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）：本申请重点开发新构思的可插入机器人效应器平台，以及该平台与最近开发的可插入远程控制摄像头系统的集成，用于微创手术。该项目将涉及工具平台的实际设计和构建，以及将成像平台（可插入摄像系统）与工具集成到用于微创手术的全功能图像引导系统中。这还可能包括在工具上添加各种传感器，以便来自成像平台和工具的结果数据流可以由集成信息系统处理以控制干预。总体目标是开发一种颠覆性技术，包括可插入图像源、各种手术工具以及集成所有组件功能的计算机。该系统应提供以下好处。 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 降低每次手术的成本 增加患者使用微创手术的可能性，因为外科医生更容易学习，并且可以进行远距离干预 我们提出的用于微创手术的新型可插入成像和效应器平台的开发具有增加微创手术的可用性以改善患者预后的潜力。这将导致手术治疗的发病率和费用显着降低。这不仅包括实际手术的发病率和费用，还包括传统开放手术造成的延迟后果的巨大发病率和费用。