scholarly journals Design and Evaluation of a Novel Instrument Gripper for Handling of Surgical Instruments

2021 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Jan Heibeyn ◽  
Nils König ◽  
Nadine Domnik ◽  
Matthias Schweizer ◽  
Max Kinzius ◽  
...  
Keyword(s):  
Medical Devices ◽  
State Of The Art ◽  
Surgical Instruments ◽  
Risk Of Infection ◽  
Force Transmission ◽  
Common Features ◽  
Force Closure ◽  
Pick And Place ◽  
Manual Labour ◽  
Cleaning And Disinfection

Abstract Introduction: Contaminated surgical instruments are manually prepared for cleaning and disinfection in the reprocessing unit for medical devices (RUMED). Manual labour exposes staff to the risk of infection and is particularly stressful at peak times due to the large volume of instruments. Partial automation of processes by a robot could provide a solution but requires a gripper that can handle the variety of surgical instruments. This paper describes the development and first evaluation of an instrument gripper. Methods: First, an analysis of gripping geometries on basic surgical instruments is carried out. Based on the identified common features and a review of the state of the art of gripper technology, the SteriRob gripper concept is developed. The concept is compared with a force closure gripper in a series of tests using seven criteria. Results: Both gripping approaches investigated can be used for handling surgical instruments in a pick-and-place process. However, the SteriRob gripper can transmit significantly higher acting forces and torques. In addition, the gripping process is more robust against deviations from the expected instrument position. Conclusion: Overall, it has been shown that the developed instrument gripper is suitable for about 60% of reusable surgical instruments due to the focus on horizontal cylindrical geometries. Because of the large possible force transmission, this gripping approach is particularly suitable for tasks in which the robot assists with cleaning processes.

scholarly journals A review of the bio-tribology of medical devices

Friction ◽  
2021 ◽  
Author(s):  
Xiaogang Zhang ◽  
Yali Zhang ◽  
Zhongmin Jin
Keyword(s):  
Service Life ◽  
Medical Devices ◽  
Tribological Behavior ◽  
Tribological Performance ◽  
Dental Restoration ◽  
Surgical Instruments ◽  
Cardiovascular Devices ◽  
Artificial Joints ◽  
Future Developments ◽  
Fixation Devices

AbstractNumerous medical devices have been applied for the treatment or alleviation of various diseases. Tribological issues widely exist in those medical devices and play vital roles in determining their performance and service life. In this review, the bio-tribological issues involved in commonly used medical devices are identified, including artificial joints, fracture fixation devices, skin-related devices, dental restoration devices, cardiovascular devices, and surgical instruments. The current understanding of the bio-tribological behavior and mechanism involved in those devices is summarized. Recent advances in the improvement of tribological properties are examined. Challenges and future developments for the prospective of bio-tribological performance are highlighted.

IN MINIMAL ACCESS SURGERY

1996 ◽  
Vol 17 (12) ◽  
pp. 441-447
Author(s):  
Thom E Lobe
Keyword(s):  
Medical Care ◽  
Pediatric Patient ◽  
Endoscopic Surgery ◽  
State Of The Art ◽  
Outpatient Surgery ◽  
Cost Effective ◽  
Surgical Instruments ◽  
Short Stay ◽  
Minimal Access ◽  
Access Surgery

The pediatrician must be cognizant of the extensive applications of endoscopic surgery in the pediatric patient. The ability to provide either outpatient surgery or short-stay surgery appears to be cost-effective and appropriate state-of-the-art medical care. As the array of surgical instruments continues to evolve, new and innovative endoscopic procedures will become increasingly available.

scholarly journals Standard manual reprocessing of angiographic systems in the hybrid OR

2017 ◽  
Vol 3 (2) ◽  
pp. 405-407
Author(s):  
Sebastian Buhl ◽  
Carina Werner ◽  
Clemens Bulitta
Keyword(s):  
Pilot Study ◽  
Medical Devices ◽  
Initial Assessment ◽  
Hybrid Operating Room ◽  
Medical Products ◽  
Fda Guidance ◽  
Microbiological Examination ◽  
Artis Zeego ◽  
Cleaning And Disinfection ◽  
A Current

AbstractA current FDA guidance demands the validation of cleaning and disinfecting protocols even for non-sterile medical devices. The aim of this work is to clarify whether this is already possible using the guidance itself as well as the German DIN EN ISO 17664. An angiography system (Artis Zeego / Pheno - Siemens) was selected as a test object for the validation of a cleaning and disinfection protocol for medical devices in a hybrid operating room. In pilot study prior to the trial, critical points of the system were evaluated by means of questionnaires to clinical users (OTA, surgical technicians). An initial assessment of the in-house cleaning protocols used in the hospitals was done by using a fluorescence assay. The microbiological examination took place subsequently by contact plates and swabbing to determine the amount and type of germs on the surfaces of the system. These experiments were done at three different clinical sites. It was found that there was a significant germ count on several surfaces of the product even after in-house cleaning and disinfection (C&D). After application of an enhanced C&D plan, these germs could be greatly reduced at all verified sites. In addition, it could be shown that DIN EN ISO 17664 can in principle be applied to non-sterile medical products.

