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Three-Phase Energy Model for Surface Fracture Mechanisms in Cutting Soft Tissues with Snare-Type Tools
Jinghang Wang1, Urara Satake2, Toshiyuki Enomoto1
1Division of Mechanical Engineering, Graduate School of Engineering, The University of Osaka, 2-1, Yamada-oka, Suita, Osaka, 565-0871, Japan.
This study reveals how snare-type tools fracture soft tissue during polypectomy. Optimizing cutting speed and lubrication can improve cut quality and reduce bleeding risks by enhancing fracture toughness.
Area of Science:
- Biomedical Engineering
- Surgical Technology
- Materials Science
Background:
- Snare-type tools are essential for cold snare polypectomy, but their cutting mechanism can lead to suboptimal tissue resection.
- High friction during tissue contact may impede crack propagation, resulting in poor cut quality and increased bleeding risk.
Purpose of the Study:
- To investigate the fundamental mechanism of soft tissue surface fracture during polypectomy.
- To provide data-driven guidance for optimizing snare-type tools and surgical techniques.
Main Methods:
- Development of a three-phase energy model to elucidate soft tissue surface fracture.
- Experimental validation and finite element simulations to analyze energy changes.
- Single-factor experiments to explore tool cutting ability and surface fracture states.
Main Results:
- Cutting fracture toughness and RMS height are effective metrics for evaluating tool performance and fracture state.
- Increased cutting speed enhances fracture toughness and reduces RMS height.
- Surface lubrication effectively reduces RMS height, while wire diameter shows no significant impact.
Conclusions:
- A novel energy-based model clarifies soft tissue cutting fracture mechanisms.
- Findings offer practical guidance for improving snare-type tool design and polypectomy techniques.
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