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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
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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
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Kortenbout, A.J. (author), Costerus, Sophie (author), Dudink, Jeroen (author), de Jong, N. (author), de Graaff, Jurgen C. (author), Vos, H.J. (author), Bosch, Johan G. (author)Objective: Post-operative brain injury in neonates may result from disturbed cerebral perfusion, but accurate peri-operative monitoring is lacking. High-frame-rate (HFR) cerebral ultrasound could visualize and quantify flow in all detectable vessels using spectral Doppler; however, automated quantification in small vessels is challenging...journal article 2024
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Schrijvershof, Pim (author), Rahimi, A. Masie (author), Leone, Nicola (author), Bloemendaal, Alexander (author), Daams, Freek (author), Arezzo, Alberto (author), Mintz, Yoav (author), Horeman, T. (author)Surgeons performing robotic-assisted laparoscopic surgery experience physical stress and overuse of shoulder muscles due to sub-optimal arm support during surgery. The objective is to present a novel design and prototype of a dynamic arm support for robotic laparoscopic surgery to evaluate its ergonomics and performance on the AdLap-VR...journal article 2024
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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
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van Nieuwenhuizen, Kim E. (author), Friedericy, Hans J. (author), van der Linden, Sjaak (author), Jansen, F.W. (author), van der Eijk, A.C. (author)Objective: To determine the user experience of wearing comfort of reusable sterile surgical gowns and compare these gowns with conventional disposable surgical gowns. Design: Cross-sectional survey. Setting: An academic hospital in the Netherlands. Population: Gynaecologists, surgeons, residents and operating room assistants (n=80). Methods:...journal article 2024
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Ambrosini, P. (author), Azizian Amiri, S. (author), Zeestraten, Eliane (author), van Ginhoven, Tessa (author), Marroquim, Ricardo (author), van Walsum, T. (author)Purpose: For tumor resection, surgeons need to localize the tumor. For this purpose, a magnetic seed can be inserted into the tumor by a radiologist and, during surgery, a magnetic detection probe informs the distance to the seed for localization. In this case, the surgeon still needs to mentally reconstruct the position of the tumor from the...journal article 2024
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Kroep, H.J.C. (author), Gokhale, V. (author), Verburg, Joseph (author), Venkatesha Prasad, Ranga Rao (author)The next frontier in communications is teleoperation - manipulation and control of remote environments with haptic feedback. Compared to conventional networked applications, teleoperation poses widely different requirements, ultra-low latency (ULL) is primary. Realizing ULL communication demands significant redesign of conventional networking...journal article 2024
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Lussenburg, K.M. (author), Scali, Marta (author), Stolk, Maarten (author), Robijns, D. (author), Sakes, A. (author), Breedveld, P. (author)A vitrectome is a commonly used instrument in eye surgery, which is used to cut and aspirate the vitreous body out of the eye. The mechanism of the vitrectome consists of miniature components that need to be assembled by hand due to their size. Non-assembly 3D printing, in which fully functional mechanisms can be produced in a single production...journal article 2023
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Rahimi, A. Masie (author), Hardon, S.F. (author), Willuth, E. (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), Horeman, T. (author), Nickel, F. (author), Daams, Freek (author)Introduction: Although robotic-assisted surgery is increasingly performed, objective assessment of technical skills is lacking. The aim of this study is to provide validity evidence for objective assessment of technical skills for robotic-assisted surgery. Methods: An international multicenter study was conducted with participants from the...journal article 2023
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Benmahdjoub, Mohamed (author), Thabit, Abdullah (author), Van Veelen, Marie Lise C. (author), Niessen, W.J. (author), Wolvius, Eppo B. (author), Van Walsum, Theo (author)Augmented reality (AR) has shown potential in computer-aided surgery. It allows for the visualization of hidden anatomical structures as well as assists in navigating and locating surgical instruments at the surgical site. Various modalities (devices and/or visualizations) have been used in the literature, but few studies investigated the...journal article 2023
