Steering and Harvesting Technology for Minimally Invasive Biopsy

Contemporary medical imaging technologies, such as computed tomography or magnetic resonance imaging, play a pivotal role in medical diagnosis, allowing for a relatively fast and non-invasive examination of the human body. In the field of cancer surgery they allow for preoperative detection of tumorous tissue and aid the surgical planning....

Cleaning of hollow instruments

Since a few decades, the use of Minimally Invasive Surgical (MIS) instruments has increased very fast. Minimally Invasive Surgery usesmuch smaller incisions compared to the traditional open surgery. The procedure is less invasive than open surgery and there is minimal damage to biological tissues at the point of entrance of the instrument. This...

Design of an injection moldable steerable tip for a laparoscopic instrument

The field of minimally invasive surgery (MIS) is calling for steerable mechanisms to increase the functionality and versatility of the contemporary instruments. Since reusable steerable instruments cannot pass the sterilization regulations, disposable instruments could solve the cleaning problem. In order to be cost-competitive, a cheap...

Assessment of joystick and wrist control in hand-held articulated laparoscopic prototypes

Various steerable instruments with flexible distal tip have been developed for laparoscopic surgery. The problem of steering such instruments, however, remains a challenge, because no study investigated which control method is the most suitable. This study was designed to examine whether thumb (joystick) or wrist control method is designated for...

Risk factors in patient safety: Minimally invasive surgery versus conventional surgery

Background This study aimed to identify the frequency of events in the different patient safety risk domains during minimally invasive surgery (MIS) and conventional surgery (CS). Methods A convenience sample of gynecologic MIS and CS was observed. Events were observed and categorized into one of the predefined patient safety risk domains....

Development of a medical Bernoulli gripper

When performing minimally invasive interventions, surgeons use grippers to grip and manipulate tissue. These grippers generally rely on their toothed profile and require pinching of the tissue for sufficient grip, entailing a risk of tissue damage. An solution should be found for this risk of damage. An alternative could be to manipulate the...

Force measurement platform for training and assessment of laparoscopic skills

Background - To improve endoscopic surgical skills, an increasing number of surgical residents practice on box or virtual-reality (VR) trainers. Current training is mainly focused on hand–eye coordination. Training methods that focus on applying the right amount of force are not yet available. Methods - The aim of this project is to develop a...

An Isolator System for minimally invasive surgery: The new design

Background - The risk of obtaining a postsurgical infection depends highly on the air quality surrounding the exposed tissue, surgical instruments, and materials. Many isolators for open surgery have been invented to create a contained sterile volume around the exposed tissue. With the use of an isolator, a surgical procedure can be performed...

Objective classification of residents based on their psychomotor laparoscopic skills

Background - From the clinical point of view, it is important to recognize residents’ level of expertise with regard to basic psychomotor skills. For that reason, surgeons and surgical organizations (e.g., Acreditation Council for Graduate Medical Education, ACGME) are calling for assessment tools that credential residents as technically...

Retracting and seeking movements during laparoscopic goal-oriented movements. Is the shortest path length optimal?

Aims- Minimally invasive surgery (MIS) requires a high degree of eye–hand coordination from the surgeon. To facilitate the learning process, objective assessment systems based on analysis of the instruments’ motion are being developed. To investigate the influence of performance on motion characteristics, we examined goaloriented movements in a...