertion data shows the robustness of the prevention algorithm to various needles and tissue environments. Overall, the success rate of preventing adverse events in needle insertions through adaptive and reactive control was 95%, which is important toward achieving safety in robotic needle interventions.
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Affiliation(s)
- Meenakshi Narayan
- Robotics and Automation Lab, Department of Engineering Technology, Miami University, Middletown, OH, United States
| | - Ann Majewicz Fey
- Human-Enabled Robotic Technology Lab, Department of Mechanical Engineering, University of Texas at Austin, Austin, TX, United States
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2
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Patel K, Hutapea P. Study of Tissue Damage Induced by Insertion of Composite-Coated Needle. Med Eng Phys 2024; 123:104094. [PMID: 38365334 DOI: 10.1016/j.medengphy.2023.104094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 11/15/2023] [Accepted: 12/21/2023] [Indexed: 02/18/2024]
Abstract
Medical interventions have significantly progressed in developing minimally invasive techniques like percutaneous procedures. These procedures include biopsy and internal radiation therapy, where a needle or needle-like medical device is inserted through the skin to access a target inside the body. Ensuring accurate needle insertion and minimizing tissue-damage or cracks are critical in these procedures. This research aims to examine the coated needle effect on the force required to insert the needle (i.e., insertion force) and on tissue-damage during needle insertion into the bovine kidney. Reducing the needle insertion force, which is influenced by needle surface friction, generally results in a reduction in tissue-damage. Surgical needles were coated with a composite material, combining Polytetrafluoroethylene, Polydopamine, and Activated Carbon. Force measurement during needle insertion and a histological study to determine tissue-damage were conducted to evaluate the effectiveness of the coating. The insertion force was reduced by 49 % in the case of the coated needles. Furthermore, a histological analysis comparing tissue-damage resulting from coated and uncoated needles revealed an average 39 % reduction in tissue-damage with the use of coated needles. The results of this study demonstrate the potential of coated needles to enhance needle insertion and safety during percutaneous procedures.
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Affiliation(s)
- Kavi Patel
- Department of Mechanical Engineering, Temple University, Philadelphia, PA 19122, United States of America
| | - Parsaoran Hutapea
- Department of Mechanical Engineering, Temple University, Philadelphia, PA 19122, United States of America.
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3
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Wen R, Wang Z, Yi J, Hu Y. Bending-activated biotensegrity structure enables female Megarhyssa to cross the barrier of Euler's critical force. SCIENCE ADVANCES 2023; 9:eadi8284. [PMID: 37851796 PMCID: PMC10584334 DOI: 10.1126/sciadv.adi8284] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Accepted: 09/12/2023] [Indexed: 10/20/2023]
Abstract
The parasitic female Megarhyssa has a hair-like ovipositor capable of withstanding a penetration force 10 times greater than Euler's critical force, using a reciprocating penetration method. Understanding and replicating this penetration mechanism may notably broaden the application scenarios of artificial slender elements. Here, we show that the Megarhyssa's stretched intersegmental membrane and precurved abdomen activate the multipart ovipositor as a biotensegrity structure. The ovipositor's first and second valvulae alternately retract and protract, with each retracted valvula forming a tension network to support the other under compression, resulting in an exponentially increased critical force. We validated this mechanism in a multipart flexible microneedle that withstood a penetration force of 2.5× Euler's critical force and in a lightweight industrial robot that achieved intrinsic safety through its ideal dual-stiffness characteristic. This finding could potentially elucidate the high efficiency of insect probes and inspire more efficient and safer engineering designs.
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Affiliation(s)
- Rongwei Wen
- Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong 000000, China
- Department of Mechanical Engineering, The University of Hong Kong, Hong Kong 000000, China
- Department of Computer Science, The University of Hong Kong, Hong Kong 000000, China
| | - Zheng Wang
- Department of Mechanical and Energy Engineering, Southern University of Science and Technology, Shenzhen 518055, China
| | - Juan Yi
- Department of Mechanical and Energy Engineering, Southern University of Science and Technology, Shenzhen 518055, China
| | - Yong Hu
- Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong 000000, China
- Orthopedics Center, The University of Hong Kong–Shenzhen Hospital, Shenzhen 518048, China
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Patel K, Hutapea P. Experimental and analytical study on insertion force of composite-coated needle in soft tissue material. Proc Inst Mech Eng H 2023; 237:1061-1071. [PMID: 37574843 DOI: 10.1177/09544119231191910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/15/2023]
Abstract
Medical interventions require control over surgical needle insertion to minimize tissue damage and target inaccuracies during percutaneous procedures. The composite coating of the needle using Polydopamine (PDA), Polytetrafluoroethylene (PTFE), and Activated Carbon (C) has been used to reduce the damaging needle insertion force. This research aims to further understand the interfacial mechanics of coated needle insertion by studying the forces at the needle and tissue interface and developing an analytical insertion force model through a combined experimental and numerical method. The proposed analytical force model is divided into two components: (1) Friction force on the needle shaft, modeled using a modified Karnopp model that includes an elastic force component; (2) Cutting force on the needle tip, modeled using a constant cutting coefficient for a given tissue and insertion speed. In this work, the analytical model was established by incorporating experiments conducted at a reasonable 35 mm insertion depth in tissues. In a bovine kidney with a 35 mm insertion depth, the insertion force evaluated through experimentation and modeling differed by 6.5% for a bare needle and 17.1% for a coated needle. It is important to note that this difference in the analytical insertion force model is anticipated when dealing with real tissues with a highly complex structured tissue. Prediction of the insertion force could potentially be utilized in robotic needle systems for needle control to improve the success of percutaneous procedures.