scholarly journals Disentangled Feature Learning Network for Vehicle Re-Identification

2020 ◽  
Author(s):  
Yan Bai ◽  
Yihang Lou ◽  
Yongxing Dai ◽  
Jun Liu ◽  
Ziqian Chen ◽  
...  
Keyword(s):  
State Of The Art ◽  
Feature Learning ◽  
Feature Representation ◽  
Public Security ◽  
The Public ◽  
Common Features ◽  
Learning Network ◽  
Single Feature ◽  
Art Performance

Vehicle Re-Identification (ReID) has attracted lots of research efforts due to its great significance to the public security. In vehicle ReID, we aim to learn features that are powerful in discriminating subtle differences between vehicles which are visually similar, and also robust against different orientations of the same vehicle. However, these two characteristics are hard to be encapsulated into a single feature representation simultaneously with unified supervision. Here we propose a Disentangled Feature Learning Network (DFLNet) to learn orientation specific and common features concurrently, which are discriminative at details and invariant to orientations, respectively. Moreover, to effectively use these two types of features for ReID, we further design a feature metric alignment scheme to ensure the consistency of the metric scales. The experiments show the effectiveness of our method that achieves state-of-the-art performance on three challenging datasets.

scholarly journals Experimental Measurements of Mechanical Properties of PUR Foam Used for Testing Medical Devices and Instruments Depending on Temperature, Density and Strain Rate

Materials ◽  
2020 ◽  
Vol 13 (20) ◽  
pp. 4560 ◽  
Author(s):  
Zdenek Horak ◽  
Karel Dvorak ◽  
Lucie Zarybnicka ◽  
Hana Vojackova ◽  
Jana Dvorakova ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Strain Rate ◽  
Mechanical Testing ◽  
Medical Devices ◽  
Optical Microscope ◽  
Surgical Instruments ◽  
Effect Of Temperature ◽  
Experimental Measurements ◽  
Compression Tests ◽  
Biomedical Material

Rigid polyurethane (PUR) foam is products used as a biomedical material for medical device testing. Thermal stability is a very important parameter for evaluating the feasibility of use for testing surgical instrument load during drilling. This work aimed to perform experimental measurements to determine the dependence of the mechanical properties of a certified PUR on temperature, strain rate and density. Experimental measurements were realised for three types of the PUR samples with different density 10, 25 and 40 pounds per cubic foot. The samples were characterised in terms of their mechanical properties evaluated from tensile and compression tests at temperatures of 25 °C, 90 °C and 155 °C. Furthermore, the structures of the samples were characterised using optical microscope, their thermal properties were characterised by thermogravimetric analysis, and their density and stiffness with the effect of temperature was monitored. The results show that it is optimal not only for mechanical testing but also for testing surgical instruments that generate heat during machining. On the basis of experimental measurements and evaluations of the obtained values, the tested materials are suitable for mechanical testing of medical devices. At the same time, this material is also suitable for testing surgical instruments that generate heat during machining.

scholarly journals Uniformity Attentive Learning-Based Siamese Network for Person Re-Identification

Sensors ◽  
2020 ◽  
Vol 20 (12) ◽  
pp. 3603
Author(s):  
Dasol Jeong ◽  
Hasil Park ◽  
Joongchol Shin ◽  
Donggoo Kang ◽  
Joonki Paik
Keyword(s):  
Large Scale ◽  
Body Shape ◽  
State Of The Art ◽  
The State ◽  
Whole Body ◽  
Distinctive Features ◽  
Common Features ◽  
Siamese Network ◽  
Art Methods ◽  
Triplet Loss

Person re-identification (Re-ID) has a problem that makes learning difficult such as misalignment and occlusion. To solve these problems, it is important to focus on robust features in intra-class variation. Existing attention-based Re-ID methods focus only on common features without considering distinctive features. In this paper, we present a novel attentive learning-based Siamese network for person Re-ID. Unlike existing methods, we designed an attention module and attention loss using the properties of the Siamese network to concentrate attention on common and distinctive features. The attention module consists of channel attention to select important channels and encoder-decoder attention to observe the whole body shape. We modified the triplet loss into an attention loss, called uniformity loss. The uniformity loss generates a unique attention map, which focuses on both common and discriminative features. Extensive experiments show that the proposed network compares favorably to the state-of-the-art methods on three large-scale benchmarks including Market-1501, CUHK03 and DukeMTMC-ReID datasets.

scholarly journals What Can Be Accomplished with the State of the Art in Information Extraction? A Personal View

2018 ◽  
Vol 44 (4) ◽  
pp. 651-658
Author(s):  
Ralph Weischedel ◽  
Elizabeth Boschee
Keyword(s):  
Information Extraction ◽  
State Of The Art ◽  
The State ◽  
Personal View ◽  
Common Features ◽  
Research Challenges ◽  
The Common

