Hanging Foot Switch for Bipolar Forceps: A Device for Surgeons Operating in the Standing Position:—Technical Note—
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概要
- 論文の詳細を見る
For surgeons operating in the standing position, the manipulation of foot switches involves shifting of the weight to the pivoting leg and the possible loss of contact between the switch and the foot. We solved this problem by changing the position of the switch that operates bipolar forceps. Our novel device is made of aluminum plates. The base plate features a foot strap and a height-adjustable overhang over the switch-operating foot. A commercially-available disc type foot switch is attached to the underside of the overhang in upside-down position, so the switch is operable with the toe. To turn on the switch, the toe is flexed dorsally to push the switch pedal, so the action is limited to the part distal to the metatarsophalangeal joints. Our switch was used in more than 100 consecutive microsurgeries performed by surgeons operating in the standing position. The switch manipulation required no shifting of the weight and was easier and quicker than manipulation of conventionally-placed switches. The surgeons were able to change the foot position freely with the modified switch, thereby avoiding loss of contact with the switch. The modified switch placement reduced physical fatigue in the lower extremities, annoyance related to the manipulation of conventionally-placed switches, and increased the comfort of surgeons operating in the standing position.
著者
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Yamamoto Isao
Department Of Electronic Engineering Faculty Of Engineering Okayama University Of Science
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Sagiuchi Takao
Department Of Neurosurgery Kitasato University School Of Medicine
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Koizumi Hiroyuki
Department Of Aeronautics And Astronautics University Of Tokyo
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Fujii Kiyotaka
Department Of Brain Sugery School Of Medicine Kitasato University
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Kondo Koji
Department Of Neurosurgery Kitasato University School Of Medicine
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Miyazaki Tomoko
Department Of Chemistry Graduate School Of Science Osaka City University
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Nakayama Kenji
Department Of Cardiothoracic Surgery Niigata Prefectural Shibata Hospital
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Yamazaki Tomoya
Department Of Neurosurgery Yokohama Stroke And Brain Center
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Shimizu Satoru
Department Of Biotechnology Faculty Of Engineering Kyoto Sangyo University
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FUJII Kiyotaka
Department of Neurosurgery, Kitasato University School of Medicine
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SHIMIZU Satoru
Department of Neurosurgery, Yokohama Stroke and Brain Center
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KOIZUMI Hiroyuki
Department of Neurosurgery, Yokohama Stroke and Brain Center
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OSAWA Shigeyuki
Department of Neurosurgery, Kitasato University, Kitasato Institute Medical Center Hospital
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MIYAZAKI Tomoko
Department of Neurosurgery, Yokohama Stroke and Brain Center
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SAGIUCHI Takao
Department of Neurosurgery, Kitasato University, Kitasato Institute Medical Center Hospital
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