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instrument assisted manipulation

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https://www.readbyqxmd.com/read/29276462/chiropractic-care-in-the-management-of-inactive-ankylosing-spondylitis-a-case-series
#1
Stacey M Cornelson, David Beavers, Allison Harvey, William Hogarth, Norman W Kettner
Objective: This report describes chiropractic management for 3 cases of inactive ankylosing spondylitis (AS). Clinical Features: A 25-year-old woman presented with chronic, mechanical neck pain and stiffness that was ultimately diagnosed as AS. A 23-year-old man presented with chronic low back and left hip pain that was diagnosed as AS. A 31-year-old man with low back pain presented with a known diagnosis of AS. Physical examination in 2 cases failed to identify systemic findings associated with AS...
December 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29208822/b-hex-pupil-expander-pupil-expansion-redefined
#2
Suven Bhattacharjee
The B-HEX® Pupil Expander (Med Invent Devices) is a disposable 6.5 mm flexible hexagonal device with notches at corners and flanges at sides. Alternate flanges with positioning holes are tucked under the iris to engage the notches to the margin of the pupil to provide a 5.5 mm expanded pupil. Unlike devices with scrolls or pockets which require an injector to avoid snagging the incision, the preloaded B-HEX is inserted and removed through a 1 mm or larger incision using a manipulator or 23-gauge micro-forceps...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29199444/steering-sheath-for-2-nostril-transnasal-office-laryngoscopy
#3
Henry T Hoffman, Helen Stegall, Troy Wingler, Andrew Blitzer
OBJECTIVE: The aim was to study the feasibility of performing office-based laryngeal procedures employing a flexible hollow steerable sheath placed contralateral to the nostril through which a standard flexible video endoscope is placed. METHODS: The study design included simulation of transnasal endoscopic laryngeal procedures evaluating the use of a flexible steering sheath in laboratory and clinic settings. Transnasal laryngeal procedures were performed in an otolaryngology office setting employing an airway-management-trainer mannequin and then repeated in a human cadaver lab with standard transnasal flexible video laryngoscopy...
December 1, 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29170856/robot-assisted-flexible-ureteroscopy-an-update
#4
REVIEW
Jens Rassweiler, Marcel Fiedler, Nikos Charalampogiannis, Ahmet Sinan Kabakci, Remzi Saglam, Jan-Thorsten Klein
The role of flexible ureteroscopy (FURS) in the management of nephrolithiasis has increased due to the improved armamentarium. However, FURS still represents a challenging technique limiting its diffusion. Similar to previous experiences in laparoscopy, recently developed robotic devices may significantly compensate for the ergonomic deficiencies of FURS. Based on a short description of the history of robotic devices for laparoscopy, this article summarizes all current developments of robotic FURS. In 2008, robotic FURS was first reported using the Sensei-Magellan system designed for interventional cardiology...
November 23, 2017: Urolithiasis
https://www.readbyqxmd.com/read/29101775/outpatient-satisfaction-with-osteopathic-manipulative-treatment-in-a-hospital-center-a-survey
#5
Marco Tramontano, Alex Martino Cinnera, Marco Petracca, Angela Gaeta, Federica Tamburella, Maurice Audouard, Carlo Caltagirone
Context • Although osteopathy is not yet certified as a health profession in Italy, many people choose osteopathic manipulative treatment (OMT) for pain relief. Nevertheless, no study evaluating patients' degree of satisfaction after OMT and the perceived quality of the treatment has occurred in Italy. Objectives • The study intended to assess outpatients' satisfaction with OMT carried out at a hospital. Design • The research team conducted a survey from January 2015 to January 2016 using 3 questionnaires...
October 28, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29082127/autonomous-planning-and-control-of-soft-untethered-grippers-in-unstructured-environments
#6
Federico Ongaro, Stefano Scheggi, ChangKyu Yoon, Frank van den Brink, Seung Hyun Oh, David H Gracias, Sarthak Misra
The use of small, maneuverable, untethered and reconfigurable robots could provide numerous advantages in various micromanipulation tasks. Examples include microassembly, pick-and-place of fragile micro-objects for lab-on-a-chip applications, assisted hatching for in-vitro fertilization and minimally invasive surgery. This study assesses the potential of soft untethered magnetic grippers as alternatives or complements to conventional tethered or rigid micromanipulators. We demonstrate closed-loop control of untethered grippers and automated pick-and-place of biological material on porcine tissue in an unstructured environment...
2017: Journal of Micro-Bio Robotics
https://www.readbyqxmd.com/read/29078580/magnetic-anchoring-guidance-system-in-video-assisted-thoracic-surgery
#7
REVIEW
Agnese Giaccone, Piergiorgio Solli, Luca Bertolaccini
The magnetic anchoring guidance system (MAGS) is one of the most promising technological innovations in minimally invasive surgery and consists in two magnetic elements matched through the abdominal or thoracic wall. The internal magnet can be inserted into the abdominal or chest cavity through a small single incision and then moved into position by manipulating the external component. In addition to a video camera system, the inner magnetic platform can house remotely controlled surgical tools thus reducing instruments fencing, a serious inconvenience of the uniportal access...
