Three-way bipolar forceps: A novel bipolar coagulator system for nerve stimulation and detection of nerve potentials

Yoshiyuki Fujita, Yoshihiro Muragaki, Kyojiro Nambu, Tomokatsu Hori, Hiroshi Iseki

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    Preoperative characterization of brain anatomy by magnetic resonance imaging and intraoperative functional characterization of the nervous system is essential in patients undergoing radical resection of brain tumors. A novel integrated system was developed combining conventional bipolar forceps with an electric stimulator and an oscilloscope. The system consists of a mechanical switching circuit allowing a wide range of electric characteristics and was designed to perform intraoperative electrophysiological studies, including functional mapping and measurements of motor evoked potentials (MEPs) and somatosensory evoked potentials (SEPs). This system achieved a significant reduction in exchange time (from 3.63 ± 1.00 sec to 1.12 ± 0.42 sec) between coagulation and stimulation, and reproducible measurement of MEPs from porcine limbs by cortical stimulation using the bipolar forceps. Functional mapping under awake craniotomy was carried out by cortical stimulation in patients with glioblastoma, and median nerve SEPs with high signal-to-noise ratio were elicited from the bipolar forceps on the sensory cortex of patients under general anesthesia. This integrated system is technically easy to operate and allows functional monitoring of an area that would otherwise be difficult to access using conventional methods. This three-way bipolar forceps system may reduce postoperative complications in patients undergoing neurosurgical procedures.

    Original languageEnglish
    Pages (from-to)169-174
    Number of pages6
    JournalNeurologia Medico-Chirurgica
    Volume46
    Issue number4
    DOIs
    Publication statusPublished - 2006 May 17

    Keywords

    • Bipolar forceps
    • Functional mapping
    • Intraoperative monitoring
    • Motor evoked potential
    • Somatosensory evoked potential

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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