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https://www.readbyqxmd.com/read/29161400/the-evolution-of-robotic-surgery-surgical-and-anaesthetic-aspects
#1
H Ashrafian, O Clancy, V Grover, A Darzi
Robotic surgery pushes the frontiers of innovation in healthcare technology towards improved clinical outcomes. We discuss the evolution to five generations of robotic surgical platforms including stereotactic, endoscopic, bioinspired, microbots on the millimetre scale, and the future development of autonomous systems. We examine the challenges, obstacles and limitations of robotic surgery and its future potential including integrated real-time anatomical and immune-histological imaging and data assimilation with improved visualisation, haptic feedback and robot-surgeon interactivity...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29160691/bioinspired-tribotronic-resistive-switching-memory-for-self-powered-memorizing-mechanical-stimuli
#2
Yihui Sun, Xin Zheng, Xiaoqin Yan, Qingliang Liao, Shuo Liu, Guangjie Zhang, Yong Li, Yue Zhang
Haptic memory, from the interaction of skin and brain, can not only perceive external stimuli but also memorize it after removing the external stimuli. For the mimicry of human sensory memory, a self-powered artificial tactile memorizing system were developed by coupling bionic electronic skin and nonvolatile RRAM. The tribotronic nanogenerator is utilized as electronic skin to transform the touching signal into electric pulse, which will be programmed into the artificial brain: RRAM. Owing to the advanced structural designs and accurately parameter matching, including the output voltages and the resistances in different resistive states, the artificial brain can be operated at self-powered mode to memorize the touch stimuli with the responsivity up to 2000%...
November 21, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29150384/the-effect-of-sensory-motor-training-on-hand-and-upper-extremity-sensory-and-motor-function-in-patients-with-idiopathic-parkinson-disease
#3
Ghorban Taghizadeh, Akram Azad, Sepiede Kashefi, Soheila Fallah, Fatemeh Daneshjoo
STUDY DESIGN: Blinded randomized controlled trial. INTRODUCTION: Patients with Parkinson disease (PD) have sensory problems, but there is still no accurate understanding of the effects of sensory-motor interventions on PD. PURPOSE OF THE STUDY: To investigate the effects of sensory-motor training (SMT) on hand and upper extremity sensory and motor function in patients with PD. METHODS: Forty patients with PD were allocated to the SMT group or the control group (CG) (mean ages ± standard deviation: SMT, 61...
November 14, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29142253/protruding-organic-surfaces-triggered-by-in-plane-electric-fields
#4
Danqing Liu, Nicholas B Tito, Dirk J Broer
Coatings with a dynamic surface topography are of interest for applications in haptics, soft robotics, cell growth in biology, hydro- and air dynamics and tribology. Here we propose a design for creating oscillating surface topographies in thin liquid crystal polymer network coatings under an electric field. By applying an alternating electric field, the coating surface deforms, and pre-designed local corrugations appear. The continuous AC electric field further initiates oscillations superimposed on the formed topographies...
November 15, 2017: Nature Communications
https://www.readbyqxmd.com/read/29140605/highly-transparent-and-integrable-surface-texture-change-device-for-localized-tactile-feedback
#5
Ankit, Naveen Tiwari, Mayank Rajput, Nguyen Anh Chien, Nripan Mathews
Human-machine haptic interaction is typically detected by variations in friction, roughness, hardness, and temperature, which combines to create sensation of surface texture change. Most of the current technologies work to simulate changes in tactile perception (via electrostatic, lateral force fields, vibration motors, etc.) without creating actual topographical transformations. This makes it challenging to provide localized feedback. Here, a new concept for on-demand surface texture augmentation that is capable of physically forming local topographic features in any predesigned pattern is demonstrated...
November 15, 2017: Small
https://www.readbyqxmd.com/read/29137128/tactile-evaluation-feedback-system-for-multi-layered-structure-inspired-by-human-tactile-perception-mechanism
#6
Iza Husna Mohamad Hashim, Shogo Kumamoto, Kenjiro Takemura, Takashi Maeno, Shin Okuda, Yukio Mori
Tactile sensation is one type of valuable feedback in evaluating a product. Conventionally, sensory evaluation is used to get direct subjective responses from the consumers, in order to improve the product's quality. However, this method is a time-consuming and costly process. Therefore, this paper proposes a novel tactile evaluation system that can give tactile feedback from a sensor's output. The main concept of this system is hierarchically layering the tactile sensation, which is inspired by the flow of human perception...
November 11, 2017: Sensors
https://www.readbyqxmd.com/read/29130067/gaussian-process-regression-for-sensorless-grip-force-estimation-of-cable-driven-elongated-surgical-instruments
#7
Yangming Li, Blake Hannaford
Haptic feedback is a critical but a clinically missing component in robotic Minimally Invasive Surgeries. This paper proposes a Gaussian Process Regression(GPR) based scheme to address the gripping force estimation problem for clinically commonly used elongated cable-driven surgical instruments. Based on the cable-driven mechanism property studies and surgical robotic system properties, four different Gaussian Process Regression filters were designed and analyzed, including: one GPR filter with 2-dimensional inputs, one GPR filter with 3-dimensional inputs, one GPR Unscented Kalman Filter (UKF) with 2-dimensional inputs, and one GPR UKF with 3-dimensional inputs...
