2000
DOI: 10.1109/4233.826856
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Schemes for the identification of tissue types and boundaries at the tool point for surgical needles

Abstract: Precise control of automated invasive surgical tools requires real-time identification of tissue types and their deformation. At the focus of this paper is the epidural puncture, for which it is shown that the tissue type and deformation can respectively be determined from laser-based spectroscopy and the change in force required to push the needle through the various tissues. Studies have shown that physiological variations from one patient to another are too great to allow absolute values to be reliably used… Show more

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Cited by 55 publications
(40 citation statements)
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“…In addition, since the diameter of commercial needles is non-linear in gauge representation and the wall thickness of needles is different for product companies, the results in the reports cannot be compared quantitatively. Brett [5] measured the axial component of the needle force to detect the epidural puncture. However, he didn't investigate the transverse force, which has a strong effect on the needle deflection.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, since the diameter of commercial needles is non-linear in gauge representation and the wall thickness of needles is different for product companies, the results in the reports cannot be compared quantitatively. Brett [5] measured the axial component of the needle force to detect the epidural puncture. However, he didn't investigate the transverse force, which has a strong effect on the needle deflection.…”
Section: Introductionmentioning
confidence: 99%
“…Some of them monitor the insertion with a force sensor instead of imaging [3,4]. Force sensing has no spatial information, though it has advantages over imaging in the view of its ability to sense the dynamic and local properties of tissue [9] and its great cost effectiveness.…”
Section: Introductionmentioning
confidence: 99%
“…In the operation of invasive surgical tools, tissue information at the needle tip is critical in order to control the movement of the needle [2]. Since tissue properties can be represented approximately by a spring-damping mechanical model [3], tissue can be identified by measurement of its equivalent mechanical impedance, which is defined as the ratio of the responded force to the displacement exerted on tissue.…”
Section: Introductionmentioning
confidence: 99%