A novel actuator for simulation of epidural anesthesia and other needle insertion procedures.
Identifieur interne : 001059 ( PubMed/Corpus ); précédent : 001058; suivant : 001060A novel actuator for simulation of epidural anesthesia and other needle insertion procedures.
Auteurs : John C. Magill ; Marten F. Byl ; Michael F. Hinds ; William Agassounon ; Stephen D. Pratt ; Philip E. HessSource :
- Simulation in healthcare : journal of the Society for Simulation in Healthcare [ 1559-713X ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Anesthesia, Epidural.
- methods : Anesthesia, Epidural, Computer-Assisted Instruction.
- Algorithms, Computer Simulation, Equipment Design, Feedback, Sensory, Humans, Needles, Torque, User-Computer Interface.
Abstract
When navigating a needle from skin to epidural space, a skilled clinician maintains a mental model of the anatomy and uses the various forms of haptic and visual feedback to track the location of the needle tip. Simulating the procedure requires an actuator that can produce the feel of tissue layers even as the needle direction changes from the ideal path.
DOI: 10.1097/SIH.0b013e3181ce761a
PubMed: 20651481
Links to Exploration step
pubmed:20651481Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A novel actuator for simulation of epidural anesthesia and other needle insertion procedures.</title>
<author><name sortKey="Magill, John C" sort="Magill, John C" uniqKey="Magill J" first="John C" last="Magill">John C. Magill</name>
<affiliation><nlm:affiliation>Physical Sciences Inc., Andover, MA 01810, USA. magill@psicorp.com</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Byl, Marten F" sort="Byl, Marten F" uniqKey="Byl M" first="Marten F" last="Byl">Marten F. Byl</name>
</author>
<author><name sortKey="Hinds, Michael F" sort="Hinds, Michael F" uniqKey="Hinds M" first="Michael F" last="Hinds">Michael F. Hinds</name>
</author>
<author><name sortKey="Agassounon, William" sort="Agassounon, William" uniqKey="Agassounon W" first="William" last="Agassounon">William Agassounon</name>
</author>
<author><name sortKey="Pratt, Stephen D" sort="Pratt, Stephen D" uniqKey="Pratt S" first="Stephen D" last="Pratt">Stephen D. Pratt</name>
</author>
<author><name sortKey="Hess, Philip E" sort="Hess, Philip E" uniqKey="Hess P" first="Philip E" last="Hess">Philip E. Hess</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">A novel actuator for simulation of epidural anesthesia and other needle insertion procedures.</title>
<author><name sortKey="Magill, John C" sort="Magill, John C" uniqKey="Magill J" first="John C" last="Magill">John C. Magill</name>
<affiliation><nlm:affiliation>Physical Sciences Inc., Andover, MA 01810, USA. magill@psicorp.com</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Byl, Marten F" sort="Byl, Marten F" uniqKey="Byl M" first="Marten F" last="Byl">Marten F. Byl</name>
</author>
<author><name sortKey="Hinds, Michael F" sort="Hinds, Michael F" uniqKey="Hinds M" first="Michael F" last="Hinds">Michael F. Hinds</name>
</author>
<author><name sortKey="Agassounon, William" sort="Agassounon, William" uniqKey="Agassounon W" first="William" last="Agassounon">William Agassounon</name>
</author>
<author><name sortKey="Pratt, Stephen D" sort="Pratt, Stephen D" uniqKey="Pratt S" first="Stephen D" last="Pratt">Stephen D. Pratt</name>
</author>
<author><name sortKey="Hess, Philip E" sort="Hess, Philip E" uniqKey="Hess P" first="Philip E" last="Hess">Philip E. Hess</name>
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<series><title level="j">Simulation in healthcare : journal of the Society for Simulation in Healthcare</title>
<idno type="eISSN">1559-713X</idno>
<imprint><date when="2010" type="published">2010</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Algorithms</term>
<term>Anesthesia, Epidural (instrumentation)</term>
<term>Anesthesia, Epidural (methods)</term>
<term>Computer Simulation</term>
<term>Computer-Assisted Instruction (methods)</term>
<term>Equipment Design</term>
<term>Feedback, Sensory</term>
<term>Humans</term>
<term>Needles</term>
<term>Torque</term>
<term>User-Computer Interface</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Anesthesia, Epidural</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anesthesia, Epidural</term>
<term>Computer-Assisted Instruction</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Algorithms</term>
<term>Computer Simulation</term>
<term>Equipment Design</term>
<term>Feedback, Sensory</term>
<term>Humans</term>
<term>Needles</term>
<term>Torque</term>
<term>User-Computer Interface</term>
</keywords>
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<front><div type="abstract" xml:lang="en">When navigating a needle from skin to epidural space, a skilled clinician maintains a mental model of the anatomy and uses the various forms of haptic and visual feedback to track the location of the needle tip. Simulating the procedure requires an actuator that can produce the feel of tissue layers even as the needle direction changes from the ideal path.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">20651481</PMID>
<DateCreated><Year>2010</Year>
<Month>07</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>2011</Year>
<Month>01</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>12</Month>
