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一种用于人体尸体耳蜗造孔术的手动引导机器人钻。

A hand-guided robotic drill for cochleostomy on human cadavers.

作者信息

Du Xinli, Brett Peter N, Zhang Yu, Begg Philip, Mitchell-Innes Alistair, Coulson Chris, Irving Richard

机构信息

Brunel Institute for Bioengineering, Brunel University London, Uxbridge, UK,

University of Southern Queensland, Toowoomba, QLD, Australia.

出版信息

Robot Surg. 2018 Mar 20;5:13-18. doi: 10.2147/RSRR.S142562. eCollection 2018.

DOI:10.2147/RSRR.S142562
PMID:30697569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6193445/
Abstract

BACKGROUND

An arm supported robotic drill has been recently demonstrated for preparing cochleostomies in a pilot research clinical trial. In this paper, a hand-guided robotic drill is presented and tested on human cadaver trials.

METHODS

The innovative smart tactile approach can automatically detect drilling mediums and decided when to stop drilling to prevent penetrating the endosteum. The smart sensing scheme has been implemented in a concept of a hand guided robotic drill.

RESULTS

Experiments were carried out on two adult cadaveric human bodies for verifying the drilling process and successfully finished cochleostomy on three cochlea. The advantage over a system supported by a mechanical arm includes the flexibility in adjusting the trajectory to initiate cutting without slipping. Using the same concept as a conventional drilling device, the user will also be benefit from the lower setup time and cost, and lower training overhead.

CONCLUSION

The hand-guided robotic drill was recently developed for testing on human cadavers. The robotic drill successfully prepared cochleostomies in all three cases.

摘要

背景

最近在一项初步研究临床试验中展示了一种手臂支撑的机器人钻用于制备耳蜗造口术。本文介绍了一种手动引导的机器人钻并在人体尸体试验中进行了测试。

方法

创新的智能触觉方法可以自动检测钻孔介质并决定何时停止钻孔以防止穿透骨内膜。智能传感方案已在手动引导机器人钻的概念中实现。

结果

在两具成年人体尸体上进行了实验以验证钻孔过程,并在三个耳蜗上成功完成了耳蜗造口术。与由机械臂支撑的系统相比,其优势包括在调整轨迹以开始切割时不会打滑的灵活性。使用与传统钻孔设备相同的概念,用户还将受益于更短的设置时间和成本以及更低的培训费用。

结论

最近开发了手动引导的机器人钻用于人体尸体测试。该机器人钻在所有三个案例中均成功制备了耳蜗造口术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/a17c519def2b/rsrr-5-013Fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/5db4c1a1018b/rsrr-5-013Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/f3a96d35ca38/rsrr-5-013Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/1418e9b27aa6/rsrr-5-013Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/1eded3aee042/rsrr-5-013Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/bef60d8d27c8/rsrr-5-013Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/a17c519def2b/rsrr-5-013Fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/5db4c1a1018b/rsrr-5-013Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/f3a96d35ca38/rsrr-5-013Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/1418e9b27aa6/rsrr-5-013Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/1eded3aee042/rsrr-5-013Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/bef60d8d27c8/rsrr-5-013Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b08/6193445/a17c519def2b/rsrr-5-013Fig6.jpg

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本文引用的文献

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Robotic cochlear implantation: surgical procedure and first clinical experience.机器人辅助人工耳蜗植入:手术过程及首次临床经验。
Acta Otolaryngol. 2017 Apr;137(4):447-454. doi: 10.1080/00016489.2017.1278573. Epub 2017 Feb 1.
2
Feasibility study of a hand guided robotic drill for cochleostomy.手动引导式机器人钻在耳蜗造孔术中的可行性研究。
Biomed Res Int. 2014;2014:656325. doi: 10.1155/2014/656325. Epub 2014 Jul 7.
3
Mechatronic feasibility of minimally invasive, atraumatic cochleostomy.微创、无创耳蜗造口术的机电可行性。
《机器人手术:研究与综述》被收录于PubMed数据库。
Robot Surg. 2019 Mar 26;6:1-2. doi: 10.2147/RSRR.S204381. eCollection 2019.
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Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer.系统评价和经济建模研究腹腔镜手术和机器人手术治疗局限性前列腺癌患者前列腺的相对临床获益和成本效益。
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Robustness analysis of a smart surgical drill for cochleostomy.智能耳蜗钻孔手术钻的稳健性分析。
Int J Med Robot. 2013 Mar;9(1):119-26. doi: 10.1002/rcs.1462. Epub 2012 Oct 19.
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A smart micro-drill for cochleostomy formation: a comparison of cochlear disturbances with manual drilling and a human trial.一种用于耳蜗开窗术的智能微型钻头:人工钻孔与人体试验对耳蜗干扰的比较。
Cochlear Implants Int. 2013 Mar;14(2):98-106. doi: 10.1179/1754762811Y.0000000018. Epub 2011 Sep 24.
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