Nontraditional Machining Process In Healthcare Applications

Öz

          Although continuous progress in technical advancement, the conventional machining process has became unsatisfactory in healthcare due to its disadvantages. This inadequacy has led researches to consider using the application of nontraditional machining that can machine extremely hard and brittle materials into complicated shapes in healthcare. Researches have proved that diverse NTM applications of Water Jet Machining (WJM), Ultrasonic Machining (USM), Laser Beam Machining (LBM), Wire Electrical Discharge Machining (WEDM) and Electrocautery are appropriated in manufacturing medical devices and implants for many different fields due to their several advantages. Tissue cutting operations are one of the fields where NTM technologies are widely used. In this review study, firstly, seven NTM technologies were investigated and represented with details to decide most suitable technologies for healthcare field. After this investigation, a literature study was conducted by focusing on WJM, LBM and Electrocautery device that are the most convenient using in tissue cutting operations in healthcare. For this review, 38 articles that have been studied after 2004 classified for the most popular 3 technology in this area, which are WJM, LBM and Electrocautery device.

Anahtar Kelimeler

• Nontraditional Machining Process
• Water Jet Machining
• Laser Beam Machining
• Electrocautery
• Healthcare

Kaynakça

1. Agrawal, M., Thakur, S. K., Rahman, Q. B., Agrawal, A. K., Agrawal, N. B. (2018). Harmonic scalpel over electrocautery, evaluation of peroperative blood loss in selective neck dissection: A comparative study. Birat Journal of Health Sciences, 3,475–479.
2. Allegrini, S., Yoshimoto, M., Salles, M. B., Allegrini, M. R. F., Pistarini, L. C. Y., Braga, F. J. C., Bressiani, A. H. de A. (2014). Evaluation of bone tissue reaction in laser beamed implants. Applied Surface Science, 307,503–512.
3. Almansour, H., Sonntag, R., Pepke, W., Bruckner, T., Kretzer, J. P., Akbar, M. (2019). Impact of electrocautery on fatigue life of spinal fusion constructs. An in Vitro Biomechanical Study. 12,2471.
4. Bo, L., Li, C., Chen, M., Mu, D., Jin, F. (2018). Application of electrocautery needle knife combined with balloon dilatation versus balloon dilatation in the treatment of tracheal fibrotic scar stenosis. Respiration, 95,182–187.
5. Boyde, A. (2018). Evaluation of laser ablation microtomy for correlative microscopy of hard tissues: Evaluation of laser ablation microtomy. Journal of Microscopy, 271,17–30.
6. Cloutier, M., Girard, B., Peel, S. A. F., Wilson, D., Sándor, G. K. B., Clokie, C. M. L., Miller, D. (2010). Calvarial bone wound healing: A comparison between carbide and diamond drills, Er:YAG and Femtosecond lasers with or without BMP-7. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 110,720–728.
7. Currie, A., Chong, K., Davies, G. L., Cummins, R. S. (2012). Ultrasonic dissection versus electrocautery in mastectomy for breast cancer – A meta-analysis. European Journal of Surgical Oncology (EJSO), 38,897–901.
8. Den Dunnen, S., Dankelman, J., Kerkhoffs, G. M., Tuijthof, G. (2017). Colliding jets provide depth control for water jetting in bone tissue. Journal of the Mechanical Behavior of Biomedical Materials, 72,219–228.