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Affiliation(s)
- Kavi Patel
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, USA
| | - Parsaoran Hutapea
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, USA
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5
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Eggs B, Fischer S, Csader M, Mikó I, Rack A, Betz O. Terebra steering in chalcidoid wasps. Front Zool 2023; 20:26. [PMID: 37553687 PMCID: PMC10408236 DOI: 10.1186/s12983-023-00503-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 07/13/2023] [Indexed: 08/10/2023] Open
Abstract
Various chalcidoid wasps can actively steer their terebra (= ovipositor shaft) in diverse directions, despite the lack of terebral intrinsic musculature. To investigate the mechanisms of these bending and rotational movements, we combined microscopical and microtomographical techniques, together with videography, to analyse the musculoskeletal ovipositor system of the ectoparasitoid pteromalid wasp Lariophagus distinguendus (Förster, 1841) and the employment of its terebra during oviposition. The ovipositor consists of three pairs of valvulae, two pairs of valvifers and the female T9 (9th abdominal tergum). The paired 1st and the 2nd valvulae are interlocked via the olistheter system, which allows the three parts to slide longitudinally relative to each other, and form the terebra. The various ovipositor movements are actuated by a set of nine paired muscles, three of which (i.e. 1st valvifer-genital membrane muscle, ventral 2nd valvifer-venom gland reservoir muscle, T9-genital membrane muscle) are described here for the first time in chalcidoids. The anterior and posterior 2nd valvifer-2nd valvula muscles are adapted in function. (1) In the active probing position, they enable the wasps to pull the base of each of the longitudinally split and asymmetrically overlapping halves of the 2nd valvula that are fused at the apex dorsally, thus enabling lateral bending of the terebra. Concurrently, the 1st valvulae can be pro- and retracted regardless of this bending. (2) These muscles can also rotate the 2nd valvula and therefore the whole terebra at the basal articulation, allowing bending in various directions. The position of the terebra is anchored at the puncture site in hard substrates (in which drilling is extremely energy- and time-consuming). A freely steerable terebra increases the chance of contacting a potential host within a concealed cavity. The evolution of the ability actively to steer the terebra can be considered a key innovation that has putatively contributed to the acquisition of new hosts to a parasitoid's host range. Such shifts in host exploitation, each followed by rapid radiations, have probably aided the evolutionary success of Chalcidoidea (with more than 500,000 species estimated).
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Affiliation(s)
- Benjamin Eggs
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, University of Tübingen, Auf der Morgenstelle 28, 72076, Tübingen, Germany.
| | - Stefan Fischer
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, University of Tübingen, Auf der Morgenstelle 28, 72076, Tübingen, Germany
- Tübingen Structural Microscopy Core Facility (TSM), University of Tübingen, Schnarrenbergstraße 94-96, 72076, Tübingen, Germany
| | - Michael Csader
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, University of Tübingen, Auf der Morgenstelle 28, 72076, Tübingen, Germany
- State Museum of Natural History Karlsruhe, Erbprinzenstraße 13, 76133, Karlsruhe, Germany
| | - István Mikó
- Department of Biological Sciences, University of New Hampshire Collection of Insects and Other Arthropods, University of New Hampshire, Spaulding Hall, Durham, NH, 03824, USA
| | - Alexander Rack
- ESRF - The European Synchrotron, Structure of Materials Group - ID19, CS 40220, 38043, Grenoble Cedex 9, France
| | - Oliver Betz
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, University of Tübingen, Auf der Morgenstelle 28, 72076, Tübingen, Germany
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Nadda R, Repaka R, Sahani AK. Honeybee stinger-based biopsy needle and influence of the barbs on needle forces during insertion/extraction into the iliac crest: A multilayer finite element approach. Comput Biol Med 2023; 162:107125. [PMID: 37290393 DOI: 10.1016/j.compbiomed.2023.107125] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 05/23/2023] [Accepted: 06/01/2023] [Indexed: 06/10/2023]
Abstract
Bone marrow biopsy (BMB) needles are frequently used in medical procedures, including extracting biological tissue to identify specific lesions or abnormalities discovered during a medical examination or a radiological scan. The forces applied by the needle during the cutting operation significantly impact the sample quality. Excessive needle insertion force and possible deflection might cause tissue damage, compromising the integrity of the biopsy specimen. The present study aims at proposing a revolutionary bioinspired needle design that will be utilized during the BMB procedure. A non-linear finite element method (FEM) has been used to analyze the insertion/extraction mechanisms of the honeybee-inspired biopsy needle with barbs into/from the human skin-bone domain (i.e., iliac crest model). It can be seen from the results of the FEM analysis that stresses are concentrated around the bioinspired biopsy needle tip and barbs during the needle insertion process. Also, these needles reduce the insertion force and reduce the tip deflection. The insertion force in the current study has been reduced by 8.6% for bone tissue and 22.66% for skin tissue layers. Similarly, the extraction force has been reduced by an average of 57.54%. Additionally, it has been observed that the needle-tip deflection got reduced from 10.44 mm for a plain bevel needle to 6.3 mm for a barbed biopsy bevel needle. According to the research findings, the proposed bioinspired barbed biopsy needle design could be utilized to create and produce novel biopsy needles for successful and minimally invasive piercing operations.
