Development of a 2-dof uterine manipulator with LED illumination system as a new transvaginal uterus amputation device for gynecological surgeries

Dikici, Serkan; Dikici, Betül Aldemir; Eser, Hakan; Gezgin, Erkin; Başer, Özgün; Şahin, Savaş; Yılmaz, Bülent; Oflaz, Hakan

doi:10.1080/13645706.2017.1341927

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…A 3D-printed device for brachytherapy, a treatment via rectum in which radioactive sources are placed directly in contact with the area of interest was proposed by Peikari et al [91]. A new device was also proposed by Dikici et al [98] to perform a particular gynecological surgery during which the uterus is removed with a laparoscopic approach. The AM technology was used by Rugg et al [96] to fabricate a tailored handpiece to hold the scanning fiber endoscope, a particular instrument used to acquire dental images without using X-ray.…”

Section: Unconventional Specific-purpose Instrumentsmentioning

confidence: 99%

“…The tuning phase to optimize and ameliorate the functionality of the design can be even longer. For this reason, in many articles (12) AM was used to fabricate the first prototype as a proof-of-concept [81,82,98]. Often, the 3D-printed prototype was used to test the design properties, by using the actual size of the device [84] or by giving it larger dimensions [74].…”

Section: Prototyping and Othersmentioning

confidence: 99%

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Additive manufacturing of medical instruments: A state-of-the-art review

Culmone

Smit

Breedveld

2019

Additive Manufacturing

205

119

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Additive manufacturing, also known as 3D printing, has begun to play a significant role in the field of medical devices. This review aims to provide a comprehensive overview and classification of additively manufactured medical instruments for diagnostics and surgery by identifying medical and technical aspects. Methods: A scientific literature search on additively manufactured medical instruments was conducted using the Scopus database. Results: We categorized the relevant articles ( 71) by considering the novelty of each proposed instrument and its clinical application. Then, we analyzed the relevant articles by examining the reasons behind choosing additive manufacturing technology to produce instruments for diagnostics and surgery. Possible customization (27%) and Cost-effectiveness (23%) were the main reasons expressed. Technical specifications of the additive manufacturing technology and the material used were also analyzed, and a tendency of using material extrusion technology (35% of the applications) and polymeric materials (86% of the applications) was shown. Conclusions: Additive manufacturing is opening the door to a new approach in the production of medical devices, which allows the complexity of their designs to be pushed to the extreme. However, we found that technical limitations need to be tackled and important aspects such as sterilization or debris contamination are still not considered to be relevant factors during the design and fabrication process. Keeping in mind the challenges of such a new field, additive manufacturing technology can be considered as a great opportunity to provide easy access to healthcare in developing countries as well as an important step toward patient-specific medicine.

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Section: Unconventional Specific-purpose Instrumentsmentioning

confidence: 99%

Section: Prototyping and Othersmentioning

confidence: 99%

Additive manufacturing of medical instruments: A state-of-the-art review

Culmone

Smit

Breedveld

2019

Additive Manufacturing

205

119

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“…Although a UM offers many advantages during TLH, the most important of which is the prevention of ureteral injuries, currently, that are no UMs which are accepted to be ideal; that is, none of the available devices have the features of being non-conductive, quickly assembled, easily inserted in the uterus, capable of maintaining pneumoperitoneum, while also being safe and cheap [18]. To this aim, different types of UMs have been designed for use in TLH [7,[18][19][20][21]. Studies that compared UMs in TLH highlighted their various advantages and disadvantages.…”

Section: Resultsmentioning

confidence: 99%

Surgical Outcomes of Intraabdominal versus Vaginal Approach for Uterine Manipulation during Total Laparoscopic Hysterectomy

GÜVEN¹,

Uysal

Kolsuz

et al. 2022

Preprint

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Background: Uterine manipulation is essential for moving the uterus and proper anatomical dissection without complications during total laparoscopic hysterectomy (TLH). Although many different uterine manipulators (UM) have been designed in the last few decades, there is still no ‘optimal UM’ that is universally safe, efficient, and cost-effective. This study aimed to compare myoma screw (MS) and UM with regard to surgical outcomes and cost-effectiveness in patients who underwent TLH. Methods: In the current study, we describe an operation technique that uses a MS instead of a uterine manipulator during TLH and discuss the surgical outcomes of this method. Results: The use of MS resulted in significantly shorter operation time with respect to UM for uterine manipulation during TLH regarding benign indications, with affordable costs. Conclusion: The use of MS is a safe and cost-effective alternative to the use of UM during TLH.

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“…Transillumination has been thoroughly described in literature as a clinical tool to improve anatomical visualization, particularly to detect diverticula and bladder endometriosis. 5 – 10 , 14 , 15 …”

Section: Discussionmentioning

confidence: 99%

“…In addition to indocyanine green, Firefly® can be utilized along with other devices which allow organ transillumination; indeed NIRF light even captures green colored images of selected organs, like the ureter or the bladder. 5 – 10 …”

Section: Introductionmentioning

confidence: 99%