Searched for: author:"Breedveld, P."
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Lussenburg, K.M. (author), Sakes, A. (author), Breedveld, P. (author)
Additive Manufacturing (AM) or 3D printing has enabled the production of increasingly complex parts that are difficult to produce with conventional manufacturing methods. Its additive nature has made it possible to create interlocking parts in a single production step. This creates opportunities for new ways of designing and producing...
review 2021
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Ali, A. (author), Dodou, D. (author), Smit, G. (author), Rink, Ruben (author), Breedveld, P. (author)
Positioning and stabilizing a catheter at the required location inside a vessel or the heart is a complicated task in interventional cardiology. In this review we provide a structured classification of catheter stabilization mechanisms to systematically assess their challenges during cardiac interventions. Commercially available, patented,...
review 2021
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Culmone, C. (author), Henselmans, P.W.J. (author), van Starkenburg, R.I.B. (author), Breedveld, P. (author)
In minimally invasive surgery, maneuverability is usually limited and a large number of degrees of freedom (DOF) is highly demanded. However, increasing the DOF usually means increasing the complexity of the surgical instrument leading to long fabrication and assembly times. In this work, we propose the first fully 3D printed handheld, multi...
journal article 2020
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Ali, A. (author), Szili-Torok, Tamas (author), Stijnen, Marco (author), Breedveld, P. (author), Dodou, D. (author)
Purpose: In previous studies we developed two mechanical prototypes of steerable catheters: the Sigma, which uses joysticks to actuate two steerable tip segments, and the Epsilon, which has a handle that is an enlarged version of the tip. In this study, we present a first performance evaluation of the prototypes in the cardiac environment....
journal article 2020
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van Assenbergh, S.P. (author), Culmone, C. (author), Breedveld, P. (author), Dodou, D. (author)
Current surgical grippers rely on friction grip, where normal loads (i.e. pinch forces) are translated into friction forces. Operating errors with surgical grippers are often force-related, including tissue slipping out of the gripper because of too low pinch forces and tissue damaging due to too high pinch forces. Here, we prototyped a...
journal article 2020
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Henselmans, P.W.J. (author), Culmone, C. (author), Jager, D.J. (author), van Starkenburg, R.I.B. (author), Breedveld, P. (author)
The fields of Minimally Invasive Surgery (MIS) and Natural Orifices Transluminal Endoscopic Surgery (NOTES) strive to reduce the level of invasiveness by entering the body through smaller incisions and natural orifices. Hyper-redundant snake-like instruments can help in this pursuit of reducing invasiveness. Such instruments can pass along...
journal article 2020
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Sakes, A. (author), van de Steeg, Ivo A. (author), de Kater, E.P. (author), Posthoorn, P. (author), Scali, M. (author), Breedveld, P. (author)
Currently existing tubular transportation systems for the extraction of large tissue masses during Minimal Invasive Surgery (MIS) are subjected to a large amount of operating limitations. In this study, a novel transportation mechanism (patented) was developed inspired by the egg-laying structure of wasps. The developed mechanism consists of...
journal article 2020
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Sakes, A. (author), Grandia, Leander (author), Lether, Remie (author), Steenstra, Lukas (author), Valentijn, Maurice C. (author), Breedveld, P. (author), Spronck, J.W. (author)
A major challenge during minimally invasive surgery is transfer of high forces through small, flexible instruments, such as needles and catheters, because of their low buckling resistance. In this study, we determined the feasibility of using a Newton's Cradle-inspired catheter (patented) to transfer high-force impulses. Exerting a high-force...
journal article 2019
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Scali, M. (author), Breedveld, P. (author), Dodou, D. (author)
In percutaneous interventions, reaching targets located deep inside the body with minimal tissue damage and patient pain requires the use of long and thin needles. However, when pushed through a solid substrate, a structure with a high aspect ratio is prone to buckle. We developed a series of multi-element needles with a diameter smaller than...
journal article 2019
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Culmone, C. (author), Ali, A. (author), Scali, M. (author), Menciassi, Arianna (author), Breedveld, P. (author)
This work focuses on the design of a new device (called ChoRe) to place artificial chords in the mitral valve structure during a trans-catheter procedure. The aim of the device is to restore the correct functionality of the valve and solve mitral valve regurgitation, that is, a common consequence of chordae tendineae rupture. An analysis of...
