「スリップノット」構造で手術中の「力覚喪失」を克服 (ZJU’s “slipknot” research featured in Nature: a single suture tackles the global challenge of surgical “force blindness”)

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2025-12-22 浙江大学(ZJU)

浙江大学(ZJU)の研究チームは、低侵襲・ロボット手術で問題となる「力覚喪失(フォース・ブラインドネス)」を、電子機器を使わずに解決する画期的な縫合技術を開発した。固定結びに隣接してスリップノットを作ることで、所定の張力に達すると結び目が解放され、適切な力に到達したことを機械的信号として伝える。結びの解放力は、結紮時の初期張力、ループ数、糸径、摩擦係数、材料特性で精密に設計可能で、安定した再現性を示した。動物実験やロボット手術で縫合不全を防ぎつつ組織損傷を抑制し、視覚検知と自動停止により高速な制御も実証。本研究は医工連携の成果としてNature誌に掲載され、手術の定量的力制御に新たな道を拓いた。

「スリップノット」構造で手術中の「力覚喪失」を克服 (ZJU’s “slipknot” research featured in Nature: a single suture tackles the global challenge of surgical “force blindness”)
The process of mechanical information writing and reading in a slipknot.

<関連情報>

スリップノットゲージの機械式トランスミッションとロボット操作 Slipknot-gauged mechanical transmission and robotic operation

Yaoting Xue,Jiasheng Cao,Tao Feng,Kaihang Zhang,Siyang Li,Jiahao Hu,Haotian Guo,Jinming Zhang,Yaoxian Song,Zhuofan Wang,Lei Wang,Qishan Huang,Haofei Zhou,Fanghao Zhou,Jiliang Shen,Yaowei Fan,Zhe Wang,Xinge Li,Jie-Wei Wong,Zhiwei Chen,Dongrui Ruan,Zhikun Miao,Bin Zhang,Enjie Zhou,… Xiujun Cai
Nature  Published:26 November 2025
DOI:https://doi.org/10.1038/s41586-025-09673-w

Abstract

Mechanical transmission is essential in force-related activities ranging from the daily tying of shoe laces1 to sophisticated surgical2 and robotic operations3,4. Modern machines and robots typically use complex electronic devices designed to sense and limit force5, some of which still face challenges when operating space is limited (for example, in minimally invasive surgeries)6 or when resources are scarce (for example, operations in remote areas without electricity). Here we describe an alternative slipknot-based mechanical transmission mechanism to control the intelligent operation of both human and robotic systems. Through topological design, slipknot tying and release can encode and deliver force with a consistency of 95.4% in repeating operations, which circumvents the need for additional sensors and controllers. When applied to surgical repair, this mechanism helped inexperienced surgeons to improve their knotting-force precision by 121%, enabling them to perform surgical knots as good as those of experienced surgeons. Moreover, blood supply and tissue healing after surgery were improved. The mechano-intelligence exhibited in slipknots may inspire investigations of knotted structures across multiple length scales. This slipknot-gauged mechanical transmission strategy can be widely deployed, opening up opportunities for resource-limited healthcare, science education and field exploration.

医療・健康
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