A hand-guided robotic drill for cochleostomy on human cadavers.
| Autor: | Du X; Brunel Institute for Bioengineering, Brunel University London, Uxbridge, UK, xinli.du@brunel.ac.uk., Brett PN; University of Southern Queensland, Toowoomba, QLD, Australia., Zhang Y; Brunel Institute for Bioengineering, Brunel University London, Uxbridge, UK, xinli.du@brunel.ac.uk., Begg P; University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Mitchell-Innes A; University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Coulson C; University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Irving R; University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Robotic surgery (Auckland) [Robot Surg] 2018 Mar 20; Vol. 5, pp. 13-18. Date of Electronic Publication: 2018 Mar 20 (Print Publication: 2018). |
| DOI: | 10.2147/RSRR.S142562 |
| Abstrakt: | 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. Competing Interests: Disclosure The authors report no conflicts of interest in this work. |
| Databáze: | MEDLINE |
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