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[Evaluation of force data with a force/torque sensor during FESS. A step towards robot-assisted surgery]
K W G Eichhorn1, K Tingelhoff, I Wagner
1Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde/Chirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn. klaus.eichhorn@ukb.uni-bonn.de
HNO
|January 23, 2008
Summary
Autonomous robot assistance for functional endoscopic sinus surgery (FESS) requires understanding forces on the endoscope. Forces up to 7 N are sufficient for guidance, with higher forces needed for frontal and maxillary sinuses.
Area of Science:
- Otolaryngology
- Robotics in Surgery
- Surgical Navigation
Background:
- Functional endoscopic sinus surgery (FESS) can be improved with autonomous robot assistance.
- Robot assistance frees surgeons' hands for suctioning and manipulation during FESS.
Purpose of the Study:
- To quantify forces acting on the endoscope during FESS.
- To determine force thresholds for effective endoscopic guidance in FESS.
Main Methods:
- Force/torque sensors measured six degrees of freedom forces on the endoscope.
- Measurements were taken in five cadaver heads and 20 FESS procedures.
- Continuous force monitoring was performed during dissection and surgery.
Main Results:
- Mean forces on the endoscope were 3.2 N.
- Peak forces reached up to 25.2 N, with 95% of forces below 7 N.
- In vivo and ex vivo data showed only slight differences.
Conclusions:
- Forces up to 7 N are adequate for endoscopic guidance in FESS.
- Sensor-based robot guidance can optimize peak forces during FESS.
- Frontal and maxillary sinus surgery requires higher forces than ethmoid sinus surgery.
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