设计和评估一个原型医疗器械的机器人和手动穿皮扩展性气管切除术的设计和评估
Yuan Tang1,2, Glen Cooper2, Damian Crosby1,2
1Manchester Centre for Robotics and AI, University of Manchester, Manchester, United Kingdom.
PloS one
|February 27, 2026
概括
通过将穿孔和扩张结合到一个步骤中,TrachyPen设备简化了皮肤扩展性气管切除术 (PDT). 与传统方法相比,这种新的方法减少了插入力和静脉口腔大小.
科学领域:
- 医疗器械 医疗器械
- 手术创新 在外科创新.
- 密集护理程序 密集护理程序
背景情况:
- 透皮扩展性气管切除术 (PDT) 是一个常见的ICU手术.
- 目前的PDT方法涉及多种仪器,并具有~10%的并发症率.
- 在PDT期间对仪器进行操纵可能会导致严重的患者并发症.
研究的目的:
- 推出TrachyPen,一种用于皮肤扩展性气管切除术 (PDT) 的新型原型装置.
- 通过将穿孔和扩张整合到单个步骤中来简化PDT程序.
- 与现有方法相比,评估TrachyPen的安全性和有效性.
主要方法:
- 在猪背皮上进行了50个模拟的PDT插入和扩张实验.
- 测量了TrachyPen的强度配置文件,并与Ciaglia蓝犀牛 (CBR) 扩展器进行了比较.
- 该研究评估了插入和扩张力作为关键安全参数.
主要成果:
- 与CBR (16.17毫米) 相比,TrachyPen导致了更小的静脉管大小 (13.67毫米).
- 特拉奇显示了较低的插入力 (53.45 N) 比CBR (69.01 N).
- 这些发现表明,TrachyPen设备的安全性和效率有所提高.
结论:
- TrachyPen的设计成功地整合了PDT穿孔和扩张,减少了仪器的复杂性.
- 该原型显示了更安全,更简单的机器人或手动PDT程序的潜力.
- 为了临床应用,需要对TrachyPen进行进一步的研究和开发.
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