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Affiliation(s)
- Rahul Nadda
- Department of Biomedical Engineering, Indian Institute of Technology, Ropar, Punjab, 140001, India.
| | - Ramjee Repaka
- Department of Biomedical Engineering, Indian Institute of Technology, Ropar, Punjab, 140001, India; Department of Mechanical Engineering, Indian Institute of Technology, Ropar, Punjab, 140001, India
| | - Ashish Kumar Sahani
- Department of Biomedical Engineering, Indian Institute of Technology, Ropar, Punjab, 140001, India
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7
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Fung-A-Jou Z, Bloemberg J, Breedveld P. Bioinspired medical needles: a review of the scientific literature. BIOINSPIRATION & BIOMIMETICS 2023; 18:041002. [PMID: 37230084 DOI: 10.1088/1748-3190/acd905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 05/25/2023] [Indexed: 05/27/2023]
Abstract
Needles are commonly used in medical procedures. However, current needle designs have some disadvantages. Therefore, a new generation of hypodermic needles and microneedle patches drawing inspiration from mechanisms found in nature (i.e. bioinspiration) is being developed. In this systematic review, 80 articles were retrieved from Scopus, Web of Science, and PubMed and classified based on the strategies for needle-tissue interaction and propulsion of the needle. The needle-tissue interaction was modified to reduce grip for smooth needle insertion or enlarge grip to resist needle retraction. The reduction of grip can be achieved passively through form modification and actively through translation and rotation of the needle. To enlarge grip, interlocking with the tissue, sucking the tissue, and adhering to the tissue were identified as strategies. Needle propelling was modified to ensure stable needle insertion, either through external (i.e. applied to the prepuncturing movement of the needle) or internal (i.e. applied to the postpuncturing movement of the needle) strategies. External strategies include free-hand and guided needle insertion, while friction manipulation of the tissue was found to be an internal strategy. Most needles appear to be using friction reduction strategies and are inserted using a free-hand technique. Furthermore, most needle designs were inspired by insects, specifically parasitoid wasps, honeybees, and mosquitoes. The presented overview and description of the different bioinspired interaction and propulsion strategies provide insight into the current state of bioinspired needles and offer opportunities for medical instrument designers to create a new generation of bioinspired needles.
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Affiliation(s)
- Zola Fung-A-Jou
- Bio-Inspired Technology (BITE) Group, Department of BioMechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
| | - Jette Bloemberg
- Bio-Inspired Technology (BITE) Group, Department of BioMechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
| | - Paul Breedveld
- Bio-Inspired Technology (BITE) Group, Department of BioMechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
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8
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Lu M, Zhang Y, Lim CM, Ren H. Flexible Needle Steering with Tethered and Untethered Actuation: Current States, Targeting Errors, Challenges and Opportunities. Ann Biomed Eng 2023; 51:905-924. [PMID: 36943414 DOI: 10.1007/s10439-023-03163-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 02/05/2023] [Indexed: 03/23/2023]
Abstract
Accurate needle targeting is critical for many clinical procedures, such as transcutaneous biopsy or radiofrequency ablation of tumors. However, targeting errors may arise, limiting the widespread adoption of these procedures. Advances in flexible needle (FN) steering are emerging to mitigate these errors. This review summarizes the state-of-the-art developments of FNs and addresses possible targeting errors that can be overcome with steering actuation techniques. FN steering techniques can be classified as passive and active. Passive steering directly results from the needle-tissue interaction forces, whereas active steering requires additional forces to be applied at the needle tip, which enhances needle steerability. Therefore, the corresponding targeting errors of most passive FNs and active FNs are between 1 and 2 mm, and less than 1 mm, respectively. However, the diameters of active FNs range from 1.42 to 12 mm, which is larger than the passive steering needle varying from 0.5 to 1.4 mm. Therefore, the development of active FNs is an area of active research. These active FNs can be steered using tethered internal direct actuation or untethered external actuation. Examples of tethered internal direct actuation include tendon-driven, longitudinal segment transmission and concentric tube transmission. Tendon-driven FNs have various structures, and longitudinal segment transmission needles could be adapted to reduce tissue damage. Additionally, concentric tube needles have immediate advantages and clinical applications in natural orifice surgery. Magnetic actuation enables active FN steering with untethered external actuation and facilitates miniaturization. The challenges faced in the fabrication, sensing, and actuation methods of FN are analyzed. Finally, bio-inspired FNs may offer solutions to address the challenges faced in FN active steering mechanisms.
