Preliminary in vivo evaluation of a needle insertion manipulator for central venous catheterization

Yo Kobayashi, Ryutaro Hamano, Hiroki Watanabe, Takuma Koike, Jaesung Hong, Kazutaka Toyoda, Munenori Uemura, Satoshi Ieiri, Morimasa Tomikawa, Takeshi Ohdaira, Makoto Hashizume, Masakatsu G. Fujie

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2 Citations (Scopus)

Abstract

Central venous catheterization is associated with potential complications secondary to accidental puncture, including venous bleeding and pneumothorax. We developed a system that avoids these complications and simplifies the procedure using a robot to provide puncture assistance. We herein report a puncture experiment conducted in vivo in a porcine to evaluate the manipulator. The right and left jugular veins of a pig were punctured five times each through both opened and unopened skin at a puncture angle and speed. A venous placement rate of 80% was obtained with opened skin. A much lower rate of 40% was obtained with unopened skin. One of five attempts in opened skin was unsuccessful, likely because of the stick-slip phenomenon. This system was effective for jugular venous puncture of opened skin. Future studies should focus on puncture conditions that facilitate needle placement, inhibit the stick-slip phenomenon, and minimize needle bending due to the presence of skin.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalAfrika Matematika
Volume1
Issue number1
DOIs
Publication statusPublished - 2014 Nov 16

Keywords

  • Central venous catheterization
  • Needle insertion
  • Surgical robot

ASJC Scopus subject areas

  • Mathematics(all)

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    Kobayashi, Y., Hamano, R., Watanabe, H., Koike, T., Hong, J., Toyoda, K., Uemura, M., Ieiri, S., Tomikawa, M., Ohdaira, T., Hashizume, M., & Fujie, M. G. (2014). Preliminary in vivo evaluation of a needle insertion manipulator for central venous catheterization. Afrika Matematika, 1(1), 1-7. https://doi.org/10.1186/s40648-014-0018-3