Stereotaxis Niobe® magnetic navigation system for endocardial catheter ablation and gastrointestinal capsule endoscopy

Stereotaxis Niobe® magnetic navigation system for endocardial catheter ablation and gastrointestinal capsule endoscopy
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DOI:
10.1586/erd.09.32
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发表时间:
2009-09-01
影响因子:
3.1
通讯作者:
Pappone, Carlo
Pappone, Carlo
中科院分区:
工程技术3区
文献类型:
--
作者:
Carpi, Federico;Pappone, Carlo

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如今,能够在介入或诊断程序期间辅助医务人员的机器人仪器的使用正在迅速增长。最近,机器人系统(Niobe,Stereotaxis Inc.,USA)已经被开发用于通过控制磁场在人体内导航磁使能工具。本文报道了这项技术的基本原理,并回顾了它在两个特定的医学领域,心脏病学和胃肠病学,它的用途是不同的,并在不同的发展阶段的应用。在第一种情况下,该系统已经被批准并用于临床治疗,例如用于房颤消融的内导管的磁性转向,这在本文中特别考虑。在第二种情况下,目前正在进行初步调查,以研究用于消化道内窥镜探查的可摄取视频胶囊的潜在磁性可操作性。本文回顾了目前的成就,并强调了未来的挑战,这些应用程序。
The use of robotic instruments capable of assisting medical staff during interventional or diagnostic procedures is growing rapidly today. Recently, a robotic system (Niobe (R), Stereotaxis Inc., USA) has been developed for navigating magnetically enabled tools inside the human body by controlling a magnetic field. This paper reports the fundamentals of this technology and reviews its application in two specific medical fields, cardiology and gastroenterology, in which its uses are different and are at dissimilar stages of development. In the first case, the system is already approved and employed for clinical treatments, such as magnetic steering of endocardial catheters for atrial fibrillation ablation, which is specifically considered in this article. In the second case, initial investigations are being performed today to study the potential magnetic maneuverability of ingestible video capsules adopted for endoscopic explorations of the digestive tract. This paper reviews current achievements and highlights future challenges related to each of these applications.