• Journal of Korean Neurosurgical Society
• /
• 제40권4호
• /
• pp.296-299
• /
• 2006

Recently the trend of surgical procedure for treatment of lumbar benign disease is a minimally invasive surgery due to small incision, minimal blood loss, and a short hospital day. By using a microscope or an endoscope, and other surgical equipment, a delicate manipulation in a narrow space became feasible, consequently, to secure a wider view with small incision, appropriate retractors are required. But the various tubular retractor systems are expensive and have some problems. We modified Thoracoport [Auto Suture Co., Norwalk, CT] by making a window at the distal end of trocar and used it as a tubular retractor in surgical procedure for treatment of lumbar benign disease. This modified tubular retractor is docked closely on the curved lamina and provides a wider view. We used it as a tubular retractor also in lumbar bilateral decompression involving a unilateral approach. But this trocar has the limited sizes [diameter and length], and also it is difficult to fix the retractor or change the direction of retractor. And then, we propose a more modified Thoracoport with various sizes and attaching the settling holders to the head of tubular retractor to be able to fix the retractor.

• Journal of Korean Neurosurgical Society
• /
• 제65권1호
• /
• pp.114-122
• /
• 2022

Objective : Early descent of the diaphragm sellae (DS) during endoscopic endonasal transsphenoidal surgery (EETS) for pituitary macroadenoma surgery is occasionally a troublesome event by blocking the surgical field. Here we introduce an alternative technique with the new pituitary retractor and present our clinical experiences. Methods : We designed a simple and rigid pituitary retractor with the least space occupation in the nasal cavity to be compatible in EETS. The pituitary retractor was held by external holder system to support the herniated DS stably. We retrospectively reviewed a clinical 22 cases of pituitary macroadenomas underwent EETS using the pituitary retractor. Results : The pituitary retractor stably pushed up the herniated DS in all cases, and the surgeon proceeded the procedure with bimanual maneuver. The pituitary retractor was helpful to remove tumors around the medial cavernous sinus and behind the DS in 16 and seven cases, respectively. In four cases, the meticulous hemostasis was completed with the direct visualization by the DS elevation with this retractor. Gross total tumor resection was performed in 20/22 patients (91%). The impaired visual function and hypopituitarism were improved in 18/20 (90%) and 7/14 (50%) patients after surgery, respectively. There was no complication related with the pituitary retractor. Conclusion : During EETS for pituitary macroadenomas, the novel pituitary retractor reported in this study is a very useful technique when the herniated DS block the surgical field and bimanual maneuver. This pituitary retractor can help to result in the excellent surgical outcomes with minimal morbidity.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2006년 학술대회 논문집 정보 및 제어부문
• /
• pp.336-338
• /
• 2006

Motorized retractors enhance the safety of passengers by removing the slack of webbing and by holding upright driving position. Reliability of a driving mechanism that includes one-way clutch between the driving motor and webbing is directly linked to the safety of passenger. In this research, conditions for locking one-way clutch and also conditions for sustaining locking are theoretically investigated. the operation of a motorized retractor under realistic conditions is simulated in order to validate the proposed retractor design.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2010년도 춘계학술대회 논문집
• /
• pp.1227-1228
• /
• 2010

• Journal of Korean Neurosurgical Society
• /
• 제42권4호
• /
• pp.245-250
• /
• 2007

Tubular retractor system as a minimally invasive surgery (MIS) technique has many advantages over other conventional MIS techniques. It offers direct visualization of the operative field, anatomical familiarity to spine surgeons, and minimizing tissue trauma. With technical advancement, many spinal pathologies are being treated using this system. Namely, herniated discs, lumbar and cervical stenosis, synovial cysts, lumbar instability, trauma, and even some intraspinal tumors have all been treated through tubular retractor system. Flexible arm and easy change of the tube direction are particularly useful in contralateral spinal decompression from an ipsilateral approach. Careful attention to surgical technique through narrow space will ensure that complications are minimized and will provide improved outcomes. However, understanding detailed anatomies and keeping precise surgical orientation are essential for this technique. Authors present the technical feasibility and initial results of use a tubular retractor system as a minimally invasive technique for variaties of spinal disorders with a review of literature.

