Skip to main content
Top
Published in: Surgical Endoscopy 6/2004

01-06-2004 | Original article

Slip and damage properties of jaws of laparoscopic graspers

Authors: E. A. M. Heijnsdijk, H. de Visser, J. Dankelman, D. J. Gouma

Published in: Surgical Endoscopy | Issue 6/2004

Login to get access

Abstract

Background

The optimal jaws of laparoscopic graspers can be used to manipulate the tissue properly with minimal damage. The criteria jaws should satisfy are investigated.

Methods

The cecum of pigs was clamped between 13 pairs of jaws differing in size and profile. Various pinch and pull forces were applied. At 5 N pull force, the minimally required pinch force to prevent slip and the pinch force that is maximally allowable without causing damage were obtained.

Results

With increasing size of the jaws, the contact area with the tissue increases. With increasing contact area, the pinch force leading to tissue damage was increased from 15 to 37 N. A profile of the jaws decreased the pinch force needed to prevent slip of tissue from 22 to 3 N.

Conclusion

An optimal jaw possesses a large contact area to prevent tissue damage and a slight profile to prevent tissue slip.
Literature
1.
go back to reference Cartmill, JA, Shakeshaft, AJ, Walsh, WR, Martin, CJ 1999High pressures are generated at the tip of laparoscopic graspers.Aust NZ J Surg69127130CrossRef Cartmill, JA, Shakeshaft, AJ, Walsh, WR, Martin, CJ 1999High pressures are generated at the tip of laparoscopic graspers.Aust NZ J Surg69127130CrossRef
2.
go back to reference Frank, T, Willetts, GJ, Carter, F, Cuschieri, A 1995Clamping the small intestine during surgery: predicted and measured sealing forces.Proc Inst Mech Eng [H]209111115CrossRef Frank, T, Willetts, GJ, Carter, F, Cuschieri, A 1995Clamping the small intestine during surgery: predicted and measured sealing forces.Proc Inst Mech Eng [H]209111115CrossRef
3.
go back to reference Heijnsdijk, EAM, Dankelman, J, Gouma, DJ 2002Effectiveness of grasping and duration of clamping using laparoscopic graspers.Surg Endosc1613291331CrossRef Heijnsdijk, EAM, Dankelman, J, Gouma, DJ 2002Effectiveness of grasping and duration of clamping using laparoscopic graspers.Surg Endosc1613291331CrossRef
4.
go back to reference Heijnsdijk, EAM, Voort, M, Visser, H, Dankelman, J, Gouma, DJ 2003Inter- and intra-individual variabilities of perforation forces of human and pig bowel tissue.Surg Endosc1719231926CrossRef Heijnsdijk, EAM, Voort, M, Visser, H, Dankelman, J, Gouma, DJ 2003Inter- and intra-individual variabilities of perforation forces of human and pig bowel tissue.Surg Endosc1719231926CrossRef
5.
go back to reference Johansson, L, Norrby, K, Nyström, P-O, Lennquist, S 1984Intestinal intramural haemorrhage from abdominal missile trauma—clinical classification and prognosis.Acta Chir Scand1505156PubMed Johansson, L, Norrby, K, Nyström, P-O, Lennquist, S 1984Intestinal intramural haemorrhage from abdominal missile trauma—clinical classification and prognosis.Acta Chir Scand1505156PubMed
6.
go back to reference Marucci, DD, Cartmill, JA, Walsh, WR, Martin, CJ 2000Patterns of failure at the instrument–tissue interface.J Surg Res931620CrossRef Marucci, DD, Cartmill, JA, Walsh, WR, Martin, CJ 2000Patterns of failure at the instrument–tissue interface.J Surg Res931620CrossRef
7.
go back to reference Riegler, M, Sedivy, R, Sogukoglu, T, Cosentini, E, Bischof, G, Teleky, B, Feil, W, Schiessel, R, Hamilton, G, Wenzl, E 1996Epidermal growth factor promotes rapid response to epithelial injury in rabbit duodenum in vitro.Gastroenterology1112836CrossRef Riegler, M, Sedivy, R, Sogukoglu, T, Cosentini, E, Bischof, G, Teleky, B, Feil, W, Schiessel, R, Hamilton, G, Wenzl, E 1996Epidermal growth factor promotes rapid response to epithelial injury in rabbit duodenum in vitro.Gastroenterology1112836CrossRef
8.
go back to reference de Visser, H (2003) Grasping safely: instruments for bowel manipulation investigated (dissertation). Delft University of Technology, Delft, The Netherlands. ISBN 90-407-2421-0 de Visser, H (2003) Grasping safely: instruments for bowel manipulation investigated (dissertation). Delft University of Technology, Delft, The Netherlands. ISBN 90-407-2421-0
9.
go back to reference de Visser, H, Heijnsdijk, EAM, Herder, JL, Pistecky, PV 2002Forces and displacements in colon surgery.Surg Endosc1614261430CrossRef de Visser, H, Heijnsdijk, EAM, Herder, JL, Pistecky, PV 2002Forces and displacements in colon surgery.Surg Endosc1614261430CrossRef
Metadata
Title
Slip and damage properties of jaws of laparoscopic graspers
Authors
E. A. M. Heijnsdijk
H. de Visser
J. Dankelman
D. J. Gouma
Publication date
01-06-2004
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 6/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9153-2

Other articles of this Issue 6/2004

Surgical Endoscopy 6/2004 Go to the issue

Letter to the editor

The author replies