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International Journal of Bioprinting                            Multifunctional hydrogel surgical training model



















































            Figure 4. Force–displacement curves for simulated puncture sutures of single tissue samples (a) and suture needles of different tissue samples (b). Field
            test picture (c).


            various living tissues. These results fully confirm that the   typical force–displacement curve of a simulated surgical
            softness of elastic hydrogels can be precisely adjusted to   needle piercing into a tissue simulation sample at a speed
            match multiple tissue and organ models with viscoelasticity   of 60 mm/min. The presence of a distinct mutation point,
            similar to that of biological soft tissues. Furthermore, the   which we call the puncture point, indicates that rupture
            tissue-like softness of the hydrogels significantly reduced   has occurred, or in other words, that the needle tip has
            friction due to their high water content and wettability   punctured the outer membrane of the model. During the
            (Figure 3c). In addition, the improved lubricity of these   needle insertion into the soft tissue, the relative motion
            elastic hydrogels is due to the extrusion of water under   between the needle and its surrounding tissues cannot
            load, exhibiting excellent slip properties .       be ignored . The process is divided into two phases: the
                                                                        [31]
                                            [30]
                                                               no-rupture phase (zero relative velocity) and the rupture
            3.3. Surgical instrument feedback characterization   phase (presence of relative motion). It can be seen that
            of hydrogel training model                         with the increase of PVA component concentration, the
            Liver trauma is the most common and severe abdominal   force required by the puncture point gradually increased
            trauma, and timely suturing of the liver is especially   from 0.2 to 0.6 N, which is in line with the range of force
            important. Besides, various difficult surgical suturing   sizes required for the suture needle to puncture the suture
            training is also an ability consideration and professional   target in human tissue during suturing . Surgical suture
                                                                                              [32]
            quality improvement for surgeons.  Figure 4a shows a   often involves needle insertion between different tissues.

            Volume 9 Issue 5 (2023)                        362                         https://doi.org/10.18063/ijb.766
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