July 2017: IEEE Robotics and Automation Letters
https://www.readbyqxmd.com/read/29123361/personalized-learning-in-medical-education-designing-a-user-interface-for-a-dynamic-haptic-robotic-trainer-for-central-venous-catheterization
#8
Mary Yovanoff, David Pepley, Katelin Mirkin, Jason Moore, David Han, Scarlett Miller
While Virtual Reality (VR) has emerged as a viable method for training new medical residents, it has not yet reached all areas of training. One area lacking such development is surgical residency programs where there are large learning curves associated with skill development. In order to address this gap, a Dynamic Haptic Robotic Trainer (DHRT) was developed to help train surgical residents in the placement of ultrasound guided Internal Jugular Central Venous Catheters and to incorporate personalized learning...
September 2017: Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting
https://www.readbyqxmd.com/read/29118504/bilateral-early-capsular-block-syndrome-following-implantation-of-the-new-trifocal-toric-lens
#9
Ashbala Khattak
A young patient underwent phacoemulsification with endocapsular implantation of trifocal toric lens in both eyes (AT LISA tri toric 939 MP, Carl-Zeiss, Germany). One-week postsurgery, he developed capsular block syndrome (CBS) in both eyes. There was deterioration of uncorrected visual acuity at 1-week postsurgery, with a myopic shift of 2.5 diopters (D) in the right eye and 2.0 D in the left eye. The intraocular pressure was only elevated in the left eye. Neodymium: yttrium-aluminum-garnet laser posterior capsulotomy resolved the block successfully in both eyes...
September 2017: Oman Journal of Ophthalmology
https://www.readbyqxmd.com/read/29109981/variable-damping-force-tunnel-for-gait-training-using-alex-iii
#10
Paul Stegall, Damiano Zanotto, Sunil K Agrawal
Haptic feedback affects not only the quality of training but can also influence the physical design of robotic gait trainers by determining how much force needs to be applied to the user and the nature of the force. This paper presents the design of a variable damping force tunnel and explores the effect of the shape and strength of the damping field using ALEX III, a treadmill-based exoskeleton developed at Columbia University. The study consists of 32 healthy subjects who were trained for 40 minutes in the device...
July 2017: IEEE Robotics and Automation Letters
https://www.readbyqxmd.com/read/29105367/early-experience-with-a-patient-specific-virtual-surgical-simulation-for-rehearsal-of-endoscopic-skull-base-surgery
#11
Tae-Bin Won, Peter Hwang, Jae Hyun Lim, Sung-Woo Cho, Sun Ha Paek, Steven Losorelli, Yona Vaisbuch, Sonny Chan, Kenneth Salisbury, Nikolas H Blevins
BACKGROUND: With the help of contemporary computer technology it is possible to create a virtual surgical environment (VSE) for training. This article describes a patient-specific virtual rhinologic surgical simulation platform that supports rehearsal of endoscopic skull-base surgery. We also share our early experience with select cases. METHODS: A rhinologic VSE was developed, featuring a highly efficient direct 3-dimensional (3D) volume renderer with simultaneous stereoscopic feedback during surgical manipulation of the virtual anatomy, as well as high-fidelity haptic feedback...
November 3, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29104957/scleral-fixated-intraocular-lenses-past-and-present
#12
Maxwell S Stem, Bozho Todorich, Maria A Woodward, Jason Hsu, Jeremy D Wolfe
Intraocular lenses (IOLs) can have inadequate support for placement in the capsular bag as a result of ocular trauma, metabolic or inherited conditions such as Marfan's syndrome or pseudoexfoliation, or complicated cataract surgery. Surgical options for patients with inadequate capsular support include alternative placement in the anterior chamber (ACIOLs), fixation to the iris, or fixation to the sclera. The surgical techniques for each of these approaches have improved considerably over the last several decades resulting in improved visual and ocular outcomes...
March 2017: J Vitreoretin Dis
https://www.readbyqxmd.com/read/29104335/how-what-we-see-and-what-we-know-influence-iconic-gesture-production
#13
Ingrid Masson-Carro, Martijn Goudbeek, Emiel Krahmer
In face-to-face communication, speakers typically integrate information acquired through different sources, including what they see and what they know, into their communicative messages. In this study, we asked how these different input sources influence the frequency and type of iconic gestures produced by speakers during a communication task, under two degrees of task complexity. Specifically, we investigated whether speakers gestured differently when they had to describe an object presented to them as an image or as a written word (input modality) and, additionally, when they were allowed to explicitly name the object or not (task complexity)...
