Trévillot, Vincent
Sobral, Rafael
Dombre, Etienne
Poignet, Philippe
Herman, Benoît
[UCL]
Crampette, Louis
PURPOSE : Design a compact, ergonomic, and safe endoscope positioner dedicated to the sino-nasal tract, and the anterior and middle-stage skull base. METHODS : A motion and force analysis of the surgeon's movement was performed on cadaver heads to gather objective data for specification purposes. An experimental comparative study was then performed with three different kinematics, again on cadaver heads, in order to define the best architecture satisfying the motion and force requirements. RESULTS : We quantified the maximal forces applied on the endoscope when traversing the sino-nasal tract in order to evaluate the forces that the robot should be able to overcome. We also quantified the minimal forces that should not be exceeded in order to avoid damaging vital structures. We showed that the entrance point of the endoscope into the nostril could not be considered, as in laparoscopic surgery, as a fixed point but rather as a fixed region whose location and dimensions depend on the targeted sinus. CONCLUSION : From the safety and ergonomic points of view, the best solution would be a co-manipulated standard 6-degree of freedom robot to which is attached a gimbal-like passive remote manipulator holding the endoscope.
- Wigand ME (1981) Transnasal ethmoidectomy under endoscopical control. Rhinology 19(1):7–15
- Stammberger H., Unsere endoskopische Operationstechnik der lateralen Nasenwand - ein endoskopisch-chirurgisches Konzept zur Behandlung entzündlicher Nasennebenhöhlenerkrankungen, 10.1055/s-2007-1008205
- Klimek L., Mösges R., Computer-assistierte Chirurgie (CAS) in der HNO-Heilkunde, 10.1055/s-2007-996974
- Justice Jeb M., Orlandi Richard R., An update on attitudes and use of image-guided surgery, 10.1002/alr.20107
- O'Malley Bert W., Weinstein Gregory S., Robotic Anterior and Midline Skull Base Surgery: Preclinical Investigations, 10.1016/j.ijrobp.2007.06.028
- Arora Asit, Cunningham Aileen, Chawdhary Gaurav, Vicini Claudio, Weinstein Gregory S., Darzi Ara, Tolley Neil, Clinical applications of Telerobotic ENT-Head and Neck surgery, 10.1016/j.ijsu.2011.01.008
- Lee John Y.K., O’Malley, Jr. Bert W., Newman Jason G., Weinstein Gregory S., Lega Bradley, Diaz Jason, Grady M. Sean, Transoral Robotic Surgery of the Skull Base: A Cadaver and Feasibility Study, 10.1159/000276937
- McCool Ryan R., Warren Frank M., Wiggins Richard H., Hunt Jason P., Robotic surgery of the infratemporal fossa utilizing novel suprahyoid port, 10.1002/lary.21020
- Hanna Ehab Y., Holsinger Christopher, DeMonte Franco, Kupferman Michael, Robotic Endoscopic Surgery of the Skull Base : A Novel Surgical Approach, 10.1001/archotol.133.12.1209
- Strauss G, Hofer M, Kehrt S, Grunert R, Korb W, Trantakis C et al (2007) Manipulator assisted endoscope guidance in functional endoscopic sinus surgery: proof of concept. HNO 55(3):177–184
- Wurm J, Dannenmann T, Bohr C, Iro H, Bumm K, Increased safety in robotic paranasal sinus and skull base surgery with redundant navigation and automated registration, 10.1002/rcs.26
- Eichhorn K. W. G., Bootz F., Clinical Requirements and Possible Applications of Robot Assisted Endoscopy in Skull Base and Sinus Surgery, Intraoperative Imaging (2011) ISBN:9783211996508 p.237-240, 10.1007/978-3-211-99651-5_37
- Adaptation of a Hexapod-Based Robotic System for Extended Endoscope-Assisted Transsphenoidal Skull Base Surgery, 10.1055/s-2003-812465
- Xia Tian, Baird Clint, Jallo George, Hayes Kathryn, Nakajima Nobuyuki, Hata Nobuhiko, Kazanzides Peter, An integrated system for planning, navigation and robotic assistance for skull base surgery, 10.1002/rcs.213
- Arun K. S., Huang T. S., Blostein S. D., Least-Squares Fitting of Two 3-D Point Sets, 10.1109/tpami.1987.4767965
- Besl P.J., McKay Neil D., A method for registration of 3-D shapes, 10.1109/34.121791
- Samin JC, Fisette P (2004) Symbolic modeling of multibody systems. Springer, ISBN 978-9-04816-425-7
- Dombre E, Poignet P, Pierrot F (2012) Design of medical robots. In: Troccaz J (ed) Medical robotics, ISTE Ltd. Wiley, London, p. 141–176, ISBN 978-1-84821-334-0
- Herman Benoît, Dehez Bruno, Duy Khanh Tran, Raucent Benoît, Dombre Etienne, Krut Sébastien, Design and preliminaryin vivovalidation of a robotic laparoscope holder for minimally invasive surgery, 10.1002/rcs.263
- Voros Sandrine, Long Jean-Alexandre, Cinquin Philippe, Automatic Detection of Instruments in Laparoscopic Images: A First Step Towards High-level Command of Robotic Endoscopic Holders, 10.1177/0278364907083395
- Jarrassé N, Tagliabue M, Robertson J V G, Maiza A, Crocher V, Roby-Brami A, Morel G, A Methodology to Quantify Alterations in Human Upper Limb Movement During Co-Manipulation With an Exoskeleton, 10.1109/tnsre.2010.2056388
Bibliographic reference |
Trévillot, Vincent ; Sobral, Rafael ; Dombre, Etienne ; Poignet, Philippe ; Herman, Benoît ; et. al. Innovative endoscopic sino-nasal and anterior skull base robotics. In: International Journal of Computer Assisted Radiology and Surgery, Vol. 8, no. 6, p. 977-987 (2013) |
Permanent URL |
http://hdl.handle.net/2078.1/127286 |