Evidence map›Paper›PMID 41456159›Full record

ArticleSurgical innovation2026

The Vertical Needle Holder: A Proof-of-Concept Evaluation of a Novel Instrument for Precision Suturing in Confined Surgical Fields.

Othman Alshemari, Hasan Alshemari, Ahmad Zia

Abstract read
In one paragraph

Article in Surgical innovation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Othman AlshemariBiomedical Science, University of Ottawa, Ottawa, ON, Canada.
Hasan AlshemariHead of Department of Otolaryngology, Alorf Hospital, Jahra, Kuwait.
Ahmad ZiaFaculty of Pharmacy and Alternative Medicine, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.ORCID 0000-0002-7797-4626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/NeedPrecision suturing in confined surgical fields poses ergonomic and visibility challenges, particularly in minimally invasive and reconstructive procedures. A novel Vertical Needle Holder (VNH) was designed to enhance control, angle precision, and accessibility in restricted spaces.Methodology and Device DescriptionThis proof-of-concept study evaluated the VNH's ergonomic design and suturing performance compared with a standard Mayo-Hegar needle holder. Thirty surgeons and surgical trainees participated in simulated suturing tasks using both instruments. Surgeon-reported outcomes were assessed using standardized synthetic-tissue suturing tasks and a structured Likert-scale questionnaire focusing on perceived precision, ergonomics, and ease of use.Preliminary ResultsSurgeons reported improved perceived precision and maneuverability of the VNH in confined spaces compared with conventional needle holders. Participants reported reduced wrist strain and greater visibility. The majority of participants (87%) rated the VNH as ergonomically superior to conventional needle holder designs.Current StatusThese findings suggest that the VNH offers an innovative, practical enhancement to traditional surgical tools, potentially improving safety and efficiency in complex operative fields. Further clinical validation is underway to confirm translational applicability.

Indexed as

NeedlesSuture TechniquesEquipment DesignErgonomicsFemaleHumansMaleProof of Concept Studyneedle trajectorysurgical ergonomicssuturing accuracytissue displacementvertical needle holder

Identifiers

PMID41456159
PMCPMC13346595

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.