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Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices

Stieger, C. ; Caversaccio, M. ; Arnold, A. ; Zheng, G. ; Salzmann, J. ; Widmer, D. ; Gerber, N. ; Thurner, M. ; Nauer, C. ; Mussard, Y. ; Kompis, M. ; Nolte, L P. ; Häusler, R. ; Weber, S.

In: The Journal of Laryngology & Otology, 2011, vol. 125, no. 3, p. 262-270

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    Titel
    • Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices
    Autor
    • Stieger, C.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    • Caversaccio, M.. University Department of ENT, Head and Neck Surgery, Inselspital Bern, Switzerland
    • Arnold, A.. University Department of ENT, Head and Neck Surgery, Inselspital Bern, Switzerland
    • Zheng, G.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    • Salzmann, J.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    • Widmer, D.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    • Gerber, N.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    • Thurner, M.. Microrobotics Laboratory, University of Applied Science, Biel, Switzerland
    • Nauer, C.. Institute for Diagnostic and Interventional Neuroradiology, Inselspital, University of Bern, Switzerland
    • Mussard, Y.. Microrobotics Laboratory, University of Applied Science, Biel, Switzerland
    • Kompis, M.. University Department of ENT, Head and Neck Surgery, Inselspital Bern, Switzerland
    • Nolte, L P.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    • Häusler, R.. University Department of ENT, Head and Neck Surgery, Inselspital Bern, Switzerland
    • Weber, S.. ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • The Journal of Laryngology & Otology, 2011, vol. 125, no. 3, p. 262-270. Cambridge University Press
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:295252
    Summary
    Abstract Objective: To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive (‘keyhole') transmastoid access to the tympanic cavity. Materials and methods: The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen. Results: The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis. Conclusion: Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices