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Inroads toward robot-assisted cochlear implant surgery using steerable electrode arrays.

Identifieur interne : 000F34 ( PubMed/Checkpoint ); précédent : 000F33; suivant : 000F35

Inroads toward robot-assisted cochlear implant surgery using steerable electrode arrays.

Auteurs : Jian Zhang [États-Unis] ; Wei Wei ; Jienan Ding ; J Thomas Roland ; Spiros Manolidis ; Nabil Simaan

Source :

RBID : pubmed:20864880

English descriptors

Abstract

Robotic insertions of actively steerable perimodiolar electrode arrays can substantially reduce insertion forces and prevent electrode buckling.

DOI: 10.1097/MAO.0b013e3181e7117e
PubMed: 20864880


Affiliations:


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pubmed:20864880

Le document en format XML

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<title xml:lang="en">Inroads toward robot-assisted cochlear implant surgery using steerable electrode arrays.</title>
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<name sortKey="Zhang, Jian" sort="Zhang, Jian" uniqKey="Zhang J" first="Jian" last="Zhang">Jian Zhang</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Mechanical Engineering, Columbia University, New York, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Mechanical Engineering, Columbia University, New York, New York</wicri:regionArea>
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<region type="state">État de New York</region>
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<orgName type="university">Université Columbia</orgName>
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<name sortKey="Wei, Wei" sort="Wei, Wei" uniqKey="Wei W" first="Wei" last="Wei">Wei Wei</name>
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<name sortKey="Ding, Jienan" sort="Ding, Jienan" uniqKey="Ding J" first="Jienan" last="Ding">Jienan Ding</name>
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<name sortKey="Roland, J Thomas" sort="Roland, J Thomas" uniqKey="Roland J" first="J Thomas" last="Roland">J Thomas Roland</name>
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<name sortKey="Manolidis, Spiros" sort="Manolidis, Spiros" uniqKey="Manolidis S" first="Spiros" last="Manolidis">Spiros Manolidis</name>
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<name sortKey="Simaan, Nabil" sort="Simaan, Nabil" uniqKey="Simaan N" first="Nabil" last="Simaan">Nabil Simaan</name>
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<title xml:lang="en">Inroads toward robot-assisted cochlear implant surgery using steerable electrode arrays.</title>
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<name sortKey="Zhang, Jian" sort="Zhang, Jian" uniqKey="Zhang J" first="Jian" last="Zhang">Jian Zhang</name>
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<name sortKey="Ding, Jienan" sort="Ding, Jienan" uniqKey="Ding J" first="Jienan" last="Ding">Jienan Ding</name>
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<name sortKey="Roland, J Thomas" sort="Roland, J Thomas" uniqKey="Roland J" first="J Thomas" last="Roland">J Thomas Roland</name>
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<name sortKey="Manolidis, Spiros" sort="Manolidis, Spiros" uniqKey="Manolidis S" first="Spiros" last="Manolidis">Spiros Manolidis</name>
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<title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title>
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<term>Cochlea (surgery)</term>
<term>Cochlear Implantation (instrumentation)</term>
<term>Cochlear Implantation (methods)</term>
<term>Cochlear Implants</term>
<term>Electrodes, Implanted</term>
<term>Equipment Design</term>
<term>Hearing Loss, Sensorineural (surgery)</term>
<term>Humans</term>
<term>Robotics (instrumentation)</term>
<term>Scala Tympani (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Cochlear Implantation</term>
<term>Robotics</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Cochlear Implantation</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Cochlea</term>
<term>Hearing Loss, Sensorineural</term>
<term>Scala Tympani</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Cochlear Implants</term>
<term>Electrodes, Implanted</term>
<term>Equipment Design</term>
<term>Humans</term>
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<front>
<div type="abstract" xml:lang="en">Robotic insertions of actively steerable perimodiolar electrode arrays can substantially reduce insertion forces and prevent electrode buckling.</div>
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<DateCreated>
<Year>2010</Year>
<Month>09</Month>
<Day>24</Day>
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<Year>2011</Year>
<Month>01</Month>
<Day>28</Day>
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<ISSN IssnType="Electronic">1537-4505</ISSN>
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<Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title>
<ISOAbbreviation>Otol. Neurotol.</ISOAbbreviation>
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<ArticleTitle>Inroads toward robot-assisted cochlear implant surgery using steerable electrode arrays.</ArticleTitle>
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<AbstractText Label="HYPOTHESIS" NlmCategory="OBJECTIVE">Robotic insertions of actively steerable perimodiolar electrode arrays can substantially reduce insertion forces and prevent electrode buckling.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Perimodiolar electrodes have been proven to be effective in reducing insertion forces. However, the dedicated techniques of atraumatic electrode insertion require intensive surgeon training. Although some specialized medical robots have been developed to help surgeons in certain minimally invasive surgeries, none are applicable to electrode insertions.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A robot prototype capable of automatically inserting novel steerable electrode array and adjusting its approach angle toward the scala tympani has been constructed and tested. Comparisons of insertion forces using robotically assisted steerable and straight electrodes on scala tympani models are presented. Simulations and experiments are conducted to compare the robotic insertion outcomes and insertion forces.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The use of robotically assisted steerable electrodes for insertions significantly reduces the insertion forces compared with straight electrodes. Based on the results from the experiments, a second-generation robot with insertion force-sensing capability and haptic control to be used in the operating room has been designed for cochlear implant surgery.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Preliminary experimental results using robot-assisted steerable electrode prototype show that it is effective in reducing insertion forces and preventing electrode buckling. A second-generation robot has been designed and constructed for cochlear implant surgery under operating room conditions.</AbstractText>
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<name sortKey="Roland, J Thomas" sort="Roland, J Thomas" uniqKey="Roland J" first="J Thomas" last="Roland">J Thomas Roland</name>
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