Evaluation of microsurgical tasks with OCT-guided and/or robot-assisted ophthalmic forceps
Identifieur interne : 001305 ( Pmc/Curation ); précédent : 001304; suivant : 001306Evaluation of microsurgical tasks with OCT-guided and/or robot-assisted ophthalmic forceps
Auteurs : Haoran Yu [États-Unis] ; Jin-Hui Shen [États-Unis] ; Rohan J. Shah [États-Unis] ; Nabil Simaan [États-Unis] ; Karen M. Joos [États-Unis]Source :
- Biomedical Optics Express [ 2156-7085 ] ; 2015.
Abstract
Real-time intraocular optical coherence tomography (OCT) visualization of tissues with surgical feedback can enhance retinal surgery. An intraocular 23-gauge B-mode forward-imaging co-planar OCT-forceps, coupling connectors and algorithms were developed to form a unique ophthalmic surgical robotic system. Approach to the surface of a phantom or goat retina by a manual or robotic-controlled forceps, with and without real-time OCT guidance, was performed. Efficiency of lifting phantom membranes was examined. Placing the co-planar OCT imaging probe internal to the surgical tool reduced instrument shadowing and permitted constant tracking. Robotic assistance together with real-time OCT feedback improved depth perception accuracy. The first-generation integrated OCT-forceps was capable of peeling membrane phantoms despite smooth tips.
Url:
DOI: 10.1364/BOE.6.000457
PubMed: 25780736
PubMed Central: 4354581
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<front><div type="abstract" xml:lang="en"><p>Real-time intraocular optical coherence tomography (OCT) visualization of tissues with surgical feedback can enhance retinal surgery. An intraocular 23-gauge B-mode forward-imaging co-planar OCT-forceps, coupling connectors and algorithms were developed to form a unique ophthalmic surgical robotic system. Approach to the surface of a phantom or goat retina by a manual or robotic-controlled forceps, with and without real-time OCT guidance, was performed. Efficiency of lifting phantom membranes was examined. Placing the co-planar OCT imaging probe internal to the surgical tool reduced instrument shadowing and permitted constant tracking. Robotic assistance together with real-time OCT feedback improved depth perception accuracy. The first-generation integrated OCT-forceps was capable of peeling membrane phantoms despite smooth tips.</p>
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Mechanical Engineering, Vanderbilt University, 2400 Highland Ave Nashville, TN 37212,<country country="US">USA</country>
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Vanderbilt Eye Institute, Vanderbilt University 2311 Pierce Avenue Nashville, TN 37232,<country country="US">USA</country>
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Vanderbilt Initiative in Surgery and Engineering(ViSE), Vanderbilt University 2525 West End Avenue, 6th Floor, Nashville, TN 37203,<country country="US">USA</country>
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Vanderbilt Biomedical Photonics Laboratories, Vanderbilt University 100 Keck FEL Center, Nashville, TN 37203,<country country="US">USA</country>
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<history><date date-type="received"><day>17</day>
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<abstract><p>Real-time intraocular optical coherence tomography (OCT) visualization of tissues with surgical feedback can enhance retinal surgery. An intraocular 23-gauge B-mode forward-imaging co-planar OCT-forceps, coupling connectors and algorithms were developed to form a unique ophthalmic surgical robotic system. Approach to the surface of a phantom or goat retina by a manual or robotic-controlled forceps, with and without real-time OCT guidance, was performed. Efficiency of lifting phantom membranes was examined. Placing the co-planar OCT imaging probe internal to the surgical tool reduced instrument shadowing and permitted constant tracking. Robotic assistance together with real-time OCT feedback improved depth perception accuracy. The first-generation integrated OCT-forceps was capable of peeling membrane phantoms despite smooth tips.</p>
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<award-group id="sp5"><funding-source>Vanderbilt ViSE Fellowship</funding-source>
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