Evidence map›Paper›PMID 29202035›Full record

ArticleIEEE robotics and automation letters2017

Through the Eustachian Tube and Beyond: A New Miniature Robotic Endoscope to See Into The Middle Ear.

Loris Fichera, Neal P Dillon, Dongqing Zhang, Isuru S Godage, Michael A Siebold, Bryan I Hartley, Jack H Noble, Paul T Russell, Robert F Labadie, Robert J Webster

Open access · greenAbstract read
In one paragraph

Article in IEEE robotics and automation letters, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
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

11 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. MR-Tracked Deflectable Stylet for Gynecologic Brachytherapy.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2022
    Article
  5. Article
  6. Article
  7. Computational Optimization of Notch Spacing for a Transnasal Ear Endoscopy Continuum Robot.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2020
    Article
  8. Review
  9. Toward an automatic preoperative pipeline for image-guided temporal bone surgery.International journal of computer assisted radiology and surgery · 2019
    Article
  10. Planning nonlinear access paths for temporal bone surgery.International journal of computer assisted radiology and surgery · 2018
    Article
  11. Article
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

10 authors at 2 institutions in 1 country.

Loris FicheraDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235 USA.
Neal P DillonDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235 USA.
Dongqing ZhangDepartment of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN 37235 USA.
Isuru S GodageDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235 USA.
Michael A SieboldDepartment of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN 37235 USA.
Bryan I HartleyDepartment of Radiology, Vanderbilt University Medical Center, Nashville, TN 37232 USA.
Jack H NobleDepartment of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN 37235 USA.
Paul T RussellDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232 USA.
Robert F LabadieDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232 USA.
Robert J WebsterDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235 USA.
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

Research Supplements to Promote Diversity in Health-Related ResearchR01DC008408 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LABADIE, ROBERT F · 2007 to 2022
$7.6M
Safe, Rapid Access to the Internal Auditory Canal for Acoustic NeuromaR01DC012593 · NIDCD · VANDERBILT UNIVERSITY · PI WEBSTER, ROBERT JAMES · 2013 to 2016
$1.5M
NIDCD NIH HHS R01 DC008408NIDCD NIH HHS R01 DC012593
6 · The paper itself

Abstract

This paper presents a novel miniature robotic endoscope that is small enough to pass through the Eustachian tube and provide visualization of the middle ear (ME). The device features a miniature bending tip previously conceived of as a small-scale robotic wrist that has been adapted to carry and aim a small chip-tip camera and fiber optic light sources. The motivation for trans-Eustachian tube ME inspection is to provide a natural-orifice-based route to the ME that does not require cutting or lifting the eardrum, as is currently required. In this paper, we first perform an analysis of the ME anatomy and use a computational design optimization platform to derive the kinematic requirements for endoscopic inspection of the ME through the Eustachian tube. Based on these requirements, we fabricate the proposed device and use it to demonstrate the feasibility of ME inspection in an anthropomorphic model, i.e. a 3D-printed ME phantom generated from patient image data. We show that our prototype provides > 74% visibility coverage of the sinus tympani, a region of the ME crucial for diagnosis, compared to an average of only 6.9% using a straight, non-articulated endoscope through the Eustachian Tube.

Indexed as

Medical Robots and SystemsSteerable Catheters/NeedlesSurgical Robotics

Identifiers

PMID29202035
PMCPMC5708577
OpenAlexW2588775902

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.