Localization of drilling tool position through bone tissue identification during surgical drilling

Rossini, Marco; Valentini, Simona; Portaccio, Iacopo; Campolo, Domenico; Fasano, Antonio; Accoto, Dino

doi:10.1016/j.mechatronics.2020.102342

Cited by 5 publications

(7 citation statements)

References 20 publications

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“…In this section, some representative plots demonstrating the evolution of temperature, force and torque during bone drilling, bone histology and variation of the cell loss for two levels of drill-bit roughness are provided (Figs. 4,5,6,7,8,9). A detailed statistical analysis of the cell damage caused by combination of drilling parameters is also presented.…”

Section: Resultsmentioning

confidence: 99%

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Effect of drill quality on biological damage in bone drilling

Alam

Qamar

Iqbal³

et al. 2023

Sci Rep

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Bone drilling is a universal procedure in orthopaedics for fracture fixation, installing implants, or reconstructive surgery. Surgical drills are subjected to wear caused by their repeated use, thermal fatigue, irrigation with saline solution, and sterilization process. Wear of the cutting edges of a drill bit (worn drill) is detrimental for bone tissues and can seriously affect its performance. The aim of this study is to move closer to minimally invasive surgical procedures in bones by investigating the effect of wear of surgical drill bits on their performance. The surface quality of the drill was found to influence the bone temperature, the axial force, the torque and the extent of biological damage around the drilling region. Worn drill produced heat above the threshold level related to thermal necrosis at a depth equal to the wall thickness of an adult human bone. Statistical analysis showed that a sharp drill bit, in combination with a medium drilling speed and drilling at shallow depth, was favourable for safe drilling in bone. This study also suggests the further research on establishing a relationship between surface integrity of a surgical drill bit and irreversible damage that it can induce in delicate tissues of bone using different drill sizes as well as drilling parameters and conditions.

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Section: Resultsmentioning

confidence: 99%

“…High magnitudes of drilling force and torque as well as a temperature rise above a normal physiological levels are the inevitable outcomes of drilling in bone [1][2][3][4][5][6][7][8][9][10] . One of the main reasons for overheating of bone during the drilling process is low thermal conductivity of bone tissue.…”

mentioning

confidence: 99%

Effect of drill quality on biological damage in bone drilling

Alam

Qamar

Iqbal³

et al. 2023

Sci Rep

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“…Five different surgical actions or procedures were involved in the studies that discussed force or torque sensing: drilling state identification, milling state identification, intraoperative bone quality assessment, breakthrough detection during pedicle drilling and the prediction of milling depth (see Table 1). Seven studies measured the axial thrust force during drilling [21][22][23][24][25][26][27] while one study measured the torque during pedicle hole drilling [18]. One study measured the thrust force during pilot hole drilling in a vertebral tissue for tissue discrimination and then inserted a screwable dental implant while measuring the implantation torque to estimate the implant fixation [28].…”

Section: Related Surgical Actionmentioning

confidence: 99%

“…The sensor is located between the drill and the robot arm for robotic spine surgery and between the drill bit bearing and the housing for handheld surgical drills. Three studies explicitly mentioned the use of strain gauges to measure the axial thrust force [21,26,28] during drilling. Hessinger et al instrumented a self-designed deformation object with strain gauges.…”

Section: Related Surgical Actionmentioning

confidence: 99%

“…The data recorded by these sensors were often used to perform thresholding on the thrust force amplitude in order to differentiate between drilling in cancellous or cortical bone. Thresholding was applied in [18,[21][22][23][24][25][26][27][28]31] where, for example, Tian et al formulated a force threshold that corresponds with drilling into the second cortical layer. The drilling process was halted immediately when the threshold was reached.…”

Section: Related Surgical Actionmentioning

confidence: 99%

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State-of-the-Art of Non-Radiative, Non-Visual Spine Sensing with a Focus on Sensing Forces, Vibrations and Bioelectrical Properties: A Systematic Review

Timmermans,

Massalimova,

et al. 2023

Sensors

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In the research field of robotic spine surgery, there is a big upcoming momentum for surgeon-like autonomous behaviour and surgical accuracy in robotics which goes beyond the standard engineering notions such as geometric precision. The objective of this review is to present an overview of the state of the art in non-visual, non-radiative spine sensing for the enhancement of surgical techniques in robotic automation. It provides a vantage point that facilitates experimentation and guides new research projects to what has not been investigated or integrated in surgical robotics. Studies were identified, selected and processed according to the PRISMA guidelines. Relevant study characteristics that were searched for include the sensor type and measured feature, the surgical action, the tested sample, the method for data analysis and the system’s accuracy of state identification. The 6DOF f/t sensor, the microphone and the electromyography probe were the most commonly used sensors in each category, respectively. The performance of the electromyography probe is unsatisfactory in terms of preventing nerve damage as it can only signal after the nerve is disturbed. Feature thresholding and artificial neural networks were the most common decision algorithms for state identification. The fusion of different sensor data in the decision algorithm improved the accuracy of state identification.

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