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Affiliation(s)
- Mingyue Lu
- The Key Laboratory of Advanced Manufacturing and Intelligent Technology, Harbin University of Science and Technology, Harbin, China
- Duke-NUS Graduate Medical School, Singapore, Singapore
- The Department of Biomedical Engineering, National University of Singapore, Singapore, Singapore
| | - Yongde Zhang
- The Key Laboratory of Advanced Manufacturing and Intelligent Technology, Harbin University of Science and Technology, Harbin, China
| | - Chwee Ming Lim
- The Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore, Singapore
- Duke-NUS Graduate Medical School, Singapore, Singapore
| | - Hongliang Ren
- The Department of Electronic Engineering and the Shun Hing Institute of Advanced Engineering, The Chinese University of Hong Kong, Hong Kong, China.
- The Department of Biomedical Engineering, National University of Singapore, Singapore, Singapore.
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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: 3] [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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10
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Design and evaluation of an MRI-ready, self-propelled needle for prostate interventions. PLoS One 2022; 17:e0274063. [PMID: 36070302 PMCID: PMC9451087 DOI: 10.1371/journal.pone.0274063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 08/19/2022] [Indexed: 11/19/2022] Open
Abstract
Prostate cancer diagnosis and focal laser ablation treatment both require the insertion of a needle for biopsy and optical fibre positioning. Needle insertion in soft tissues may cause tissue motion and deformation, which can, in turn, result in tissue damage and needle positioning errors. In this study, we present a prototype system making use of a wasp-inspired (bioinspired) self-propelled needle, which is able to move forward with zero external push force, thereby avoiding large tissue motion and deformation. Additionally, the actuation system solely consists of 3D printed parts and is therefore safe to use inside a magnetic resonance imaging (MRI) system. The needle consists of six parallel 0.25-mm diameter Nitinol rods driven by the actuation system. In the prototype, the self-propelled motion is achieved by advancing one needle segment while retracting the others. The advancing needle segment has to overcome a cutting and friction force while the retracting needle segments experience a friction force in the opposite direction. The needle self-propels through the tissue when the friction force of the five retracting needle segments overcomes the sum of the friction and cutting forces of the advancing needle segment. We tested the performance of the prototype in ex vivo human prostate tissue inside a preclinical MRI system in terms of the slip ratio of the needle with respect to the prostate tissue. The results showed that the needle was visible in MR images and that the needle was able to self-propel through the tissue with a slip ratio in the range of 0.78–0.95. The prototype is a step toward self-propelled needles for MRI-guided transperineal laser ablation as a method to treat prostate cancer.
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de Kater EP, Sakes A, Bloemberg J, Jager DJ, Breedveld P. Design of a Flexible Wasp-Inspired Tissue Transport Mechanism. Front Bioeng Biotechnol 2021; 9:782037. [PMID: 34858965 PMCID: PMC8630668 DOI: 10.3389/fbioe.2021.782037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 10/13/2021] [Indexed: 12/03/2022] Open
Abstract
Tissue transport is a challenge during Minimally Invasive Surgery (MIS) with the current suction-based instruments as the increasing length and miniaturisation of the outer diameter requires a higher pressure. Inspired by the wasp ovipositor, a slender and bendable organ through which eggs can be transported, a flexible transport mechanism for tissue was developed that does not require a pressure gradient. The flexible shaft of the mechanism consists of ring magnets and cables that can translate in a similar manner as the valves in the wasp ovipositor. The designed transport mechanism was able to transport 10wt% gelatine tissue phantoms with the shaft in straight and curved positions and in vertical orientation against gravity. The transport rate can be increased by increasing the rotational velocity of the cam. A rotational velocity of 25 RPM resulted in a transport rate of 0.8 mm/s and increasing the rotation velocity of the cam to 80 RPM increased the transport rate to 2.3 mm/s though the stroke efficiency decreased by increasing the rotational velocity of the cam. The transport performance of the flexible transport mechanism is promising. This means of transportation could in the future be an alternative for tissue transport during MIS.
