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In-vivo and postmortem biomechanics of abdominal organs under compressive loads: Experimental approach in a laparoscopic surgery setup.

机译:压缩载荷作用下腹部器官的体内和尸体生物力学:腹腔镜手术装置中的实验方法。

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In order to provide realistic haptic (touch) feedback, simulators must incorporate accurate computational models of the in-vivo mechanical behavior of soft tissues. It is important to test tissues in surgically relevant ranges of applied force, duration, and deformation. In order to determine these ranges, a system known as the Blue DRAGON has been created that can track the motions of and the forces applied to surgical tools during live procedures. Thirty-one surgeons of varying skill were recorded performing three different surgical tasks. The mean force applied to the tool handles during tissue grasps was 8.52 N ± 2.77 N. Ninety-five percent of the handle angle frequency content was below 1.98 Hz ± 0.98 Hz. Average grasp time was 2.29 s ± 1.65 s, and 95% of all grasps observed were held for less than 8.86 s ± 7.06 s. The average maximum grasp time performed by surgeons during these tasks was 13.37 s ± 11.42 s.; Using these values as design parameters, a computer-controlled, motorized endoscopic grasper (MEG) has been designed to obtain biomechanical properties of soft tissues in-vivo. The MEG uses a geared DC motor to drive a Babcock grasper using a cable-and-pulley mechanism. The motor is capable of producing the equivalent of 26.5 N of grasping force (470 kPa) by the end effector jaws. Two strain gage force-sensing beams are mounted in the partial pulley to accurately measure applied force. Computer-control is provided using a proportional-derivative position controller to command cyclic (up to 3 Hz) or step loadings. The MEG can be hand-held, weighs about 0.7 kg, and can be inserted into the body through standard endoscopic ports. The MEG has been calibrated and validated on linear springs with known stiffness.; The MEG has been used to test 7 different porcine abdominal organs in-vivo and through 24 hours postmortem. Elastic and relaxation properties have been recorded and analyzed. Constitutive force-deformation relations have been fit to the elastic data, and stress relaxation functions have been fit to the stress-time data recorded during relaxation tests. An understanding of how the tissue properties and model parameters are influenced by time postmortem and loading condition has been obtained.
机译:为了提供逼真的触觉(触摸)反馈,模拟器必须结合软组织的体内机械行为的准确计算模型。在手术相关的作用力,持续时间和变形范围内测试组织非常重要。为了确定这些范围,已经创建了一个称为Blue DRAGON的系统,该系统可以在实时操作过程中跟踪手术工具的运动和施加到手术工具上的力。记录了31名不同技能的外科医生执行了三种不同的手术任务。在组织抓紧过程中,施加在工具手柄上的平均力为8.52 N±2.77N。百分之九十五的手柄角频率含量均低于1.98 Hz±0.98 Hz。平均抓握时间为2.29 s±1.65 s,观察到的所有抓握的95%保持少于8.86 s±7.06 s。外科医生在这些任务中执行的平均最大抓握时间为13.37 s±11.42 s。使用这些值作为设计参数,设计了一种计算机控制的电动内窥镜抓取器(MEG),以获取<体内>体内软组织的生物力学特性。 MEG使用齿轮直流电动机通过电缆和皮带轮机构来驱动Babcock抓取器。电机能够通过末端执行器钳口产生相当于26.5 N的抓力(470 kPa)。在部分皮带轮中安装了两个应变计力感测梁,以精确测量施加的力。使用比例微分位置控制器提供计算机控制,以命令循环(最高3 Hz)或步进负载。 MEG可以手持,重约0.7千克,可以通过标准内窥镜端口插入体内。 MEG已在具有已知刚度的线性弹簧上进行了校准和验证。 MEG已用于在死后24小时内对7种不同的猪腹部器官进行体内测试。弹性和松弛特性已被记录和分析。本构力-变形关系已拟合到弹性数据,应力松弛函数已拟合到在松弛测试期间记录的应力时间数据。已经了解了组织属性和模型参数如何受到验尸时间和加载条件的影响。

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