Design of an interactive lumbar puncture simulator with tactile feedback

Boström, Magnus; Singh, Sharanjeet; Wiley, C.W.

doi:10.1109/vrais.1993.380768

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…Bostrum et al created a lumbar puncture simulator which was computer-based, utilizing high-resolution 3D graphics and a force-feedback device [62].…”

Section: Lumbar Puncture Simulatorsmentioning

confidence: 99%

A review of epidural simulators: Where are we today?

Vaughan

Dubey

Wee

et al. 2013

Medical Engineering & Physics

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Thirty-one central neural blockade simulators have been implemented into clinical practice over the last thirty years either commercially or for research. This review aims to provide a detailed evaluation of why we need epidural and spinal simulators in the first instance and then draws comparisons between computer-based and manikin-based simulators. This review covers thirtyone simulators in total; sixteen of which are solely epidural simulators, nine are for epidural plus spinal or lumbar puncture simulation, and six, which are solely lumbar puncture simulators. All hardware and software components of simulators are discussed, including actuators, sensors, graphics, haptics, and virtual reality based simulators. The purpose of this comparative review is to identify the direction for future epidural simulation by outlining necessary improvements to create the ideal epidural simulator. The weaknesses of existing simulators are discussed and their strengths identified so that these can be carried forward. This review aims to provide a foundation for the future creation of advanced simulators to enhance the training of epiduralists, enabling them to comprehensively practice epidural insertion in vitro before training on patients and ultimately reducing the potential risk of harm.

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“…Bostrum et al created a lumbar puncture simulator which was computer-based, utilizing high-resolution 3D graphics and a force-feedback device [62].…”

Section: Lumbar Puncture Simulatorsmentioning

confidence: 99%

A review of epidural simulators: Where are we today?

Vaughan

Dubey

Wee

et al. 2013

Medical Engineering & Physics

View full text Add to dashboard Cite

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“…9 Another prototype for haptic force feedback monitoring on a human mannequin torso using a hardware-and software-based haptic device and simulation methodology was demonstrated by Gorman et al 2 A few other epidural hardware-and softwarebased simulators for force feedback monitoring are also reported. 3,[17][18][19][20] These techniques employ bulky sensors and complex system application for force estimation on spinal needle insertion. However, the above-mentioned methodologies do not provide a practical hand-held solution for force monitoring during spinal needle insertion.…”

Section: Introductionmentioning

confidence: 99%

Spinal needle force monitoring during lumbar puncture using fiber Bragg grating force device

et al. 2016

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A technique for real-time dynamic monitoring of force experienced by a spinal needle during lumbar puncture using a fiber Bragg grating (FBG) sensor is presented. The proposed FBG force device (FBGFD) evaluates the compressive force on the spinal needle during lumbar puncture, particularly avoiding the bending effect on the needle. The working principle of the FBGFD is based on transduction of force experienced by the spinal needle into strain variations monitored by the FBG sensor. FBGFD facilitates external mounting of a spinal needle for its smooth insertion during lumbar puncture without any intervention. The developed FBGFD assists study and analysis of the force required for the spinal needle to penetrate various tissue layers from skin to the epidural space; this force is indicative of the varied resistance offered by different tissue layers for the spinal needle traversal. Calibration of FBGFD is performed on a micro-universal testing machine for 0 to 20 N range with an obtained resolution of 0.021 N. The experimental trials using spinal needles mounted on FBGFD are carried out on a human cadaver specimen with punctures made in the lumbar region from different directions. Distinct forces are recorded when the needle encounters skin, muscle tissue, and a bone in its traversing path. Real-time spinal needle force monitoring using FBGFD may reduce potentially serious complications during the lumbar puncture, such as overpuncturing of tissue regions, by impeding the spinal needle insertion at epidural space.

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“…Computer-based surgical planning and simulation [5][6][7][8][9][10][11][12][13][14][15][16][17][18] has demonstrated a number of benefits over the past 20 years. These include improved precision of surgery, improved surgical result, and decreased risk to the patient, among others [19][20][21].…”

Section: Introductionmentioning

confidence: 99%