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一种用于神经外科手术室的新型机电辅助系统:实施、准确性评估及应用概念

A new mechatronic assistance system for the neurosurgical operating theatre: implementation, assessment of accuracy and application concepts.

作者信息

Rachinger Jens, Bumm Klaus, Wurm Jochen, Bohr Christopher, Nissen Urs, Dannenmann Tim, Buchfelder Michael, Iro Heinrich, Nimsky Christopher

机构信息

Department of Neurosurgery, University of Erlangen-Nuremberg, Erlangen, Germany.

出版信息

Stereotact Funct Neurosurg. 2007;85(5):249-55. doi: 10.1159/000103264. Epub 2007 May 25.

DOI:10.1159/000103264
PMID:17534138
Abstract

OBJECTIVE

To introduce a new robotic system to the field of neurosurgery and report on a preliminary assessment of accuracy as well as on envisioned application concepts. Based on experience with another system (Evolution 1, URS Inc., Schwerin, Germany), technical advancements are discussed.

MATERIAL/METHODS: The basic module is an industrial 6 degrees of freedom robotic arm with a modified control element. The system combines frameless stereotaxy, robotics, and endoscopy. The robotic reproducibility error and the overall error were evaluated. For accuracy testing CT markers were placed on a cadaveric head and pinpointed with the robot's tool tip, both fully automated and telemanipulatory. Applicability in a clinical setting, user friendliness, safety and flexibility were assessed.

RESULTS

The new system is suitable for use in the neurosurgical operating theatre. Hard- and software are user-friendly and flexible. The mean reproducibility error was 0.052-0.062 mm, the mean overall error was 0.816 mm. The system is less cumbersome and much easier to use than the Evolution 1.

CONCLUSIONS

With its user-friendly interface and reliable safety features, its high application accuracy and flexibility, the new system is a versatile robotic platform for various neurosurgical applications. Adaptations for different applications are currently being realized.

摘要

目的

将一种新型机器人系统引入神经外科领域,并报告其准确性的初步评估结果以及设想的应用概念。基于对另一种系统(Evolution 1,URS公司,德国什未林)的经验,讨论技术进步情况。

材料/方法:基本模块是一个具有改进控制元件的工业六自由度机器人手臂。该系统结合了无框架立体定向、机器人技术和内窥镜检查。评估了机器人的重复性误差和总体误差。为进行准确性测试,在一具尸体头部放置CT标记物,然后用机器人的工具尖端进行精确定位,包括全自动和遥控操作两种方式。评估了该系统在临床环境中的适用性、用户友好性、安全性和灵活性。

结果

新系统适用于神经外科手术室。硬件和软件都用户友好且灵活。平均重复性误差为0.052 - 0.062毫米,平均总体误差为0.816毫米。该系统比Evolution 1更轻便,使用起来容易得多。

结论

凭借其用户友好的界面、可靠的安全特性、高应用准确性和灵活性,新系统是一个适用于各种神经外科应用的多功能机器人平台。目前正在针对不同应用进行调整。

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