Print Email Facebook Twitter A new bone-cutting approach for minimally invasive surgery Title A new bone-cutting approach for minimally invasive surgery Author Minnaard, Jeffrey (Student TU Delft) Kleipool, Roeland P. (Amsterdam UMC) Baars, Wim (Leidse Instrumentmakers School) Dankelman, J. (TU Delft Medical Instruments & Bio-Inspired Technology) Stufkens, Sjoerd (Amsterdam UMC) Horeman, T. (TU Delft Medical Instruments & Bio-Inspired Technology) Date 2021 Abstract Aims: Resection of bone is performed in over 75% of all orthopaedic procedures and the electrically powered oscillating saw is commonly used to cut bone. Drawbacks are relatively large incisions and tissue damage due to overshooting often occur. Therefore, the goal of this study is to develop an improved bone-cutting system that has minimally invasive characteristics. Methods: A new reusable sawing system was designed that can be used in Minimally Invasive Surgery (MIS) consisting of a steerable wire passer and a tissue saving wire saw guide. The system was tested during surgery on a human cadaveric tibia and calcaneus. Results: A MIS steerable compliant Nitinol needle was built and successfully used in a cadaveric surgery to position the cutting wire around a tibia and calcaneus. A wire saw operating system was built that was successfully used to cut the tibia and calcaneus. Conclusion: A MIS bone-cutting system was successfully designed, manufactured and used in a cadaver study showing that safe minimally invasive bone-cutting is feasible for two bone types with minimal damage to the surrounding tissue. Design optimization is needed to stabilize the compliant Nitinol needle during wire saw positioning and to allow cutting of bones with smaller diameters. Subject Advanced MIS surgeryBone-cuttingCompliant instrumentsMinimally invasive orthopedicsNitinolSteering needleWire saw To reference this document use: http://resolver.tudelft.nl/uuid:1bd56c20-f5f2-4cdf-b8c2-5bcd19df4d5d DOI https://doi.org/10.1016/j.medengphy.2020.11.011 ISSN 1350-4533 Source Medical Engineering & Physics, 87, 56-62 Part of collection Institutional Repository Document type journal article Rights © 2021 Jeffrey Minnaard, Roeland P. Kleipool, Wim Baars, J. Dankelman, Sjoerd Stufkens, T. Horeman Files PDF 1_s2.0_S1350453320301752_main.pdf 1.75 MB Close viewer /islandora/object/uuid:1bd56c20-f5f2-4cdf-b8c2-5bcd19df4d5d/datastream/OBJ/view