Literature DB >> 9407227

Toward robot-assisted vascular microsurgery in the retina.

P S Jensen1, K W Grace, R Attariwala, J E Colgate, M R Glucksberg.   

Abstract

BACKGROUND: Experimental protocol in our laboratory routinely requires the precise placement of instruments at, or near, the retina. Although manipulators for placing an instrument within the eye presently exist, none of the designs were satisfactory due to limitations on size, accuracy and operability. To overcome these limitations, we have developed a novel six degree of freedom manipulator designed specifically for retinal microsurgery.
METHODS: The manipulator is parallel in structure and provides submicrometer positioning of an instrument within the constrained environment of the eye. The position of an instrument attached to the manipulator is commanded by the operator using a hand-held trackball. A computer controller interprets the trackball input and moves the manipulator in an intuitive manner according to mathematically constrained modes of operation.
RESULTS: Over 50 retinal vessels in the live, anesthetized cat have been successfully cannulated for pressure measurement and drug injection using the described manipulator and micropuncture techniques. The targeted vessels ranged in internal diameter from 20 to 130 microns.
CONCLUSION: This device has applications in microsurgery where tremor and fatigue limit the performance of an unaided hand and where mechanically constrained manipulators are inappropriate due to size and operative constraints.

Entities:  

Mesh:

Year:  1997        PMID: 9407227     DOI: 10.1007/bf01880668

Source DB:  PubMed          Journal:  Graefes Arch Clin Exp Ophthalmol        ISSN: 0721-832X            Impact factor:   3.117


  5 in total

1.  New ocular micromanipulator for measurements of retinal and vitreous physiologic parameters in the mammalian eye.

Authors:  C J Pournaras; R D Shonat; J L Munoz; B L Petrig
Journal:  Exp Eye Res       Date:  1991-12       Impact factor: 3.467

2.  In vivo cannulation of retinal vessels.

Authors:  B E Allf; E de Juan
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  1987       Impact factor: 3.117

3.  In vivo micropuncture of retinal vessels.

Authors:  M R Glucksberg; R Dunn; C P Giebs
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  1993-07       Impact factor: 3.117

4.  Direct measurement of retinal microvascular pressures in the live, anesthetized cat.

Authors:  M R Glucksberg; R Dunn
Journal:  Microvasc Res       Date:  1993-03       Impact factor: 3.514

5.  The influence of elevated intraocular pressure on vascular pressures in the cat retina.

Authors:  R Attariwala; C P Giebs; M R Glucksberg
Journal:  Invest Ophthalmol Vis Sci       Date:  1994-03       Impact factor: 4.799

  5 in total
  22 in total

1.  Robot-assisted retinal vein cannulation with force-based puncture detection: Micron vs. the steady-hand eye robot.

Authors:  Berk Gonenc; Nhat Tran; Peter Gehlbach; Russell H Taylor; Iulian Iordachita
Journal:  Conf Proc IEEE Eng Med Biol Soc       Date:  2016-08

2.  A parallel robot to assist vitreoretinal surgery.

Authors:  Taiga Nakano; Naohiko Sugita; Takashi Ueta; Yasuhiro Tamaki; Mamoru Mitsuishi
Journal:  Int J Comput Assist Radiol Surg       Date:  2009-06-17       Impact factor: 2.924

3.  3-DOF Force-Sensing Motorized Micro-Forceps for Robot-Assisted Vitreoretinal Surgery.

Authors:  Berk Gonenc; Alireza Chamani; James Handa; Peter Gehlbach; Russell H Taylor; Iulian Iordachita
Journal:  IEEE Sens J       Date:  2017-04-18       Impact factor: 3.301

4.  Manipulator Design and Operation for a Six-Degree-of-Freedom Handheld Tremor-Canceling Microsurgical Instrument.

Authors:  Sungwook Yang; Robert A MacLachlan; Cameron N Riviere
Journal:  IEEE ASME Trans Mechatron       Date:  2015-04       Impact factor: 5.303

5.  Performance of a 6-degree-of-freedom active microsurgical manipulator in handheld tasks.

Authors:  Sungwook Yang; Trent S Wells; Robert A Maclachlan; Cameron N Riviere
Journal:  Conf Proc IEEE Eng Med Biol Soc       Date:  2013

6.  Intraocular Snake Integrated with the Steady-Hand Eye Robot for Assisted Retinal Microsurgery.

Authors:  Jingzhou Song; Berk Gonenc; Jiangzhen Guo; Iulian Iordachita
Journal:  IEEE Int Conf Robot Autom       Date:  2017-07-24

7.  Telerobotic contact transscleral cyclophotocoagulation of the ciliary body with the diode laser.

Authors:  David A Belyea; Michael J Mines; Wen-Jeng Yao; Jacob A Dan; Kraig S Bower
Journal:  J Robot Surg       Date:  2013-07-26

8.  Towards Robot-Assisted Vitreoretinal Surgery: Force-Sensing Micro-Forceps Integrated with a Handheld Micromanipulator.

Authors:  Berk Gonenc; Ellen Feldman; Peter Gehlbach; James Handa; Russell H Taylor; Iulian Iordachita
Journal:  IEEE Int Conf Robot Autom       Date:  2014-05

9.  Micron: an Actively Stabilized Handheld Tool for Microsurgery.

Authors:  Robert A Maclachlan; Brian C Becker; Jaime Cuevas Tabarés; Gregg W Podnar; Louis A Lobes; Cameron N Riviere
Journal:  IEEE Trans Robot       Date:  2011-11-18       Impact factor: 5.567

10.  Evaluation of a Micro-Force Sensing Handheld Robot for Vitreoretinal Surgery.

Authors:  Berk Gonenc; Marcin A Balicki; James Handa; Peter Gehlbach; Cameron N Riviere; Russell H Taylor; Iulian Iordachita
Journal:  Rep U S       Date:  2012-12-20
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