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Novel Quantum Molecular Resonance Energy Source for Laparoscopic Bipolar Vessel Sealer: An Experimental Study in Animal Modelopen access

Authors
Bang, SeokhwanYu, JiwoongIm, JungeunKwon, SoonyoungKim, JongchangKim, SungminKim, Jung HyunJeong, Byong Chang
Issue Date
Oct-2022
Publisher
MDPI
Keywords
QMR; surgical energy device; vessel sealing technologies; laparoscopic surgery; surgical smoke; quantum molecular resonance
Citation
APPLIED SCIENCES-BASEL, v.12, no.19
Indexed
SCIE
SCOPUS
Journal Title
APPLIED SCIENCES-BASEL
Volume
12
Number
19
URI
https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/100561
DOI
10.3390/app12199490
ISSN
2076-3417
2076-3417
Abstract
This study is to evaluate a novel Quantum Molecular Resonance energy device as a laparoscopic bipolar vessel sealer. The majority of conventional bipolar energy-based vessel sealing devices utilize energy at frequencies between 300 kHz and 500 kHz. The use of such frequencies has disadvantages including unintended damage to surrounding tissues and excessive surgical smoke production. Here, we developed a bipolar energy source using Quantum Molecular Resonance (QMR) energy of 4-64 MHz and combined this into a laparoscopic vessel sealer. We investigate the microscopic tissue effect and surgeon's experiences of the laparoscopic bipolar vessel sealer using a novel QMR energy source through animal experiments. QMR energy sources showed higher sealing success rates (100% vs. 66.7%) and a higher burst pressure (963 mmHg vs. 802 mmHg) of the sealed vessels compared to LigaSure (TM). Histological analysis showed less vessel wall injury in the QMR energy source (55.0% vs. 73.9%). In the laparoscopic setting experiments, compared to LigaSure (TM), QMR energy sources showed statistically significantly less smoke formation (p = 0.014), less tissue carbonization (p = 0.013), and less stickiness (p = 0.044) during sealing tissues. A novel QMR energy source for a laparoscopic bipolar vessel sealer could produce a better sealing performance and less surrounding tissue damage.
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