- document
-
Lenssen, T.A. (author), Dankelman, J. (author), Horeman, T. (author)Introduction: Most robotic instruments and their drives still risk residual contamination due to cleaning complexities, rendering them limited reusable, and tend to have larger instruments than the 5mm laparoscopic standard. The novel steerable laparoscopic SATA-LRS uses modularity for cleanability and exchangeability. The SATA-Drive: a...journal article 2024
- document
-
Losch, M.S. (author), Heintz, J.D. (author), Edström, Erik (author), Terander, Adrian Elmi (author), Dankelman, J. (author), Hendriks, B.H.W. (author)Diffuse Reflectance Spectroscopy (DRS) can provide tissue feedback for pedicle screw placement in spine surgery, yet the integration of fiber optics into the tip of the pedicle probe, a device used to pierce through bone, is challenging, since the optical probing depth and signal-to-noise ratio (SNR) are affected negatively compared to those of...journal article 2024
- document
-
Straathof, R. (author), Meijaard, J.P. (author), Perez, S.M. (author), Kolkman-Deurloo, Inger Karine K. (author), Nout, Remi A. (author), Heijmen, Ben J.M. (author), Wauben, L.S.G.L. (author), Dankelman, J. (author), van de Berg, N.J. (author)Background: The steep radiation dose gradients in cervical cancer brachytherapy (BT) necessitate a thorough understanding of the behavior of afterloader source cables or needles in the curved channels of (patient-tailored) applicators. Purpose: The purpose of this study is to develop and validate computer models to simulate: (1) BT source...journal article 2024
- document
-
Eenkhoorn, C. (author), Goos, T.G. (author), Dankelman, J. (author), Franx, Arie (author), Eggink, Alex J. (author)Introduction: In clinical practice, fetal heart rate monitoring is performed intermittently using Doppler ultrasound, typically for 30 minutes. In case of a non-reassuring heart rate pattern, monitoring is usually prolonged. Noninvasive fetal electrocardiography may be more suitable for prolonged monitoring due to improved patient comfort and...journal article 2024
- document
-
Postema, R.R. (author), Hardon, Hidde (author), Rahimi, A. Masie (author), Horeman, Roel (author), Nickel, Felix (author), Dankelman, J. (author), Bloemendaal, A.L.A. (author), van der Elst, M. (author), van der Peet, Donald L. (author), Daams, Freek (author), Hardon, S.F. (author), Horeman, T. (author)Collision feedback about instrument and environment interaction is often lacking in robotic surgery training devices. The PoLaRS virtual reality simulator is a newly developed desk trainer that overcomes drawbacks of existing robot trainers for advanced laparoscopy. This study aimed to assess the effect of haptic and visual feedback during...journal article 2024
- document
-
van Gils, R.H.J. (author), Kornelisse, R. F. (author), Dankelman, J. (author), Helder, O. K. (author)Background: Compliance with the recommended 30 s drying time of alcohol-based hand rub (ABHR) is often suboptimal. To increase hand hygiene compliance at a neonatal intensive care unit (NICU), we installed an Incubator Traffic Light (ITL) system which shows ‘green light’ to open incubator doors after the recommended drying time. Aim: To...journal article 2024
- document
-
Klok, J.W.A. (author), Groenewegen, Jessica (author), Temmerman, Olivier (author), Van Straten, Niels (author), van Straten, Bart (author), Dankelman, J. (author), Horeman, T. (author)Objective: Cemented total hip arthroplasty (THA) demonstrates superior survival rates compared to uncemented procedures. Nevertheless, most younger patients opt for uncemented THA, as removing well-fixed bone cement in the femur during revisions is complex, particularly the distal cement plug. This removal procedure often increases the risk...journal article 2024
- document
-
Trauzettel, F. (author), Vander Poorten, Emmanuel (author), Ourak, Mouloud (author), Dankelman, J. (author), Breedveld, P. (author)While articulated surgical instruments have enabled the proliferation of minimally invasive interventions, procedures such as laparo-endoscopic single-site surgery are waning in popularity. One potential reason for this decline is a lack of sufficiently dexterous instruments. Although multi-steerable instruments exist, these are often complex...journal article 2024
- document
-
Wu, D. (author), Zhang, R. (author), Pore, Ameya (author), Ha, Xuan Thao (author), Li, Z. (author), Herrera, Fernando (author), Kowalczyk, Wojtek (author), De Momi, Elena (author), Dankelman, J. (author), Kober, J. (author)Minimally Invasive Procedures (MIPs) emerged as an alternative to more invasive surgical approaches, offering patient benefits such as smaller incisions, less pain, and shorter hospital stay. In one class of MIPs, where natural body lumens or small incisions are used to access deeper anatomical locations, Flexible Surgical and Interventional...review 2024
- document
-
Lenssen, T.A. (author), Bîrjac, R. (author), Dankelman, J. (author), Horeman, T. (author)Introduction: Based on the success of the former “Shaft-Actuated, Tip-Articulated” SATA-Drive, a prototype robotic instrument driver for modular, steerable, laparoscopic instruments, a new driver is designed and tested to improve previously lacking features concerning cleanability, instrument adaptation, practical application and control. The...journal article 2023
- document
-