2017: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/28885296/a-prospective-randomized-double-blind-placebo-controlled-clinical-trial-assessing-the-effects-of-applying-a-force-to-c5-by-a-mechanically-assisted-instrument-mai-on-referred-pain-to-the-shoulder
#8
George M Hardas, George Ac Murrell
STUDY DESIGN: Randomized, prospective, double blind, placebo controlled clinical trial. OBJECTIVE: To determine the effects of applying a force to C5 of the spine by a mechanically assisted instrument (MAI) in patients with referred shoulder pain. SUMMARY OF BACKGROUND DATA: Manipulating C5 of the spine is a chiropractic treatment for referred shoulder pain, there are no clinical trials evaluating its efficacy. Outcome measures were patient ranked questionnaires and independent examiner findings...
September 6, 2017: Spine
https://www.readbyqxmd.com/read/28854081/treatment-of-axillary-web-syndrome-using-instrument-assisted-soft-tissue-mobilization-and-thoracic-manipulation-for-associated-thoracic-rotation-dysfunction-a-case-report
#9
Patricia Crane, Jaclyn Ladden, Danielle Monica
PURPOSE: There is a paucity of research that investigates physical therapy management for patients with axillary web syndrome (AWS) and thoracic rotation dysfunction. The purpose of this case report is to describe the management of a patient with AWS and thoracic rotation dysfunction using an impairment-based approach that includes instrument assisted soft tissue mobilization (IASTM), thoracic manipulation, and stretching. CASE DESCRIPTION: The patient was a 48-year-old female with a past medical history of bilateral breast cancer with a bilateral latissimus dorsi flap reconstruction...
August 30, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28765067/development-and-validation-of-objective-performance-metrics-for-robot-assisted-radical-prostatectomy-a-pilot-study
#10
Andrew J Hung, Jian Chen, Anthony Jarc, David Hatcher, Hooman Djaladat, Inderbir S Gill
PURPOSE: We explore and validate objective surgeon performance metrics using a novel recorder ("dVLogger") to directly capture surgeon manipulations on the da Vinci® Surgical System. We present the initial construct and concurrent validation study of objective metrics during preselected steps of robot-assisted radical prostatectomy. MATERIALS AND METHODS: Kinematic and events data were recorded for expert (100 or more cases) and novice (less than 100 cases) surgeons performing bladder mobilization, seminal vesicle dissection, anterior vesicourethral anastomosis and right pelvic lymphadenectomy...
July 29, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28762253/intraocular-robotic-interventional-surgical-system-iriss-mechanical-design-evaluation-and-master-slave-manipulation
#11
Jason T Wilson, Matthew J Gerber, Stephen W Prince, Cheng-Wei Chen, Steven D Schwartz, Jean-Pierre Hubschman, Tsu-Chin Tsao
BACKGROUND: Since the advent of robotic-assisted surgery, the value of using robotic systems to assist in surgical procedures has been repeatedly demonstrated. However, existing technologies are unable to perform complete, multi-step procedures from start to finish. Many intraocular surgical steps continue to be manually performed. METHODS: An intraocular robotic interventional surgical system (IRISS) capable of performing various intraocular surgical procedures was designed, fabricated, and evaluated...
July 31, 2017: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/28680967/a-continuum-robot-and-control-interface-for-surgical-assist-in-fetoscopic-interventions
#12
George Dwyer, Francois Chadebecq, Marcel Tella Amo, Christos Bergeles, Efthymios Maneas, Vijay Pawar, Emanuel Vander Poorten, Jan Deprest, Sebastien Ourselin, Paolo De Coppi, Tom Vercauteren, Danail Stoyanov
Twin-twin transfusion syndrome requires interventional treatment using a fetoscopically introduced laser to sever the shared blood supply between the fetuses. This is a delicate procedure relying on small instrumentation with limited articulation to guide the laser tip and a narrow field of view to visualize all relevant vascular connections. In this letter, we report on a mechatronic design for a comanipulated instrument that combines concentric tube actuation to a larger manipulator constrained by a remote centre of motion...
March 8, 2017: IEEE Robotics and Automation Letters
https://www.readbyqxmd.com/read/28667546/assessment-of-robotic-console-skills-arcs-construct-validity-of-a-novel-global-rating-scale-for-technical-skills-in-robotically-assisted-surgery
#13
May Liu, Shreya Purohit, Joshua Mazanetz, Whitney Allen, Usha S Kreaden, Myriam Curet
BACKGROUND: Skill assessment during robotically assisted surgery remains challenging. While the popularity of the Global Evaluative Assessment of Robotics Skills (GEARS) has grown, its lack of discrimination between independent console skills limits its usefulness. The purpose of this study was to evaluate construct validity and interrater reliability of a novel assessment designed to overcome this limitation. METHODS: We created the Assessment of Robotic Console Skills (ARCS), a global rating scale with six console skill domains...
