Mechanism design and dynamic analysis of a multi-functional endoscopic clipping device

Minimal invasive surgery using endoscopic clipping devices is widely used in the treatment of hemorrhages and perforations in the gastro-intestinal tract. Although endoscopic clipping devices have been used for over 30 years and have undergone continuous development, there is still a need to improve their functions. In response to this, new mechanisms for multi-functional endoscopic clipping devices have been developed in this study. Dynamic simulation is performed to analyze the mechanical behavior of the developed clipping device. Optimization of the clip spring location to maximize clipping forces is also achieved by finite element analysis.

[1]  T. Hachisu Evaluation of endoscopic hemostasis usingan improved clipping apparatus , 2004, Surgical Endoscopy.

[2]  H. Ishii,et al.  Differences in hemostasis among sclerosing agents in endoscopic injection sclerotherapy , 1996, Digestive Diseases and Sciences.

[3]  N. Soehendra,et al.  The use of endoscopic clips in nonvariceal gastrointestinal bleeding , 1999 .

[4]  Justin C.Y. Wu,et al.  Endoscopic clipping versus injection and thermo-coagulation in the treatment of non-variceal upper gastrointestinal bleeding: a meta-analysis , 2007, Gut.

[5]  A. Vingiani,et al.  Endoclips versus heater probe in preventing early recurrent bleeding from peptic ulcer: a prospective and randomized trial. , 2001, Gastrointestinal endoscopy.

[6]  Sukho Park,et al.  A paddling based locomotive mechanism for capsule endoscopes , 2006 .

[7]  Sien‐Sing Yang,et al.  Endoscopic hemoclip treatment for bleeding peptic ulcer. , 2000, World journal of gastroenterology.

[8]  Marc O Schurr,et al.  The OTSC clip for endoscopic organ closure in NOTES: Device and technique , 2008, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[9]  T. Rice,et al.  Endoscopic clips for closing esophageal perforations: case report and pooled analysis. , 2007, Gastrointestinal endoscopy.

[10]  I. Jovanović,et al.  Accessories Used for Hemostasis in Gastrointestinal Bleeding , 2010 .

[11]  D. Jensen,et al.  Hemoclipping of chronic canine ulcers: a randomized, prospective study of initial deployment success, clip retention rates, and ulcer healing. , 2009, Gastrointestinal endoscopy.

[12]  M. Asaka,et al.  Endoscopic clip application for closure of esophageal perforations caused by EMR. , 2004, Gastrointestinal endoscopy.

[13]  S. Giday,et al.  Comparative study of endoscopic clips: duration of attachment at the site of clip application. , 2007, Gastrointestinal endoscopy.

[14]  Hsiu‐Po Wang,et al.  Endoscopic hemostasis of a bleeding marginal ulcer: Hemoclipping or dual therapy with epinephrine injection and heater probe thermocoagulation , 2002, Journal of gastroenterology and hepatology.

[15]  T. Baron,et al.  Endoscopic clipping for the management of gastrointestinal bleeding , 2008, Nature Clinical Practice Gastroenterology &Hepatology.

[16]  S. J. Kim,et al.  Comparison of the hemostatic efficacy of the endoscopic hemoclip method with hypertonic saline-epinephrine injection and a combination of the two for the management of bleeding peptic ulcers. , 1999, Gastrointestinal endoscopy.

[17]  A. Alcaraz,et al.  Transvaginal NOTES and LESS: Are They the Future in Kidney Surgery? , 2011 .

[18]  Cagatay Basdogan,et al.  Haptics in minimally invasive surgical simulation and training , 2004, IEEE Computer Graphics and Applications.

[19]  B. Petersen,et al.  Endoscopic clip application devices. , 2006, Gastrointestinal Endoscopy.

[20]  K. Hirabayashi,et al.  Randomized controlled study of 3 different types of hemoclips for hemostasis of bleeding canine acute gastric ulcers. , 2006, Gastrointestinal endoscopy.