Evidence map›Paper›PMID 23028266›Full record

ArticleIEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society2012

Micron: an Actively Stabilized Handheld Tool for Microsurgery.

Robert A Maclachlan, Brian C Becker, Jaime Cuevas Tabarés, Gregg W Podnar, Louis A Lobes, Cameron N Riviere

Abstract read
In one paragraph

Article in IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Overcoming the impact of physiologic tremors in ophthalmology.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Pooled it
  3. Adaptative damping assistance in bimanual laparoscopic surgery.International journal of computer assisted radiology and surgery · 2023
    Trial
  4. Article
  5. Review
  6. Robotising vitreoretinal surgeries.Eye (London, England) · 2025
    Review
  7. Evaluation of (Shared) Autonomy in Robot-Assisted Vitreoretinal Surgery Using a Surgical Model.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Force-based Control for Safe Robot-assisted Retinal Interventions:IEEE transactions on medical robotics and bionics · 2022
    Article
  13. Robotic Assistance for Intraocular Microsurgery: Challenges and Perspectives.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2022
    Article
  14. Article
  15. Delta Robot Kinematic Calibration for Precise Robot-Assisted Retinal Surgery.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2022
    Article
  16. Article
  17. Article
  18. Investigation of Micro-motion Kinematics of Continuum Robots for Volumetric OCT and OCT-guided Visual Servoing.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2021
    Article
  19. Automated Retinal Vein Cannulation on Silicone Phantoms Using Optical-Coherence-Tomography-Guided Robotic Manipulations.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2021
    Article
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Robert A MaclachlanRobotics Institute, Carnegie Mellon University, Pittsburgh, PA 15213 USA.
Brian C Becker
Jaime Cuevas Tabarés
Gregg W Podnar
Louis A Lobes
Cameron N Riviere

Funding

A Microsurgical Assistant SystemR01EB007969 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI TAYLOR, RUSSELL H · 2008 to 2012
$5.7M
An Active Handheld MicromanipulatorR01EB000526 · NIBIB · CARNEGIE-MELLON UNIVERSITY · PI RIVIERE, CAMERON N · 2003 to 2017
$2.6M
Image Guidance for Active Handheld Microsurgical ToolsR21EY016359 · NEI · CARNEGIE-MELLON UNIVERSITY · PI RIVIERE, CAMERON N · 2006 to 2007
$399k
NEI NIH HHS R21 EY016359NIBIB NIH HHS R01 EB000526NIBIB NIH HHS R01 EB007969
6 · The paper itself

Abstract

We describe the design and performance of a hand-held actively stabilized tool to increase accuracy in micro-surgery or other precision manipulation. It removes involuntary motion such as tremor by actuating the tip to counteract the effect of the undesired handle motion. The key components are a three-degree-of-freedom piezoelectric manipulator that has 400 μm range of motion, 1 N force capability, and bandwidth over 100 Hz, and an optical position measurement subsystem that acquires the tool pose with 4 μm resolution at 2000 samples/s. A control system using these components attenuates hand motion by at least 15 dB (a fivefold reduction). By considering the effect of the frequency response of Micron on the human visual feedback loop, we have developed a filter that reduces unintentional motion, yet preserves intuitive eye-hand coordination. We evaluated the effectiveness of Micron by measuring the accuracy of the human/machine system in three simple manipulation tasks. Handheld testing by three eye surgeons and three non-surgeons showed a reduction in position error of between 32% and 52%, depending on the error metric.

Identifiers

PMID23028266
PMCPMC3459596

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.