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Simultaneously Reducing Cutting Force and Tissue Damage in Needle Insertion With Rotation.

Chi-Lun Lin, Yu-An Huang

    IEEE Transactions on Bio-Medical Engineering
    |March 10, 2020
    PubMed
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    Bidirectional needle rotation during biopsy reduces cutting force and tissue damage. This technique minimizes winding effects, improving safety and performance in medical procedures.

    Area of Science:

    • Biomedical Engineering
    • Medical Device Technology
    • Surgical Innovation

    Background:

    • Rotational needle insertion enhances cutting efficiency in biopsies by reducing insertion force.
    • However, needle rotation can cause tissue winding, leading to increased tissue damage.
    • Bidirectional rotation presents a potential solution to mitigate tissue winding while maintaining low cutting forces.

    Purpose of the Study:

    • To investigate the mechanical effects of bidirectional needle rotation during insertion.
    • To quantify the impact of bidirectional rotation on cutting force and tissue damage indicators.
    • To evaluate the potential clinical benefits of bidirectional rotation in needle biopsy.

    Main Methods:

    • Mechanical needle insertion tests were conducted on gelatin-based tissue phantoms.

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  • Cutting forces were measured during needle insertion with varying rotation parameters.
  • Digital Image Correlation (DIC) technology was employed to measure effective strain (tissue damage) at axial and radial cross-sections.
  • Main Results:

    • Increased needle insertion speed correlated with higher cutting forces and axial effective strain.
    • Increased unidirectional rotation reduced axial cutting force and strain but elevated radial strain.
    • Bidirectional rotation decreased mean radial effective strain by 10%-25% while maintaining low cutting forces.

    Conclusions:

    • Bidirectional needle rotation effectively reduces tissue damage, particularly in the radial direction.
    • This technique maintains low cutting forces, crucial for minimizing trauma during biopsy.
    • Bidirectional rotation offers a promising strategy for improving needle biopsy performance and patient safety by reducing bleeding and hematoma risks.