journal article 2019
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Henselmans, P.W.J. (author), Smit, G. (author), Breedveld, P. (author)
One of the most prominent drivers in the development of surgical procedures is the will to reduce their invasiveness, attested by minimally invasive surgery being the gold standards in many surgical procedures and natural orifices transluminal endoscopic surgery gaining acceptance. A logical next step in this pursuit is the introduction of...
journal article 2019
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Cuellar Lopez, J.S. (author), Smit, G. (author), Breedveld, P. (author), Zadpoor, A.A. (author), Plettenburg, D.H. (author)
In developing countries, the access of amputees to prosthetic devices is very limited. In a way to increase accessibility of prosthetic hands, we have recently developed a new approach for the design and 3D printing of non-assembly active hand prostheses using inexpensive 3D printers working on the basis of material extrusion technology. This...
journal article 2019
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Ali, A. (author), Sakes, A. (author), Arkenbout, E.A. (author), Henselmans, P.W.J. (author), van Starkenburg, R.I.B. (author), Szili-Torok, Tamas (author), Breedveld, P. (author)
In recent years, steerable catheters have been developed to combat the effects of the dynamic cardiac environment. Mechanically actuated steerable catheters appear the most in the clinical setting; however, they are bound to a number of mechanical limitations. The aim of this research is to gain insight in these limitations and use this...
journal article 2019
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Scali, M. (author), Veldhoven, P.A.H. (author), Henselmans, P.W.J. (author), Dodou, D. (author), Breedveld, P. (author)
Needles with diameter under 1 mm are used in various medical applications to limit the risk of complication and patient discomfort during the procedure. Next to a small diameter, needle steerability is an important property for reaching targets located deep inside the body accurately and precisely. In this paper, we present a 0.5-mm prototype...
journal article 2019
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Cuellar Lopez, J.S. (author), Smit, G. (author), Zadpoor, A.A. (author), Breedveld, P. (author)
In developing countries, prosthetic workshops are limited, difficult to reach, or even non-existent. Especially, fabrication of active, multi-articulated, and personalized hand prosthetic devices is often seen as a time-consuming and demanding process. An active prosthetic hand made through the fused deposition modelling technology and fully...
journal article 2018
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Scali, M. (author), Pusch, T.P. (author), Breedveld, P. (author), Dodou, D. (author)
Flexible steerable needles have the potential to allow surgeons to reach deep targets inside the human body with higher accuracy than rigid needles do. Furthermore, by maneuvering around critical anatomical structures, steerable needles could limit the risk of tissue damage. However, the design of a thin needle (e.g., diameter under 2 mm) with a...
journal article 2018
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Arkenbout, E.A. (author), de Winter, J.C.F. (author), Ali, Anas (author), Dankelman, J. (author), Breedveld, P. (author)
Iterative prototyping is costly and time-consuming. Particularly when designing medical instruments, human factors related design choices significantly impact performance and safety. A tool is presented that allows for the evaluation of steerable instrument controls before the onset of the prototyping stage. The design tool couples gestural...
journal article 2018
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Sakes, A. (author), Nicolaï, Tjibbe (author), Karapanagiotis, Jordan (author), Breedveld, P. (author), Spronck, J.W. (author)
Crossing highly calcified occlusions is technically challenging mainly due to guidewire buckling. In an effort to prevent buckling, a catheter that uses a dynamic impulse load is proposed. The proposed Wave catheter consists of an input plunger to generate an impulse at the handle, a hydraulic pressure wave confined within a ∅2 mm catheter to...
journal article 2018
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Henselmans, P.W.J. (author), Gottenbos, Stefan (author), Smit, G. (author), Breedveld, P. (author)
Follow-the-leader propagation allows for the insertion of flexible surgical instruments along curved paths, reducing the access required for natural orifice transluminal endoscopic surgery. Currently, the most promising follow-the-leader instruments use the alternating memory method containing two mechanical memory-banks for controlling the...
journal article 2017
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Maat (student), B.B. (author), Smit, G. (author), Plettenburg, D.H. (author), Breedveld, P. (author)
The group of passive prostheses consists of prosthetic hands and prosthetic tools. These can either be static or adjustable. Limited research and development on passive prostheses has been performed although many people use these prosthesis types. Although some publications describe passive prostheses, no recent review of the peer-reviewed...
review 2017
Searched for: author:"Breedveld, P."
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