Oropesa, Ignacio (author), Sánchez-Peralta, Luisa F. (author), Chmarra, M.K. (author), Berner-Juhos, Krisztina (author), Tiu, Calin (author), Mettouris, Christos (author), Blas Pagador, José (author), Post, Joeri (author), Dankelman, J. (author)Introduction: Technology Enhanced Learning (TEL) can provide the tools to safely master minimally invasive surgery (MIS) skills in patient-free environments and receive immediate objective feedback without the constant presence of an instructor. However, TEL-based systems tend to work isolated from one another, focus on different skills, and...journal article 2023
- document
-
van Weteringen, Willem (author), Sterke, F. (author), Vlot, J. (author), Wijnen, René M.H. (author), Dankelman, J. (author)In laparoscopic surgery the abdominal cavity is insufflated with pressurized carbon dioxide gas to create workspace. This pressure is exerted through the diaphragm onto the lungs, competing with ventilation and hampering it. In clinical practice the difficulty of optimizing this balance can lead to the application of harmfully high pressures....journal article 2023
- document
-
Losch, M.S. (author), Kardux, Famke (author), Dankelman, J. (author), Hendriks, B.H.W. (author)Accuracy in spinal fusion varies greatly depending on the experience of the physician. Real-time tissue feedback with diffuse reflectance spectroscopy has been shown to provide cortical breach detection using a conventional probe with two parallel fibers. In this study, Monte Carlo simulations and optical phantom experiments were conducted to...journal article 2023
- document
-
Ha, Xuan Thao (author), Wu, D. (author), Ourak, Mouloud (author), Borghesan, Gianni (author), Dankelman, J. (author), Menciassi, Arianna (author), Poorten, Emmanuel Vander (author)In this article, a deep learning method for the shape sensing of continuum robots based on multicore fiber bragg grating (FBG) fiber is introduced. The proposed method, based on an artificial neural network (ANN), differs from traditional approaches, where accurate shape reconstruction requires a tedious characterization of many...journal article 2023
- document
-
Klok, J.W.A. (author), Postema, R.R. (author), Steintorsson, Astor T. (author), Dankelman, J. (author), Horeman, T. (author)In laparoscopic surgery, quality of haptic feedback is reduced compared to conventional surgery, leading to unintentional tissue damage during grasping. From the perspective of haptics, poor mechanical design of laparoscopic instrument joints induces friction and a nonlinear actuation-tip force relation. In this study, a novel laparoscopic...journal article 2023
- document
-
Pore, Ameya (author), Li, Z. (author), Dall'Alba, Diego (author), Hernansanz, Albert (author), De Momi, Elena (author), Menciassi, Arianna (author), Casals Gelpi, Alicia (author), Dankelman, J. (author), Fiorini, Paolo (author), Poorten, Emmanuel Vander (author)Increased demand for less invasive procedures has accelerated the adoption of Intraluminal Procedures (IP) and Endovascular Interventions (EI) performed through body lumens and vessels. As navigation through lumens and vessels is quite complex, interest grows to establish autonomous navigation techniques for IP and EI for reaching the target...journal article 2023
- document
-
Gholinejad, M. (author), Edwin, Bjørn (author), Elle, Ole Jakob (author), Dankelman, J. (author), Loeve, A.J. (author)Background: Surgical process model (SPM) analysis is a great means to predict the surgical steps in a procedure as well as to predict the potential impact of new technologies. Especially in complicated and high-volume treatments, such as parenchyma sparing laparoscopic liver resection (LLR), profound process knowledge is essential for...journal article 2023
- document
-
Postema, R.R. (author), Hardon, S.F. (author), Cefai, David (author), Dankelman, J. (author), Jansen, F.W. (author), Camenzuli, Christian (author), Calleja-Agius, Jean (author), Horeman, T. (author)Background: <br/>Veress needles (VN) are commonly used in establishing pneumoperitoneum in laparoscopic surgery. Previously, a VN with a new safety mechanism ‘VeressPLUS’ needle (VN+) was developed to reduce the amount of overshoot.<br/><br/>Methods: <br/>Eighteen participants (novices, intermediates, and experts) performed in total of 248...journal article 2023
- document
-
Fang, Yitian (author), van Ooijen, Lisanne (author), Ambagtsheer, Gisela (author), Nikolaev, Anton V. (author), Clahsen-van Groningen, Marian C. (author), Dankelman, J. (author), de Bruin, Ron W.F. (author), Minnee, Robert C. (author)Objectives: Normothermic machine perfusion (NMP) provides a platform for pre-transplant kidney quality assessment that is essential for the use of marginal donor kidneys. Laser speckle contrast imaging (LSCI) presents distinct advantages as a real-time and noncontact imaging technique for measuring microcirculation. In this study, we aimed to...journal article 2023
- document
-
Schiks, L.A.H. (author), Dankelman, J. (author), Loeve, A.J. (author)Inflicted head injury by shaking trauma (IHI-ST) in infants is a type of abusive head trauma often simulated computationally to investigate causalities between violent shaking and injury. This is commonly done with the head’s rotation center kept fixed over time. However, due to the flexibility of the infant’s neck and the external shaking...journal article 2023