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Percutaneous intracardiac beating-heart surgery using metal MEMS tissue approximation tools

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Percutaneous intracardiac beating-heart surgery using metal MEMS tissue approximation tools

Auteurs : Andrew H. Gosline [États-Unis] ; Nikolay V. Vasilyev [États-Unis] ; Evan J. Butler [États-Unis] ; Chris Folk [États-Unis] ; Adam Cohen [États-Unis] ; Rich Chen [États-Unis] ; Nora Lang [États-Unis] ; Pedro J. Del Nido [États-Unis] ; Pierre E. Dupont [États-Unis]

Source :

The International journal of robotics research [ 0278-3649 ] ; 2012.

RBID : PMC:3671619

Abstract

Achieving superior outcomes through the use of robots in medical applications requires an integrated approach to the design of the robot, tooling and the procedure itself. In this paper, this approach is applied to develop a robotic technique for closing abnormal communication between the atria of the heart. The goal is to achieve the efficacy of surgical closure as performed on a stopped, open heart with the reduced risk and trauma of a beating-heart catheter-based procedure. In the proposed approach, a concentric tube robot is used to percutaneously access the right atrium and deploy a tissue approximation device. The device is constructed using a metal microelectromechanical system (MEMS) fabrication process and is designed to both fit the manipulation capabilities of the robot as well as to reproduce the beneficial features of surgical closure by suture. The effectiveness of the approach is demonstrated through ex vivo and in vivo experiments.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671619

DOI: 10.1177/0278364912443718
PubMed: 23750066
PubMed Central: 3671619

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PMC:3671619

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p id="P1">Achieving superior outcomes through the use of robots in medical applications requires an integrated approach to the design of the robot, tooling and the procedure itself. In this paper, this approach is applied to develop a robotic technique for closing abnormal communication between the atria of the heart. The goal is to achieve the efficacy of surgical closure as performed on a stopped, open heart with the reduced risk and trauma of a beating-heart catheter-based procedure. In the proposed approach, a concentric tube robot is used to percutaneously access the right atrium and deploy a tissue approximation device. The device is constructed using a metal microelectromechanical system (MEMS) fabrication process and is designed to both fit the manipulation capabilities of the robot as well as to reproduce the beneficial features of surgical closure by suture. The effectiveness of the approach is demonstrated through ex vivo and in vivo experiments.</p>
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Percutaneous intracardiac beating-heart surgery using metal MEMS tissue approximation tools

Percutaneous intracardiac beating-heart surgery using metal MEMS tissue approximation tools

Source :

Abstract

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