JRM Vol.28 No.4 pp. 591-599
doi: 10.20965/jrm.2016.p0591


Development of a New Pericardiocentesis Assist Device: Design Proposal and Evaluation of the Pericardium Grasping Mechanism

Yuta Fukushima*, Ryo Akita**, Kiyoshi Naemura**, and Hiroyuki Tsukihara***

*Department of Modern Mechanical Engineering, Waseda University
27 Waseda-chou, Shinjuku-ku, Tokyo 162-0042, Japan

**Graduate School of Bionics, Computer and Media Sciences, Tokyo University of Technology
1404-1 Katakuramachi, Hachioji City, Tokyo 192-0982, Japan

***Department of Cardiothoracic Surgery, Graduate School of Medicine, The University of Tokyo
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

January 20, 2016
June 15, 2016
August 20, 2016
pericardiocentesis, pericardium, grasp, friction, vacuum pressure

Development of a New Pericardiocentesis Assist Device: Design Proposal and Evaluation of the Pericardium Grasping Mechanism

The pericardium grasp mechanism for pericardiocentesis

Complication ratio of the pericardiocentesis was reported 4.7%, due to the procedure using needle. To decrease complication of the pericardiocentesis, purposes of this study was to develop a new pericardiocentesis assist device without needle. The proposed device was able to aspirate fluid inside the pericardial space by grasping and cutting the pericardium. To cut the pericardium, the device needed to grasp the pericardium surely. In this paper, we designed pericardium grasping mechanism. The result of the structural analysis using the finite element method showed proposed grasping mechanism could keep grasping force of 120 N and pericardium elastic force of 2.7 N without fracture. Results of in vitro porcine pericardium grasping experiment using a proposed device model showed that the pericardium grasping force was elucidated to need more than 7.5 N, while the pericardium elastic force was 2.44 N. The proposed pericardium grasping mechanism could grasp a porcine pericardium securely without fracture.

Cite this article as:
Y. Fukushima, R. Akita, K. Naemura, and H. Tsukihara, “Development of a New Pericardiocentesis Assist Device: Design Proposal and Evaluation of the Pericardium Grasping Mechanism,” J. Robot. Mechatron., Vol.28, No.4, pp. 591-599, 2016.
Data files:
  1. [1] D. El Haddad, C. Iliescu, S. W. Yusuf, W. N. Jr William, T. H. Khair, J. Song, and E. N. Mouhayar, “Outcomes of cancer patients undergoing percutaneous pericardiocentesis for pericardial effusion,” J. Am. Coll. Cardiol., Vol.66, No.10, pp. 1119-1128, 2015.
  2. [2] M. Y. Ho, J. L. Wang, Y. S. Lin, C. T. Mao, M. L. Tsai, M. S. Wen, C. C. Wang, I. C. Hsieh, K. C. Hung, C. Y. Wang, H. P. Wu, and T. H. Chen, “Pericardiocentesis adverse event risk factors: A nationwide population-based cohort study,” Cardiology, Vol.130, No.1, pp. 37-45, 2015.
  3. [3] JETRO, Research report, “The latest medical machine and technological direction that the medical front in U.S. have interest,” 2012.
  4. [4] M. Ogiwara, “Treatment of Left Ventricular Free Wall Rupture with Fibrin-glue in dogs,” Japanese J. of Cardiovascular Surgery, Vol.24, No.1, pp. 18-23, 1995.
  5. [5] T. S. Tsang, M. Enriquez-Sarano, W. K. Freeman, M. E. Barnes, L. J. Sinak, B. J. Gersh, K. R. Bailey, and J. B. Seward, “Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years,” Mayo Clin. Proc., Vol.77, No.5, pp. 429-436, 2002.
  6. [6] Y. Hosomi, Y. Ohkuma, and M. Shibuya, “Administration of anticancer drug in pericardial cavity,” Japanese J. of Cancer and Chemotherapy, Vol.35, No.6, pp. 906-909, 2008.
  7. [7] Olympus Co., Japan patent JP2014-8243, 2014.
  8. [8] Cormedics INC., Japan patent JP2001-516625, 2001.
  9. [9] Cormedics INC., Patent Application Publication US20130150877 A1, 2013.
  10. [10] N. Ejiri, R. Tanosaki, Y. Kurosaka, T. Ueda, I. Hayashi, H. Yamada, N. Yanai, and K. Karasawa, “The Hemodynamics before and after Aspiration of Pericardial Effusion,” Japanese Society of National Medical Services, Vol.44, No.1, pp. 44-47, 1990.
  11. [11] M. J. Lee and D. R. Boughner, “Mechanical properties of human pericardium. Differences in viscoelastic response when compared with canine pericardium,” Circulation Research, Vol.55, pp. 475-481, 1985.

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Last updated on Nov. 12, 2018