Endoscopic submucosal dissection （ESD） with a knife is a technically demanding procedure a ssociated with ahigh complication rate. The shortcomings of this meth-od are the inability to fix the knife to the target le...Endoscopic submucosal dissection （ESD） with a knife is a technically demanding procedure a ssociated with ahigh complication rate. The shortcomings of this meth-od are the inability to fix the knife to the target lesion,and compression of the lesion. These can lead to major complications such as perforation and bleeding. To reduce the risk of complications related to ESD, we developed a new grasping type scissors forceps （GSF）,which can grasp and incise the targeted tissue using electrosurgical current. Colonoscopy on a 55-year-old woman revealed a 10-ram rectal submucosal nodule.The histological diagnosis of the specimen obtained by biopsy was carcinoid tumor. Endoscopic ultrasonog-raphy demonstrated a hypoechoic solid tumor limitedto the submucosa without lymph node involvement. Itwas safely and accurately resected without unexpectedincision by ESD using a GSF. No delayed hemorrhage or perforation occurred. Histological examination confirmed the carcinoid tumor was completely excisedwith negative resection margin.展开更多
Many natural disasters cause not only critical situations for facilities and resident’s residents’ life, but also significant damage to economy. It is obvious that quick rescue action must be undertaken and that the...Many natural disasters cause not only critical situations for facilities and resident’s residents’ life, but also significant damage to economy. It is obvious that quick rescue action must be undertaken and that there are many problems due to the occurrence of secondary disasters at rescue worksite. Basing Based on the previous study of deployable structures and the concept of the multi-folding micro-structures, we propose a new type of foldable bridge in form of scissor structure called the Mobile-bridge?. In this paper, we discuss the vehicle passing test performed on the real-scale Mobile-bridge in order to evaluate its mechanical characteristics and application limits. Moreover, we verified the compatibility between the result of calculations and experiments by means of theoretical modelling. The results show that it is sufficient to treat the load as equivalent nodal forces applied at the joints without including the stiffness of the deck.展开更多
文摘Endoscopic submucosal dissection （ESD） with a knife is a technically demanding procedure a ssociated with ahigh complication rate. The shortcomings of this meth-od are the inability to fix the knife to the target lesion,and compression of the lesion. These can lead to major complications such as perforation and bleeding. To reduce the risk of complications related to ESD, we developed a new grasping type scissors forceps （GSF）,which can grasp and incise the targeted tissue using electrosurgical current. Colonoscopy on a 55-year-old woman revealed a 10-ram rectal submucosal nodule.The histological diagnosis of the specimen obtained by biopsy was carcinoid tumor. Endoscopic ultrasonog-raphy demonstrated a hypoechoic solid tumor limitedto the submucosa without lymph node involvement. Itwas safely and accurately resected without unexpectedincision by ESD using a GSF. No delayed hemorrhage or perforation occurred. Histological examination confirmed the carcinoid tumor was completely excisedwith negative resection margin.
基金Star Light Metal Industry Co., Ltd., Akashin Corporation
文摘Many natural disasters cause not only critical situations for facilities and resident’s residents’ life, but also significant damage to economy. It is obvious that quick rescue action must be undertaken and that there are many problems due to the occurrence of secondary disasters at rescue worksite. Basing Based on the previous study of deployable structures and the concept of the multi-folding micro-structures, we propose a new type of foldable bridge in form of scissor structure called the Mobile-bridge?. In this paper, we discuss the vehicle passing test performed on the real-scale Mobile-bridge in order to evaluate its mechanical characteristics and application limits. Moreover, we verified the compatibility between the result of calculations and experiments by means of theoretical modelling. The results show that it is sufficient to treat the load as equivalent nodal forces applied at the joints without including the stiffness of the deck.
