Novel Quantum Molecular Resonance Energy Source for Laparoscopic Bipolar Vessel Sealer: An Experimental Study in Animal Model
This study is to evaluate a novel Quantum Molecular Resonance energy device as a laparoscopic bipolar vessel sealer. The majority of conventional bipolar energy-based vessel sealing devices utilize energy at frequencies between 300 kHz and 500 kHz. The use of such frequencies has disadvantages inclu...
Saved in:
Published in: | Applied sciences Vol. 12; no. 19; p. 9490 |
---|---|
Main Authors: | , , , , , , , |
Format: | Journal Article |
Language: | English |
Published: |
MDPI AG
01-10-2022
|
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Abstract | This study is to evaluate a novel Quantum Molecular Resonance energy device as a laparoscopic bipolar vessel sealer. The majority of conventional bipolar energy-based vessel sealing devices utilize energy at frequencies between 300 kHz and 500 kHz. The use of such frequencies has disadvantages including unintended damage to surrounding tissues and excessive surgical smoke production. Here, we developed a bipolar energy source using Quantum Molecular Resonance (QMR) energy of 4–64 MHz and combined this into a laparoscopic vessel sealer. We investigate the microscopic tissue effect and surgeon’s experiences of the laparoscopic bipolar vessel sealer using a novel QMR energy source through animal experiments. QMR energy sources showed higher sealing success rates (100% vs. 66.7%) and a higher burst pressure (963 mmHg vs. 802 mmHg) of the sealed vessels compared to LigaSure™. Histological analysis showed less vessel wall injury in the QMR energy source (55.0% vs. 73.9%). In the laparoscopic setting experiments, compared to LigaSure™, QMR energy sources showed statistically significantly less smoke formation (p = 0.014), less tissue carbonization (p = 0.013), and less stickiness (p = 0.044) during sealing tissues. A novel QMR energy source for a laparoscopic bipolar vessel sealer could produce a better sealing performance and less surrounding tissue damage. |
---|---|
AbstractList | This study is to evaluate a novel Quantum Molecular Resonance energy device as a laparoscopic bipolar vessel sealer. The majority of conventional bipolar energy-based vessel sealing devices utilize energy at frequencies between 300 kHz and 500 kHz. The use of such frequencies has disadvantages including unintended damage to surrounding tissues and excessive surgical smoke production. Here, we developed a bipolar energy source using Quantum Molecular Resonance (QMR) energy of 4–64 MHz and combined this into a laparoscopic vessel sealer. We investigate the microscopic tissue effect and surgeon’s experiences of the laparoscopic bipolar vessel sealer using a novel QMR energy source through animal experiments. QMR energy sources showed higher sealing success rates (100% vs. 66.7%) and a higher burst pressure (963 mmHg vs. 802 mmHg) of the sealed vessels compared to LigaSure™. Histological analysis showed less vessel wall injury in the QMR energy source (55.0% vs. 73.9%). In the laparoscopic setting experiments, compared to LigaSure™, QMR energy sources showed statistically significantly less smoke formation (p = 0.014), less tissue carbonization (p = 0.013), and less stickiness (p = 0.044) during sealing tissues. A novel QMR energy source for a laparoscopic bipolar vessel sealer could produce a better sealing performance and less surrounding tissue damage. |
Author | Jeong, Byong Chang Kim, Jongchang Im, Jungeun Kwon, Soonyoung Kim, Sungmin Yu, Jiwoong Bang, Seokhwan Kim, Jung Hyun |
Author_xml | – sequence: 1 givenname: Seokhwan orcidid: 0000-0002-0450-8763 surname: Bang fullname: Bang, Seokhwan – sequence: 2 givenname: Jiwoong orcidid: 0000-0003-2147-2915 surname: Yu fullname: Yu, Jiwoong – sequence: 3 givenname: Jungeun surname: Im fullname: Im, Jungeun – sequence: 4 givenname: Soonyoung surname: Kwon fullname: Kwon, Soonyoung – sequence: 5 givenname: Jongchang surname: Kim fullname: Kim, Jongchang – sequence: 6 givenname: Sungmin surname: Kim fullname: Kim, Sungmin – sequence: 7 givenname: Jung Hyun orcidid: 0000-0001-9424-3377 surname: Kim fullname: Kim, Jung Hyun – sequence: 8 givenname: Byong Chang surname: Jeong fullname: Jeong, Byong Chang |
