Searched for: department:"Biomechanical%5C%2BEngineering"
(1 - 20 of 26)

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Sun, S. (author), Dankelman, J. (author), Horeman, T. (author)
In laparoendoscopic single-site surgery (LESS), only one single incision is used to introduce all instruments into the abdominal cavity. The introduction of multi-channel single-port devices enabled insertion of laparoscopic instruments and laparoscope through one single entry point instead of multiple entry points in conventional laparoscopic...
conference paper 2013
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Horeman, T. (author), Rodrigues, S.P. (author), Van den Dobbelsteen, J.J. (author), Jansen, F.W. (author), Dankelman, J. (author)
Background - To improve endoscopic surgical skills, an increasing number of surgical residents practice on box or virtual reality (VR) trainers. Current training is focused mainly 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...
journal article 2011
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Sakes, A. (author), Regar, E. (author), Dankelman, J. (author), Breedveld, P. (author)
Chronic total occlusions (CTOs) represent the “last frontier” of percutaneous interventions. The main technical challenges lies in crossing the guidewire into the distal true lumen, which is primarily due to three problems: device buckling during initial puncture, inadequate visualization, and the inability to actively navigate through the CTO....
journal article 2016
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Bouarfa, L. (author), Jonker, P.P. (author), Dankelman, J. (author)
Recognizing and understanding surgical high-level tasks from sensor readings is important for surgical workflow analysis. Surgical high-level task recognition is also a challenging task in ubiquitous computing because of the inherent uncertainty of sensor data and the complexity of the operating room environment. In this paper, we present a...
journal article 2010
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Van den Dobbelsteen, J.J. (author), Lee, R.A. (author), Van Noorden, M. (author), Dankelman, J. (author)
The grasping instruments used in minimally invasive surgery reduce the ability of the surgeon to feel the forces applied on the tissue, thereby complicating the handling of the tissue and increasing the risk of tissue damage. Force sensors implemented in the forceps of the instruments enable accurate measurements of applied forces, but also...
journal article 2012
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Chmarra, M.K. (author), Dankelman, J. (author), Van den Dobbelsteen, J.J. (author), Jansen, F.W. (author)
Background - Not much is known about the exact role offorce feedback in laparoscopy. This study aimed to determine whether force feedback influences movements of instruments during training in laparoscopic tasks and whether force feedback is required for training in basic laparoscopic force application tasks. Methods - A group of 19 gynecologic...
journal article 2008
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Chmarra, M.K. (author), Jansen, F.W. (author), Grimbergen, C.A. (author), Dankelman, J. (author)
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...
journal article 2007
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Verdaasdonk, E.G.G. (author), Dankelman, J. (author), Lange, J.F. (author), Stassen, L.P.S. (author)
Background- Laparoscopic suturing is one of the most difficult tasks in endoscopic surgery, requiring extensive training. The aim of this study was to determine the transfer validity of knot-tying training on a virtual-reality (VR) simulator to a realistic laparoscopic environment. Methods- Twenty surgical trainees underwent basic eye–hand...
journal article 2007
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Horeman, T. (author), Jansen, F.W. (author), Dankelman, J. (author)
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...
journal article 2010
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Henken, K.R. (author), Jansen, F.W. (author), Klein, J. (author), Stassen, L.P.S. (author), Dankelman, J. (author), Van den Dobbelsteen, J.J. (author)
Background Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A clear understanding of the legal framework is lacking....
journal article 2012
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Wentink, M. (author), Fischer, H. (author), Dankelman, J. (author), Stassen, L.P.S. (author), Wieringa, P.A. (author)
Purpose: To evaluate the effect of perspective distortion of wide-angle lenses in laparoscopes on hand-eye coordination during endoscopic manipulation. Methods: Sixteen subjects repeatedly performed a standardized positioning task in a pelvi-trainer under two conditions. The subjects had no prior experience with endoscopic manipulation. In one...
journal article 2002
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Natenstedt, J. (author), Kok, A.C. (author), Dankelman, J. (author), Tuijthof, G.J.M. (author)
Articular cartilage has limited regeneration capacities. One of the factors that appear to affect the in vitro cultivation of articular cartilage is mechanical stimulation. So far, no combination of parameters has been identified that offers the best results. The goal is to review the literature in search of the best available set of...
journal article 2015
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Dankelman, J. (author), Grimbergen, C.A. (author), Stassen, H.G. (author)
journal article 2007
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Verdaasdonk, E.G.G. (author), Stassen, L.P.S. (author), Hoffmann, W.F. (author), Van der Elst, M. (author), Dankelman, J. (author)
Background A high incidence of problems with the technical equipment is known to occur during routine laparoscopic procedures. Use of a structured checklist of preparatory measures could help to prevent these problems. This study aimed to determine the extent to which a checklist reduced the number of incidents with technical laparoscopic...
journal article 2008
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Okken, L.M. (author), Chmarra, M.K. (author), Hiemstra, E. (author), Jansen, F.W. (author), Dankelman, J. (author)
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...
journal article 2012
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Horeman, T. (author), Meijer, E.J. (author), Harlaar, J.J. (author), Lange, J.F. (author), Van den Dobbelsteen, J.J. (author), Dankelman, J. (author)
The tension in a suture is an important factor in the process of wound healing. If there is too much tension in the suture, the blood flow is restricted and necrosis can occur. If the tension is too low, the incision opens up and cannot heal properly. The purpose of this paper is to describe the design and evaluation of the Stitch Force (SF)...
journal article 2013
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Dankelman, J. (author)
With the introduction of minimally invasive surgery (MIS), it became necessary to develop training methods to learn skills outside the operating room. Several training simulators have become commercially available, but fundamental research into the requirements for effective and efficient training in MIS is still lacking. Three aspects of...
journal article 2007
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Van den Wijngaard, J.P.H.M. (author), Kolyva, C. (author), Siebes, M. (author), Dankelman, J. (author), Van Gemert, M.J.C. (author), Piek, J.J. (author), Spaan, J.A.E. (author)
The subendocardium is most vulnerable to ischemia, which is ameliorated by relaxation during diastole and increased coronary pressure. Recent clinical techniques permit the measuring of subendocardial perfusion and it is therefore important to gain insight into how measurements depend on perfusion conditions of the heart. Using data from...
journal article 2008
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Guédon, A.C.P. (author), Wauben, L.S.G.L. (author), Van der Eijk, A.C. (author), Vernooij, A.S.N. (author), Meeuwsen, F.C. (author), Van der Elst, M. (author), Hoeijmans, V. (author), Dankelman, J. (author), Van den Dobbelsteen, J.J. (author)
Background Unavailability of instruments is recognised to cause delays and stress in the operating room, which can lead to additional risks for the patients. The aim was to provide an overview of the hazards in the entire delivery process of surgical instruments and to provide insight into how Information Technology (IT) could support this...
journal article 2015
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Verdaasdonk, E.G. (author), Dankelman, J. (author), Lange, J.F. (author), Stassen, L.P.S. (author)
Background - It is desirable that surgical trainees are proficient in basic laparoscopic motor skills (eye–hand coordination). The present study evaluated the use of predefined proficiency criteria on a basic virtual reality (VR) simulator in preparation for a laparoscopic course on animal models. Methods - Twenty-eight surgical trainees who...
journal article 2008
Searched for: department:"Biomechanical%5C%2BEngineering"
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