Design and development of an endoscopic gripper for tissue suturing in the laparoscopic operations

Minimally invasive surgery occupies a prominent position among the fastest growing areas in modern medicine. Its advantages over the traditional open surgery lie in the fact that surgery operations performed through a puncture or incision in the tissue are significantly less traumatic. As a result, the patient’s rehabilitation period is significantly reduced, as well as the risk of possible complications associated with the surgical intervention. Application of the surgical suture is an important component of a minimally invasive operation; it requires considerable skill from the surgeon and is performed with a special instrument for suturing tissue and tying the knots. The paper considers a new device designed and developed at the Mechanical Engineering Research Institute of the Russian Academy of Sciences (IMASH RAN). Its operation principle and design could form the basis for creation of such an instrument.
EDN: VJQZMP, https://elibrary/vjqzmp

References

[1] Ganiev R.F., Glazunov V.A., Filippov G.S. Urgent problems of machine science and ways of solving them: wave and additive technologies, the machine tool industry, and robot surgery. Problemy mashinostroeniya i nadezhnosti mashin, 2018, no. 5, pp. 16–25. (In Russ.). (Eng. version: J. Mach. Manuf. Reliab., 2018, vol. 47, no. 5, pp. 399–406, doi: https://doi.org/10.3103/S1052618818050059)

[2] Veliev E.I., Ganiev R.F., Glazunov V.A. et al. Assisting robotic surgical complexes for minimally invasive operations. Problemy mashinostroeniya i nadezhnosti mashin, 2022, no. 3, pp. 83–94. (In Russ.). (Eng. version: J. Mach. Manuf. Reliab., 2022, vol. 51, no. 3, pp. 261–270, doi: https://doi.org/10.3103/S1052618822030128)

[3] Kuo C.H., Dai J.S., Dasgupta P. Kinematic design considerations for minimally invasive surgical robots: an overview. Int. J. Med. Robot., 2012, vol. 8, no. 2, pp. 127–145, doi: https://doi.org/10.1002/rcs.453

[4] Egiev V.N., ed. Khirurgiya «malykh prostranstv» [Surgery of “small spaces”]. Moscow, Medpraktika-M Publ., 2002. 54 p. (In Russ.).

[5] Emelyanov S.I., Fedenko V.V., Matveev N.L. Endoscopic surgery: status praesens and perspectives. Endoskopicheskaya khirurgiya, 1995, no. 1, pp. 9–14. (In Russ.).

[6] Glushkov P.S., Azimov R.Kh. Patsientu khirurgicheskogo statsionara prosto o slozhnom [Patient of surgical hospital just about difficult]. Moscow, Znanie Publ., 2020. 228 p. (In Russ.).

[7] Bogdanov A.B., Veliev E.I., Sokolov E.A. et al. Comparative evaluation of robot-assisted, open and laparoscopic kidney resection. Moskovskaya meditsina, 2018, no. 1, pp. 51–58. (In Russ.).

[8] Veliev E.I., Ganiev R.F., Glazunov V.A. et al. Promising minimally invasive robotic surgical complexes with parallel structure. Doklady RAN. Fizika, tekhnicheskie nauki, 2020, vol. 495, no. 1, pp. 84–88, doi: https://doi.org/10.31857/S2686740020060206 (in Russ.). (Eng. version: Dokl. Phys., 2020, vol. 65, no. 11, pp. 409–412, doi: https://doi.org/10.1134/S1028335820110099)

[9] Egiev V.N. Volshebnyy mir sshivayushchikh apparatov [Magic world of stitching devices]. Moscow, Tsentr Publ., 1995. 176 p. (In Russ.).

[10] Emelyanov S.I., Fedorov I.V., eds. Instrumenty i pribory dlya maloinvazivnoy khirurgii [Instruments and devices for minimally invasive surgery]. Sankt-Petersburg, Chelovek Publ., 2004. 143 p. (In Russ.).

[11] Diana M., Marescaux J. Robotic surgery. Br. J. Surg., 2015, vol. 102, no. 2, pp. 15–28, doi: https://doi.org/10.1002/bjs.9711

[12] Goryacheva I.G., Yakovenko A.A. [Problems of mechanics of contact interactions in the development of clamping medical instruments.]. Problemy dinamiki vzaimodeystviya deformiruemykh sred. Tr. IX mezhd. konf. [Problems of dynamics of interaction of deformable media. Proc. IX Int. Conf.], 2018, pp. 128–132. (In Russ.).

[13] Turgunov E.M., Nurbekov A.A. Khirurgicheskie instrumenti [Surgical instruments]. Karaganda, KGMA Publ., 2008. 24 p. (In Russ.).

[14] Ganiev R.F., Glazunov V.A., Glushkov P.S. et al. Development of new tools for endoscopic surgical operations. Problemy mashinostroeniya i nadezhnosti mashin, 2023, no. 3, pp. 70–77. (In Russ.). (Eng. version: J. Mach. Manuf. Reliab., 2023, vol. 52, no. 3, pp. 256–261, doi: https://doi.org/10.3103/S1052618823030056)

[15] Ganiev R.F., Glazunov V.A., Glushkov P.S. et al. Zakhvat-assistant [Grip-assist]. Patent RU 219928. Appl. 20.02.2023, publ. 14.08.2023. (In Russ.).