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Experimental application of pulsed liquid jet for neuroendoscopic surgery for pituitary lesion.

Research Project

Project/Area Number 15K10353
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionTohoku University

Principal Investigator

OGAWA YOSHIKAZU  東北大学, 医学系研究科, 非常勤講師 (60606383)

Co-Investigator(Kenkyū-buntansha) 中川 敦寛  東北大学, 大学病院, 特任准教授 (10447162)
川口 奉洋  東北大学, 医学系研究科, 非常勤講師 (10723447)
鷲尾 利克  国立研究開発法人産業技術総合研究所, 生命工学領域, 主任研究員 (40358370)
荒船 龍彦  東京電機大学, 理工学部, 准教授 (50376597)
大谷 清伸  東北大学, 流体科学研究所, 特任准教授 (80536748)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords医療機器開発 / 衝撃波 / 低侵襲手術 / 内視鏡 / 流体工学 / 脳外科手術機器学 / 医工連携 / 産学連携 / 低侵襲外科
Outline of Final Research Achievements

Neuroendoscopic surgery allows minimally invasive surgery, but lacks effective methods to control bleeding. Water jet dissection with continuous flow has been used in liver and kidney surgery, and is effective for tissue manipulation with vascular and nerve preservation, but involves some potential risks during application in the deep brain lesion. The purpose of present study is to develop pulsed laser-induced liquid jet (LILJ) that can be incorporated into neuroendoscopic surgery.
LILJ have been applied in the swine ventricle after development of prototype of LILJ generator for neuroendoscopy application. Relationship between laser energy, standoff distance between tip of optical fiber and nozzle, nozzle aspect ratio, and contrability of splash were evaluated by high speed photography, pressure measurement, and test in phantom model. The histological specimen and intraoperative finding showed the preservation of small vessels during ventricle wall dissection.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (27 results)

All 2018 2017 2016 2015

All Journal Article (23 results) (of which Peer Reviewed: 23 results,  Acknowledgement Compliant: 7 results,  Open Access: 2 results) Presentation (2 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results) Patent(Industrial Property Rights) (2 results) (of which Overseas: 2 results)

  • [Journal Article] Indications for salvage surgery during treatment for intracranial germ cell tumors.2018

    • Author(s)
      Kanamori M, Kumabe T, Watanabe M, Chonan M, Saito R, Yamashita Y, Ogawa Y, Sonoda Y, Tominaga T.
    • Journal Title

      J Neurooncol.

      Volume: - Issue: 3 Pages: 601-607

    • DOI

      10.1007/s11060-018-2827-3

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Marked effectiveness of low-dose oral methotrexate for steroid-resistant idiopathic hypertrophic pachymeningitis: Case report.2018

    • Author(s)
      Uchida H, Ogawa Y, Tominaga T.
    • Journal Title

      Clin Neurol Neurosurg.

      Volume: 168 Pages: 30-33

    • DOI

      10.1016/j.clineuro.2018.02.035

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Mid-term prognosis of non-functioning pituitary adenomas with high proliferative potential: really an aggressive variant?2018

    • Author(s)
      Ogawa Y, Jokura H, Niizuma K, Tominaga T.
    • Journal Title

      J Neurooncol.

      Volume: - Issue: 3 Pages: 543-549

    • DOI

      10.1007/s11060-017-2740-1

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] テクニカル・ノート Bath plug closure法を用いた経鼻内視鏡的髄液漏閉鎖術-耳鼻科・脳神経外科連携領域の治療2017

    • Author(s)
      Kawaguchi T, Arakawa K, Nomura K, Ogawa Y, Katori Y, Tominaga T.
    • Journal Title

      Neurological Surgery 脳神経外科

      Volume: 45 Issue: 12 Pages: 1067-1073

    • DOI

      10.11477/mf.1436203648

    • ISSN
      0301-2603, 1882-1251
    • Year and Date
      2017-12-10
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Recovery from diabetes insipidus and preservation of thyroid function after craniopharyngioma removal and pituitary stalk sectioning.2017

    • Author(s)
      Ogawa Y, Niizuma K, Tominaga T.
    • Journal Title

      Clin Neurol Neurosurg.

      Volume: 162 Pages: 36-40

    • DOI

      10.1016/j.clineuro.2017.09.005

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Fine morphological evaluation of hypothalamus in patients with hyperphagia.2017

    • Author(s)
      Ogawa Y, Niizuma K, Tominaga T.
    • Journal Title

      Acta Neurochir (Wien).

