Advanced search
Publication Cover
Journal of Medical Engineering & Technology Volume 45, 2021 - Issue 1
Submit an article Journal homepage
308
Views
5
CrossRef citations to date
0
Altmetric
Research Article

Design, prototype development and pre-clinical validation of a novel instrument with a compliant steerable tip to facilitate endoscopic ear surgery

Arushri Swarupa Institute of Biomedical Engineering, University of Toronto, Toronto, Canada;b Centre for Image-Guided Innovation & Therapeutic Intervention (CIGITI), The Hospital for Sick Children, Toronto, Canada;c Department of Otolaryngology – Head and Neck Surgery, Hospital for Sick Children, Toronto, CanadaCorrespondence[email protected]
View further author information
,
Kyle W. Eastwoodd Faculty of Medicine, University of Toronto, Toronto, CanadaView further author information
,
Peter FrancisView further author information
,
Nichtima Chayaopase Khon Kaen Ear, Hearing and Balance Research Group, Department of Otorhinolaryngology, Khon Kaen University, Khon Kaen, Thailand;f Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandView further author information
,
Lueder A. Kahrsb Centre for Image-Guided Innovation & Therapeutic Intervention (CIGITI), The Hospital for Sick Children, Toronto, Canada;g Department of Computer Science, University of Toronto, Toronto, CanadaView further author information
,
Colin G. Leonardc Department of Otolaryngology – Head and Neck Surgery, Hospital for Sick Children, Toronto, CanadaView further author information
,
James Drakea Institute of Biomedical Engineering, University of Toronto, Toronto, Canada;b Centre for Image-Guided Innovation & Therapeutic Intervention (CIGITI), The Hospital for Sick Children, Toronto, CanadaView further author information
&
Adrian Jamesb Centre for Image-Guided Innovation & Therapeutic Intervention (CIGITI), The Hospital for Sick Children, Toronto, Canada;c Department of Otolaryngology – Head and Neck Surgery, Hospital for Sick Children, Toronto, CanadaView further author information
 show all
Pages 22-34 | Received 15 Aug 2020, Accepted 07 Oct 2020, Published online: 16 Nov 2020

References

  • Thomassin JM, Emram B, Rud C, et al. Endoscopic ear surgery. Initial evaluation. Ann Otolaryngol Chir Cervicofac. 1990;107(8):564–570.
  • Badr-el-Dine M. Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol. 2002;23(5):631–635.
  • Tarabichi M. Endoscopic management of acquired cholesteatoma. Am J Otol. 1997;18(5):544–549.
  • Badr-el-Dine M, James AL, Panetti G, et al. Instrumentation and technologies in endoscopic ear surgery. Otolaryngol Clin. 2013;46(2):211–225.
  • Yong M, Mijovic T, Lea J. Endoscopic ear surgery in Canada: a cross-sectional study. J Otolaryngol – Head Neck Surg. 2016;45:1–8.
  • Swarup A, Le Nobel GJ, Andrysek J, et al. The current limitations and future direction of instrument design for totally endoscopic ear surgery. Otol Neurotol. 2018;39(6):778–784.
  • Bennett ML, Zhang D, Labadie RF, et al. Comparison of middle ear visualization with endoscopy and microscopy. Otol Neurotol. 2016;37(4):362–366.
  • McFarland D. The Oxford companion to animal behaviour. Oxford: Oxford University Press; 1981.
  • Ito T, Kubota T, Watanabe T, et al. Transcanal endoscopic ear surgery for pediatric population with a narrow external auditory canal. Int J Pediatr Otorhinolaryngol. 2015;79(12):2265–2269.
  • Eastwood KW, Francis P, Azimian H, et al. Design of a contact-aided compliant notched-tube joint for surgical manipulation in confined workspaces. J Mech Robot. 2017;10:1–12.
  • York PA, Swaney PJ, Gilbert HB, et al. A wrist for needle-sized surgical robots. IEEE Int Conf Robot Autom. 2015;2015:1776–1781.
  • Fischer H, Vogel B, Pfleging W, et al. Flexible distal tip made of nitinol (NiTi) for a steerable endoscopic camera system. Mater Sci Eng A. 1999;273–275:780–783.
  • Francis P, Eastwood KW, Bodani V, et al. Design, modelling and teleoperation of a 2 mm diameter compliant instrument for the da vinci platform. Ann Biomed Eng. 2018;46(10):1437–1449.
  • Dewaele F, Kalmar AF, De Ryck F, et al. A novel design for steerable instruments based on laser-cut nitinol. Surg Innov. 2014;21(3):303–311.
  • Fichera L, Dillon NP, Zhang D, et al. Through the eustachian tube and beyond: a new miniature robotic endoscope to see into the middle ear. IEEE Robot Autom Lett. 2017;2(3):1488–1494.
  • Eastwood KW, Azimian H, Carrillo B, et al. Kinetostatic design of asymmetric notch joints for surgical robots. IEEE Int Conf Intell Robot Syst. 2016;2015:2381–2387.
  • Eastwood KW, Swarup A, Francis P, et al. A steerable neuroendoscopic instrument using compliant contact-aided joints and monolithic articulation. J Med Device. 2020;14:1–15.
  • Chayaopas N, Swarup A, Eastwood KW, et al. A novel instrument for endoscopic ear surgery with a steerable flexible tip: a pediatric anatomical validation study. Otol Neurotol. 2020.
  • Yasin R, O’Connell BP, Yu H, et al. Steerable robot-assisted micromanipulation in the middle ear: preliminary feasibility evaluation. Otol Neurotol. 2017;38(2):290–295.
  • Dahroug B, Tamadazte B, Weber S, et al. Review on otological robotic systems: toward microrobot-assisted cholesteatoma surgery. IEEE Rev Biomed Eng. 2018;11:125–142.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.