In many medical applications a well-directed positioning of a cannula in body tissue is mandatory. Especially the accurate placing of the cannula tip in the tissue is important for efficient drug delivery or for accessing blood vessels and nerves. This paper presents a new approach for a universal cannula navigation system based on tissue classification on the cannula tip by impedance spectroscopy. The cannula serves as coaxial, open ended waveguide which is connected to remote measurement equipment. Objective of the new system is to reach a high spatial and temporal resolution for dynamic cannula guidance. Therefore the proposed coaxial cannula design has been analyzed by Finite Element Simulation to investigate the sensitivity of the cannula tip. For fast tissue impedance spectrum measurement the Time-Domain-Reflectometry method is used in order to achieve a high temporal resolution. Measurement data derived in the laboratory is analyzed and interpreted using the general Cole-Cole model for tissue. Based on the results we propose to use a chirp signal for impedance measurement in order to improve the sensitivity of the system towards specific tissue properties.
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http://dx.doi.org/10.1109/IEMBS.2010.5627107 | DOI Listing |
In percutaneous pelvic trauma surgery, accurate placement of Kirschner wires (K-wires) is crucial to ensure effective fracture fixation and avoid complications due to breaching the cortical bone along an unsuitable trajectory. Surgical navigation via mixed reality (MR) can help achieve precise wire placement in a low-profile form factor. Current approaches in this domain are as yet unsuitable for real-world deployment because they fall short of guaranteeing accurate visual feedback due to uncontrolled bending of the wire.
View Article and Find Full Text PDFMedicine (Baltimore)
November 2024
Department of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, China.
Int J Speech Lang Pathol
November 2024
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Purpose: Navigating the feeding journey of medically complex infants on long-term high flow nasal cannula support can be challenging for caregivers, especially given inconsistencies in clinical practice for oral feeding on high flow nasal cannula support. The aim of this study was to explore the perspectives of caregivers who have experienced this journey, to inform best practice care.
Method: This study used a generic qualitative inquiry approach.
Med Sci Monit
August 2024
Department of Spinal Surgery, Affiliated 4th Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
BACKGROUND The proper installation for pedicle screws by the traditional method of surgeons dependent on experience is not guaranteed, and educational solutions have progressed from chalkboards to electronic teaching platforms. We designed a case of 3-dimensional printing drill guide template as a surgical application, which can accurately navigate implantation of pedicle screws, and assessed its effect for simulative training. MATERIAL AND METHODS We randomly selected a set of computed tomography data for spondylolisthesis.
View Article and Find Full Text PDFHeliyon
July 2024
University of Iowa, Carver College of Medicine, Department of Anesthesia, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Introduction: The AngioVac system is a novel, minimally invasive, endovascular technique used to evacuate intravascular or intracardiac vegetation or thrombus. Although most AngioVac procedures are currently performed by interventionalists, this innovative procedure has been gaining attention among the surgical and anesthesia communities.
Methods: We retrospectively reviewed all patients who underwent the AngioVac procedure performed by a cardiac surgeon between August 2019 and December 2022.
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