      Volume: 159(5) Issue: 5 Pages: 865-871

    • DOI

      10.1007/s00701-017-3112-5

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Preoperative embolization and immediate removal of a giant pituitary adenoma: a case report.2017

    • Author(s)
      Omodaka S, Ogawa Y, Sato K, Matsumoto Y, Tominaga T.
    • Journal Title

      BMC Res Notes.

      Volume: 10(1) Issue: 1 Pages: 63-63

    • DOI

      10.1186/s13104-017-2383-5

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Suprasellar Hemangioblastoma Unrelated to von Hippel-Lindau Disease Successfully Treated through Extended Transsphenoidal Approach: Diagnostic Value of Von Hippel-Lindau Disease Gene-Derived Protein.2017

    • Author(s)
      Wenting J, Ogawa Y, Ito J, Tominaga T.
    • Journal Title

      J Neurol Surg A Cent Eur Neurosurg.

      Volume: 78(3) Issue: 03 Pages: 296-301

    • DOI

      10.1055/s-0036-1582016

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] New Application of Actuator-Driven Pulsed Water Jet for Spinal Cord Dissection: An Experimental Study in Pigs.2017

    • Author(s)
      Endo T, Wenting J, Nakagawa A, Endo H, Sagae Y, Iwasaki M, Tominaga T.
    • Journal Title

      J Neurol Surg A Cent Eur Neurosurg.

      Volume: 78(2) Issue: 02 Pages: 137-143

    • DOI

      10.1055/s-0036-1584919

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Ischemic pituitary adenoma apoplexy-Clinical appearance and prognosis after surgical intervention.2016

    • Author(s)
      Ogawa Y, Niizuma K, Mugikura S, Tominaga T.
    • Journal Title

      Clin Neurol Neurosurg.

      Volume: 148 Pages: 142-6

    • DOI

      10.1016/j.clineuro.2016.07.013

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Evaluation of Fine Feeding System and Angioarchitecture of Giant Pituitary Adenoma--Implications for Establishment of Surgical Strategy.2016

    • Author(s)
      Ogawa Y, Sato K, Matsumoto Y, Tominaga T.
    • Journal Title

      World Neurosurg.

      Volume: 85 Pages: 244-51

    • DOI

      10.1016/j.wneu.2015.09.087

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] A laser-induced pulsed water jet for layer-selective submucosal dissection of the esophagus.2016

    • Author(s)
      Nakano T, Sato C, Yamada M, Nakagawa A, Yamamoto H, Fujishima F, Tominaga T, Satomi S, Ohuchi N.
    • Journal Title

      Laser Ther.

      Volume: 25(3) Pages: 185-191

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Use of water jet instruments in gastrointestinal endoscopy.2016

    • Author(s)
      Nakano T, Sato C, Sakurai T, Kamei T, Nakagawa A, Ohuchi N
    • Journal Title

      World Journal of Gastrointestinal Endoscopy

      Volume: 8 Issue: 3 Pages: 122-127

    • DOI

      10.4253/wjge.v8.i3.122

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of a newly developed piezo actuator-driveb pulsed water jet system for liver resection in a surviving swine model.2016

    • Author(s)
      Nakanishi C, Nakano T, Nakagawa A, Sato C, Yamada M, Kawagishi N, Tomonaga T, Ohuchi N
    • Journal Title

      BioMedical Engineering OnLine

      Volume: 15 Issue: 1 Pages: 9-9

    • DOI

      10.1186/s12938-016-0126-9

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ventricle wall dissection and vascular preservation with the pulsed water jet device: novel tissue dissector for flexible neuroendoscopic surgery.2016

    • Author(s)
      Kawaguchi T, Nakagawa A, Endo T, Fujimura M, Sonoda Y, Tominaga T.
    • Journal Title

      J Neurosurg.

