Print

2013 №11 (20) 2013 №11 (22)

The Paton Welding Journal 2013 #11
The Paton Welding Journal, 2013, #10/11, 142-153 pages

WELDING, CUTTING AND HEAT TREATMENT OF LIVE TISSUES

B.E. PATON, I.V. KRIVTSUN, G.S. MARINSKY, I.Yu. KHUDETSKY, Yu.N. LANKIN and A.V. CHERNETS

E.O. Paton Electric Welding Institute, NASU. 11 Bozhenko Str., 03680, Kiev, Ukraine. E-mail: office@paton.kiev.ua


Abstract
The paper presents the results of E.O. Paton Electric Welding Institute investigations and developments in the field of high-frequency welding and related technologies for joining, coagulation, cutting and heat treatment of live tissues, and also deals with the questions of development of specialized equipment and instruments for realization of the above processes. Experience of application of developed technologies and equipment in surgical practice is described, which is indicative of the high demands for them Е at present more than 150 different surgical procedures have been mastered and more than 100 thous. surgical operations have been successfully performed in the most diverse surgical fields. Data are given on the features of live tissues restructuring and welded joint formation under the impact of high-frequency current passing through them. Derived experimental and clinical data were used to demonstrate the ability of tissue subjected to the impact of high-frequency welding, to maintain its viability, and restore its physiological properties and functions through regeneration processes. The paper presents the materials of studying the process of high-frequency welding of soft biological tissues with automatic regulation, ensuring guaranteed formation of welded joint in a broad range of properties of tissues being welded. Considered are the prospects for further development of technologies and equipment for high-frequency welding and heat treatment of live tissues, both due to further expansion of surgical applications, and due to development of new multifunctional apparatuses, combining the processes of high-frequency welding and convection-infrared treatment of live tissues, in particular self-sufficient mobile systems. 39 Ref., 17 Figures.


Keywords: high-frequency welding, coagulation, cutting, hyperthermal treatment, live biological tissues, surgery, electrosurgical instruments