BookMark | eNpNkclOwzAQQC0EEgV64gd8RwUvqZNwK1VZpBYEBa7RZDxBQakdOQmiB_4dswgxl9mfZjlgu847YuxYilOtc3EGbSuVzPMkFztspERqJjqR6e4_e5-Nu-5VRMmlzqQYsY9b_0YNvx_A9cOGr3xDODQQ-AN13oFD4gtH4WXL134I0at84EtoIfgOfVsjv6hb_9XwTF0XSWuChsI5nzm-eG8p1BtyPcR4P9gtr11M1Jvor7yl5ojtVdB0NP7Vh-zpcvE4v54s765u5rPlBLU2_USjMdNSaigJq9QazARZEEk1lYaUskZJENO8SuP2pEUpSllqzGIVKVsJrQ_ZzQ_Xengt2jgUhG3hoS6-Az68FBD6GhsqrBAmnSaIGaokUSZDTJVQNisTQMyryDr5YWE8QReo-uNJUXw9ovj3CP0JXHJ-VA |
CitedBy_id | crossref_primary_10_1109_TBCAS_2023_3310880 crossref_primary_10_1109_TIE_2023_3247795 |
Cites_doi | 10.3109/00016489.2012.659752 10.1016/j.jmig.2013.02.012 10.1089/end.2006.9994 10.1111/iwj.12805 10.1002/lary.20210 10.1016/j.jaad.2018.06.003 10.1002/bjs.6321 10.1371/journal.pone.0190082 10.1089/end.2008.9715 10.1016/0278-2391(87)90305-3 10.1016/S0022-5347(05)63995-X 10.1159/000101745 |
ContentType | Journal Article |
DBID | AAYXX CITATION DOA |
DOI | 10.3390/app12199490 |
DatabaseName | CrossRef Directory of Open Access Journals |
DatabaseTitle | CrossRef |
DatabaseTitleList | CrossRef |
Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: http://www.doaj.org/ sourceTypes: Open Website |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Engineering Sciences (General) |
EISSN | 2076-3417 |
ExternalDocumentID | oai_doaj_org_article_d006754cc8c244268cc7202d8b4acc9f 10_3390_app12199490 |
GroupedDBID | .4S 2XV 5VS 7XC 8CJ 8FE 8FG 8FH AADQD AAFWJ AAYXX ABJCF ADBBV AFKRA AFPKN AFZYC ALMA_UNASSIGNED_HOLDINGS APEBS ARAPS ARCSS ATCPS BBNVY BCNDV BENPR BHPHI BKSAR CCPQU CITATION CZ9 D1I D1J D1K GROUPED_DOAJ HCIFZ IAO ITC K6- K6V K7- KB. KC. KQ8 L6V LK5 LK8 M0K M7P M7R M7S MODMG M~E N95 OK1 P62 PATMY PCBAR PDBOC PIMPY PROAC PYCSY RIG TUS |
ID | FETCH-LOGICAL-c336t-3c665b13abecf7d6c80eda04f516e22d621a059f7199e30b0b1b3c880ee2df033 |
IEDL.DBID | DOA |
ISSN | 2076-3417 |
IngestDate | Tue Oct 22 15:12:09 EDT 2024 Wed Aug 07 13:56:43 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 19 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c336t-3c665b13abecf7d6c80eda04f516e22d621a059f7199e30b0b1b3c880ee2df033 |
ORCID | 0000-0002-0450-8763 0000-0001-9424-3377 0000-0003-2147-2915 |
OpenAccessLink | https://doaj.org/article/d006754cc8c244268cc7202d8b4acc9f |
ParticipantIDs | doaj_primary_oai_doaj_org_article_d006754cc8c244268cc7202d8b4acc9f crossref_primary_10_3390_app12199490 |
PublicationCentury | 2000 |
PublicationDate | 2022-10-01 |
PublicationDateYYYYMMDD | 2022-10-01 |
PublicationDate_xml | – month: 10 year: 2022 text: 2022-10-01 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | Applied sciences |
PublicationYear | 2022 |
Publisher | MDPI AG |
Publisher_xml | – name: MDPI AG |
References | Fraccalvieri (ref_12) 2017; 14 ref_13 Chang (ref_11) 2012; 132 Landman (ref_2) 2003; 169 Georgesen (ref_3) 2018; 79 Lamberton (ref_6) 2008; 22 Lyons (ref_7) 2013; 20 Bozzola (ref_10) 2009; 119 Kalkwarf (ref_9) 1987; 45 Hubner (ref_1) 2008; 95 Cakan (ref_8) 2004; 45 Schiavon (ref_5) 2007; 39 Weld (ref_4) 2007; 21 |
References_xml | – volume: 132 start-page: S130 year: 2012 ident: ref_11 article-title: Comparison of post-tonsillectomy pain with two different types of bipolar forceps: Low temperature quantum molecular resonance device versus high temperature conventional electrocautery publication-title: Acta Otolaryngol. doi: 10.3109/00016489.2012.659752 contributor: fullname: Chang – volume: 20 start-page: 301 year: 2013 ident: ref_7 article-title: Laparoscopic vessel sealing technologies publication-title: J. Minim. Invasive Gynecol. doi: 10.1016/j.jmig.2013.02.012 contributor: fullname: Lyons – volume: 21 start-page: 347 year: 2007 ident: ref_4 article-title: Analysis of surgical smoke produced by various energy-based instruments and effect on laparoscopic visibility publication-title: J. Endourol. doi: 10.1089/end.2006.9994 contributor: fullname: Weld – volume: 14 start-page: 1313 year: 2017 ident: ref_12 article-title: Quantum molecular resonance technology in hard-to-heal extremity wounds: Histological and clinical results publication-title: Int. Wound J. doi: 10.1111/iwj.12805 