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Affiliation(s)
- Esther P. de Kater
- Department of BioMechanical Engineering, Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, Delft, Netherlands
| | - Aimée Sakes
- Department of BioMechanical Engineering, Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, Delft, Netherlands
| | - Jette Bloemberg
- Department of BioMechanical Engineering, Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, Delft, Netherlands
| | - David J. Jager
- Department of Electronic and Mechanical Support Division, Faculty of Electrical Engineering, Mathematics and Computer Science, Delft University of Technology, Delft, Netherlands
| | - Paul Breedveld
- Department of BioMechanical Engineering, Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, Delft, Netherlands
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12
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van de Berg NJ, Meeuwsen FC, Doukas M, Kronreif G, Moelker A, van den Dobbelsteen JJ. Steerable needles for radio-frequency ablation in cirrhotic livers. Sci Rep 2021; 11:309. [PMID: 33431965 PMCID: PMC7801671 DOI: 10.1038/s41598-020-77869-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 11/05/2020] [Indexed: 12/09/2022] Open
Abstract
Accurate needle placement in deep-seated liver tumours can be difficult. In this work, we disclose two new manually controlled steerable needles for 17G radio-frequency ablation probe placement. The needles contain stylets with embedded compliant joints for active tip articulations, and concentric tubes for (curved-path) guidance. Needle steering was evaluated sequentially by intended users and in intended-use tissue types. Six interventional radiologists evaluated the needle in repeated ultrasound-guided steering tasks in liver-mimicking phantoms. Targets were located at a 100 mm depth and 20 mm lateral offset from the initial insertion line. The resulting mean absolute tip placement error was 1.0 ± 1.0 mm. Subsequently, steering-induced tissue damage was evaluated in fresh cirrhotic human liver explants. The surface area of puncture holes was estimated in scanned histology slides, using a connected-components analysis. The mean surface area was 0.26 ± 0.16 mm2 after steering with a median radius of curvature of 0.7 × 103 mm, versus 0.35 ± 0.15 mm2 after straight-path insertions with the steerable needle and 0.15 ± 0.09 mm2 after straight-path RFA probe insertions. The steering mechanisms proposed enable clinically relevant path corrections for 17G needles. Radiologists were quickly adept in curved-path RFA probe placement and the evaluation of histological tissue damage demonstrated a potentially safe use during liver interventions.
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Affiliation(s)
- Nick J van de Berg
- Dept. of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, The Netherlands. .,Dept. of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
| | - Frédérique C Meeuwsen
- Dept. of Pathology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Michail Doukas
- Dept. of Pathology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Gernot Kronreif
- Austrian Center for Medical Innovation and Technology, Wiener Neustadt, Austria
| | - Adriaan Moelker
- Dept. of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - John J van den Dobbelsteen
- Dept. of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, The Netherlands
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Varnamkhasti ZK, Konh B. Design, Fabrication, and Testing of a Flexible Three-Dimensional Printed Percutaneous Needle With Embedded Actuators. J Med Device 2021. [DOI: 10.1115/1.4049398] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Abstract
Percutaneous needle-based procedures have replaced open surgeries in cancer treatments to perform the tasks with minimal invasiveness to the tissue. Precise placement of the needle at target positions in cancer diagnostic (e.g., breast biopsy) or therapeutic (e.g., prostate brachytherapy) procedures governs the success of such procedures. Also, in many needle insertion applications, it is desired to steer away from critical organs or to maneuver around anatomical obstacles in tissue. This work introduces a flexible three-dimensional (3D) printed percutaneous needle with embedded actuators for improved navigation inside the tissue toward the target. The needle is manipulated via a programmed portable motorized control unit to realize an average angular deflection of about 15 and 14 deg in air and a tissue-mimicking phantom, respectively. We demonstrated the needle's capability to reach the target, while avoiding obstacles. We also demonstrated that the flexible needle can be guided through a desired trajectory by controlling its angular deflection and axial movement. The 3D deflection of the needle is expected to assist in breast cancer lumpectomy for multiple extractions of tissue samples or in prostate brachytherapy via a curvilinear approach. The flexible needle may help reducing the complexity of current path planning algorithms, and thereby improve efficiency of closed-loop control systems in needle steering.
