Design of an Experimental Set-Up to Study the Behavior of a Flexible Surgical Instrument Inside an Endoscope

2013 ◽  
Vol 7 (3) ◽  
Author(s):  
Jitendra P. Khatait ◽  
Dannis M. Brouwer ◽  
Herman M. J. R. Soemers ◽  
Ronald G. K. M. Aarts ◽  
Just L. Herder

The success of flexible instruments in surgery requires high motion and force fidelity and controllability of the tip. However, the friction and the limited stiffness of such instruments limit the motion and force transmission of the instrument. In a previous study, we developed a flexible multibody model of a surgical instrument inside an endoscope in order to study the effect of the friction, bending and rotational stiffness of the instrument and clearance on the motion hysteresis and the force transmission. In this paper, we present the design and evaluation of an experimental setup for the validation of the flexible multibody model and the characterization of the instruments. A modular design was conceived based on three key functionalities: the actuation from the proximal end, the displacement measurement of the distal end, and the measurement of the interaction force. The exactly constrained actuation module achieves independent translation and rotation of the proximal end. The axial displacement and the rotation of the distal end are measured contactless via a specifically designed air bearing guided cam through laser displacement sensors. The errors in the static measurement are 15 μm in translation and 0.15 deg in rotation. Six 1-DOF load cell modules using flexures measure the interaction forces and moments with an error of 0.8% and 2.5%, respectively. The achieved specifications allow for the measurement of the characteristic behavior of the instrument inside a curved rigid tube and the validation of the flexible multibody model.

Author(s):  
J. P. Khatait ◽  
D. M. Brouwer ◽  
J. P. Meijaard ◽  
R. G. K. M. Aarts ◽  
J. L. Herder

Modern surgical procedures involve flexible instruments for both diagnostic and therapeutic purposes. The implementation of flexible instruments in surgery necessitates high motion and force fidelity, and good controllability of the tip. However, the positional accuracy and the force transmission of these instruments are jeopardized by the friction and clearance inside the endoscope, and the compliance of the instrument. The objective of this paper is to set up a 3-D flexible multibody model for a surgical instrument inside an endoscope to study its translational and rotational behavior. The 3-D model incorporates all the deformations—axial, torsion, and bending—due to its interaction with the surroundings. The interaction due to the contact is defined along the normal and tangential direction at the contact point. The wall stiffness and damping are defined in the normal direction. Friction is defined along the tangential direction. The calculation of the interaction force and moment is explained with an example. Various simulations were performed to study the behavior of the instrument inside a curved rigid tube. The simulations for the insertion into a 3-D tube defined in a plane were compared for both 2-D and 3-D model. The simulation results from the 3-D model give the same results as the 2-D model. A simulation was carried out for the insertion in a 3-D tube using the 3-D model and the total interaction force on the instrument was analyzed. A 3-D multibody model was set up for the simulation offline rotation. A motion hysteresis of 5° was observed for the chosen configuration. The 3-D multibody model is able to demonstrate the characteristic behavior of the flexible instrument under different scenarios. Both translational and rotational behavior of the instrument can be characterized for the given set of parameters. The developed model will help us to study the effect of various parameters on the motion and force transmission of the instrument.


Author(s):  
Jitendra P. Khatait ◽  
Dannis M. Brouwer ◽  
J. P. Meijaard ◽  
Ronald G. K. M. Aarts ◽  
Just L. Herder

The implementation of flexible instruments in surgery necessitates high motion and force fidelity and good controllability of the tip. However, the positional accuracy and the force transmission of these instruments are jeopardized by the friction, the clearance, and the inherent compliance of the instrument. The surgical instrument is modeled as a series of interconnected spatial beam elements. The endoscope is modeled as a rigid curved tube. The stiffness, damping, and friction are defined in order to calculate the interaction between the instrument and the tube. The effects of various parameters on the motion and force transmission behavior were studied for the axially-loaded and no-load cases. The simulation results showed a deviation of 1.8% in the estimation of input force compared with the analytical capstan equation. The experimental results showed a deviation on the order of 1.0%. The developed flexible multibody model is able to demonstrate the characteristic behavior of the flexible instrument for both the translational and rotational input motion for a given set of parameters. The developed model will help us to study the effects of various parameters on the motion and force transmission of the instrument.


2019 ◽  
Author(s):  
Priya Prakash ◽  
Travis Lantz ◽  
Krupal P. Jethava ◽  
Gaurav Chopra

Amyloid plaques found in the brains of Alzheimer’s disease (AD) patients primarily consists of amyloid beta 1-42 (Ab42). Commercially, Ab42 is synthetized using peptide synthesizers. We describe a robust methodology for expression of recombinant human Ab(M1-42) in Rosetta(DE3)pLysS and BL21(DE3)pLysS competent E. coli with refined and rapid analytical purification techniques. The peptide is isolated and purified from the transformed cells using an optimized set-up for reverse-phase HPLC protocol, using commonly available C18 columns, yielding high amounts of peptide (~15-20 mg per 1 L culture) in a short time. The recombinant Ab(M1-42) forms characteristic aggregates similar to synthetic Ab42 aggregates as verified by western blots and atomic force microscopy to warrant future biological use. Our rapid, refined, and robust technique to purify human Ab(M1-42) can be used to synthesize chemical probes for several downstream in vitro and in vivo assays to facilitate AD research.


