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经皮穿刺针插入的生物力学

The biomechanics of percutaneous needle insertion.

作者信息

Lendvay Thomas S, Hsieh Feng-Ju, Hannaford Blake, Rosen Jacob

机构信息

ISIS, Institute for Surgical and Interventional Simulation, University of Washington, Seattle, WA, USA.

出版信息

Stud Health Technol Inform. 2008;132:245-7.

Abstract

Emphasis has been placed on improving patient outcomes in healthcare management. Significant patient morbidity and mortality exists from inappropriate procedural technique and percutaneous catheter needle insertion procedures have been linked to medical complications. Healthcare trainees learn these procedures through trial and error and most existing simulators are synthetic tissue based and lack in-vivo force feedback. We seek to utilize the Blue DRAGON instrument positioning system coupled with a force sensor to determine true forces experienced by a needle as it is passed through animal and human tissues in an effort to design a percutaneous needle insertion simulator that affords the learner with the experience of the true force feedback. Acquiring force displacement measurements of needle insertion is the first step towards development of a computational model of the phenomena. The computational model may be further incorporated into a medical haptic simulator that provides physically based force feedback to the user.

摘要

医疗管理中一直强调改善患者治疗效果。不当的操作技术会导致患者出现严重的发病率和死亡率,经皮导管穿刺针插入操作已与医疗并发症相关联。医学生通过反复试验来学习这些操作,而现有的大多数模拟器都是基于合成组织的,缺乏体内力反馈。我们试图利用Blue DRAGON仪器定位系统与力传感器相结合,以确定针在穿过动物和人体组织时所经历的真实力,从而设计一种经皮针插入模拟器,为学习者提供真实力反馈的体验。获取针插入的力位移测量值是开发该现象计算模型的第一步。该计算模型可进一步整合到医疗触觉模拟器中,为用户提供基于物理的力反馈。

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