9. Den Dunnen, S., Tuijthof, G. J. M. (2014). The influence of water jet diameter and bone structural properties on the efficiency of pure water jet drilling in porcine bone. Mechanical Sciences, 5,53–58.
10. Den Dunnen, Steven., Kraaij, G., Biskup, C., Kerkhoffs, G. M. M. J., Tuijthof, G. J. M. (2013). pure waterjet drilling of articular bone: An in vitro feasibility study. Strojniški Vestnik - Journal of Mechanical Engineering, 59,425–432.
11. Derriks, J. H. G., Hilgersom, N. F. J., Middelkoop, E., Samuelsson, K., van den Bekerom, M. P. J. (2019). Electrocautery in arthroscopic surgery: Intra-articular fluid temperatures above 43 °C cause potential tissue damage. Knee Surgery, Sports Traumatology, Arthroscopy, 28,2270-2278. Du, W., Ma, B., Guo, Y., Yang, K. (2010). Microdebrider vs. electrocautery for tonsillectomy: A meta-analysis. International Journal of Pediatric Otorhinolaryngology, 74, 1379–1383.
12. Gandhi, D., Gandhi, P. (2017). Comparision of healing period after frenectomy using scalpel, electrocautery and diode laser. British Journal of Medicine and Medical Research, 21,1–9.
13. Harničárová, M., Valíček, J., Čep, R., Tozan, H., Müllerová, J., Grznárik, R. (2013). Comparison of non-traditional technologies for material cutting from the point of view of surface roughness. International Journal of Advanced Manufacturing Technology, 69,81–91.
14. He, Q., Zhuang, D., Zheng, L., Fan, Z., Zhou, P., Zhu, J., Lv, Z., Chai, J., Cao, L. (2012). Harmonic focus versus electrocautery in axillary lymph node dissection for breast cancer: A randomized clinical study. Clinical Breast Cancer, 12,454–458.
15. Hloch, S., Foldyna, J., Sitek, L., Zeleňák, M., Hlaváček, P., Hvizdoš, P., Kľoc, J. (2013). Disintegration of bone cement by continuous and pulsating water jet. Tehnicki Vjesnik, 20,593-598.
16. Hloch, S., Nag, A., Pude, F., Foldyna, J., Zeleňák, M. (2019). On-line measurement and monitoring of pulsating saline and water jet disintegration of bone cement with frequency 20 kHz. Measurement, 147,106828.
17. Hloch, S., Valícek, J., Kozak, D. (2011). Preliminary results of experimental cutting of porcine bones by abrasive waterjet. Tehnicki Vjesnik, 18,467–470.
18. Homayounfar, K., Meis, J., Jung, K., Klosterhalfen, B., Sprenger, T., Conradi, L.-C., Langer, C., Becker, H. (2012). Ultrasonic scalpel causes greater depth of soft tissue necrosis compared to monopolar electrocautery at standard power level settings in a pig model. BMC Surgery, 12,3.
19. Iliescu, M., Nelea, V., Werckmann, J., Mihailescu, I. N. (2004). Transmission electron microscopy investigation of pulsed-laser deposited hydroxylapatite thin films prepared by tripod and focused ion beam techniques. Surface and Coatings Technology, 187,131–140.
20. Ismail, A., Abushouk, A. I., Elmaraezy, A., Menshawy, A., Menshawy, E., Ismail, M., Samir, E., Khaled, A., Zakarya, H., El-Tonoby, A., Ghanem, E. (2017). Cutting electrocautery versus scalpel for surgical incisions: A systematic review and meta-analysis. Journal of Surgical Research, 220,147–163.
21. Kleinhans, E., Ruiz, P., Diffley, C., Sigler, T., Ritter, A., Atlas, G. (2014). Isolated electrocautery device eliminates electrical interference and surgical burns. 2014 IEEE Annual Northeast Bioengineering Conference (NEBEC) (1–2. ss.).
22. Kraaij, G., Tuijthof, G. J. M., Dankelman, J., Nelissen, R. G. H. H., Valstar, E. R. (2015). Waterjet cutting of periprosthetic interface tissue in loosened hip prostheses: An in vitro feasibility study. Medical Engineering & Physics, 37,245–250.
23. Kumar, P., Rattan, V., Rai, S. (2015). Comparative evaluation of healing after gingivectomy with electrocautery and laser. Journal of Oral Biology and Craniofacial Research, 5,69–74.
24. Lee, Y. J., Kim, H. Y., Han, H. H., Moon, S. H., Byeon, J. H., Rhie, J. W., Ahn, S. T., Oh, D. Y. (2017). Comparison of dissection with harmonic scalpel and conventional bipolar electrocautery in deep inferior epigastric perforator flap surgery: A consecutive cohort study. Journal of Plastic, Reconstructive and Aesthetic Surgery, 70,222–228.
25. Li, D., Kou, Y., Huang, S., Wang, Z., Ning, C., Zhao, T. (2019). The harmonic scalpel versus electrocautery for parotidectomy: A meta - analysis. Journal of Cranio-Maxillofacial Surgery, 47,915–921.
26. Man, H. C., Chiu, K. Y., Guo, X. (2010). Laser surface micro-drilling and texturing of metals for improvement of adhesion joint strength. Applied Surface Science, 256,3166–3169.
27. Nag, A., Hloch, S., Čuha, D., Dixit, A. R., Tozan, H., Petrů, J., Hromasová, M., Müller, M. (2019). Acoustic chamber length performance analysis in ultrasonic pulsating water jet erosion of ductile material. Journal of Manufacturing Processes, 47,347–356.
28. Ragulin, Y., Smolenov, E., Usachev, V. (2018). Results of pulmonary metastases resectıon with the nd: Yag laser and electrocautery. Research’n Practical Medicine Journal, 5,10–18.
29. Rahmani-Monfard, K., Fathi, A., Rabiee, S. M. (2016). Three-dimensional laser drilling of polymethyl methacrylate (PMMA) scaffold used for bone regeneration. The International Journal of Advanced Manufacturing Technology, 84,2649–2657.
30. Ranjan, R., Mishra, A. (2016). Parametric optimization of laser beam micro-grooving of hydroxyapatite. Arabian Journal for Science and Engineering, 41,4607–4612.
31. Roby, K., Varjan, S., Stascavage, K., Brophy, M., Hagan, E., Hazelwood, V., Pearlstone, D. (2011). A novel electrocautery device to increase coagulation rate and reduce thermal damage. 2011 IEEE Annual Northeast Bioengineering Conference (NEBEC) (1–2. ss.).
32. Šugár, P., Kováčik, J., Šugárová, J., Ludrovcová, B. (2019). A study oflLaser micromachining of PM processed ti compact for dental implants applications. Materials, 12,2246.
33. Temuçin, T., Tozan, H., Vayvay, Ö., Harničárová, M., Valíček, J. (2014). A fuzzy based decision model for nontraditional machining process selection. International Journal of Advanced Manufacturing Technology, 70,2275–2282.
34. Tozan, H. (2011). Fuzzy AHP based decision support system for technology selection in abrasive water jet cutting processes. Tehnicki Vjesnik, 18,187-191.
35. Valíček, J., Harničárová, M., Öchsner, A., Hutyrová, Z., Kušnerová, M., Tozan, H., Michenka, V., Šepelák, V., Mital, D., Zajac, J. (2015). Quantifying the mechanical properties of materials and the process of elastic-plastic deformation under external stress on material. Materials, 8,7401–7422.
36. Verma, R. K., Mathiazhagan, A., Panda, N. K. (2017). Neck dissection with harmonic scalpel and electrocautery? A randomised study. Auris Nasus Larynx, 44,590–595.
37. Wallace, R. J., Whitters, C. J., McGeough, J. A., Muir, A. (2004). Experimental evaluation of laser cutting of bone. Journal of Materials Processing Technology, 149,557–560.