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

Identifieur interne : 002725 ( Ncbi/Merge ); précédent : 002724; suivant : 002726

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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<author><name sortKey="Vasilyev, Nikolay V" sort="Vasilyev, Nikolay V" uniqKey="Vasilyev N" first="Nikolay V" last="Vasilyev">Nikolay V. Vasilyev</name>
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<author><name sortKey="Dupont, Pierre E" sort="Dupont, Pierre E" uniqKey="Dupont P" first="Pierre E" last="Dupont">Pierre E. Dupont</name>
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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>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">101511318</journal-id>
<journal-id journal-id-type="pubmed-jr-id">36159</journal-id>
<journal-id journal-id-type="nlm-ta">Int J Rob Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Rob Res</journal-id>
<journal-title-group><journal-title>The International journal of robotics research</journal-title>
</journal-title-group>
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<issn pub-type="epub">1741-3176</issn>
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<article-meta><article-id pub-id-type="pmid">23750066</article-id>
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<article-id pub-id-type="doi">10.1177/0278364912443718</article-id>
<article-id pub-id-type="manuscript">NIHMS453585</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Percutaneous intracardiac beating-heart surgery using metal MEMS tissue approximation tools</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Gosline</surname>
<given-names>Andrew H</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vasilyev</surname>
<given-names>Nikolay V</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Butler</surname>
<given-names>Evan J</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Folk</surname>
<given-names>Chris</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cohen</surname>
<given-names>Adam</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Rich</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lang</surname>
<given-names>Nora</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>del Nido</surname>
<given-names>Pedro J</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dupont</surname>
<given-names>Pierre E</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Cardiovascular Surgery, Children’s Hospital Boston, Harvard Medical School, Boston, MA, USA</aff>
<aff id="A2"><label>2</label>
Microfabrica, Inc., Van Nuys, CA, USA</aff>
<author-notes><corresp id="CR1"><bold>Corresponding author:</bold>
 Andrew H Gosline, Children’s Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA. <email>andrew.gosline@childrens.harvard.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>21</day>
<month>3</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>8</day>
<month>5</month>
<year>2012</year>
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<pub-date pub-type="ppub"><day>1</day>
<month>8</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>8</month>
<year>2013</year>
</pub-date>
<volume>31</volume>
<issue>9</issue>
<fpage>1081</fpage>
<lpage>1093</lpage>
<permissions><copyright-statement>© The Author(s) 2012</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>image guided surgery</kwd>
<kwd>robotic surgery</kwd>
<kwd>MEMS tools</kwd>
<kwd>concentric tube robots</kwd>
<kwd>intracardiac surgery</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Heart, Lung, and Blood Institute : NHLBI</funding-source>
<award-id>R01 HL087797 || HL</award-id>
</award-group>
<award-group><funding-source country="United States">National Heart, Lung, and Blood Institute : NHLBI</funding-source>
<award-id>R01 HL073647 || HL</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
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<li>Massachusetts</li>
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<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Gosline, Andrew H" sort="Gosline, Andrew H" uniqKey="Gosline A" first="Andrew H" last="Gosline">Andrew H. Gosline</name>
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<name sortKey="Butler, Evan J" sort="Butler, Evan J" uniqKey="Butler E" first="Evan J" last="Butler">Evan J. Butler</name>
<name sortKey="Chen, Rich" sort="Chen, Rich" uniqKey="Chen R" first="Rich" last="Chen">Rich Chen</name>
<name sortKey="Cohen, Adam" sort="Cohen, Adam" uniqKey="Cohen A" first="Adam" last="Cohen">Adam Cohen</name>
<name sortKey="Del Nido, Pedro J" sort="Del Nido, Pedro J" uniqKey="Del Nido P" first="Pedro J" last="Del Nido">Pedro J. Del Nido</name>
<name sortKey="Dupont, Pierre E" sort="Dupont, Pierre E" uniqKey="Dupont P" first="Pierre E" last="Dupont">Pierre E. Dupont</name>
<name sortKey="Folk, Chris" sort="Folk, Chris" uniqKey="Folk C" first="Chris" last="Folk">Chris Folk</name>
<name sortKey="Lang, Nora" sort="Lang, Nora" uniqKey="Lang N" first="Nora" last="Lang">Nora Lang</name>
<name sortKey="Vasilyev, Nikolay V" sort="Vasilyev, Nikolay V" uniqKey="Vasilyev N" first="Nikolay V" last="Vasilyev">Nikolay V. Vasilyev</name>
</country>
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</record>

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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

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Abstract

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