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author:

Zheng, C. (Zheng, C..) [1] | Yang, X. (Yang, X..) [2] | Gao, F. (Gao, F..) [3] | Zou, W. (Zou, W..) [4] | Huang, H. (Huang, H..) [5] | Li, Y. (Li, Y..) [6] | Zheng, X. (Zheng, X..) [7]

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Scopus

Abstract:

In response to the difficulties in accurately reproducing the resistance drop generated by puncturing key tissue layers with a needle and the poor experience in existing simulators, based on the continuous controllability and rapid response of magnetorheological fluid under the influence of a magnetic field, this paper proposes a lumbar puncture training simulator(LPTS) that can accurately simulate the puncture feedback force within tissues such as the skin, subcutaneous fat, and supraspinous ligament throughout the entire process. By using a dual rod structure and reasonably arranging the damping channel gap, the influence of mechanical friction and zero-field damping force on the feedback force during tissue progression is minimized. This paper introduces the acquisition and modeling analysis of raw data, and based on this, the design, simulation, and mechanical testing of the simulator are carried out. Finally, a performance testing platform for the simulator is established to evaluate its tracking performance of the expected puncture strength and the reproducibility of the puncture sensation. The results show that the experimental puncture strength deviates from the expected puncture strength by 0.35 N to 0.61 N in the crucial steps of breaking through the supraspinous ligament, interspinous ligament, ligamentum flavum, and dura mater, with a relative error below 10 %. © 2024

Keyword:

Lumbar puncture Magnetorheological damper Medical simulator Puncture feedback force Puncture sensation

Community:

  • [ 1 ] [Zheng C.]Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China
  • [ 2 ] [Yang X.]School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, China
  • [ 3 ] [Yang X.]Key Laboratory of Fluid Power and Intelligent Electro-Hydraulic Control, Fuzhou University, Fuzhou, China
  • [ 4 ] [Gao F.]Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China
  • [ 5 ] [Zou W.]School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, China
  • [ 6 ] [Zou W.]Key Laboratory of Fluid Power and Intelligent Electro-Hydraulic Control, Fuzhou University, Fuzhou, China
  • [ 7 ] [Huang H.]School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, China
  • [ 8 ] [Huang H.]Key Laboratory of Fluid Power and Intelligent Electro-Hydraulic Control, Fuzhou University, Fuzhou, China
  • [ 9 ] [Li Y.]School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, China
  • [ 10 ] [Li Y.]Key Laboratory of Fluid Power and Intelligent Electro-Hydraulic Control, Fuzhou University, Fuzhou, China
  • [ 11 ] [Zheng X.]Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China

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Source :

Medical Engineering and Physics

ISSN: 1350-4533

Year: 2024

Volume: 132

1 . 7 0 0

JCR@2023

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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