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The pursuit of ideal peripheral nerve interface of myoelectric prosthesis using super-microsurgical technique

Research Project

Project/Area Number 17H06578
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Rehabilitation science/Welfare engineering
Research InstitutionJapanese Foundation for Cancer Research (2018)
The University of Tokyo (2017)

Principal Investigator

Karakawa Ryo  公益財団法人がん研究会, 有明病院, 形成外科 医員 (60802171)

Project Period (FY) 2017-08-25 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywordsマイクロサージャリー / 筋電義手 / マイクロサージェリー / 血管柄付き神経移植 / 筋肉移植
Outline of Final Research Achievements

A vascularized small muscle with nerve transfer model using rats with supermicrosurgical technique have been developed and refined. The lattisimus dorsi muscle flap with thoracodorsal nerve vascularized by the thoracodorsal artery and vein was transferred to the inferior epigastric artery and vein in groin area. The thoracodorsal nerve was anastomosed to the branch of the sciatic nerve. After transplantation, the myoelectric potential from the body surface using a surface electrode could not be obtained. We also developed a flap monitoring method using Ratio of Blood Glucose Level Change, pH indicator, and Laser Speckle Contrast Imaging to improve flap transfer technology.

Academic Significance and Societal Importance of the Research Achievements

近年、Regenerative Peripheral Nerve Interface(RPNI)やTargeted Muscle Reinnervation(TMR)などの筋電義手における末梢神経インターフェイスが注目されている。我々は血管柄および神経付き小筋肉皮弁移植が理想的な末梢神経インターフェイスになりうると仮説をたて、超微小血管吻合技術を用いたラットにおける血管柄および神経付き小筋肉皮弁移植モデルを作成し改良した。血管柄および神経付き小筋肉皮弁移植では体表から筋電位を得ることが難しいことが分かった。また微小皮弁移植技術の改良のため、皮弁モニタリング法を開発した。

Report

(3 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • Research Products

    (9 results)

All 2018 2017

All Journal Article (7 results) (of which Peer Reviewed: 4 results,  Open Access: 2 results) Presentation (2 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Ratio of Blood Glucose Level Change Measurement for Flap Monitoring2018

    • Author(s)
      Karakawa Ryo、Yoshimatsu Hidehiko、Narushima Mitsunaga、Iida Takuya
    • Journal Title

      Plastic and Reconstructive Surgery - Global Open

      Volume: 6 Issue: 7 Pages: e1851-e1851

    • DOI

      10.1097/gox.0000000000001851

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Use of Laser Speckle Contrast Imaging for Successful Fingertip Replantation2018

    • Author(s)
      Karakawa Ryo、Yano Tomoyuki、Yoshimatsu Hidehiko、Harima Mitsunobu、Kanayama Koji、Iida Takuya、Sawaizumi Masayuki
    • Journal Title

      Plastic and Reconstructive Surgery - Global Open

      Volume: 6 Issue: 9 Pages: e1924-e1924

    • DOI

      10.1097/gox.0000000000001924

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] High-pressure Injection of Heparinized Saline for Reversing Refractory Intraoperative Phenylephrine-induced Venous Vasospasm2018

    • Author(s)
      Karakawa Ryo、Yoshimatsu Hidehiko、Maeda Erisa、Shibata Tomoyoshi、Miyashita Hiroki、Tanakura Kenta、Yano Tomoyuki、Sawaizumi Masayuki
    • Journal Title

      Plastic and Reconstructive Surgery

      Volume: 143 Issue: 2 Pages: 1-1

    • DOI

      10.1097/prs.0000000000005246

    • Related Report
      2018 Annual Research Report
  • [Journal Article] The external jugular vein anastomosis under the sternocleidomastoid muscle technique for head and neck reconstruction2018

    • Author(s)
      Karakawa Ryo、Harima Mitsunobu、Iida Takuya
    • Journal Title

      Plastic and Reconstructive Surgery

      Volume: 143 Issue: 2 Pages: 1-1

    • DOI

      10.1097/prs.0000000000005238

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Light-emitting Diode Transilluminator for the Identification of Recipient Veins in Finger Reconstruction2018

    • Author(s)
      Karakawa Ryo、Yoshimatsu Hidehiko、Iida Takuya
    • Journal Title

      Plastic and Reconstructive Surgery Global Open

      Volume: 6 Issue: 1 Pages: e1577-e1577

    • DOI

      10.1097/gox.0000000000001577

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A new method for microsurgery training using a smartphone and a laptop computer2017

    • Author(s)
      Karakawa Ryo、Yoshimatsu Hidehiko、Nakatsukasa Shuichi、Iida Takuya
    • Journal Title

      Microsurgery

      Volume: 38 Issue: 1 Pages: 124-125

    • DOI

      10.1002/micr.30241

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Free anterolateral thigh full-thickness skin flap with vascularized lateral femoral cutaneous nerve for the reconstruction of facial nerve and external auditory canal after the resection of facial nerve schwannoma2017

    • Author(s)
      Karakawa Ryo、Narushima Mitsunaga、Ogishima Shinya、Hara Hisako、Karino Shotaro、Iida Takuya、Kakigi Akinobu、Koshima Isao
    • Journal Title

      SAGE Open Medical Case Reports

      Volume: 5

    • DOI

      10.1177/2050313x17741825

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Ratio of Blood Glucose Level Change (RBGC) Measurement for Flap Monitoring2018

    • Author(s)
      Ryo Karakawa、Hidehiko Yoshimatsu、Mitsunobu Harima、Mitsunaga Narushima、Takuya Iida
    • Organizer
      American Society for Reconstructive Microsurgery Annual Meeting 2018
    • Related Report
      2018 Annual Research Report 2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Ratio of Blood Glucose Level Change (RBGC) Measurement for detecting venous thrombosis2018

    • Author(s)
      Ryo Karakawa、Hidehiko Yoshimatsu、Tomoyuki Yano
    • Organizer
      Asian Pacific Federation of Societies for Reconstructive Microsurgery
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research

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Published: 2017-08-25   Modified: 2020-03-30  

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