Stieger C, Caversaccio M, Arnold A, Zheng G, Salzmann J, Widmer D, Gerber N, Thurner M, Nauer C, Mussard Y, Kompis M, Nolte L P, Häusler R, Weber S
ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland.
J Laryngol Otol. 2011 Mar;125(3):262-70. doi: 10.1017/S0022215110002185. Epub 2010 Nov 16.
To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity.
The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen.
The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis.
Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices.
介绍听觉植入操作器，这是一种由导航控制的机电系统，可实现经乳突微创（“锁孔”）进入鼓室。
听觉植入操作器是一个具有五个运动轴和一个集成钻头的小型机器人系统。它可以安装在手术台上。我们使用一具完整的头部解剖标本评估了该系统提供的手术工作区域以及所涉及的工作流程。
听觉植入操作器提供的工作区域比传统乳突切除术所需的区域大得多。锁孔手术的工作流程包括术前规划、设备布置、手术本身以及术后分析。
尽管该系统仍需改进，但我们的初步结果表明，听觉植入操作器有潜力实现可植入式听力设备的锁孔插入。
