Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices
To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity. The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an...
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Veröffentlicht in: | Journal of laryngology and otology 2011-03, Vol.125 (3), p.262-270 |
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creator | Stieger, C Caversaccio, M Arnold, A Zheng, G Salzmann, J Widmer, D Gerber, N Thurner, M Nauer, C Mussard, Y Kompis, M Nolte, L P Häusler, R Weber, S |
description | To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity.
The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen.
The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis.
Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices. |
doi_str_mv | 10.1017/S0022215110002185 |
format | Article |
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The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen.
The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis.
Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215110002185</identifier><identifier>PMID: 21078217</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Accuracy ; Biological and medical sciences ; Cochlear Implantation - instrumentation ; Cochlear Implantation - methods ; Cochlear Implants ; Drilling ; Equipment Design ; Equipment Failure ; Humans ; Mastoid - surgery ; Medical sciences ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - methods ; Otolaryngology ; Otorhinolaryngology. Stomatology ; Robotics - instrumentation ; Robots ; Surgery ; Surgery, Computer-Assisted - instrumentation ; Surgery, Computer-Assisted - methods ; Tomography, X-Ray Computed ; Transplants & implants</subject><ispartof>Journal of laryngology and otology, 2011-03, Vol.125 (3), p.262-270</ispartof><rights>Copyright © JLO (1984) Limited 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-97f4c672118082960a4e4c0524f403cc98152d9e10ef666d38513b0e9c006cac3</citedby><cites>FETCH-LOGICAL-c444t-97f4c672118082960a4e4c0524f403cc98152d9e10ef666d38513b0e9c006cac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215110002185/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27915,27916,55619</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23900718$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21078217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stieger, C</creatorcontrib><creatorcontrib>Caversaccio, M</creatorcontrib><creatorcontrib>Arnold, A</creatorcontrib><creatorcontrib>Zheng, G</creatorcontrib><creatorcontrib>Salzmann, J</creatorcontrib><creatorcontrib>Widmer, D</creatorcontrib><creatorcontrib>Gerber, N</creatorcontrib><creatorcontrib>Thurner, M</creatorcontrib><creatorcontrib>Nauer, C</creatorcontrib><creatorcontrib>Mussard, Y</creatorcontrib><creatorcontrib>Kompis, M</creatorcontrib><creatorcontrib>Nolte, L P</creatorcontrib><creatorcontrib>Häusler, R</creatorcontrib><creatorcontrib>Weber, S</creatorcontrib><title>Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices</title><title>Journal of laryngology and otology</title><addtitle>J Laryngol Otol</addtitle><description>To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity.
The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen.
The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis.
Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices.</description><subject>Accuracy</subject><subject>Biological and medical sciences</subject><subject>Cochlear Implantation - instrumentation</subject><subject>Cochlear Implantation - methods</subject><subject>Cochlear Implants</subject><subject>Drilling</subject><subject>Equipment Design</subject><subject>Equipment Failure</subject><subject>Humans</subject><subject>Mastoid - surgery</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Otolaryngology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Robotics - instrumentation</subject><subject>Robots</subject><subject>Surgery</subject><subject>Surgery, Computer-Assisted - instrumentation</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Tomography, X-Ray Computed</subject><subject>Transplants & implants</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU1r3DAQhkVo6G7S_oBciimEnJzMyLItH0M-2kIghyRno5XHWy2y7Er2lvz7yMRtoKEHMeKdZ94ZZhg7QThHwPLiAYBzjjkixB_K_ICtsRQyzUUBH9h6TqdzfsWOQthFCEvgH9mKI5SSY7lmv69pT7YfOnJj0reJcomaGjP2_jkx3WBVlDvlzDBZFcWkja8zznTK2ki4vQpmT0mY_NZoZaMSyI-md7PZYqA2lpKfpLxx26ShvdEUPrHDVtlAn5d4zJ5ubx6vvqd3999-XF3epVoIMaZV2QpdlBxRguRVAUqQ0JBz0QrItK4k5rypCIHaoiiaTOaYbYAqDVBopbNjdvbqO_j-10RhrDsTNNk4F_VTqGXOKyg4ryL59R9y10_exeFmKJeYCYwQvkLa9yF4auvBx1345xqhnm9Sv7tJrPmyGE-bjpq_FX-OEIHTBVAh7rD1ymkT3risAihRRi5bmqtu402zpbcR_9_-BWP0o1Y</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Stieger, C</creator><creator>Caversaccio, M</creator><creator>Arnold, A</creator><creator>Zheng, G</creator><creator>Salzmann, J</creator><creator>Widmer, D</creator><creator>Gerber, N</creator><creator>Thurner, M</creator><creator>Nauer, C</creator><creator>Mussard, Y</creator><creator>Kompis, M</creator><creator>Nolte, L P</creator><creator>Häusler, R</creator><creator>Weber, S</creator><general>Cambridge University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices</title><author>Stieger, C ; Caversaccio, M ; Arnold, A ; Zheng, G ; Salzmann, J ; Widmer, D ; Gerber, N ; Thurner, M ; Nauer, C ; Mussard, Y ; Kompis, M ; Nolte, L P ; Häusler, R ; Weber, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-97f4c672118082960a4e4c0524f403cc98152d9e10ef666d38513b0e9c006cac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accuracy</topic><topic>Biological and medical sciences</topic><topic>Cochlear Implantation - instrumentation</topic><topic>Cochlear Implantation - methods</topic><topic>Cochlear Implants</topic><topic>Drilling</topic><topic>Equipment Design</topic><topic>Equipment Failure</topic><topic>Humans</topic><topic>Mastoid - surgery</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Otolaryngology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Robotics - instrumentation</topic><topic>Robots</topic><topic>Surgery</topic><topic>Surgery, Computer-Assisted - instrumentation</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Tomography, X-Ray Computed</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stieger, C</creatorcontrib><creatorcontrib>Caversaccio, M</creatorcontrib><creatorcontrib>Arnold, A</creatorcontrib><creatorcontrib>Zheng, G</creatorcontrib><creatorcontrib>Salzmann, J</creatorcontrib><creatorcontrib>Widmer, D</creatorcontrib><creatorcontrib>Gerber, N</creatorcontrib><creatorcontrib>Thurner, M</creatorcontrib><creatorcontrib>Nauer, C</creatorcontrib><creatorcontrib>Mussard, Y</creatorcontrib><creatorcontrib>Kompis, M</creatorcontrib><creatorcontrib>Nolte, L P</creatorcontrib><creatorcontrib>Häusler, R</creatorcontrib><creatorcontrib>Weber, S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stieger, C</au><au>Caversaccio, M</au><au>Arnold, A</au><au>Zheng, G</au><au>Salzmann, J</au><au>Widmer, D</au><au>Gerber, N</au><au>Thurner, M</au><au>Nauer, C</au><au>Mussard, Y</au><au>Kompis, M</au><au>Nolte, L P</au><au>Häusler, R</au><au>Weber, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J Laryngol Otol</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>125</volume><issue>3</issue><spage>262</spage><epage>270</epage><pages>262-270</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity.
The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen.
The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis.
Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>21078217</pmid><doi>10.1017/S0022215110002185</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accuracy Biological and medical sciences Cochlear Implantation - instrumentation Cochlear Implantation - methods Cochlear Implants Drilling Equipment Design Equipment Failure Humans Mastoid - surgery Medical sciences Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Otolaryngology Otorhinolaryngology. Stomatology Robotics - instrumentation Robots Surgery Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods Tomography, X-Ray Computed Transplants & implants |
title | Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices |
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