Fluorescence headlights proposed for minimally-invasive surgical tools (Conference Presentation)

Author(s):  
Eric J. Seibel
2006 ◽  
Vol 34 ◽  
pp. 979-984 ◽  
Author(s):  
S Ezhilvalavan ◽  
Zaoli Zhang ◽  
Jeremy Loh ◽  
Jackie Y Ying

2021 ◽  
Vol 6 (50) ◽  
pp. eabd5476
Author(s):  
Peter A. York ◽  
Rut Peña ◽  
Daniel Kent ◽  
Robert J. Wood

The creation of multiarticulated mechanisms for use with minimally invasive surgical tools is difficult because of fabrication, assembly, and actuation challenges on the millimeter scale of these devices. Nevertheless, such mechanisms are desirable for granting surgeons greater precision and dexterity to manipulate and visualize tissue at the surgical site. Here, we describe the construction of a complex optoelectromechanical device that can be integrated with existing surgical tools to control the position of a fiber-delivered laser. By using modular assembly and a laminate fabrication method, we are able to create a smaller and higher-bandwidth device than the current state of the art while achieving a range of motion similar to existing tools. The device we present is 6 millimeters in diameter and 16 millimeters in length and is capable of focusing and steering a fiber-delivered laser beam at high speed (1.2-kilohertz bandwidth) over a large range (over ±10 degrees in both of two axes) with excellent static repeatability (200 micrometers).


Author(s):  
M Grujicic ◽  
C L Zhao ◽  
E M Austin

The potential use of piezoelectric bimorph actuators in minimally invasive surgery suture-needle grasper/holder applications is explored computationally. Upon defining the design/functional requirements for such surgical tools, a finite element analysis of the underlying piezoelectric boundary value problem is combined with the genetic algorithm optimization routine to arrive at an optimal morphology of the suture-needle grasper/holder. The results obtained show that, if the actuator is based on several constant-thickness segments, a proper combination of thicknesses of such segments can substantially improve the performance of such surgical tools. Specifically, a good combination of the relatively large grasper-jaws opening and the required level of the holding force when the grasper is closed on a 0.5 mm diameter suture-needle is obtained. The effect of orientation of the poling direction in the piezoelectric layers on the performance of the bimorph actuator is also examined. It is found that, at the same level of the required grasping force, a change in the poling direction by about 2.3° from the through-the-thickness direction can increase the maximum grasper-jaws opening by about 10 per cent.


2016 ◽  
Vol 1 (13) ◽  
pp. 169-176
Author(s):  
Lisa M. Evangelista ◽  
James L. Coyle

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.


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