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Affiliation(s)
- Zahra K. Varnamkhasti
- Department of Mechanical Engineering, University of Hawaii at Manoa, 2540 Dole St., Holmes Hall 302, Honolulu, HI 96822
| | - Bardia Konh
- Department of Mechanical Engineering, University of Hawaii at Manoa, 2540 Dole St., Holmes Hall 302, Honolulu, HI 96822
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14
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Cuellar JS, Plettenburg D, Zadpoor AA, Breedveld P, Smit G. Design of a 3D-printed hand prosthesis featuring articulated bio-inspired fingers. Proc Inst Mech Eng H 2020; 235:336-345. [PMID: 33292076 DOI: 10.1177/0954411920980889] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Various upper-limb prostheses have been designed for 3D printing but only a few of them are based on bio-inspired design principles and many anatomical details are not typically incorporated even though 3D printing offers advantages that facilitate the application of such design principles. We therefore aimed to apply a bio-inspired approach to the design and fabrication of articulated fingers for a new type of 3D printed hand prosthesis that is body-powered and complies with basic user requirements. We first studied the biological structure of human fingers and their movement control mechanisms in order to devise the transmission and actuation system. A number of working principles were established and various simplifications were made to fabricate the hand prosthesis using a fused deposition modelling (FDM) 3D printer with dual material extrusion. We then evaluated the mechanical performance of the prosthetic device by measuring its ability to exert pinch forces and the energy dissipated during each operational cycle. We fabricated our prototypes using three polymeric materials including PLA, TPU, and Nylon. The total weight of the prosthesis was 92 g with a total material cost of 12 US dollars. The energy dissipated during each cycle was 0.380 Nm with a pinch force of ≈16 N corresponding to an input force of 100 N. The hand is actuated by a conventional pulling cable used in BP prostheses. It is connected to a shoulder strap at one end and to the coupling of the whiffle tree mechanism at the other end. The whiffle tree mechanism distributes the force to the four tendons, which bend all fingers simultaneously when pulled. The design described in this manuscript demonstrates several bio-inspired design features and is capable of performing different grasping patterns due to the adaptive grasping provided by the articulated fingers. The pinch force obtained is superior to other fully 3D printed body-powered hand prostheses, but still below that of conventional body powered hand prostheses. We present a 3D printed bio-inspired prosthetic hand that is body-powered and includes all of the following characteristics: adaptive grasping, articulated fingers, and minimized post-printing assembly. Additionally, the low cost and low weight make this prosthetic hand a worthy option mainly in locations where state-of-the-art prosthetic workshops are absent.
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Affiliation(s)
- Juan Sebastian Cuellar
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
| | - Dick Plettenburg
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
| | - Amir A Zadpoor
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
| | - Paul Breedveld
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
| | - Gerwin Smit
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands
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15
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Sakes A, van de Steeg IA, de Kater EP, Posthoorn P, Scali M, Breedveld P. Development of a Novel Wasp-Inspired Friction-Based Tissue Transportation Device. Front Bioeng Biotechnol 2020; 8:575007. [PMID: 33102458 PMCID: PMC7554247 DOI: 10.3389/fbioe.2020.575007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 09/02/2020] [Indexed: 11/23/2022] Open
Abstract
Currently existing tubular transportation systems for the extraction of large tissue masses during Minimal Invasive Surgery (MIS) are subjected to a large amount of operating limitations. In this study, a novel transportation mechanism (patented) was developed inspired by the egg-laying structure of wasps. The developed mechanism consists of an outer tube within which six reciprocating semi-cylindrical blades are present and tissue is transported using a friction differential between the blades. Two motion sequences were developed: (1) 1–5 motion sequence, in which one blade moves forward, while the remaining five blades move backward and (2) 2–4 motion sequence, in which four blades move backward while two blades move forward. A proof-of-principle experiment was performed to investigate the effects of tissue elasticity, tissue heterogeneity, and the motion sequence on the transportation rate [mg/s], transportation efficiency [%], and transportation reliability [%]. The mean transportation rate and reliability was highest for the 9 wt% gelatine phantoms at 4.21 ± 0.74 mg/s and the 1–5 sequence at 100%, respectively. The prototype has shown that the friction-based transportation principle has the potential of becoming a viable and reliable alternative to aspiration as a transportation method within MIS.
