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显微手术机器人系统在玻璃体视网膜手术中的应用。

Microsurgical robotic system for vitreoretinal surgery.

机构信息

School of Engineering, The University of Tokyo, Tokyo, Japan.

出版信息

Int J Comput Assist Radiol Surg. 2012 Jan;7(1):27-34. doi: 10.1007/s11548-011-0602-4. Epub 2011 May 15.

DOI:10.1007/s11548-011-0602-4
PMID:21573828
Abstract

PURPOSE

Robotics may improve vitreoretinal surgery by steadying hand motion, thereby reducing negative outcomes. This study aimed to develop a microsurgical robot for vitreoretinal surgery and to perform clinical procedures using robot-assisted interventions.

METHODS

A microsurgical system for vitreoretinal surgery was designed to meet specific requirements for the degree of freedom, accuracy, and workspace. The system was intended to provide micrometer accurate manipulation within the eye. The slave manipulator has a tool change mechanism for switching surgical instruments. The slave manipulator is controlled by the surgeon using a master manipulator consisting of multiple joints.

RESULTS

The robotic system was used to carry out microcannulation experiments on a pig's eye. A surgeon was able to successfully perform microcannulation.

CONCLUSIONS

This microsurgical robotic vitreoretinal surgical system showed superior operability compared with a traditional manual procedure, and it demonstrated sufficient potential to warrant further testing in animal trials to assess its clinical feasibility.

摘要

目的

机器人技术可以通过稳定手部动作来改善玻璃体视网膜手术,从而减少不良后果。本研究旨在开发一种用于玻璃体视网膜手术的显微手术机器人,并使用机器人辅助干预进行临床操作。

方法

设计了一种用于玻璃体视网膜手术的显微手术系统,以满足自由度、精度和工作空间的特定要求。该系统旨在提供在眼睛内进行微米级精确操作的能力。从手具有用于切换手术器械的工具更换机构。从手由多个关节组成的主操纵器控制。

结果

该机器人系统用于在猪眼上进行微插管实验。外科医生能够成功地进行微插管。

结论

与传统的手动手术相比,这种显微手术机器人玻璃体视网膜手术系统具有更好的操作性,并且具有足够的潜力,需要进一步在动物试验中进行测试,以评估其临床可行性。

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Micro-force sensing in robot assisted membrane peeling for vitreoretinal surgery.用于玻璃体视网膜手术的机器人辅助膜剥离中的微力传感
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A sub-millimetric, 0.25 mN resolution fully integrated fiber-optic force-sensing tool for retinal microsurgery.
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Int J Ophthalmol. 2022 Feb 18;15(2):255-260. doi: 10.18240/ijo.2022.02.10. eCollection 2022.
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Int Symp Med Robot. 2021 Nov;2021. doi: 10.1109/ismr48346.2021.9661579.
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