Though information extraction (IE) research has more than a 25-year history, F1 scores remain low. Thus, one could question continued investment in IE research. In this article, we present three applications where information extraction of entities, relations, and/or events has been used, and note the common features that seem to have led to success. We also identify key research challenges whose solution seems essential for broader successes. Because a few practical deployments already exist and because breakthroughs on particular challenges would greatly broaden the technology’s deployment, further R&D investments are justified.

scholarly journals Biomechanical behaviours of the bone–implant interface: a review

2019 ◽  
Vol 16 (156) ◽  
pp. 20190259 ◽  
Author(s):  
Xing Gao ◽  
Manon Fraulob ◽  
Guillaume Haïat
Keyword(s):  
Bone Tissue ◽  
Medical Devices ◽  
State Of The Art ◽  
Biomechanical Properties ◽  
Review Article ◽  
Implant Stability ◽  
Bone Implant ◽  
Current State ◽  
Mechanical Methods

In recent decades, cementless implants have been widely used in clinical practice to replace missing organs, to replace damaged or missing bone tissue or to restore joint functionality. However, there remain risks of failure which may have dramatic consequences. The success of an implant depends on its stability, which is determined by the biomechanical properties of the bone–implant interface (BII). The aim of this review article is to provide more insight on the current state of the art concerning the evolution of the biomechanical properties of the BII as a function of the implant's environment. The main characteristics of the BII and the determinants of implant stability are first introduced. Then, the different mechanical methods that have been employed to derive the macroscopic properties of the BII will be described. The experimental multi-modality approaches used to determine the microscopic biomechanical properties of periprosthetic newly formed bone tissue are also reviewed. Eventually, the influence of the implant's properties, in terms of both surface properties and biomaterials, is investigated. A better understanding of the phenomena occurring at the BII will lead to (i) medical devices that help surgeons to determine an implant's stability and (ii) an improvement in the quality of implants.

Delta Parallel Robot Based on Crank-Slider Mechanism

2017 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Zhe Qin ◽  
Xiao-Chu Liu ◽  
Zhuan Zhao
Keyword(s):  
Parallel Robot ◽  
Force Transmission ◽  
Practical Application ◽  
Cartesian Space ◽  
Output Torque ◽  
Performance Indexes ◽  
Pick And Place ◽  
Delta Robot ◽  
Three Degree Of Freedom ◽  
Pick And Place Operation

A three-degree-of-freedom Delta parallel manipulator driven by a crank-slider mechanism is proposed. In Cartesian space, a gate-shaped curve is taken as the path of the pick-and-place operation, combining with the inverse kinematics theory of the Delta robot, and a mathematical model of robot statia force transmission is established. The force and the output torque of the robot-driven joint are taken as the main performance indexes, and the value of the crank-slider mechanism applied to Delta robot is further measured. The simulation results show that the delta robot driven by the crank slider mechanism can reduce the force and output torque of the driving joint during the picking and discharging operation, and has good practical application value.

Treatment of elbow instability: state of the art

2020 ◽  
pp. jisakos-2019-000316
Author(s):  
Alessandro Marinelli ◽  
Benjamin R Graves ◽  
Gregory Ian Bain ◽  
Luigi Pederzini
Keyword(s):  
Soft Tissue ◽  
State Of The Art ◽  
Current Knowledge ◽  
Imaging Techniques ◽  
Surgical Techniques ◽  
Surgical Instruments ◽  
Future Research ◽  
Elbow Instability ◽  
Soft Tissue Healing ◽  
Tissue Healing

The elbow is a congruent joint with a high degree of inherent stability, provided by osseous and soft-tissue constraints; however, when substantial lesions of these stabilising structures happen, instability of the elbow occurs. Significant improvements in surgical elbow instability diagnosis and treatment have been recently introduced both for acute and chronic cases. Specific stress tests, recently introduced in the clinical practice, and different imaging techniques, both static and dynamic, allow assessment of the elbow stabilisers and detection of the instability direction and mechanism even in subtle forms. Many surgical techniques have been standardised and surgical instruments and devices, specifically dedicated to elbow instability treatment, have been developed. Specific rehabilitation protocols have been designed to protect the healing of the elbow stabilisers while minimising elbow stiffness. However, despite the progress, surgical treatments can be challenging even for expert surgeons and the rate of persistent instability, post-traumatic arthritis, stiffness and pain can be still high especially in most demanding cases. The biology of the soft-tissue healing remains one of the most important aspects for future investigation. If future research will help to understand, correct or modulate the biological response of soft-tissue healing, our confidence in elbow instability management and the reproducibility of our treatment will tremendously improve. In this paper, the state of the art of the current knowledge of elbow instability is presented, specifically focusing on modern surgical techniques used to solve instability, with repair or reconstruction of the damaged elbow stabilisers.

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