Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation)
Bone grinding with miniature ball-end diamond wheels, called diamond burs by surgeons, is widely used for surgical resection of bones, especially in orthopedic surgery and neurosurgery. During bone resection, a considerable amount of grinding heat is generated, which can cause thermal injury to adja...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Japanese |
| Published: |
The Japan Society of Mechanical Engineers
2018-02-01
|
| Series: | Nihon Kikai Gakkai ronbunshu |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/transjsme/84/858/84_17-00356/_pdf/-char/en |
| _version_ | 1811221136451567616 |
|---|---|
| author | Takeru MIZUTANI Toshiyuki ENOMOTO Fumiya KOZONO Urara SATAKE Tatsuya SUGIHARA |
| author_facet | Takeru MIZUTANI Toshiyuki ENOMOTO Fumiya KOZONO Urara SATAKE Tatsuya SUGIHARA |
| author_sort | Takeru MIZUTANI |
| collection | DOAJ |
| description | Bone grinding with miniature ball-end diamond wheels, called diamond burs by surgeons, is widely used for surgical resection of bones, especially in orthopedic surgery and neurosurgery. During bone resection, a considerable amount of grinding heat is generated, which can cause thermal injury to adjacent tissues, including nerves. To address this problem, several types of countermeasures such as irrigation, namely coolant supplying methods, have been developed; however, the existing measures cannot suppress the excessive heat generation. To solve this problem, our previous studies proposed surgical diamond grinding wheels with titanium dioxide (TiO2) particles deposited surfaces for preventing strong loading of bone swarf on the wheel surfaces due to hydrophilicity of TiO2 and found that such wheels reduced the grinding-induced temperature elevation. However, in the experiments, pure water was used as coolant instead of saline, which is typically used in surgery. Then the grinding performances of the wheels under a saline supply were investigated. The experimental results revealed that sodium ion in saline promoted the strong loading on the wheel surface through Maillard reaction and, as a result, the grinding-induced temperature increased rapidly and finally exceeded the threshold for thermal injury. Based on our findings, new grinding wheels with fluorine-treated surfaces were developed in the hopes of promptly shedding of the adhesion of bone swarf on the wheel surface. These wheels significantly and stably suppressed bone temperature elevation compared with commercial and previously developed wheels. |
| first_indexed | 2024-04-12T07:54:06Z |
| format | Article |
| id | doaj.art-1436eb357d2b44dd8ad41f35e894da8b |
| institution | Directory Open Access Journal |
| issn | 2187-9761 |
| language | Japanese |
| last_indexed | 2024-04-12T07:54:06Z |
| publishDate | 2018-02-01 |
| publisher | The Japan Society of Mechanical Engineers |
| record_format | Article |
| series | Nihon Kikai Gakkai ronbunshu |
| spelling | doaj.art-1436eb357d2b44dd8ad41f35e894da8b2022-12-22T03:41:32ZjpnThe Japan Society of Mechanical EngineersNihon Kikai Gakkai ronbunshu2187-97612018-02-018485817-0035617-0035610.1299/transjsme.17-00356transjsmeSurgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation)Takeru MIZUTANI0Toshiyuki ENOMOTO1Fumiya KOZONO2Urara SATAKE3Tatsuya SUGIHARA4Department of Mechanical Engineering, Graduate School of Engineering, Osaka UniversityDepartment of Mechanical Engineering, Graduate School of Engineering, Osaka UniversityDepartment of Mechanical Engineering, Graduate School of Engineering, Osaka UniversityDepartment of Mechanical Engineering, Graduate School of Engineering, Osaka UniversityDepartment of Mechanical Engineering, Graduate School of Engineering, Osaka UniversityBone grinding with miniature ball-end diamond wheels, called diamond burs by surgeons, is widely used for surgical resection of bones, especially in orthopedic surgery and neurosurgery. During bone resection, a considerable amount of grinding heat is generated, which can cause thermal injury to adjacent tissues, including nerves. To address this problem, several types of countermeasures such as irrigation, namely coolant supplying methods, have been developed; however, the existing measures cannot suppress the excessive heat generation. To solve this problem, our previous studies proposed surgical diamond grinding wheels with titanium dioxide (TiO2) particles deposited surfaces for preventing strong loading of bone swarf on the wheel surfaces due to hydrophilicity of TiO2 and found that such wheels reduced the grinding-induced temperature elevation. However, in the experiments, pure water was used as coolant instead of saline, which is typically used in surgery. Then the grinding performances of the wheels under a saline supply were investigated. The experimental results revealed that sodium ion in saline promoted the strong loading on the wheel surface through Maillard reaction and, as a result, the grinding-induced temperature increased rapidly and finally exceeded the threshold for thermal injury. Based on our findings, new grinding wheels with fluorine-treated surfaces were developed in the hopes of promptly shedding of the adhesion of bone swarf on the wheel surface. These wheels significantly and stably suppressed bone temperature elevation compared with commercial and previously developed wheels.https://www.jstage.jst.go.jp/article/transjsme/84/858/84_17-00356/_pdf/-char/engrindingtooldiamond wheelgrinding heatloadingsurgical devicediamond burminimally invasive surgerybone resection |
| spellingShingle | Takeru MIZUTANI Toshiyuki ENOMOTO Fumiya KOZONO Urara SATAKE Tatsuya SUGIHARA Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation) Nihon Kikai Gakkai ronbunshu grinding tool diamond wheel grinding heat loading surgical device diamond bur minimally invasive surgery bone resection |
| title | Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation) |
| title_full | Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation) |
| title_fullStr | Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation) |
| title_full_unstemmed | Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation) |
| title_short | Surgical grinding tool for minimally thermal invasive surgery during bone resection (Saline as irrigation) |
| title_sort | surgical grinding tool for minimally thermal invasive surgery during bone resection saline as irrigation |
| topic | grinding tool diamond wheel grinding heat loading surgical device diamond bur minimally invasive surgery bone resection |
| url | https://www.jstage.jst.go.jp/article/transjsme/84/858/84_17-00356/_pdf/-char/en |
| work_keys_str_mv | AT takerumizutani surgicalgrindingtoolforminimallythermalinvasivesurgeryduringboneresectionsalineasirrigation AT toshiyukienomoto surgicalgrindingtoolforminimallythermalinvasivesurgeryduringboneresectionsalineasirrigation AT fumiyakozono surgicalgrindingtoolforminimallythermalinvasivesurgeryduringboneresectionsalineasirrigation AT urarasatake surgicalgrindingtoolforminimallythermalinvasivesurgeryduringboneresectionsalineasirrigation AT tatsuyasugihara surgicalgrindingtoolforminimallythermalinvasivesurgeryduringboneresectionsalineasirrigation |