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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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Rodríguez, M. (author), Camba-Lamas, D. (author), Oropesa, I. (author), Juhos, K. (author), Wauben, L.S.G.L. (author), Dankelman, J. (author), Jansen, F. W. (author), Weber, G. (author), Gómez, E. J. (author), Sánchez-González, P. (author)MIS-SIM is a virtual reality (VR) environment designed and developed for the creation of virtual scenarios that can be used to train and acquire basic and advance laparoscopic skills. The environment is composed by a task editor where a content creator design and develop tasks for the simulator to play. Once they are completed, objective...conference paper 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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Overtoom, Evelien M. (author), Horeman, T. (author), Jansen, F.W. (author), Dankelman, J. (author), Schreuder, Henk W.R. (author)OBJECTIVES: To provide a systematic overview of the literature assessing the value of haptic and force feedback in current simulators teaching laparoscopic surgical skills. DATA SOURCES: The databases of Pubmed, Cochrane, Embase, Web of Science, and Google Scholar were searched to retrieve relevant studies published until January 31st, 2017....review 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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Gholinejad, M. (author), Loeve, A.J. (author), Dankelman, J. (author)The vital role of surgeries in healthcare requires a constant attention to improvement. Surgical process modelling is an innovative and rather recently introduced approach for tackling the issues in today’s complex surgeries. This modelling field is very challenging and still under development, therefore, it is not always clear which...review 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
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Hardon, S.F. (author), Schilder, F. (author), Bonjer, Jaap (author), Dankelman, J. (author), Horeman, T. (author)Background: Ever since the introduction of laparoscopic surgery, researchers have been trying to add steerability to instruments to allow the surgeon to operate with better reachability and less tissue interaction force. Traditional solutions to introduce this often use a combination of springs, cables, pulleys, and guiding structures,...journal article 2019
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Sharei Amarghan, H. (author), Kieft, Jeroen (author), Takashima, Kazuto (author), Hayashida, Norihiro (author), van den Dobbelsteen, J.J. (author), Dankelman, J. (author)During percutaneous coronary interventions (PCI), a guidewire is used as an initial way of accessing a specific vasculature. There are varieties of guidewires on the market and choosing an appropriate one for each case is critical for a safe and successful intervention. The main objective of this study is to predict the behavior of the guidewire...journal article 2019
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Swamy, A. (author), Burström, Gustav (author), Spliethoff, Jarich W. (author), Babic, Drazenko (author), Ruschke, Stefan (author), Racadio, John M. (author), Edström, Erik (author), Terander, Adrian Elmi (author), Dankelman, J. (author), Hendriks, B.H.W. (author)Safe and accurate placement of pedicle screws remains a critical step in open and minimally invasive spine surgery. The diffuse reflectance spectroscopy (DRS) technique may offer the possibility of intra-operative guidance for pedicle screw placement. Currently, Magnetic Resonance Imaging (MRI) is one of the most accurate techniques used to...journal article 2019
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Hardon, S.F. (author), van Kasteren, R. J. (author), Dankelman, J. (author), Bonjer, H. J. (author), Tuynman, J. B. (author), Horeman, T. (author)Background: Transanal total mesorectal excision (TaTME) is associated with a relatively long learning curve. Force, motion, and time parameters are increasingly used for objective assessment of skills to enhance laparoscopic training efficacy. The aim of this study was to identify relevant metrics for accurate skill assessment in more complex...journal article 2019
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de Lind van Wijngaarden, Rob (author), Siregar, Sabrina (author), Legué, Juno (author), Fraaije, A. (author), Abbas, Araz (author), Dankelman, J. (author), Klautz, Robert J.M. (author)Objective: Verbal communication during coronary artery bypass graft (CABG) procedures is essential for safe and efficient cardiac surgery, yet sensitive to failure due to a current lack of standardization. The goal of this study was to improve communication during CABG by identifying critical items in verbal interaction between surgeons,...journal article 2019
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Knulst, A.J. (author), Kunst, Jeroen (author), Dankelman, J. (author)Visual performance and visual comfort are a combined effect of the illumination characteristics and the illuminated objects. Current surgical lighting systems have a fixed shape illumination pattern, whereas the wound and surroundings have a variable shape and characteristics. A lighting system that is able to adapt its shape and light...journal article 2019
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Swamy, A. (author), Burström, Gustav (author), Spliethoff, Jarich W. (author), Babic, Drazenko (author), Reich, Christian (author), Groen, Joanneke (author), Edström, Erik (author), Terander, Adrian Elmi (author), Racadio, John M. (author), Dankelman, J. (author), Hendriks, B.H.W. (author)Safe and accurate placement of screws remains a critical issue in open and minimally invasive spine surgery. We propose to use diffuse reflectance (DR) spectroscopy as a sensing technology at the tip of a surgical instrument to ensure a safe path of the instrument through the cancellous bone of the vertebrae. This approach could potentially...journal article 2019
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Damsteeg-van Berkel, Selma (author), Beemster, Fleur (author), Dankelman, J. (author), Loeve, A.J. (author)Purpose: DNA is a highly valuable lead to identify people who were possibly involved in a crime. Even by small contact events, minute amounts of DNA (‘trace DNA’) can be transferred from a DNA source to an evidentiary item, which can be enough for a successful DNA analysis. The focus of this research is to get more insight in the collection...journal article 2019
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Gregoor, Wouter (author), Dankelman, J. (author), Kment, Christoph (author), Tuijthof, Gabriëlle J.M. (author)A compliant bone drill provides advantages over conventional straight drills, because it allows surgical access via a minimally invasive approach. Hydropower allows the transfer of pressurized water with a compliant hose. The goal is to select the hydraulic actuator for this compliant bone drill by reviewing existing actuator principles. The...journal article 2018
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De Falco, I. (author), Culmone, C. (author), Menciassi, Arianna (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author)Needles are advanced tools commonly used in minimally invasive medical procedures. The accurate manoeuvrability of flexible needles through soft tissues is strongly determined by variations in tissue stiffness, which affects the needle-tissue interaction and thus causes needle deflection. This work presents a variable stiffness mechanism for...journal article 2018