Histological evaluation of tissue damage caused by rotational needle insertion

Ryosuke Tsumura, Yusuke Takishita, Yuta Fukushima, Hiroyasu Iwata

    Research output: Chapter in Book/Report/Conference proceedingConference contribution

    5 Citations (Scopus)

    Abstract

    Needles used in percutaneous insertion must be as thin as possible to minimize invasiveness. However, using extra-thin needles with a diameter less than 25G (0.53 mm diameter) can cause needle deflection. Needle deflection can be minimized by insertion with axial rotation along the needle shaft; this rotation is also useful for steering the insertion direction of the needle tip. However, although high rotation speeds may decrease needle deflection, this may increase tissue damage. Therefore, the purpose of this study was to histologically evaluate tissue damage caused by the rotational needle-insertion method, and to verify the needle-tip deflection caused by tissue damage. In this paper, we evaluated tissue damage and needle deflection caused by needle insertion with no rotation, unidirectional rotation, and bidirectional rotation. The results suggest that percutaneous needle insertion under unidirectional rotation is potentially risky in humans, as this causes wound-up tissue and expansion of the area of the hole created by the needle path. In contrast, needle insertion under bidirectional rotation appeared to minimize deflection, and prevented winding of tissue and expansion of the hole created by the needle path.

    Original languageEnglish
    Title of host publication2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016
    PublisherInstitute of Electrical and Electronics Engineers Inc.
    Pages5120-5123
    Number of pages4
    Volume2016-October
    ISBN (Electronic)9781457702204
    DOIs
    Publication statusPublished - 2016 Oct 13
    Event38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016 - Orlando, United States
    Duration: 2016 Aug 162016 Aug 20

    Other

    Other38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016
    CountryUnited States
    CityOrlando
    Period16/8/1616/8/20

    Fingerprint

    Needles
    Tissue
    Tissue Expansion

    ASJC Scopus subject areas

    • Signal Processing
    • Biomedical Engineering
    • Computer Vision and Pattern Recognition
    • Health Informatics

    Cite this

    Tsumura, R., Takishita, Y., Fukushima, Y., & Iwata, H. (2016). Histological evaluation of tissue damage caused by rotational needle insertion. In 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016 (Vol. 2016-October, pp. 5120-5123). [7591879] Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/EMBC.2016.7591879

    Histological evaluation of tissue damage caused by rotational needle insertion. / Tsumura, Ryosuke; Takishita, Yusuke; Fukushima, Yuta; Iwata, Hiroyasu.

    2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016. Vol. 2016-October Institute of Electrical and Electronics Engineers Inc., 2016. p. 5120-5123 7591879.

    Research output: Chapter in Book/Report/Conference proceedingConference contribution

    Tsumura, R, Takishita, Y, Fukushima, Y & Iwata, H 2016, Histological evaluation of tissue damage caused by rotational needle insertion. in 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016. vol. 2016-October, 7591879, Institute of Electrical and Electronics Engineers Inc., pp. 5120-5123, 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016, Orlando, United States, 16/8/16. https://doi.org/10.1109/EMBC.2016.7591879
    Tsumura R, Takishita Y, Fukushima Y, Iwata H. Histological evaluation of tissue damage caused by rotational needle insertion. In 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016. Vol. 2016-October. Institute of Electrical and Electronics Engineers Inc. 2016. p. 5120-5123. 7591879 https://doi.org/10.1109/EMBC.2016.7591879
    Tsumura, Ryosuke ; Takishita, Yusuke ; Fukushima, Yuta ; Iwata, Hiroyasu. / Histological evaluation of tissue damage caused by rotational needle insertion. 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2016. Vol. 2016-October Institute of Electrical and Electronics Engineers Inc., 2016. pp. 5120-5123
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    abstract = "Needles used in percutaneous insertion must be as thin as possible to minimize invasiveness. However, using extra-thin needles with a diameter less than 25G (0.53 mm diameter) can cause needle deflection. Needle deflection can be minimized by insertion with axial rotation along the needle shaft; this rotation is also useful for steering the insertion direction of the needle tip. However, although high rotation speeds may decrease needle deflection, this may increase tissue damage. Therefore, the purpose of this study was to histologically evaluate tissue damage caused by the rotational needle-insertion method, and to verify the needle-tip deflection caused by tissue damage. In this paper, we evaluated tissue damage and needle deflection caused by needle insertion with no rotation, unidirectional rotation, and bidirectional rotation. The results suggest that percutaneous needle insertion under unidirectional rotation is potentially risky in humans, as this causes wound-up tissue and expansion of the area of the hole created by the needle path. In contrast, needle insertion under bidirectional rotation appeared to minimize deflection, and prevented winding of tissue and expansion of the hole created by the needle path.",
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