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van Straten, Bart (author), Robertson, P.D. (author), Oussoren, H. (author), Pereira Espíndola, S. (author), Ghanbari, E. (author), Dankelman, J. (author), Picken, S.J. (author), Horeman, T. (author)Background<br/>Face masks, also referred to as half masks, are essential to protect healthcare professionals working in close contact with patients with COVID-19-related symptoms. Because of the Corona material shortages, healthcare institutions sought an approach to reuse face masks or to purchase new, imported masks. The filter quality of...journal article 2021
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van Straten, Bart (author), Ligtelijn, S. (author), Droog, L.Y.A. (author), Putman, E. (author), Dankelman, J. (author), Sperna Weiland, N.H. (author), Horeman, T. (author)The Covid-19 pandemic led to threatening shortages in healthcare of medical products such as face masks. Due to this major impact on our healthcare society an initiative was conducted between March and July 2020 for reprocessing of face masks from 19 different hospitals. This exceptional opportunity was used to study the costs impact and the...journal article 2021
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Somerwil, P.C. (author), Nout, Remi A. (author), Mens, Jan Willem M. (author), Kolkman-Deurloo, Inger Karine K. (author), Van Beekhuizen, Heleen J. (author), Dankelman, J. (author), van de Berg, N.J. (author)Brachytherapy is a common treatment in cervical, uterine and vaginal cancer management. The technique is characterised by rapid developments in the fields of medical imaging, dosimetry planning and personalised medical device design. To reduce unnecessary burden on patients, assessments and training of these technologies should preferable be...journal article 2021
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Wu, Di (author), Zhang, Yao (author), Ourak, Mouloud (author), Niu, Kenan (author), Dankelman, J. (author), Vander Poorten, Emmanuel B. (author)Catheters are increasingly being used to tackle problems in the cardiovascular system. However, positioning precision of the catheter tip is negatively affected by hysteresis. To ensure tissue damage due to imprecise positioning is avoided, hysteresis is to be understood and compensated for. This work investigates the feasibility to model...journal article 2021
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Li, Z. (author), Dankelman, J. (author), De Momi, Elena (author)Purpose: Planning a safe path for flexible catheters is one of the major challenges of endovascular catheterization. State-of-the-art methods rarely consider the catheter curvature constraint and reduced computational time of path planning which guarantees the possibility to re-plan the path during the actual operation. Methods: In this...journal article 2021
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Robertson, P.D. (author), Gnanaraj, Jesudian (author), Wauben, L.S.G.L. (author), Huijs, Jan (author), Samuel, Vasanth Mark (author), Dankelman, J. (author), Horeman, T. (author)Background: Laparoscopy is a minimally-invasive surgical procedure that uses long slender instruments that require much smaller incisions than conventional surgery. This leads to faster recovery times, fewer post-surgical wound infections and shorter hospital stays. For these reasons, laparoscopy could be particularly advantageous to patients...journal article 2021
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Fleischer, J.C. (author), Diehl, J.C. (author), Wauben, L.S.G.L. (author), Dankelman, J. (author)Three-dimensional (3D) printing may be a solution to shortages of equipment and spare parts in the healthcare sector of low- and middle-income countries (LMICs). Polylactic acid (PLA) for 3D printing is widely available and biocompatible, but there is a gap in knowledge concerning its compatibility with chemical disinfectants. In this study, 3D...journal article 2020
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Swamy, A. (author), Spliethoff, Jarich W. (author), Burström, Gustav (author), Babic, Drazenko (author), Reich, Christian (author), Groen, Joanneke (author), Edström, Erik (author), Elmi-Terander, Adrian (author), Racadio, John M. (author), Dankelman, J. (author), Hendriks, B.H.W. (author)BACKGROUND: The safe and accurate placement of pedicle screws remains a critical step in open and minimally invasive spine surgery, emphasizing the need for intraoperative guidance techniques. Diffuse reflectance spectroscopy (DRS) is an optical sensing technology that may provide intraoperative guidance in pedicle screw placement. PURPOSE:...journal article 2020
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Oosting, R.M. (author), Wauben, L.S.G.L. (author), Madete, J.K. (author), Groen, R.S. (author), Dankelman, J. (author)Background<br/>Strategies are needed to increase the availability of surgical equipment in low‐ and middle‐income countries (LMICs). This study was undertaken to explore the current availability, procurement, training, usage, maintenance and complications encountered during use of electrosurgical units (ESUs) and laparoscopic equipment.<br/><br/...journal article 2020
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Oropesa, Ignacio (author), Gutiérrez, David (author), Chmarra, M.K. (author), Sánchez-Peralta, Luisa F. (author), Våpenstad, Cecilie (author), Sánchez-González, Patricia (author), Pagador, José B. (author), González-Segura, Ana (author), Langø, Thomas (author), Sánchez-Margallo, Francisco M. (author), Dankelman, J. (author), Gómez, Enrique J. (author)Introduction: Effectiveness of e-learning diminishes without the support of a pedagogical model to guide its use. In minimally invasive surgery (MIS), this has been reported as a limitation when technology is used to deliver contents without a sound pedagogical background. Material and methods: We describe how a generic pedagogical model, the...journal article 2020
