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Remotely Actuated Needle Driving Device for MRI-Guided Percutaneous Interventions.

Di Wu1,2, Gang Li1, Niravkumar Patel1

  • 1Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, MD 21218, USA.

... International Symposium on Medical Robotics. International Symposium on Medical Robotics
|September 1, 2020
PubMed
Summary

This study presents a novel MRI-compatible needle driver for precise lower back pain injections. The remotely actuated device enhances safety and accuracy during MRI-guided procedures.

Keywords:
MRI-guided interventionbeaded chain transmissionneedle driving devicepain managementremote actuation

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Area of Science:

  • Medical Devices
  • Interventional Radiology
  • Magnetic Resonance Imaging (MRI)

Background:

  • MRI-guided interventions require specialized tools for precise needle placement.
  • Minimizing artifacts and patient-side hardware is crucial for effective MRI procedures.
  • Existing devices may have limitations in remote actuation and MRI compatibility.

Purpose of the Study:

  • To introduce a remotely actuated, MRI-compatible needle driving device for lower back pain injections.
  • To enable precise needle manipulation within a closed-bore MRI scanner.
  • To reduce the weight and imaging noise associated with the needle driver.

Main Methods:

  • Development of a 2 degrees of freedom (DOF) needle driver and a remote actuation box.
  • Utilizing a beaded chain transmission for remote control within the MRI scanner.
  • Incorporating a mode switch for manual and motorized operation and a mechanical hard stop for safety.

Main Results:

  • The device allows for remote needle manipulation by an interventional radiologist.
  • The design minimizes patient-side hardware weight and potential imaging noise.
  • Bench-top accuracy evaluation in a phantom study showed a mean needle placement error of less than 1 mm.

Conclusions:

  • The novel remotely actuated MRI-compatible needle driving device offers a safe and accurate solution for lower back pain injections.
  • This technology has the potential to improve MRI-guided interventional procedures.
  • The design addresses key challenges in MRI compatibility and remote operation.