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Affiliation(s)
- Aimée Sakes
- Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Department of BioMechanical Engineering, Delft University of Technology, Delft, Netherlands
| | - Ivo A van de Steeg
- Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Department of BioMechanical Engineering, Delft University of Technology, Delft, Netherlands
| | - Esther P de Kater
- Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Department of BioMechanical Engineering, Delft University of Technology, Delft, Netherlands
| | - Perry Posthoorn
- Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Department of BioMechanical Engineering, Delft University of Technology, Delft, Netherlands
| | - Marta Scali
- Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Department of BioMechanical Engineering, Delft University of Technology, Delft, Netherlands
| | - Paul Breedveld
- Bio-Inspired Technology Group, Faculty of Mechanical, Maritime, and Materials Engineering, Department of BioMechanical Engineering, Delft University of Technology, Delft, Netherlands
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16
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Tull T, Henn F, Betz O, Eggs B. Structure and function of the stylets of hematophagous Triatominae (Hemiptera: Reduviidae), with special reference to Dipetalogaster maxima. ARTHROPOD STRUCTURE & DEVELOPMENT 2020; 58:100952. [PMID: 32540512 DOI: 10.1016/j.asd.2020.100952] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 04/24/2020] [Accepted: 04/29/2020] [Indexed: 06/11/2023]
Abstract
Kissing bugs (Hemiptera: Reduviidae: Triatominae) are able to bend their rod-like maxillae while searching for blood vessels in the tissue of their vertebrate hosts. Little is known about the working mechanisms of these bending movements and the distal opening of the food channel. We compared the morphological structure of the stylets (mandibles and maxillae) of four triatomine species and analyzed the feeding process of Dipetalogaster maxima (Uhler, 1894). The maxillae of triatomine bugs are interlocked by a tongue-and-groove system, allowing longitudinal sliding. While penetrating the host tissue, the animals perform rapid alternate back and forth movements of the maxillae. The resistance of the surrounding tissue pushes the asymmetric apex of the maxillae away from its straight path, i.e., if one individual maxilla is protracted alone, its tip curves inwards, and the other maxilla follows. Once a blood vessel is tapped, the spine-like tip of the left maxilla splays outwards. Apically, each of the maxillae features an abutment, the left one exhibiting a notch that presumably facilitates splaying. The mechanical interaction of the two maxillary abutments enables the distal opening of the food channel but might also support the movements of the maxillary bundle attributable to different bending moment distributions.
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Affiliation(s)
- Tatjana Tull
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, Auf der Morgenstelle 28, 72076 Tübingen, Germany.
| | - Fabian Henn
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, Auf der Morgenstelle 28, 72076 Tübingen, Germany
| | - Oliver Betz
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, Auf der Morgenstelle 28, 72076 Tübingen, Germany
| | - Benjamin Eggs
- Evolutionary Biology of Invertebrates, Institute of Evolution and Ecology, Auf der Morgenstelle 28, 72076 Tübingen, Germany
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17
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Pitcher C, Alkalla M, Pang X, Gao Y. Development of the Third Generation of the Dual-Reciprocating Drill. Biomimetics (Basel) 2020; 5:biomimetics5030038. [PMID: 32781643 PMCID: PMC7558545 DOI: 10.3390/biomimetics5030038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 06/26/2020] [Accepted: 07/09/2020] [Indexed: 11/29/2022] Open
Abstract
The dual-reciprocating drill (DRD) is a low-mass alternative to traditional drilling techniques biologically inspired by the wood wasp ovipositor, which is used to drill into wood in order to lay its eggs. The DRD reciprocates two halves lined with backwards-facing teeth, enabling it to generate traction forces that reduce the required overhead penetration force. While previous research has focused on experimental testing of the drill’s operational and design parameters, numerical simulation techniques are being developed to allow the rapid testing of multiple designs, complementing and informing experimental testing campaigns. The latest DRD design iteration integrated a novel internal actuation mechanism and demonstrated the benefits of adding controlled lateral movements. This paper presents an exploration of how bit morphology affects drilling performance and a preliminary study of discrete element method (DEM) simulations for modelling DRD interactions in regolith. These have shown how regolith grain size and microscopic behaviour significantly affects the performance of different drill designs, and demonstrated how customisable drills can exploit the properties of various substrates. Two system prototypes are also being developed for the DRD’s third generation, each utilising novel actuation and sampling mechanisms. A final drill design will then be deployed from a planetary rover and perform the first DRD drilling and sampling operation.
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18
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Li ADR, Putra KB, Chen L, Montgomery JS, Shih A. Mosquito proboscis-inspired needle insertion to reduce tissue deformation and organ displacement. Sci Rep 2020; 10:12248. [PMID: 32699296 PMCID: PMC7376018 DOI: 10.1038/s41598-020-68596-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 06/24/2020] [Indexed: 11/20/2022] Open
Abstract
This study investigates mosquito proboscis-inspired (MPI) insertion applied to the clinically used biopsy needle to reduce tissue deformation and organ displacement. Advanced medical imagining has enabled early-stage identification of cancerous lesions that require needle biopsy for minimally invasive tissue sampling and pathological analysis. Accurate cancer diagnosis depends on the accuracy of needle deployment to the targeted cancerous lesion site. However, currently available needle delivery systems deform and move soft tissue and organs, leading to a non-diagnostic biopsy or undersampling of the target. Two features inspired by the mosquito proboscis were adopted for MPI insertion in prostate biopsy: (1) the harpoon-shape notches at the needle tip and (2) reciprocating needle-cannula motions for incremental insertion. The local tissue deformation and global prostate displacement during the MPI vs. traditional direct insertions were quantified by optically tracking the displacement of particle-embedded tissue-mimicking phantoms. Results show that the MPI needle insertion reduced both local tissue deformation and global prostate displacement because of the opposite needle-cannula motions and notches which stabilized and reduced the tissue deformation during insertion. Findings provide proof of concept for MPI insertion in the clinical biopsy procedures as well as insights of needle–tissue interaction for future biopsy technology development.
