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开发一种基于压阻式传感器的仿生神经术中监测系统用于脊柱手术技能训练。

Developing a piezoresistive sensor based bionic neurological intraoperative monitoring system for spine surgery skill training.

作者信息

Wu Sin-Syuan, Hsueh Meng Lun, Lin Jang-Chun, Chen Pin-Chuan, Liu Wei-Hsiu

机构信息

Department of Mechanical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan.

Graduate Institute of Intelligent Robotics, Hwa Hsia University of Technology, New Taipei City, Taiwan.

出版信息

Biomicrofluidics. 2024 Aug 23;18(4):044103. doi: 10.1063/5.0205938. eCollection 2024 Jul.

Abstract

This research aims to tackle the limitations faced in surgical education nowadays, particularly in the complex field of spinal cord tumor removal surgery. An innovative flexible piezoresistive sensor designed to mimic a motor nerve was developed and integrated into a bionic spine surgery simulation system, allowing for the intraoperative nerve monitoring possible during simulated tumor removal surgeries. The motor nerve, fabricated using a combination of carbon nanotubes and silicone rubber, exhibited a strong correlation between applied force and resultant changes in resistance, as confirmed by experimental results. This creative system can play an important role in providing valuable feedback for training doctors, facilitating the assessment of surgical precision and success, and enabling doctors to take necessary precautions to minimize the risk of nerve damage in real surgical scenarios. Ultimately, this proposed system has the potential to elevate the standard of surgical education, foster skill development among doctors, and significantly contribute to enhanced patient care and recovery.

摘要

本研究旨在解决当前外科手术教育中面临的局限性,特别是在脊髓肿瘤切除手术这一复杂领域。一种创新的柔性压阻式传感器被设计出来,用于模拟运动神经,并集成到一个仿生脊柱手术模拟系统中,使得在模拟肿瘤切除手术过程中进行术中神经监测成为可能。该运动神经由碳纳米管和硅橡胶组合制成,实验结果证实,施加的力与电阻的变化之间存在很强的相关性。这个创新系统可以在为医生培训提供有价值的反馈、促进手术精度和成功率的评估以及使医生能够采取必要的预防措施以将实际手术场景中神经损伤的风险降至最低方面发挥重要作用。最终,这个提议的系统有潜力提升外科手术教育的标准,促进医生技能的发展,并显著有助于改善患者护理和康复。

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