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Published on: February 17, 2018
Ergonomic handle for an arthroscopic cutter.
Tuijthof1, van Engelen, Herder
1Man-Machine Systems and Control, Faculty of Design, Engineering and Production Delft University of Technology Delft The Netherlands.
Summary
A novel steerable arthroscopic punch offers improved meniscal tissue access and efficiency for meniscectomy. Ergonomic handle design enhances comfort and control during knee joint procedures.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Surgical Instrumentation
Background:
- Meniscectomy procedures are common in orthopedic surgery.
- Current arthroscopic punches have limitations in reachability and handle ergonomics.
- Existing instruments may pose risks of damaging healthy tissue during meniscal resection.
Purpose of the Study:
- To develop and evaluate an improved arthroscopic punch with a side-ways steerable tip.
- To design an ergonomic handle for enhanced instrument control and user comfort.
- To assess the safety and efficiency of the novel instrument in meniscectomy.
Main Methods:
- Analysis of existing meniscectomy procedures to identify areas for improvement.
- Design of a novel punch with a side-ways steerable tip and an ergonomic handle.
- Comparative experiments using a knee joint model with objective and subjective assessments.
- Evaluation of task times and risk of damage to healthy tissue.
Main Results:
- The steerable punch concept demonstrated promising results in improving meniscal tissue reachability.
- Faster task times were achieved compared to conventional instruments without increasing the risk of collateral tissue damage.
- The ergonomic handle design provided intuitive control and improved user comfort.
Conclusions:
- A side-ways steerable arthroscopic punch offers a safer and more efficient approach to meniscectomy.
- The developed ergonomic handle enhances usability and control during arthroscopic procedures.
- Further development is recommended to optimize the instrument tip and force transmission for clinical application.

