Literature Review on Endoscopic Robotic Systems in Ear and Sinus Surgery

Michel, Guillaume; Salunkhe, Durgesh Haribhau; Bordure, Philippe; Chablat, Damien

doi:10.1115/1.4052516

Cited by 4 publications

(4 citation statements)

References 35 publications

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“…A solution offered to the surgeon to solve this problem is a mechanism to handle the endoscope to facilitate two-handed surgery. Endoscope holders are now commercialised for ear surgery (Robotol) or sinus surgery (Endofix Exo) [ 7 ].…”

Section: Endoscope Holders and General Anaesthesiamentioning

confidence: 99%

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A New Robotic Endoscope Holder for Ear and Sinus Surgery with an Integrated Safety Device

Michel

Bordure

Chablat

2022

Sensors

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In the field of sinus and ear surgery, and more generally in microsurgery, the surgeon is faced with several challenges. The operations are traditionally carried out under binocular loupes, which allows for the surgeon to use both hands for a microinstrument and an aspiration tool. More recently, the development of endoscopic otological surgery allowed for seeing areas that are difficult to access. However, the need to handle the endoscope reduces the surgeon’s ability to use only one instrument at a time. Thus, despite anaesthesia, patient motions during surgery can be very risky and are not that rare. Because the insertion zone in the middle ear or in the sinus cavity is very small, the mobility of the endoscope is limited to a rotation around a virtual point and a translation for the insertion of the camera. A mechanism with remote center motion (RCM) is a good candidate to achieve this movement and allow for the surgeon to access the ear or sinus. Since only the translational motion along the main insertion axis is enabled, the ejection motion along the same axis is safe for the patient. A specific mechanism allows for inserting and ejecting the endoscope. In a sense, the position is controlled, and the velocity is limited. In the opposite sense, the energy stored in the spring allows for very quick ejection if the patient moves. A prototype robot is presented using these new concepts. Commercially available components are used to enable initial tests to be carried out on synthetic bones to validate the mobility of the robot and its safety functions.

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Section: Endoscope Holders and General Anaesthesiamentioning

confidence: 99%

“…Numerous projects from research laboratories and companies have created robots to assist the surgeon during operations. However, there is no robot that can perform operations in the ears and sinuses, and the same surgeon performs these operations [ 7 ].…”

Section: Analysis Of the Need For The Mobility Of An Endoscope Holdermentioning

confidence: 99%

A New Robotic Endoscope Holder for Ear and Sinus Surgery with an Integrated Safety Device

Michel

Bordure

Chablat

2022

Sensors

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“…The research mainly includes rigid robot‐assisted surgery, handheld flexible robots, and CRs. Previous review papers focus on rigid robot‐assisted ESS 21,22 or briefly introduce the application of flexible robots in ESS 23 …”

Section: Introductionmentioning

confidence: 99%

“…The research mainly includes rigid robot-assisted surgery, handheld flexible robots, and CRs. Previous review papers focus on rigid robot-assisted ESS 21,22 or briefly introduce the application of flexible robots in ESS. 23 In this paper, according to the anatomy of paranasal sinuses, the requirements of surgical instruments are analyzed.…”

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confidence: 99%

Continuum robots for endoscopic sinus surgery: Recent advances, challenges, and prospects

Cao

Shi

Hong

et al. 2022

Robotics Computer Surgery

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Purpose Endoscopic sinus surgery (ESS) has been recognized as an effective treatment modality for paranasal sinus diseases. Over the past decade, continuum robots (CRs) for ESS have been studied, but there are still some challenges. This paper presents a review on the scientific studies of CRs for ESS. Methods Based on the analysis of the anatomical structure of the paranasal sinus, the requirements of CRs for ESS are discussed. Recent studies on rigid robots, handheld flexible robots, and CRs for ESS are presented. Surgical path planning, navigation, and control are also included. Results Concentric tube CRs and cable‐driven CRs have great potential for applications in ESS. The CRs incorporated with multiple replaceable arms with different functions are preferable in ESS. Conclusion Further study on navigation and control is required to improve the performance of CRs for ESS.

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Advances of surgical robotics: image-guided classification and application

Li,

Zhang,

Zhao

et al. 2024

National Science Review

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Surgical robotics application in the field of minimally invasive surgery has developed rapidly and has been attracting increasingly more research attention in recent years. A common consensus has been reached that surgical procedures are to become less traumatic and with the implementation of more intelligence and higher autonomy, which is a serious challenge faced by the environmental sensing capabilities of robotic systems. One of the main sources of environmental information for robots are images, which are the basis of robot vision. In this review article, we have divided clinical image into direct and indirect based on the object of information acquisition, and into continuous, intermittent continuous and discontinuous according to the target-tracking frequency. The characteristics and applications of the existing surgical robots in each category are introduced based on these two dimensions. Our purpose of conducting this review was to analyze, summarize, and discuss the current evidence on the general rules on the application of the image technologies for medical purpose. Our analysis insights and provides guidance conducive to the development of more advanced surgical robotics systems in the future.

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Literature Review on Endoscopic Robotic Systems in Ear and Sinus Surgery

Cited by 4 publications

References 35 publications

A New Robotic Endoscope Holder for Ear and Sinus Surgery with an Integrated Safety Device

A New Robotic Endoscope Holder for Ear and Sinus Surgery with an Integrated Safety Device

Continuum robots for endoscopic sinus surgery: Recent advances, challenges, and prospects

Advances of surgical robotics: image-guided classification and application

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