contributor: fullname: Fraccalvieri – volume: 119 start-page: 1897 year: 2009 ident: ref_10 article-title: Molecular resonance vs. coblation tonsillectomy in children publication-title: Laryngoscope doi: 10.1002/lary.20210 contributor: fullname: Bozzola – volume: 79 start-page: 746 year: 2018 ident: ref_3 article-title: Surgical smoke: Risk assessment and mitigation strategies publication-title: J. Am. Acad. Dermatol. doi: 10.1016/j.jaad.2018.06.003 contributor: fullname: Georgesen – volume: 95 start-page: 1098 year: 2008 ident: ref_1 article-title: Prospective randomized study of monopolar scissors, bipolar vessel sealer and ultrasonic shears in laparoscopic colorectal surgery publication-title: Br. J. Surg. doi: 10.1002/bjs.6321 contributor: fullname: Hubner – volume: 45 start-page: 63 year: 2004 ident: ref_8 article-title: The histological effect of harmonic scalpel and electrocautery in lung resections. An experimental study in a rat model publication-title: J. Cardiovasc. Surg. contributor: fullname: Cakan – ident: ref_13 doi: 10.1371/journal.pone.0190082 – volume: 22 start-page: 2307 year: 2008 ident: ref_6 article-title: Prospective comparison of four laparoscopic vessel ligation devices publication-title: J. Endourol. doi: 10.1089/end.2008.9715 contributor: fullname: Lamberton – volume: 45 start-page: 671 year: 1987 ident: ref_9 article-title: Histologic evaluation of gingival response to an electrosurgical blade publication-title: J. Oral Maxillofac. Surg. doi: 10.1016/0278-2391(87)90305-3 contributor: fullname: Kalkwarf – volume: 169 start-page: 697 year: 2003 ident: ref_2 article-title: Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model publication-title: J. Urol. doi: 10.1016/S0022-5347(05)63995-X contributor: fullname: Landman – volume: 39 start-page: 222 year: 2007 ident: ref_5 article-title: Favorable tissue effects of quantum molecular resonance device (Vesalius) compared with standard electrocautery. A novel paradigm in lung surgery publication-title: Eur. Surg. Res. doi: 10.1159/000101745 contributor: fullname: Schiavon |
SSID | ssj0000913810 |
Score | 2.2919166 |
Snippet | This study is to evaluate a novel Quantum Molecular Resonance energy device as a laparoscopic bipolar vessel sealer. The majority of conventional bipolar... |
SourceID | doaj crossref |
SourceType | Open Website Aggregation Database |
StartPage | 9490 |
SubjectTerms | laparoscopic surgery QMR quantum molecular resonance surgical energy device surgical smoke vessel sealing technologies |
Title | Novel Quantum Molecular Resonance Energy Source for Laparoscopic Bipolar Vessel Sealer: An Experimental Study in Animal Model |
URI | https://doaj.org/article/d006754cc8c244268cc7202d8b4acc9f |
Volume | 12 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrZ1LS8NAEIAX9aQHsT6wvpiDBz0Ek91ks_VmteJBBamKt7CvQKFNi1rBg__dmU1acvPiMQ9CmMnOYzPzDWOnSW6U15pHwshelKJPj4xLZSStlIpbo7IAML0b5o9v6mZAmJzlqC-qCavxwLXgLhzZ0yy1Vln0RFwqa3NM2J0yqba2VwbrG8tWMhVscC8hdFXdkCcwr6f_wQknEC5Z35YLapH6g0u53WKbTSwIV_U7dNiKr7bZRosQuM06zdr7gLMGEH2-w34ep19-DE9zlMp8Ag-LCbdAe_EE0PAwCC19MAxb84CBKdyjVyRy5XQ2stAfzSilhVcih49hSNHi-yVcVTBoEf-Bigy_YVThhdEEj2lw2niXvdwOnq_vomaMQmSFkJ-RQLFnJhEa1VXmTloVe6fjtMwS6Tl3kicag6wyR-l4EZvYJEZYXNfec1fGQuyxtWpa-X0GOnO-1KnUUpZpbIWSBv1b5qSxFGgkXXa6kGwxq2kZBWYZpICipYAu65PUl7cQ4jqcQMUXjeKLvxR_8B8POWTrnPoZQnXeEVv7fJ_7Y7b64eYn4YP6BX8w0M8 |
link.rule.ids | 315,782,786,866,2106,27933,27934 |
linkProvider | Directory of Open Access Journals |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Novel+Quantum+Molecular+Resonance+Energy+Source+for+Laparoscopic+Bipolar+Vessel+Sealer%3A+An+Experimental+Study+in+Animal+Model&rft.jtitle=Applied+sciences&rft.au=Bang%2C+Seokhwan&rft.au=Yu%2C+Jiwoong&rft.au=Im%2C+Jungeun&rft.au=Kwon%2C+Soonyoung&rft.date=2022-10-01&rft.issn=2076-3417&rft.eissn=2076-3417&rft.volume=12&rft.issue=19&rft.spage=9490&rft_id=info:doi/10.3390%2Fapp12199490&rft.externalDBID=n%2Fa&rft.externalDocID=10_3390_app12199490 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2076-3417&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2076-3417&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2076-3417&client=summon |