<Day>03</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1559-713X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>5</Volume>
<Issue>3</Issue>
<PubDate><Year>2010</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Simulation in healthcare : journal of the Society for Simulation in Healthcare</Title>
<ISOAbbreviation>Simul Healthc</ISOAbbreviation>
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<ArticleTitle>A novel actuator for simulation of epidural anesthesia and other needle insertion procedures.</ArticleTitle>
<Pagination><MedlinePgn>179-84</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/SIH.0b013e3181ce761a</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">When navigating a needle from skin to epidural space, a skilled clinician maintains a mental model of the anatomy and uses the various forms of haptic and visual feedback to track the location of the needle tip. Simulating the procedure requires an actuator that can produce the feel of tissue layers even as the needle direction changes from the ideal path.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A new actuator and algorithm architecture simulate forces associated with passing a needle through varying tissue layers. The actuator uses a set of cables to suspend a needle holder. The cables are wound onto spools controlled by brushless motors. An electromagnetic tracker is used to monitor the position of the needle tip.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Novice and expert clinicians simulated epidural insertion with the simulator. Preliminary depth-time curves show that the user responds to changes in tissue properties as the needle is advanced. Some discrepancy in clinician response indicates that the feel of the simulator is sensitive to technique, thus perfect tissue property simulation has not been achieved.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The new simulator is able to approximately reproduce properties of complex multilayer tissue structures, including fine-scale texture. Methods for improving fidelity of the simulation are identified.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Magill</LastName>
<ForeName>John C</ForeName>
<Initials>JC</Initials>
<AffiliationInfo><Affiliation>Physical Sciences Inc., Andover, MA 01810, USA. magill@psicorp.com</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Byl</LastName>
<ForeName>Marten F</ForeName>
<Initials>MF</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hinds</LastName>
<ForeName>Michael F</ForeName>
<Initials>MF</Initials>
</Author>
<Author ValidYN="Y"><LastName>Agassounon</LastName>
<ForeName>William</ForeName>
<Initials>W</Initials>
</Author>
<Author ValidYN="Y"><LastName>Pratt</LastName>
<ForeName>Stephen D</ForeName>
<Initials>SD</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hess</LastName>
<ForeName>Philip E</ForeName>
<Initials>PE</Initials>
</Author>
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<Language>eng</Language>
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<Acronym>EB</Acronym>
<Agency>NIBIB NIH HHS</Agency>
<Country>United States</Country>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Simul Healthc</MedlineTA>
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<ISSNLinking>1559-2332</ISSNLinking>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>IEEE Trans Inf Technol Biomed. 2000 Mar;4(1):30-6</RefSource>
<PMID Version="1">10761771</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Acad Emerg Med. 2002 Nov;9(11):1319-25</RefSource>
<PMID Version="1">12414488</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Anesthesiology. 1989 Feb;70(2):368-9</RefSource>
<PMID Version="1">2913877</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Anaesthesia. 1990 Mar;45(3):235-6</RefSource>
<PMID Version="1">2334036</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Anaesthesia. 1998 Dec;53(12):1232</RefSource>
<PMID Version="1">10193238</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Anesth Analg. 1994 Sep;79(3):529-37</RefSource>
<PMID Version="1">8067559</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Anaesthesia. 1995 Oct;50(10):914</RefSource>
<PMID Version="1">7485894</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Reg Anesth. 1996 May-Jun;21(3):182-90</RefSource>
<PMID Version="1">8744658</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Proc Inst Mech Eng H. 1997;211(4):335-47</RefSource>
<PMID Version="1">9330545</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Anaesthesia. 1990 Dec;45(12):1055-6</RefSource>
<PMID Version="1">2278329</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000465">Algorithms</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000767">Anesthesia, Epidural</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003198">Computer Simulation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003194">Computer-Assisted Instruction</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D056228">Feedback, Sensory</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D009339">Needles</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D019415">Torque</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D014584">User-Computer Interface</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<OtherID Source="NLM">NIHMS248109</OtherID>
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