Design of a mechanical clutch-based needle-insertion device
Insertion of trocars, needles, and catheters into unintended tissues or tissue compartments results in hundreds of thousands of complications annually. Current methods for blood vessel cannulation or epidural, chest tube, and initial trocar placement often involve the blind pass of a needle through...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | en_US |
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National Academy of Sciences
2009
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| Online Access: | http://hdl.handle.net/1721.1/50261 https://orcid.org/0000-0002-5048-4109 |
| _version_ | 1811068713998221312 |
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| author | Bassett, Erik K. Slocum, Alexander H. Masiakos, Peter T. Pryor, Howard I., II Farokhzad, Omid C. Karp, Jeffrey Michael |
| author2 | Harvard University--MIT Division of Health Sciences and Technology |
| author_facet | Harvard University--MIT Division of Health Sciences and Technology Bassett, Erik K. Slocum, Alexander H. Masiakos, Peter T. Pryor, Howard I., II Farokhzad, Omid C. Karp, Jeffrey Michael |
| author_sort | Bassett, Erik K. |
| collection | MIT |
| description | Insertion of trocars, needles, and catheters into unintended tissues or tissue compartments results in hundreds of thousands of complications annually. Current methods for blood vessel cannulation or epidural, chest tube, and initial trocar placement often involve the blind pass of a needle through several layers of tissue and generally rely on distinguishable anatomic landmarks and a high degree of clinical skill. To address this simply and without the use of electronics, a purely mechanical clutch system was developed for use in medical devices that access tissue and tissue compartments. This clutch utilizes the surface contact of a buckled filament inside an S-shaped tube to transmit force from the filament (catheter/guide wire) to the tube (needle). Upon encountering sufficient resistance at the tip, such as dense tissue, the catheter buckles and locks within the tube, causing the filament and needle to advance as one. When the needle reaches the target tissue or fluid-filled cavity, the filament unlocks and slides freely into the target region while the needle remains stationary. A similar locking phenomenon has long been observed in drill strings inside drill shafts used by the oil-drilling industry, and oil industry models were adapted to describe the motion of this clutch system. A predictive analytical model was generated and validated with empirical data and used to develop prototypes of a complete device then tested in vitro on muscle tissue and in vivo on a porcine laparoscopic model with promising results. |
| first_indexed | 2024-09-23T08:00:00Z |
| format | Article |
| id | mit-1721.1/50261 |
| institution | Massachusetts Institute of Technology |
| language | en_US |
| last_indexed | 2024-09-23T08:00:00Z |
| publishDate | 2009 |
| publisher | National Academy of Sciences |
| record_format | dspace |
| spelling | mit-1721.1/502612022-09-23T10:10:38Z Design of a mechanical clutch-based needle-insertion device Bassett, Erik K. Slocum, Alexander H. Masiakos, Peter T. Pryor, Howard I., II Farokhzad, Omid C. Karp, Jeffrey Michael Harvard University--MIT Division of Health Sciences and Technology Massachusetts Institute of Technology. Department of Mechanical Engineering Slocum, Alexander H. Bassett, Erik K. Slocum, Alexander H. Karp, Jeffrey Michael Insertion of trocars, needles, and catheters into unintended tissues or tissue compartments results in hundreds of thousands of complications annually. Current methods for blood vessel cannulation or epidural, chest tube, and initial trocar placement often involve the blind pass of a needle through several layers of tissue and generally rely on distinguishable anatomic landmarks and a high degree of clinical skill. To address this simply and without the use of electronics, a purely mechanical clutch system was developed for use in medical devices that access tissue and tissue compartments. This clutch utilizes the surface contact of a buckled filament inside an S-shaped tube to transmit force from the filament (catheter/guide wire) to the tube (needle). Upon encountering sufficient resistance at the tip, such as dense tissue, the catheter buckles and locks within the tube, causing the filament and needle to advance as one. When the needle reaches the target tissue or fluid-filled cavity, the filament unlocks and slides freely into the target region while the needle remains stationary. A similar locking phenomenon has long been observed in drill strings inside drill shafts used by the oil-drilling industry, and oil industry models were adapted to describe the motion of this clutch system. A predictive analytical model was generated and validated with empirical data and used to develop prototypes of a complete device then tested in vitro on muscle tissue and in vivo on a porcine laparoscopic model with promising results. 2009-12-28T19:14:53Z 2009-12-28T19:14:53Z 2009-03 2009-02 Article http://purl.org/eprint/type/JournalArticle 0027-8424 http://hdl.handle.net/1721.1/50261 Bassett, Erik K et al. “Design of a mechanical clutch-based needle-insertion device.” Proceedings of the National Academy of Sciences 106.14 (2009): 5540-5545. 19307560 https://orcid.org/0000-0002-5048-4109 en_US http://dx.doi.org/10.1073/pnas.0808274106 Proceedings of the National Academy of Sciences of the United States of America Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf National Academy of Sciences PNAS |
| spellingShingle | Bassett, Erik K. Slocum, Alexander H. Masiakos, Peter T. Pryor, Howard I., II Farokhzad, Omid C. Karp, Jeffrey Michael Design of a mechanical clutch-based needle-insertion device |
| title | Design of a mechanical clutch-based needle-insertion device |
| title_full | Design of a mechanical clutch-based needle-insertion device |
| title_fullStr | Design of a mechanical clutch-based needle-insertion device |
| title_full_unstemmed | Design of a mechanical clutch-based needle-insertion device |
| title_short | Design of a mechanical clutch-based needle-insertion device |
| title_sort | design of a mechanical clutch based needle insertion device |
| url | http://hdl.handle.net/1721.1/50261 https://orcid.org/0000-0002-5048-4109 |
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