July 1, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28656622/a-population-level-atlas-of-mus-musculus-craniofacial-skeleton-and-automated-image-based-shape-analysis
#14
A Murat Maga, Nicholas J Tustison, Brian B Avants
Laboratory mice are staples for evo/devo and genetics studies. Inbred strains provide a uniform genetic background to manipulate and understand gene-environment interactions, while their crosses have been instrumental in studies of genetic architecture, integration and modularity, and mapping of complex biological traits. Recently, there have been multiple large-scale studies of laboratory mice to further our understanding of the developmental basis, evolution, and genetic control of shape variation in the craniofacial skeleton (i...
September 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/28623099/consensus-statement-on-definitions-and-nomenclature-for-robotic-thoracic-surgery
#15
Robert Cerfolio, Brian E Louie, Alexander S Farivar, Mark Onaitis, Bernard J Park
OBJECTIVES: Robotic thoracic operations are increasing, and new robotic systems are imminent. A definition of what constitutes a robotic thoracic operation and a nomenclature to detail the technique used is needed to accurately compare outcomes. METHODS: The American Association of Thoracic Surgeons Guideline Committee appointed an expert consensus writing committee to construct definitions and nomenclature for robotic thoracic surgery. A PubMed search was generated and after vetting and review of the literature a consensus statement was reached...
September 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28528932/robot-assisted-gynaecological-cancer-surgery-complications-and-prevention
#16
REVIEW
Ka Yu Tse, Hextan Yuen Sheung Ngan, Peter Christopher Lim
Ever since the US Food and Drug Administration approval of the use of da Vinci surgical systems (Intuitive Surgical Inc., Sunnyvale, California) in gynaecology in 2005, robot-assisted surgery has been widely adopted in different countries. Some of the applications in benign and oncological gynaecology include myomectomy, sacrocolpopexy, tubal anastomosis, simple hysterectomy, radical hysterectomy, radical trachelectomy, pelvic and/or para-aortic lymphadenectomy and even debulking surgery for ovarian cancer and pelvic exenteration for recurrent cervical and vaginal cancer...
April 23, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28471060/modeling-and-evaluation-of-hand-eye-coordination-of-surgical-robotic-system-on-task-performance
#17
Yuanqian Gao, Shuxin Wang, Jianmin Li, Aimin Li, Hongbin Liu, Yuan Xing
BACKGROUND: Robotic-assisted minimally invasive surgery changes the direct hand and eye coordination in traditional surgery to indirect instrument and camera coordination, which affects the ergonomics, operation performance, and safety. METHODS: A camera, two instruments, and a target, as the descriptors, are used to construct the workspace correspondence and geometrical relationships in a surgical operation. A parametric model with a set of parameters is proposed to describe the hand-eye coordination of the surgical robot...
May 4, 2017: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/28389702/cooperative-robot-assistant-for-vitreoretinal-microsurgery-development-of-the-rvrms-and-feasibility-studies-in-an-animal-model
#18
Yi-Qi Chen, Ji-Wei Tao, Ling-Ya Su, Liang Li, Shi-Xin Zhao, Yang Yang, Li-Jun Shen
PURPOSE: The purpose of the study was to describe the development of a robotic aided surgical system named RVRMS (robotic vitreous retinal microsurgery system) and to evaluate the capability for using it to perform vitreoretinal surgery. METHODS: The RVRMS was designed and built to include the key components of two independent arms. End-effectors of each arm fix various surgical instruments and perform intraocular manipulation. To evaluate properly the RVRMS, robot-assisted 23-gauge surgical tasks including endolaser for retinal photocoagulation, pars plana vitrectomy (PPV), retinal foreign body removal and retinal vascular cannulation were performed in two different sizes of an animal model...
June 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28277596/the-mccarus-volker-fornisee%C3%A2-a-novel-trans-illuminating-colpotomy-device-and-uterine-manipulator-for-use-in-conventional-and-robotic-assisted-laparoscopic-hysterectomy
#19
Melissa M Gutierrez, Jasmine D Pedroso, K Warren Volker, David L Howard, Steven D McCarus
PURPOSE: The purpose of this paper is to introduce a novel trans-illuminating culdotomy and uterine manipulator device. MATERIALS AND METHODS: The study was a prospective, non-randomized, non-blinded observational clinical study involving 50 female patients undergoing total laparoscopic hysterectomy (TLH) or laparoscopic supracervical hysterectomy (LSH) for benign indications. The surgeries were performed from March through May 2012 at two institutions. The primary study objectives were to demonstrate the safety and adequate clinical performance of the uterine manipulator device and to illustrate its potential widespread future use in minimally invasive gynecologic procedures...
March 9, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28251867/virtual-reality-assisted-microscopy-data-visualization-and-colocalization-analysis
#20
Rensu P Theart, Ben Loos, Thomas R Niesler
BACKGROUND: Confocal microscopes deliver detailed three-dimensional data and are instrumental in biological analysis and research. Usually, this three-dimensional data is rendered as a projection onto a two-dimensional display. We describe a system for rendering such data using a modern virtual reality (VR) headset. Sample manipulation is possible by fully-immersive hand-tracking and also by means of a conventional gamepad. We apply this system to the specific task of colocalization analysis, an important analysis tool in biological microscopy...
February 15, 2017: BMC Bioinformatics
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