title: Shape memory alloy fixator system for suturing tissue in minimal access surgery.
abstract: A new technique for suturing human tissue is described in which tissue closure is achieved by means of small fixators made from shape memory alloy. The aim of the development is to provide an alternative to thread suturing in minimal access surgery, which is quicker and requires less skill to achieve the required suturing quality. The design of the fixators is described in terms of the thermal shape recovery of shape memory alloy and a novel form of finite element analysis, which uses a nonlinear elastic element for the material property. Thermal analysis of the fixators and surrounding tissue is used to predict the temperature distribution during and after the application of electric current heating. This was checked in an in vitro experiment, which confirmed that deployment caused no detectable collateral damage to surrounding tissue. In vivo animal studies on the use of the shape memory alloy fixator for suturing tissue are ongoing to establish safety and healing effects.
authors.affiliation: Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, Scotland.
authors.forename: W
authors.initials: W
authors.lastname: Xu
authors.forename: T G
authors.initials: TG
authors.lastname: Frank
authors.forename: G
authors.initials: G
authors.lastname: Stockham
authors.forename: A
authors.initials: A
authors.lastname: Cuschieri
mesh_terms: D000497:Alloys; D001672:Biocompatible Materials; D001831:Body Temperature; D004548:Elasticity; D004724:Endoscopy; D004867:Equipment Design; D006801:Humans; D008422:Materials Testing; D009532:Nickel; D013314:Stress, Mechanical; D013525:Surgical Instruments; D013536:Suture Techniques; D013816:Thermodynamics; D014025:Titanium
chemical_list: D000497:Alloys; D001672:Biocompatible Materials; C040654:titanium nickelide; D009532:Nickel; D014025:Titanium