• 산업기술연구
• /
• 제26권A호
• /
• pp.55-61
• /
• 2006

Motorized retractors enhance the safety of passengers by removing the slack of webbing and by holding upright driving position. Reliability of a driving mechanism that includes one-way clutch between the driving motor and webbing is directly linked to the safety of passenger. In this research, conditions for locking one-way clutch, and also conditions for sustaining locking are theoretically investigated. The operation of a motorized retractor under realistic conditions is simulated in order to validate the proposed retractor design.

• 대한치과의사협회지
• /
• 제17권12호통권127호
• /
• pp.909-917
• /
• 1979

• 생명과학회지
• /
• 제22권3호
• /
• pp.387-397
• /
• 2012

군소인 Aplysia kurodai의 중추신경절로부터 정제된 myomodulin A (MMA)가 정제되었다. MMA의 일차구조는 Pro-Met-Ser-Met-Leu-Arg-Leu-$NH_2$이며, 이 펩타이드는 다른 연체동물에서 발견된 myomodulin 계열의 펩타이드와 같은 구조를 지닌다. 정제된 MMA는 Mytilus edulis의 anterior byssus retractor muscle (ABRM)에서 phasic contraction을 조절하는 것으로 나타났다. MMA의 구조와 활성간의 상관관계를 알아보기 위해서 MMA, Des[$Pro^1$]-MMA, Des[$Pro^1,Met^2$]-MMA, Des[$Pro^1,Met^2,Ser^3$]-MMA 및 MME를 합성하였다. Des[$Pro^1$]-MMA, Des[$Pro^1,Met^2$]-MMA 및 Des[$Pro^1,Met^2,Ser^3$]-MMA의 일차구조는 각각 Met-Ser-Met-Leu-Arg-Leu-$NH_2$, Ser-Met-Leu-Arg-Leu-$NH_2$ 및 Met-Leu-Arg-Leu-$NH_2$이다. MMA 및 합성 물질들을 사용하여 ABRM 및 Achatinafulica의 소낭과 penial retractor muscle에 대해 활성을 측정하였다. MMA는 $1{\times}10^{-8}$ M 또는 더 낮은 농도에서 ABRM의 수축활성을 증가시키는 것으로 나타났지만, $1{\times}10^{-8}$ M 또는 고농도에서는 phasic contraction을 억제하였다. MMA와 유도체들은 소낭에 대해서는 수축반응을 보였지만, penial retractor muscle에 대해서는 이완 활성을 나타내었다. 이러한 결과들은 MMA의 C-말단부위에 있는 Met-Leu-Arg-Leu-$NH_2$가 ABRM의 수축반응뿐만 아니라 연체동물의 생식기능 및 소화 활성을 조절하기 필요한 최소한의 구조라는 것을 나타낸다.

• Journal of Korean Neurosurgical Society
• /
• 제52권4호
• /
• pp.427-431
• /
• 2012

Conventional laminectomy is the most popular technique for the complete removal of intradural spinal tumors. In particular, the central portion intramedullary tumor and large intradural extramedullary tumor often require a total laminectomy for the midline myelotomy, sufficient decompression, and adequate visualization. However, this technique has the disadvantages of a wide incision, extensive periosteal muscle dissection, and bony structural injury. Recently, split-spinous laminectomy and tubular retractor systems were found to decrease postoperative muscle injuries, skin incision size and discomfort. The combined technique of split-spinous laminectomy, using a quadrant tube retractor system allows for an excellent exposure of the tumor with minimal trauma of the surrounding tissue. We propose that this technique offers possible advantages over the traditional open tumor removal of the intradural spinal cord tumors, which covers one or two cervical levels and requires a total laminectomy.

• 대한기계학회:학술대회논문집
• /
• 대한기계학회 2007년도 춘계학술대회A
• /
• pp.903-908
• /
• 2007

A retractor is the major component of a seatbelt system that restraints passengers by locking the movement of webbing. Recently, in order to increase the effectiveness of seatbelt systems, motorized retractors that remove slack and correct passenger posture just before airbag expansion when collision is predicted are widely used. Key component of motorized retractors is the one-way clutch that engages and disengages the winding action of webbing according to the direction of motor revolution. Analytical investigation of action of the one-way clutch mechanism has been carried out to figure out conditions for one-way locking, and to study the effect of various kinematic and dynamic design variables of one-way clutch. Using combination of ADAMS and LifeMOD soft-wares, dynamic simulation of operation of motorized retractors including Hybrid-III dummy model has been carried out to evaluate the performance of the motorized retractors in various crash scenarios.