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International Journal of Computer Assisted Radiology and Surgery
Article . 2018 . Peer-reviewed
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Combined OCT distance and FBG force sensing cannulation needle for retinal vein cannulation: in vivo animal validation

in vivo animal validation
Authors: Ourak, M.; Smits, J.; Esteveny, L.; Borghesan, G.; Gijbels, A.; Schoevaerdts, L.; Douven, Y.; +15 Authors

Combined OCT distance and FBG force sensing cannulation needle for retinal vein cannulation: in vivo animal validation

Abstract

Retinal vein cannulation is an experimental procedure during which a clot-dissolving drug is injected into an obstructed retinal vein. However, due to the fragility and minute size of retinal veins, such procedure is considered too risky to perform manually. With the aid of surgical robots, key limiting factors such as: unwanted eye rotations, hand tremor and instrument immobilization can be tackled. However, local instrument anatomy distance and force estimation remain unresolved issues. A reliable, real-time local interaction estimation between instrument tip and the retina could be a solution. This paper reports on the development of a combined force and distance sensing cannulation needle, and its experimental validation during in vivo animal trials.Two prototypes are reported, relying on force and distance measurements based on FBG and OCT A-scan fibres, respectively. Both instruments provide an 80 [Formula: see text] needle tip and have outer shaft diameters of 0.6 and 2.3 mm, respectively.Both prototypes were characterized and experimentally validated ex vivo. Then, paired with a previously developed surgical robot, in vivo experimental validation was performed. The first prototype successfully demonstrated the feasibility of using a combined force and distance sensing instrument in an in vivo setting.The results demonstrate the feasibility of deploying a combined sensing instrument in an in vivo setting. The performed study provides a foundation for further work on real-time local modelling of the surgical scene. This paper provides initial insights; however, additional processing remains necessary.

Keywords

Technology, Swine, Optical Coherence/methods, Micromanipulation/instrumentation, Surgical robotics, Catheterization, Micromanipulation, Engineering, Robotic Surgical Procedures, Models, Catheterization/instrumentation, Retinal Vein Occlusion, TOOL, Animals, Humans, Retinal vein cannulation, Engineering, Biomedical, Tomography, Science & Technology, FEEDBACK, Optical coherence tomography, Animal, Radiology, Nuclear Medicine & Medical Imaging, 3202 Clinical sciences, 1103 Clinical Sciences, Retinal Vein, Cannulation needle, Nuclear Medicine & Medical Imaging, 4603 Computer vision and multimedia computation, Fibre Bragg grating, Retinal Vein Occlusion/surgery, Needles, Cannulation needle; Fibre Bragg grating; Optical coherence tomography; Retinal vein cannulation; Surgical robotics; Animals; Catheterization; Humans; Micromanipulation; Models, Animal; Needles; Retinal Vein; Retinal Vein Occlusion; Robotic Surgical Procedures; Swine; Tomography, Optical Coherence, Models, Animal, Surgery, Robotic Surgical Procedures/instrumentation, Life Sciences & Biomedicine, Tomography, Optical Coherence

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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
33
Top 10%
Top 10%
Top 10%
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bronze