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MagnetoSuture: Tetherless Manipulation of Suture Needles.


ABSTRACT: This paper demonstrates the feasibility of ligation and tissue penetration for surgical suturing tasks using magnetically actuated suture needles. Manipulation of suture needles in minimally invasive surgery involves using articulated manual/robotic tools for needle steering and controlling needle-tissue or thread-tissue interactions. The large footprints of conventional articulated surgical tools significantly increase surgical invasiveness, potentially leading to longer recovery times, tissue damage, scarring, or associated infections. Aiming to address these issues, we investigate the feasibility of using magnetic fields to tetherlessly steer suture needles. The primary challenge of such a concept is to provide sufficient force for tissue penetration and ligation. In this work, we demonstrate proof-of-concept capabilities using the MagnetoSuture™ system, performing tissue penetration and ligation tasks using ex vivo tissues, customized NdFeB suture needles with attached threads, and remote-controlled magnetic fields. To evaluate the system performance, we conducted experiments demonstrating tetherless recreation of a purse string suture pattern, ligation of an excised segment of a rat intestine, and penetration of rat intestines.

SUBMITTER: Mair LO 

PROVIDER: S-EPMC8570553 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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MagnetoSuture: Tetherless Manipulation of Suture Needles.

Mair Lamar O LO   Liu Xiaolong X   Dandamudi Bhargav B   Jain Kamakshi K   Chowdhury Sagar S   Weed Jeremy J   Diaz-Mercado Yancy Y   Weinberg Irving N IN   Krieger Axel A  

IEEE transactions on medical robotics and bionics 20200417 2


This paper demonstrates the feasibility of ligation and tissue penetration for surgical suturing tasks using magnetically actuated suture needles. Manipulation of suture needles in minimally invasive surgery involves using articulated manual/robotic tools for needle steering and controlling needle-tissue or thread-tissue interactions. The large footprints of conventional articulated surgical tools significantly increase surgical invasiveness, potentially leading to longer recovery times, tissue  ...[more]

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