Evidence map›Paper›PMID 31946571›Full record

ArticleAnnual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference2019

Dual-Stiffness Force-Sensing Cannulation Tool for Retinal Microsurgery.

Changyan He, Emily Yang, Iulian Iordachita

Open access · greenAbstract read
In one paragraph

Article in Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Cooperative vs. Teleoperation Control of the Steady Hand Eye Robot with Adaptive Sclera Force Control: A Comparative Study.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation · 2024
    Article
  4. Article
  5. An Optimized Tilt Mechanism for a New Steady-Hand Eye Robot.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2020
    Article
  6. Scleral Force Evaluation During Vitreoretinal Surgery: in an In Vivo Rabbit Eye Model.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
    Article
  7. Towards Bimanual Vein Cannulation: Preliminary Study of a Bimanual Robotic System With a Dual Force Constraint Controller.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation
    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

3 authors at 2 institutions in 2 countries.

Changyan He
Emily Yang
Iulian Iordachita
Johns Hopkins University · USBeihang University · CN

Funding

Enabling Technology for Safe Robot-assisted Surgical MicromanipulationR01EB023943 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI GEHLBACH, PETER LOUIS, IORDACHITA, IULIAN IOAN · 2017 to 2024
$2.3M
NIBIB NIH HHS R01 EB023943
6 · The paper itself

Abstract

Retinal vein cannulation is a promising treatment for retinal vein occlusion that involves the injection of an anticoagulant directly into the occluded vein to dissolve the blockage. However, excessive forces applied by the injection tool during the procedure, at either the scleral incision or injection site, can result in injury to the eye. Furthermore, the force required to puncture retinal veins (around 10 mN) is well below human sensing ability and an order of magnitude smaller than those that can be safely applied at the sclera (around 100 mN). Detection and management of tool-to-tissue forces on these different scales are some of the most challenging aspects of the cannulation procedure. This work describes the development of a sensorized cannulation tool capable of detecting both tool-to-vein puncture forces and tool-to-sclera contact forces. By combining two materials, nitinol alloy for the tool tip and stainless steel for the tool shaft, to achieve dual stiffness, the tool possesses a flexible tip to capture small vein puncture forces and a stiffer shaft to maintain straightness during use. Three segments of fiber Bragg grating sensors are calibrated to measure the transverse forces at both the tool tip and sclerotomy, as well as to determine the tool insertion depth within the eye. The results of the validation experiments show that the root mean square error of the measurements for the force at the tip, the force at the sclerotomy, and the tool position are 0.70 mN, 1.59 mN, and 0.69 mm, respectively.

Indexed as

Retinal VeinRetinal Vein OcclusionCatheterizationHumansMicrosurgeryRetina

Identifiers

PMID31946571
PMCPMC7260694
OpenAlexW2979882355

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.