Mechanical loosening of implants is in the majority accompanied with a periprosthetic interface membrane, which has to be removed during revision surgery. The same is true if a minimal invasive (percutaneous) refixation of a loose implant is done. We describe the requirements for a waterjet applicator for interface tissue removal for this percutaneous hip refixation technique. The technical requirements were either obtained from a literature review, a theoretical analysis, or by experimental setup. Based on the requirements, a waterjet applicator is designed which is basically a flexible tube (outer diameter 3 mm) with two channels. One channel for the water supply (diameter 0.9 mm) and one for suction to evacuate water and morcellated interface tissue from the periprosthetic cavity. The applicator has a rigid tip (length 6 mm), which directs the water flow to create two waterjets (diameter 0.2 mm), both focused into the suction channel. The functionality of this new applicator is demonstrated by testing a prototype of the applicator tip in an in vitro experimental setup. This testing has shown that the designed applicator for interface tissue removal will eliminate the risk of water pressure buildup; the ejected water was immediately evacuated from the periprosthetic cavity. Blocking of the suction opening was prevented because the jets cut through interface tissue that gets in front of the suction channel. Although further development of the water applicator is necessary, the presented design of the applicator is suitable for interface tissue removal in a minimally invasive hip refixation procedure.
Skip Nav Destination
Article navigation
June 2019
Research-Article
Water Jet Applicator for Interface Tissue Removal in Minimally Invasive Hip Refixation: Testing the Principle and Design of Prototype
Gert Kraaij,
Gert Kraaij
Department of Orthopaedics,
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
e-mail: g.kraaij@tudelft.nl
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
e-mail: g.kraaij@tudelft.nl
1Corresponding author.
Search for other works by this author on:
Arjo J. Loeve,
Arjo J. Loeve
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Search for other works by this author on:
Jenny Dankelman,
Jenny Dankelman
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Search for other works by this author on:
Rob G. H. H. Nelissen,
Rob G. H. H. Nelissen
Department of Orthopaedics,
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Search for other works by this author on:
Edward R. Valstar
Edward R. Valstar
Department of Orthopaedics,
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
2Edward R. Valstar passed away in 2017.
Search for other works by this author on:
Gert Kraaij
Department of Orthopaedics,
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
e-mail: g.kraaij@tudelft.nl
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
e-mail: g.kraaij@tudelft.nl
Arjo J. Loeve
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Jenny Dankelman
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Rob G. H. H. Nelissen
Department of Orthopaedics,
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Edward R. Valstar
Department of Orthopaedics,
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Leiden University Medical Center,
PO Box 9600,
Leiden 2300RC, The Netherlands;
Department of Biomechanical Engineering,
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
Delft University of Technology,
Mekelweg 2,
Delft 2628CD, The Netherlands
1Corresponding author.
2Edward R. Valstar passed away in 2017.
Manuscript received November 7, 2018; final manuscript received March 12, 2019; published online April 16, 2019. Assoc. Editor: Rita M. Patterson.
J. Med. Devices. Jun 2019, 13(2): 021010 (11 pages)
Published Online: April 16, 2019
Article history
Received:
November 7, 2018
Revised:
March 12, 2019
Citation
Kraaij, G., Loeve, A. J., Dankelman, J., Nelissen, R. G. H. H., and Valstar, E. R. (April 16, 2019). "Water Jet Applicator for Interface Tissue Removal in Minimally Invasive Hip Refixation: Testing the Principle and Design of Prototype." ASME. J. Med. Devices. June 2019; 13(2): 021010. https://doi.org/10.1115/1.4043293
Download citation file:
Get Email Alerts
Cited By
Development of an Anatomically Accurate Three-Dimensional Simulation Model for Pediatric Central Line Placement
J. Med. Devices (March 2024)
Related Articles
Design of a Tritium-In-Air Monitor Using Field-Programmable Gate Arrays
ASME J of Nuclear Rad Sci (October,2016)
Performance Analysis of a Low-Power Tangential Flow Turbine With Rotary Channel
J. Energy Resour. Technol (December,2005)
Convective Heat Transfer Enhancement Due to Gas Injection Into an Impinging Liquid Jet
J. Heat Transfer (November,1995)
Design of a Compliant Steerable Arthroscopic Punch
J. Med. Devices (June,2010)
Related Chapters
Experimental Investigation of Ventilated Supercavitation Under Unsteady Conditions
Proceedings of the 10th International Symposium on Cavitation (CAV2018)
Challenges in biomacromolecular delivery
Biocompatible Nanomaterials for Targeted and Controlled Delivery of Biomacromolecules
Insights and Results of the Shutdown PSA for a German SWR 69 Type Reactor (PSAM-0028)
Proceedings of the Eighth International Conference on Probabilistic Safety Assessment & Management (PSAM)