Cable Organizer for Laparoscopic and Endoscopic Procedures.

BACKGROUND

During laparoscopic and endoscopic procedures, multiple devices are used simultaneously, requiring preconnection and arrangement of their cables. Traditionally, cables are bundled with gauze and fixed with drape clips, which hinders intraoperative adjustment of cable number and orientation. Thus, an innovative device for more flexible and convenient equipment line management is needed. Commercial cable-management products lack adjustability during surgery; a rotatable, angle-lockable organizer could fulfill this need.

METHODS

We designed a novel surgical cable organizer and produced a prototype via 3-dimensional (3D) printing. It comprises 2 discs: the upper one has 6 pairs of arc-shaped buckles, and the lower one contains adhesive for attachment to surgical drapes. Their opposing serrated surfaces enable rotation or angle locking. We compared the time for surgeons from different specialties to connect and adjust laparoscopic and endoscopic cables using the new device and the traditional gauze method.

RESULTS

In simulated operations, the cable organizer significantly shortened the time for cable connection (1.46 ± 0.46 vs 4.56 ± 0.72 seconds; P ≤ .001), direction adjustment (1.25 ± 0.21 vs 4.11 ± 0.39 seconds; P ≤ .001) and increasing cable (1.27 ± 0.23 vs 3.51 ± 0.63 seconds; P ≤ .001) versus conventional methods, a benefit attributable to its rotatable, angle-locking dual-disc structure. However, the design needs further optimization and validation of sterilization, biocompatibility and mechanical durability, with wider clinical validation, before clinical use.

CONCLUSION

This innovative cable organizer greatly reduces device management time during laparoscopic and endoscopic surgeries, which may enhance operating room efficiency.