Title
Development of the needle insertion robot for percutaneous vertebroplasty.
Abstract
Percutaneous Vertebroplasty (PVP) is an effective and less invasive medical treatment for vertebral osteoporotic compression fractures. However, this operative procedure is quite difficult because an arcus vertebra, which is narrow, is needled with accuracy, and an operator's hand is exposed to X-ray continuously. We have developed a needle insertion robot for Percutaneous Vertebroplasty. Its experimental evaluation on the basic performance of the system and needle insertion accuracy are presented. A needle insertion robot is developed for PVP. This robot can puncture with accuracy and an operator does not need to be exposed to X-ray. The mechanism of the robot is compact in size (350 mm x D 400 mm x H270 mm, weight: 15 kg) so that the robot system can be inserted in the space between C-arm and the patient on the operating table. The robot system is controlled by the surgical navigation system where the appropriate needle trajectory is planned based on pre-operative three-dimensional CT images. The needle holding part of the robot is X-ray lucent so that the needle insertion process can be monitored by fluoroscopy. The position of the needle during insertion process can be continuously monitored. In vitro evaluation of the system showed that average position and orientation errors were less than 1.0 mm and 1.0 degree respectively. Experimental results showed that the safety mechanism called mechanical fuse released the needle holding disk properly when excessive force was applied to the needle. These experimental results demonstrated that the developed system has the satisfactory basic performance as needle insertion robot for PVP.
Year
DOI
Venue
2005
10.1007/11566489_14
MICCAI (2)
Keywords
Field
DocType
percutaneous vertebroplasty,needle insertion robot,developed system,needle insertion process,appropriate needle trajectory,needle insertion accuracy,surgical navigation system,robot system,insertion process,three dimensional
Biomedical engineering,Robotic systems,Computer vision,Compression (physics),Computer science,Fluoroscopy,Operating table,Medical treatment,Artificial intelligence,Percutaneous vertebroplasty,Radiology,Robot
Conference
Volume
Issue
ISSN
8
Pt 2
0302-9743
ISBN
Citations 
PageRank 
3-540-29326-4
0
0.34
References 
Authors
6
9
Name
Order
Citations
PageRank
S. Onogi100.68
K Morimoto200.34
I Sakuma3568.48
Y Nakajima400.34
T Koyama5537.01
N. Sugano6326.11
Y Tamura7122.21
S Yonenobu800.34
Y Momoi960.99