2017: Journal of Nonverbal Behavior
https://www.readbyqxmd.com/read/29102839/haptic-two-dimensional-shape-identification-in-children-adolescents-and-young-adults
#14
Krista E Overvliet, Ralf Th Krampe
We investigated the influence of image mediation (the process that translates tactile information into a visual image) on the development of haptic two-dimensional (2D) shape identification in 78 participants from five different age groups: preschoolers (4-5 years), first graders (6-7 years), fifth graders (10-11 years), young adolescents (12-13 years), and young adults (18-28 years). Participants attempted to haptically recognize everyday objects (three-dimensional [3D] haptic condition) and tangible line drawings (2D haptic condition) and to recognize objects presented through a serial visual "peek hole" version of the haptic line drawing task (2D visual condition)...
February 2018: Journal of Experimental Child Psychology
https://www.readbyqxmd.com/read/29100659/the-sander-parallelogram-illusion-dissociates-action-and-perception-despite-control-for-the-litany-of-past-confounds
#15
Robert L Whitwell, Melvyn A Goodale, Kate E Merritt, James T Enns
The two visual systems hypothesis proposes that human vision is supported by a occipito-temporal network for the conscious visual perception of the world, and a fronto-parietal network for visually-guided, object-directed actions. Two specific claims about the fronto-parietal network's role in sensorimotor control have generated much data and controversy: (1) the network relies primarily on the absolute metrics of target objects, which it rapidly transforms into effector-specific frames of reference to guide the fingers, hands, and limbs, and (2) the network is largely unaffected by scene-based information extracted by the occipito-temporal network for those same targets...
October 5, 2017: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/29079992/vcsim3-a-vr-simulator-for-cardiovascular-interventions
#16
Przemyslaw Korzeniowski, Ruth J White, Fernando Bello
PURPOSE: Effective and safe performance of cardiovascular interventions requires excellent catheter/guidewire manipulation skills. These skills are currently mainly gained through an apprenticeship on real patients, which may not be safe or cost-effective. Computer simulation offers an alternative for core skills training. However, replicating the physical behaviour of real instruments navigated through blood vessels is a challenging task. METHODS: We have developed VCSim3-a virtual reality simulator for cardiovascular interventions...
October 27, 2017: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29075017/assessment-of-a-novel-pinhole-supplementary-implant-for-sulcus-fixation-in-pseudophakic-cadaver-eyes
#17
K T Tsaousis, L Werner, C L C Trindade, J Guan, J Li, N Reiter
PurposeTo evaluate a novel small-aperture supplementary implant that applies the principle of pinholes for management of irregular astigmatism, in postmortem human eyes.MethodsPseudophakic human cadaver eyes were imaged by anterior segment optical coherence tomography (AS-OCT) to assess position of the in-the-bag intraocular lens (IOL). Eyes were prepared as per the Miyake-Apple technique. Two versions of the supplementary implant (open-loop and tripod designs) were then inserted into the sulcus of each eye...
October 27, 2017: Eye
https://www.readbyqxmd.com/read/29072504/design-of-a-new-haptic-device-and-experiments-in-minimally-invasive-surgical-robot
#18
Tao Wang, Bo Pan, Yili Fu, Shuguo Wang, Yue Ai
In this paper, we designed a 8 degrees of freedom (DOFs) haptic device for applications in minimally invasive surgical robot. The device can provide three translational, three rotational and a grasping motion and force feedback capability. It is composed of three parts, including an arm mechanism, a redundant wrist mechanism and a grasper mechanism. The kinematics and gravity compensation algorithms are also detailed in the paper. In addition, the haptic device and a slave surgical robot for minimally invasive surgery (MIS) developed by our lab are integrated as a master-slave surgical robotic system in this paper...
October 26, 2017: Computer Assisted Surgery (Abingdon, England)
https://www.readbyqxmd.com/read/29067717/haptic-augmented-skin-surface-generation-toward-telepalpation-from-a-mobile-skin-image
#19
K Kim
BACKGROUND/PURPOSE: Very little is known about the methods of integrating palpation techniques to existing mobile teleskin imaging that delivers low quality tactile information (roughness) for telepalpation. However, no study has been reported yet regarding telehaptic palpation using mobile phone images for teledermatology or teleconsultations of skincare. METHODS: This study is therefore aimed at introducing a new algorithm accurately reconstructing a haptic augmented skin surface for telehaptic palpation using a low-cost clip-on microscope simply attached to a mobile phone...
October 25, 2017: Skin Research and Technology
https://www.readbyqxmd.com/read/29067533/double-flanged-haptic-and-capsular-tension-ring-or-segment-for-sutureless-fixation-in-zonular-instability
#20
Sergio Canabrava, Leticia Bernardino, Thais Batisteli, Gabriella Lopes, Alberto Diniz-Filho
PURPOSE: This paper introduces a surgical technique for the sutureless management of zonular dialysis greater than 120┬░ using a capsular tension segment (CTS) or a modified capsular tension ring (m-CTR; CTR with suturing eyelets) and a haptic removed from a 3-piece polypropylene IOL. METHODS: A CTR is used as normal. Cataract removal is followed by connection of the CTS or m-CTR to the single haptic and created using heat to make a flange in one haptic's extremity...
October 24, 2017: International Ophthalmology
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