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Affiliation(s)
- Annie D R Li
- Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA.
| | - Ketut B Putra
- Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA
| | - Lei Chen
- Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA.,Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | | | - Albert Shih
- Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA.,Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA
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19
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Scali M, Breedveld P, Dodou D. Experimental evaluation of a self-propelling bio-inspired needle in single- and multi-layered phantoms. Sci Rep 2019; 9:19988. [PMID: 31882707 PMCID: PMC6934672 DOI: 10.1038/s41598-019-56403-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Accepted: 12/08/2019] [Indexed: 01/04/2023] Open
Abstract
In percutaneous interventions, reaching targets located deep inside the body with minimal tissue damage and patient pain requires the use of long and thin needles. However, when pushed through a solid substrate, a structure with a high aspect ratio is prone to buckle. We developed a series of multi-element needles with a diameter smaller than 1 mm and a length larger than 200 mm, and we experimentally evaluated the performance of a bio-inspired insertion mechanism that prevents needle buckling of such slender structures. The needles consisted of Nitinol wires and advance into a substrate by pushing the wires forward one after the other, followed by pulling all the wires simultaneously backward. The resulting net push force is low, allowing the needles to self-propel through the substrate. We investigated the effect of the needle design parameters (number of wires and their diameter) and substrate characteristics (stiffness and number of layers) on the needle motion. Three needle prototypes (consisting of six 0.25-mm wires, six 0.125-mm wires, and three 0.25-mm wires, respectively) were inserted into single- and multi-layered tissue-mimicking phantoms. The prototypes were able to move forward in all phantoms without buckling. The amount of needle slip with respect to the phantom was used to assess the performance of the prototypes. The six-wire 0.25-mm prototype exhibited the least slip among the three prototypes. Summarizing, we showed that a bio-inspired motion mechanism prevents buckling in very thin (diameter <1 mm), long (length >200 mm) needles, allowing deep insertion into tissue-mimicking phantoms.
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Affiliation(s)
- M Scali
- Delft University of Technology, BioMechanical Engineering, Delft, 2628CD, The Netherlands.
| | - P Breedveld
- Delft University of Technology, BioMechanical Engineering, Delft, 2628CD, The Netherlands
| | - D Dodou
- Delft University of Technology, BioMechanical Engineering, Delft, 2628CD, The Netherlands
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20
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Cerkvenik U, van Leeuwen J, Kovalev A, Gorb SN, Matsumura Y, Gussekloo SWS. Stiffness gradients facilitate ovipositor bending and spatial probing control in a parasitic wasp. J Exp Biol 2019; 222:jeb.195628. [DOI: 10.1242/jeb.195628] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 03/31/2019] [Indexed: 11/20/2022]
Abstract
Many parasitic wasps use slender and steerable ovipositors to lay eggs in hosts hidden in substrates, but it is currently unknown how steering is achieved. The ovipositors generally consist of three longitudinally connected elements, one dorsal and two ventral valves that can slide along each other. For the parasitic wasp Diachasmimorpha longicaudata, it has been shown that protraction of the ventral valves causes incurving of the ventral valves towards the dorsal one, which results in a change in probing direction. We hypothesise that this shape change is due to differences in bending stiffness along the ovipositor. Alignment of the stiff tip of the dorsal valve with a more flexible ventral S-shaped region situated just behind the tip straightens this S-bend and results in upwards rotation of the ventral tip. We show that the S-shaped region of the ventral valves has a low bending stiffness because it contains soft materials such as resilin. In contrast, the large cross-sectional area of the dorsal valve tip area probably results in a high bending stiffness. Elsewhere, the dorsal valve is less stiff than the ventral valves. Our results support the hypothesis that the interaction between the stiff dorsal valve portion and the more flexible S-shaped region co-determine the configurational tip changes required for steering the ovipositor in any desired direction along curved paths in the substrate. This provides novel insights in the understanding of steering mechanisms of the hymenopteran ovipositor, and for the application in man-made probes.
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Affiliation(s)
- U. Cerkvenik
- Experimental Zoology Group, Wageningen University, Wageningen, Netherlands
| | - J.L. van Leeuwen
- Experimental Zoology Group, Wageningen University, Wageningen, Netherlands
| | - A. Kovalev
- Zoological Institute: Functional Morphology and Biomechanics, Kiel University, Kiel, Germany
| | - S. N. Gorb
- Zoological Institute: Functional Morphology and Biomechanics, Kiel University, Kiel, Germany
| | - Y. Matsumura
- Zoological Institute: Functional Morphology and Biomechanics, Kiel University, Kiel, Germany
| | - S. W. S Gussekloo
- Experimental Zoology Group, Wageningen University, Wageningen, Netherlands
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