Author(s):  
Madhubhushan M ◽  
Seshaiah S ◽  
Chandrudu J ◽  
Sagar R ◽  
Akila CR

The common watermelon item (Citrullus lanatus) seeds were gained from castoffs verdant nourishments for use by decorating, sun ventilation and pulverizing. Light yellow-toned oil was gotten by dissolvable withdrawal using oil atmosphere and the going with traits were gotten using oil ether: pH, refractive rundown, thickness, dissolvable miscibility, coagulating temperature, fire nature, express gravity, streak point and warmth of consuming. With a shallow level of unsaturation, stepped level of smoothness, and proximity of raised degree of the sensible proportion of free unsaturated fats. The low assessment of the solidifying temperature of the oil offered a hint that the oil can be managed in various areas paying little heed to the qualification in temperature. The following level of linoleic destructive of the oil offers a hint of natural gradation of solidarity. Fatty esters are increasing expanding significance as a biodegradable swap for mineral oils. In some request regions, for example, cutting tool oil, gearbox, pressure-driven oils, and greases for raw petroleum creation, the oleochemical items are set up. Nonetheless, certain particular wellsprings of fatty esters are hitherto to be abused for this comparative reason. This exploration subsequently tests into one of the less used wellsprings of fatty esters in watermelon. The oil from the kernels demonstrations a top-notch yield presents significant utilitarian gatherings for change and thus was utilized to set up an assortment of oleochemicals which demonstrated excellence materials in contrast with the routinely utilized oils feed frameworks for oleochemicals after portrayal. The photopolymers acquired indicated piercing vinyl protons for consistent polymerize.


2020 ◽  
Vol 6 (21) ◽  
pp. eaaz4707 ◽  
Author(s):  
Rafael Tapia-Rojo ◽  
Alvaro Alonso-Caballero ◽  
Julio M. Fernandez

Vinculin binds unfolded talin domains in focal adhesions, which recruits actin filaments to reinforce the mechanical coupling of this organelle. However, it remains unknown how this interaction is regulated and its impact on the force transmission properties of this mechanotransduction pathway. Here, we use magnetic tweezers to measure the interaction between vinculin head and the talin R3 domain under physiological forces. For the first time, we resolve individual binding events as a short contraction of the unfolded talin polypeptide caused by the reformation of the vinculin-binding site helices, which dictates a biphasic mechanism that regulates this interaction. Force favors vinculin binding by unfolding talin and exposing the vinculin-binding sites; however, the coil-to-helix contraction introduces an energy penalty that increases with force, defining an optimal binding regime. This mechanism implies that the talin-vinculin-actin association could operate as a negative feedback mechanism to stabilize force on focal adhesions.


Author(s):  
Jana Steger ◽  
Isabella Patzke ◽  
Maximilian Berlet ◽  
Stefanie Ficht ◽  
Markus Eblenkamp ◽  
...  

Abstract Purpose The introduction of novel endoscopic instruments is essential to reduce trauma in visceral surgery. However, endoscopic device development is hampered by challenges in respecting the dimensional restrictions, due to the narrow access route, and by achieving adequate force transmission. As the overall goal of our research is the development of a patient adaptable, endoscopic anastomosis manipulator, biomechanical and size-related characterization of gastrointestinal organs are needed to determine technical requirements and thresholds to define functional design and load-compatible dimensioning of devices. Methods We built an experimental setup to measure colon tissue compression piercing forces. We tested 54 parameter sets, including variations of three tissue fixation configurations, three piercing body configurations (four, eight, twelve spikes) and insertion trajectories of constant velocities (5 mms−1, 10 mms−1,15 mms−1) and constant accelerations (5 mms−2, 10 mms−2, 15 mms−2) each in 5 samples. Furthermore, anatomical parameters (lumen diameter, tissue thickness) were recorded. Results There was no statistically significant difference in insertion forces neither between the trajectory groups, nor for variation of tissue fixation configurations. However, we observed a statistically significant increase in insertion forces for increasing number of spikes. The maximum mean peak forces for four, eight and twelve spikes were 6.4 ± 1.5 N, 13.6 ± 1.4 N and 21.7 ± 5.8 N, respectively. The 5th percentile of specimen lumen diameters and pierced tissue thickness were 24.1 mm and 2.8 mm, and the 95th percentiles 40.1 mm and 4.8 mm, respectively. Conclusion The setup enabled reliable biomechanical characterization of colon material, on the base of which design specifications for an endoscopic anastomosis device were derived. The axial implant closure unit must enable axial force transmission of at least 28 N (22 ± 6 N). Implant and applicator diameters must cover a range between 24 and 40 mm, and the implant gap, compressing anastomosed tissue, between 2 and 5 mm.


1994 ◽  
Vol 37 (5 Sup.) ◽  
Author(s):  
E. Pettinelli ◽  
N. Pierdicca ◽  
S. Piro ◽  
L. Versino

Detection and location of buried structures using the electromagnetic impulsive methodologies (GPR) require the study of the spatial distribution of energy irradiated by an antenna into the ground and the mechanisms of wave propagation and scattering from relevant targets. Evaluation of the difference in wave field distribution in the ground with respect to free space can provide some useful indications on the propagation of the Geo-radar signal in the ground and the spatial resolution capability of the GPR method. For this reason, a research group, involving “La Sapienza” University, Rome and the National Research Council began, during 1992, to perform studies on antenna radiation pattern, the propagation and scattering phenomena of GPR. This paper presents the experimental set up and the obtained results on the antenna radiation pattern.


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