Bond Strength of Thermally Fused Vascular Tissue Varies With Apposition Force

作者:Anderson Nicholas S; Kramer Eric A*; Cezo James D; Ferguson Virginia L; Rentschler Mark E
来源:Journal of Biomechanical Engineering, 2015, 137(12): 121010.
DOI:10.1115/1.4031891

摘要

Surgical tissue fusion devices ligate blood vessels using thermal energy and coaptation pressure, while the molecular mechanisms underlying tissue fusion remain unclear. This study characterizes the influence of apposition force during fusion on bond strength, tissue temperature, and seal morphology. Porcine splenic arteries were thermally fused at varying apposition forces (10-500 N). Maximum bond strengths were attained at 40N of apposition force. Bonds formed between 10 and 50N contained laminated medial layers; those formed above 50N contained only adventitia. These findings suggest that commercial fusion devices operate at greater than optimal apposition forces, and that constituents of the tunica media may alter the adhesive mechanics of the fusion mechanism.

  • 出版日期2015-12