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Hardon, S.F. (author), Willuth, E. (author), Rahimi, A. Masie (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), van der Peet, Donald L. (author), Daams, Freek (author), Nickel, F. (author), Horeman, T. (author)Introduction: Robot-assisted surgery is often performed by experienced laparoscopic surgeons. However, this technique requires a different set of technical skills and surgeons are expected to alternate between these approaches. The aim of this study is to investigate the crossover effects when switching between laparoscopic and robot-assisted...journal article 2023
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de Kater, E.P. (author), Müller, R. (author), Sakes, A. (author), Breedveld, P. (author)The fixation strength of pedicle screws could be increased by fixating along the much stronger cortical bone layer, which is not possible with the current rigid and straight bone drills. Inspired by the tsetse fly, a single-plane steerable bone drill was developed. The drill has a flexible transmission using two stacked leaf springs such that...journal article 2023
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Culmone, C. (author), Yikilmaz, Semih Fatih (author), Trauzettel, F. (author), Breedveld, P. (author)Conventional medical instruments are not capable of passing through tortuous anatomy as required for natural orifice transluminal endoscopic surgery due to their rigid shaft designs. Nevertheless, developments in minimally invasive surgery are pushing medical devices to become more dexterous. Amongst devices with controllable flexibility, so...review 2023
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Macken, Arno Alexander (author), Macken, Loïc C. (author), Oosterhoff, J.H.F. (author), Boileau, Pascal (author), Athwal, George S. (author), Doornberg, Job N. (author), Lafosse, Laurent (author), Lafosse, Thibault (author), van den Bekerom, Michel P.J. (author), Buijze, Geert Alexander (author)INTRODUCTION: Despite technological advancements in recent years, glenoid component loosening remains a common complication after anatomical total shoulder arthroplasty (ATSA) and is one of the main causes of revision surgery. Increasing emphasis is placed on the prevention of glenoid component failure. Previous studies have successfully...journal article 2023
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Linders, D. G.J. (author), Deken, M. M. (author), van Dam, M. A. (author), Wasser, M. N.J.M. (author), Voormolen, E. M.C. (author), Kroep, J. R. (author), van Dongen, G. A.M.S. (author), Vugts, D. (author), de Geus-Oei, L.F. (author)Background: Approximately 20% of invasive ductal breast malignancies are human epidermal growth factor receptor 2 (HER2)-positive. These patients receive neoadjuvant systemic therapy (NAT) including HER2-targeting therapies. Up to 65% of patients achieve a pathological complete response (pCR). These patients might not have needed surgery....journal article 2023
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Fung-A-Jou, Zola (author), Bloemberg, J. (author), Breedveld, P. (author)Needles are commonly used in medical procedures. However, current needle designs have some disadvantages. Therefore, a new generation of hypodermic needles and microneedle patches drawing inspiration from mechanisms found in nature (i.e. bioinspiration) is being developed. In this systematic review, 80 articles were retrieved from Scopus, Web...journal article 2023
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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
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Millán, Ana P. (author), van Straaten, Elisabeth C. W. (author), Stam, Cornelis J. (author), Nissen, Ida A. (author), Idema, Sander (author), Baayen, Johannes C. (author), Van Mieghem, P.F.A. (author), Hillebrand, Arjan (author)Epilepsy surgery is the treatment of choice for drug-resistant epilepsy patients, but only leads to seizure freedom for roughly two in three patients. To address this problem, we designed a patient-specific epilepsy surgery model combining large-scale magnetoencephalography (MEG) brain networks with an epidemic spreading model. This simple...journal article 2023
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Tummers, Fokkedien H.M.P. (author), Bazelmans, Maria K. (author), Jansen, F.W. (author), Blikkendaal, Mathijs D. (author), Vahrmeijer, Alexander L. (author), Kuppen, P.J.K. (author)Intra-operative fluorescent imaging of endometriosis could help to optimize surgical treatment. Potential biomarkers to use as target for endometriosis-binding fluorescent probes were identified using a new five-phase transcriptomics-based approach to broaden the search for biomarkers. Using publicly available datasets, a differentially...review 2023