Surgical Staplers in Laparoscopic Colectomy: A New Innovative Flexible Design Perspective

Author:

Khanzode Dhruva12ORCID,Jha Ranjan12ORCID,Thomieres Alexandra3,Duchalais Emilie3,Chablat Damien45ORCID

Affiliation:

1. CSIR-Central Scientific Instruments Organisation, Chandigarh 160030, India

2. Academy of Scientific and Innovative Research (AcSIR), Ghaziabad 201002, India

3. Centre Hospitalier Universitaire, F-44000 Nantes, France

4. École Centrale Nantes, Nantes Université, CNRS, LS2N, UMR 6004, F-44000 Nantes, France

5. Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania

Abstract

This article describes the development of a flexible surgical stapler mechanism, which serves as a fundamental tool for laparoscopic rectal cancer surgery, addressing the challenges posed by difficult types of accessibility using conventional instruments. The design of this mechanism involves the incorporation of a stacked tensegrity structure, in which a flexible beam serves as the central spine. To assess the stapler’s range of operation, an analysis of the workspace was conducted by examining collaborative Computed Tomography (CT) scan data obtained from different perspectives (Axial, Coronal, and Sagittal planes) at various intervals. By synthesizing kinematic equations, Hooke’s law was employed, taking into account rotational springs and bending moments. This allowed for precise control of the mechanism’s movements during surgical procedures in the rectal region. Additionally, the study examined the singularities and simulations of the tensegrity mechanism, considering the influential eyelet friction parameter. Notably, the research revealed that this friction parameter can alter the mechanism’s curvature, underscoring the importance of accurate analysis. To establish a correlation between the virtual and physical models, a preliminary design was presented, facilitating the identification of the friction parameter.

Funder

Indian Council of Medical Research

National Recovery and Resilience Plan for Romania

Publisher

MDPI AG

Subject

Artificial Intelligence,Control and Optimization,Mechanical Engineering

Reference25 articles.

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2. Hümer Hültl: The father of the surgical stapler;Robicsek;J. Med Biogr.,2001

3. Surgical Staplers: The History of Conception and Adoption;Akopov;Ann. Thorac. Surg.,2021

4. Beyond the B: A new concept of the surgical staple enabling miniature staplers;Demertzis;Surg. Endosc.,2015

5. Kostrzewski, S., Aranyi, E., and Scirica, P. (2016). In-Situ Loaded Stapler. (9364217B2), US Patent.

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