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Azizian Amiri, S. (author), van Gent, Carlijn M. (author), Dankelman, J. (author), Hendriks, B.H.W. (author)Using an intraoperative margin assessment technique during breast-conserving surgery (BCS) helps surgeons to decrease the risk of positive margin occurrence. Diffuse reflectance spectroscopy (DRS) has the potential to discriminate healthy breast tissue from cancerous tissue. We investigated the performance of an electrosurgical knife...journal article 2020
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de Fouw, M. (author), Oosting, R.M. (author), Eijkel, B. I.M. (author), van Altena, P. F.J. (author), Peters, A. A.W. (author), Dankelman, J. (author), Beltman, J. J. (author)Both cryotherapy and thermal ablation are treatment methods for cervical precancerous lesions in screening programs in resource constrained settings. However, for thermal ablation the World Health Organization stated that there is insufficient data to define a standard treatment protocol. This study used an ex-vivo model to compare the tissue...journal article 2020
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Knulst, A.J. (author), Harms, Jan Jouke (author), Dankelman, J. (author)Surgeons have indicated ergonomic problems with the surgical luminaire, which have been observed to occur during repositioning. The possibility of singularity, within the movement space of the translational subsystem of the current double-arm suspension systems, is confirmed to be the cause of these problems. In this study, a redesign of the...journal article 2020
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Schiks, L.A.H. (author), Dankelman, J. (author), Loeve, A.J. (author)In order to investigate potential causal relations between the shaking of infants and injuries, biomechanical studies compare brain and skull dynamic behavior during shaking to injury thresholds. However, performing shaking tolerance research on infants, either in vivo or ex vivo, is extremely difficult, if not impossible. Therefore, infant...journal article 2020
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Oosting, R.M. (author), Ouweltjes, Koen (author), Hoeboer, M.D.B. (author), Hesselink, Larissa (author), Madete, J.K. (author), Diehl, J.C. (author), Groen, R. S. (author), Wauben, L.S.G.L. (author), Dankelman, J. (author)To comply with the large global need for surgery, surgical equipment that fits the challenging environment in low-and middle-income countries (LMICs) should be designed. The aim of this study is to present a context-specific design of an electrosurgical unit (ESU) and a monopolar handheld to improve global access to surgery. This paper...journal article 2020
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Laan, Rianne (author), Nout, Remi A. (author), Dankelman, J. (author), van de Berg, N.J. (author)Background:<br/> Brachytherapy involves placement of radioactive sources inside or near the tumour. For gynaecological cancer, recent developments, including 3D imaging and image-guided adaptive brachytherapy, have improved treatment quality and outcomes. However, for large or complex tumours, target coverage and local control with commercially...journal article 2019
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Oosting, R.M. (author), Wauben, L.S.G.L. (author), Mwaura, Salome W. (author), Madete, J.K. (author), Groen, Reinou S. (author), Dankelman, J. (author)Background & Objective: The need for surgery is currently not met in Sub-Saharan Africa, requiring both extra workforce and surgical equipment. Currently, there is a gap in the availability of surgical equipment which, among others, limits the provision of safe surgery. To design strategies to increase availability, the use of surgical...journal article 2019
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Kraaij, G. (author), Loeve, A.J. (author), Dankelman, J. (author), Nelissen, R.G.H.H. (author), Valstar, E.R. (author)Mechanical loosening of implants is in the majority accompanied with a periprosthetic interface membrane, which has to be removed during revision surgery. The same is true if a minimal invasive (percutaneous) refixation of a loose implant is done. We describe the requirements for a waterjet applicator for interface tissue removal for this...journal article 2019
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de Jong, T.L. (author), Moelker, Adriaan (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author)Purpose: The purpose is to design and validate an anthropomorphic polyvinyl alcohol (PVA) liver phantom with respiratory motion to simulate needle-based interventions. Such a system can, for example, be used as a validation tool for novel needles. Methods: Image segmentations of CT scans of four patients during inspiration and expiration were...journal article 2019
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Knulst, A.J. (author), Gupta, Shailvi (author), Groen, Reinou S. (author), Maharjan, Dipak (author), Kapendra, Amatya S. (author), Dankelman, J. (author), Kushner, Adam L. (author)Objectives: Lack of access to safe surgery is seen as a major issue that needs to be addressed. The aim of this study was to understand which combinations of factors relate to high occurrences of unmet needs and disability in Nepal, and consequently, how to focus future work to maximise impact in this country. Methods: A large population...journal article 2019