Received:                04.06.13
Published:               06.11.13


References
1. http://valleylab.com/product/es/
2. http://www.ethicon.com/emea/ua/healthcare-professionals/
3. http://www.klsmartin.com/products/electrosurgery/
4. http://www.erbe-med.com/de/medical-technology /public/Products/Electrosurgery
5. http://nii-prikladnoj-elektroniki.uaprom.net/
6. Nikonenko, A.S., Zavgorodny, S.N., Polyakov, N.N. et al. (2012) First experience of application of high-frequency electric welding technology in transplantation of kidney. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 27.
7. Bondar, G.V. (2011) Widening of indications for application of electric welding complex for joining soft tissues in oncosurgery. In: Proc. of 6th Int. Seminar on Welding of Soft Live Tissues. State-of-the-Art and Prospects of Development (Kiev, 2-3 Dec., 2011). Kiev: PWI, 58.
8. Tarnavsky, D.V., Chumikov, A.A. (2012) Efficiency of application of HF electric welding for castration of goats, rams and bull-calves under conditions of UNPK YuF NUBiP of Ukraine «KATU». In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 51.
9. (2010) Proc. of 5th Int. Seminar on New Trends of Investigations in Field of Welding of Live Soft Tissues (Kiev, 26-27 Nov., 2010). Kiev: PWI.
10. (2011) Proc. of 6th Int. Seminar on Welding of soft live tissues. State-of-the-art and prospects of development (Kiev, 2-3 Dec., 2011). Kiev: PWI.
11. (2012) Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding».
12. http://www.zvarka.org/
13. http://www.erbe.ru/produktsiya/vessel-sealing
14. (2009) Tissue-saving high-frequency electric welding surgery: Atlas. Ed. by B.E. Paton and O.N. Ivanova. Kiev: IA «Welding».
15. Marinsky, G.S., Chernets, A.V., Tkachenko, V.A. et al. (2012) New PWI equipment for welding of live tissues. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 42.
16. Paton, B.E., Marinsky, G.S., Podpryatov, S.E. et al. High-frequency welding electrocoagulator EKVZ-300. Pat. 72577U Ukraine. Int. Cl. A 61 B 18/12. Fil. 24.01.2012; Publ. 27.08.2012.
17. Kosakovsky, A.L., Kosakovskaya, I.A., Semyonov, R.G. (2010) Bipolar electric instruments for high-frequency electric welding of biological tissues of ENT-organs. In: Proc. of 5th Int. Seminar on New Trends of Investigations in Field of Welding of Live Soft Tissues (Kiev, 26-27 Nov., 2010). Kiev: PWI, 56.
18. Podpryatov, S.E., Gichka, S.G., Podpryatov, S.S. et al. (2012) Structure of electric seam as a base of new advances in surgery. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 45.
19. Vazina, A.A., Lanina, N.F., Marinsky, G.S. et al. (2011) Influence of high-frequency electrosurgical welding on functional stability of biological tissue structure. In: Proc. of 6th Int. Seminar on Welding of Soft Live Tissues. State-of-the-Art and Prospects for Development (Kiev, 2-3 Dec., 2011). Kiev: PWI, 53.
20. Paton, B.E., Tkachenko, V.A., Marinsky, G.S. et al. Method of joining of human and animal biological tissues using high-frequency current. Application 201209185. Publ. 26.07.2012.
21. Vitrenko, A.V., Podpryatov, S.E., Gichka, S.G. et al. (2012) Efficiency of performance of retropubic prostatectomy. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 36.
22. Krivtsun, I.V., Marinsky, G.S., Chernets, O.V. et al. (2012) Some prospects for application of high-frequency electric welding in cardiosurgery. In: Proc. of Int. Med. Forum 2012: Sci.-Pract. Conf. on Results of Introduction in Medical Practice of Technologies of General and Local Thermal Impact on Human Organism (Kiev, 25 Sept., 2012). Kiev: PWI, 239.
23. Vasylchenko, V.A., Marynsky, G.S., Chernets, O.V. et al. Bipolar electrosurgical instrument (electroknife) for high-frequency electrosurgery. Pat. 80729U Ukraine. Fil. 14.12.2012; Publ. 10.06.2012.
24. Pasechnikova, N.V., Naumenko, V.A., Umanets, N.N. (2012) Experimental substantiation of applicability of high-frequency electric welding of biological tissues in vitreoretinal surgery. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 22.
25. Pasechnikova, N.V., Naumenko, V.A., Maletsky, A.P. et al. (2012) Ultrastructural changes in eye socket tissues at eyeball enucleation using high-frequency electric welding of biological tissues. Ibid. Kiev: IA «Welding», 44.
26. Pasechnikova, N.V., Naumenko, V.A., Umanets, N.N. (2011) Our experience in application of the method of high-frequency electric welding of biological tissues during endovitreal interventions. In: Proc. of 6th Int. Seminar on Welding of Soft Live Tissues. State-of-the-Art and Prospects for Development (Kiev, 2-3 Dec., 2011). Kiev: PWI, 24.
27. Paton, B.E., Krivtsun, I.V., Gvozdetsky, V.S. et al. Method of ligatureless joining of defects of soft live tissues. Pat. 23204 Ukraine. Int. Cl. A 61 B 17/00. Fil. 28.12.2006; Publ. 10.06.2007.
28. Furmanov, Yu.O., Khomyak, I.V., Gvozdetsky, V.S. et al. Method of sanation of suppurative-septic foci of pancreas. Pat. 32900 Ukraine. Int. Cl. A 61 B 17/22. Fil. 28.12.2006; Publ. 10.06.2007.
29. Paton, B.E., Krivtsun, I.V., Khudetsky, I.Yu. Thermo-spray surgical instrument. Pat. 20479/ZU /11 Ukraine. Int. Cl. A 61 M 11/00, A 61 N 5/00. Fil. 23.05.2011; Publ. 07.11.2011.
30. Sukhin, I.A., Krivtsun, I.V., Khudetsky, I.Yu. et al. Method of surgical operation performance. Pat. 70151 Ukraine. Int. Cl. A 61 M 11/00. Fil. 29.11.2011; Publ. 25.05.2012.
31. Paton, B.E., Gvozdetsky, V.S., Furmanov, Yu.O. et al. Method of gunshot wound healing. Pat. 30372 Ukraine. Int. Cl. A61 B 18/04. Fil. 25.10.2007; Publ. 25.02.2008.
32. Khudetskyy, I., Krivtsun, I., Gvozdetsky, V. et al. (2009) Usage of portable thermo-spray device for treatment of wounds contaminated by microbes. In: Counteraction to chemical and biological terrorism in East European countries. Dordrexht: Springer.
33. Khudetskyy, I., Krivtsun, I., Terekhov, V.G. et al. (2010) Further development of apparatuses for hemostasis, treatment and healing of infected wounds by high-temperature flow. Klinichna Khirurgiya, 7, 53-55.
34. Sukhin, I.A., Khudetsky, I.Yu., Kachan, S.G. et al. (2012) Examination of the influence of high-temperature methods of dissection and coagulation of tissues on parenchymatous organs in experimental conditions. Ibid., 1, 76-78.
35. Khudetskyy, I., Krivtsun, I., Furmanov, J. et al. (2011) Contactless convection-infrared technology to thermal surgery. In: Proc. of the Special Forum & Exhibition on Best of East Europe for Eastern Partnership: Challenges and Opportunities for Collaboration European Union-Poland-Eastern Europe Countries (Warsaw, 28-30 Nov., 2011, Poland) and 4th Int. Science and Technology Days Poland-East (Bialowieza, 12-14 April, 2011). Bialystok: ORGMASZ, 2012, 37-47.
36. Sukhin, I.A., Kachan, S.G., Bililovets, A.N. et al. (2011) Monobloc application of apparatuses for high-frequency electric welding of biological tissues and pneumo-thermocoagulation in surgery. Klinichna Khirurgiya, 5, 48.
37. Krivtsun, I.V., Khudetsky, I.Yu., Sukhin, I.A. et al. (2012) Prospects for further development of multifunctional and specialized thermosurgical apparatuses. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 48.
38. Krivtsun, I.V., Khudetsky, I.Yu., Kamalov, R. et al. (2012) Creating innovative equipment and technology for the specialized care in cardiology, orthopedics, dentistry and maxillofacial surgery. In: Proc. of 6th Int. Forum on Innovative Technologies for Medicine ITMED 2012 (Bialystok, 21-23 Nov., 2012). Bialystok: Innovative Eastern Poland Assoc., 39.
39. Khudetsky, I.Yu., Kamalov, R.Kh., Ponomarenko, V.O. et al. (2012) Complex electrothermosurgical technologies, apparatuses and instruments for dentistry and maxillofacial surgery. In: Proc. of 7th Int. Sci.-Pract. Conf. on Welding and Heat Treatment of Live Tissues. Theory. Practice. Prospects (Kiev, 30 Nov., 2012). Kiev: IA «Welding», 49.

Suggested Citation

B.E. PATON, I.V. KRIVTSUN, G.S. MARINSKY, I.Yu. KHUDETSKY, Yu.N. LANKIN and A.V. CHERNETS (2013) WELDING, CUTTING AND HEAT TREATMENT OF LIVE TISSUES. The Paton Welding J., 11, 142-153.