Image Guided In Vivo Tooling Platform for Minimal Access Surgery

用于微创手术的图像引导体内工具平台

• 批准号: 7478030
• 负责人: Nabil Simaan
• 金额: $ 36.29万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7478030
• 关键词: Abdomen; Abdominal Cavity; Adrenal Gland Adenoma; Algorithms; Animals; Body cavities; Caliber; Cauterization - action; Chest; Class; Colon Carcinoma; Colonic Neoplasms; Computer information processing; Computer software; Computers; Condition; Data; Data Sources; Development; Device or Instrument Development; Devices; Dissection; Distal; Diverticulitis; Energy-Generating Resources; Excision; Exploratory/Developmental Grant for Diagnostic Cancer Imaging; Freedom; Functional Imaging; Funding; Gastroesophageal reflux disease; Grant; Hemolytic Anemia; Hiatal Hernia; Hybrids; Image; Imaging Device; Inflammatory Bowel Diseases; Information Systems; Intervention; Invasive; Joints; Joystick; Label; Laparoscopes; Laparoscopic Surgical Procedures; Laparoscopy; Learning; Lesion; Lighting; Miniaturization; Morbidity - disease rate; Movement; Operative Surgical Procedures; Organ; Outcome; Patients; Persons; Phase; Positioning Attribute; Primitive foregut structure; Procedures; Process; Purpose; Range; Reproducibility; Robot; Robotics; Safety; Sensory; Site; Slave; Snakes; Solid; Source; Spleen; Stream; Surgeon; Surgical Instruments; Surgical incisions; System; Tail of pancreas; Techniques; Technology; Thoracoscopes; Thoracoscopy; Time; Tissues; Torque; Ultrasonics; Ultrasonography; Validation; Vision; Work; body cavity; cost; design; design and construction; improved; in vivo; instrument; instrumentation; new technology; patient safety; pressure; prototype; sensor; size; software development; technology/technique; tool; tumor; visual feedback

DESCRIPTION (provided by applicant): This application focuses on the development of a newly conceived insertable robotic effector platform and the integration of that platform with a recently developed insertable, remotely controlled camera system to be used for minimal access surgery. The project will involve the actual design and construction of the platform for tools and the integration of the imaging platform (insertable camera system) with the tools into a fully functional image guided system for minimal access surgery. This may also include the additions of various sensors on the tools, so that the resultant data stream from both the imaging platform and the tools can be processed by the integrating information system to control the intervention. The overall aim is to develop a disruptive technology that includes an insertable image source, a wide range of surgical tools, and a computer to integrate the function of all components. This system should provide the following benefits. Increased patient safety Increased surgical precision with less surrounding tissue damage Procedures of shorter duration Increased reproducibility from one procedure to the next; fewer errors Decreased cost per procedure Increased availability of minimal access procedures to patients because it would be easier for surgeons to learn and because it would allow for intervention at a distance The development of our proposed new insertable imaging and effector platform for minimal access surgery has the potential to increase the availability of minimal access surgery to improve patient outcomes. This would result in a significant reduction in the morbidity and cost of surgical treatment. This includes not only the morbidity and cost of the actual surgical procedure, but also the enormous morbidity and cost of delayed consequences due to traditional open surgery.

描述（由申请人提供）：本申请集中于新构思的可插入机器人效应器平台的开发以及该平台与最近开发的可插入远程控制摄像机系统的集成，以用于微创手术。该项目将涉及工具平台的实际设计和建造，以及将成像平台（可插入摄像机系统）与工具集成为全功能图像引导系统，用于微创手术。这还可能包括在工具上添加各种传感器，以便集成信息系统可以处理来自成像平台和工具的结果数据流，以控制干预。总体目标是开发一种颠覆性技术，包括可插入的图像源，广泛的手术工具和计算机，以集成所有组件的功能。该系统应具有以下益处。 提高患者安全性提高手术精度，减少周围组织损伤缩短手术持续时间提高从一个手术到下一个手术的可重复性;更少的错误降低了每次手术的成本增加了最小进入手术对患者的可用性，因为它更容易让外科医生学习，并且因为它允许在远处进行干预我们提出的新的可插入成像和效应器的开发微创手术平台有可能增加微创手术的可用性，以改善患者结局。这将导致手术治疗的发病率和成本显著降低。这不仅包括实际外科手术的发病率和成本，还包括传统开放手术造成的延迟后果的巨大发病率和成本。