      Volume: 124(3) Issue: 3 Pages: 817-22

    • DOI

      10.3171/2015.3.jns142121

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 「真の」アンメットニーズに基づいた医療機器開発:東北大学病院ベッドサイドソリューションプログラム(ASU)とバイオデザイン.2016

    • Author(s)
      中川敦寛、池田浩治、池野文昭、伊藤香織、五十嵐修一、高橋千明、冨永悌二.
    • Journal Title

      機能的脳神経外科

      Volume: 55 Pages: 73-9

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] パルスレーザージェットメス:原理開発から臨床試験まで2016

    • Author(s)
      中川敦寛、川口奉洋、遠藤俊毅、小川欣一、山下慎一、荒船龍彦、加藤峰士、鷲尾利克、荒井陽一、冨永悌二.
    • Journal Title

      レーザー学会誌

      Volume: 44(3) Pages: 165-168

    • NAID

      130007957190

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Pulsed Laser-induced Liquid Jet System for Treatment of Sellar and Parasellar Tumors: Safety Evaluation.2015

    • Author(s)
      Nakagawa A, Ogawa Y, Amano K, Ishii Y, Tahara S, Horiguchi K, Kawamata T, Yano S, Arafune T, Washio T, Kuratsu JI, Saeki N, Okada Y, Teramoto A, Tominaga T.
    • Journal Title

      J Neurol Surg A Cent Eur Neurosurg.

      Volume: 76(6) Pages: 473-482

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Use of Actuator-Driven Pulsed Water Jet in Brain and Spinal Cord Cavernous Malformations Resection.2015

    • Author(s)
      Endo. T, Takahashi Y, Nakagawa A, Niizuma K, Fujimura M, Tominaga T.
    • Journal Title

      Neurosurgery

      Volume: 11 (Suppl 3) Pages: 394-403

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intraventricular hemorrhage on initial computed tomography as marker of diffuse axonal injury after traumatic brain injury.2015

    • Author(s)
      Mata-Mbenba D, Mugikura S, Nakagawa A, Murata T, Kato Y, Tatewaki Y, Li Li, Takase K, Ishii K, Kushimoto S, Tominaga T, Takahashi S.
    • Journal Title

      J Neurotrauma

      Volume: 32(5) Pages: 359-365

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] パルスウォータージェットメスを用いた精密手術用治療器.2015

    • Author(s)
      中川敦寛、遠藤敏毅、川口奉洋、冨永悌二.
    • Journal Title

      精密工学誌

      Volume: 81(4) Pages: 293-297

    • NAID

      130005060668

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 生体模擬物質中の衝撃波伝播挙動.2015

    • Author(s)
      大谷清伸, 中川敦寛, 中川桂一.
    • Journal Title

      M&M2015 火薬学会秋季研究発表会

      Volume: 2015 Pages: 1-4

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 模擬モデルを用いた爆風による外傷性脳損傷機序解明に関する数値模擬.2015

    • Author(s)
      大谷清伸, 中川敦寛, 沼田大樹.
    • Journal Title

      M&M2015 材料力学カンファレンスプロシーディング

      Volume: 2015 Pages: 369-371

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] 1.Fine morphological evaluation of hypothalamus in patients with hyperphagia2017

    • Author(s)
      Yoshikazu Ogawa, Kuniyasu Niizuma, and Teiji Tominaga
    • Organizer
      2nd internationall conference on obesity and chronic diseases
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Evalution of fine feeding system and angioarchitecture of giant pituitary adenoma.2016

    • Author(s)
      Yoshikazu Ogawa,Kenichi Sato, Yasushi Matsumoto,Teiji Tominaga.
    • Organizer
      12th Congress of the European Skull Base Society
    • Place of Presentation
      Germany, Berlin
    • Year and Date
      2016-05-26
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Patent(Industrial Property Rights)] 薬剤噴流生成装置、及び薬剤噴流生成装置の薬剤噴流生成方法2017

    • Inventor(s)
      中川敦寛、川口奉洋、冨永悌二、金田道寛
    • Industrial Property Rights Holder
      中川敦寛、川口奉洋、冨永悌二、金田道寛
    • Industrial Property Rights Type
      特許
    • Filing Date
      2017-01-20
    • Related Report
      2016 Research-status Report
    • Overseas
  • [Patent(Industrial Property Rights)] 噴流生成装置、及び噴流生成装置の噴流生成方法2016

    • Inventor(s)
      中川敦寛、川口奉洋、冨永悌二、金田道寛
    • Industrial Property Rights Holder
      中川敦寛、川口奉洋、冨永悌二、金田道寛
    • Industrial Property Rights Type
      特許
    • Filing Date
      2016-08-25
    • Related Report
      2016 Research-status Report
    • Overseas

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Published: 2015-04-16   Modified: 2019-03-29  

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