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: 7304885
• 负责人: DENNIS LEE FOWLER
• 金额: $ 36.86万
• 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/7304885
• 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）：此申请的重点是开发新构想的可插入机器人效应器平台，并将该平台与最近开发的可插入，远程控制的相机系统集成，以用于最小的接入手术。该项目将涉及工具平台的实际设计和构建，并将成像平台（可插入相机系统）与工具集成到功能齐全的图像指导系统中，以进行最小的访问手术。这也可能包括在工具上添加各种传感器，因此集成信息系统可以处理来自成像平台和工具的最终数据流以控制干预。总体目的是开发一种破坏性技术，其中包括可插入的图像源，多种外科手术工具以及一台计算机以整合所有组件的功能。该系统应提供以下好处。 提高患者安全性提高了手术精度，而周围的组织损伤持续时间较小，从一个程序到另一种程序的重现性提高了；每次手术成本降低的错误较少，增加了对患者的最低访问程序的可用性，因为外科医生更容易学习，并且因为它可以在一定程度上进行干预，因此我们提出的新的可插入成像平台的开发以及最小的访问手术的效果平台的开发有可能提高最小程度的访问手术的可用性，从而提高患者的效果。这将大大降低手术治疗的发病率和成本。这不仅包括实际手术程序的发病率和成本，还包括由于传统的开放手术而导致的延迟后果的巨大发病率和成本。