Evidence map›Paper›PMID 33746503›Full record

ArticleIEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division2020

Mechatronic Design of a Two-Arm Concentric Tube Robot System for Rigid Neuroendoscopy.

Margaret F Rox, Dominick S Ropella, Richard J Hendrick, Evan Blum, Robert P Naftel, Hansen C Bow, S Duke Herrell, Kyle D Weaver, Lola B Chambless, Robert J Webster

Open access · greenAbstract read
In one paragraph

Article in IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Kinematic Modeling and Jacobian-based Control of the COAST Guidewire Robot.IEEE transactions on medical robotics and bionics · 2022
    Article
  7. Article
  8. Continuum Robots for Medical Interventions.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2022
    Article
  9. Article
  10. 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.

Margaret F RoxDepartment of Mechanical Engineering at Vanderbilt University, Nashville, TN 37235, USA.
Dominick S RopellaDepartment of Mechanical Engineering at Vanderbilt University, Nashville, TN 37235, USA.
Richard J HendrickDepartment of Mechanical Engineering at Vanderbilt University, Nashville, TN 37235, USA.
Evan BlumDepartment of Mechanical Engineering at Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Robert P NaftelDepartment of Neurosurgery at Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Hansen C BowDepartment of Neurosurgery at Vanderbilt University Medical Center, Nashville, TN 37235, USA.
S Duke HerrellDepartment of Urologic Surgery at Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Kyle D WeaverDepartment of Neurosurgery at Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Lola B ChamblessDepartment of Neurosurgery at Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Robert J WebsterDepartment of Mechanical Engineering at Vanderbilt University, Nashville, TN 37235, USA.
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

Training Program for Innovative Engineering Research in Surgery and InterventionT32EB021937 · NIBIB · VANDERBILT UNIVERSITY · PI Dario J Englot, Michael Ian Miga · 2016 to 2026
$2.3M
NIBIB NIH HHS T32 EB021937
6 · The paper itself

Abstract

Open surgical approaches are still often employed in neurosurgery, despite the availability of neuroendoscopic approaches that reduce invasiveness. The challenge of maneuvering instruments at the tip of the endoscope makes neuroendoscopy demanding for the physician. The only way to aim tools passed through endoscope ports is to tilt the entire endoscope; but, tilting compresses brain tissue through which the endoscope passes and can damage it. Concentric tube robots can provide necessary dexterity without endoscope tilting, while passing through existing ports in the endoscope and carrying surgical tools in their inner lumen. In this paper we describe the mechatronic design of a new concentric tube robot that can deploy two concentric tube manipulators through a standard neuroendoscope. The robot uses a compact differential drive and features embedded motor control electronics and redundant position sensors for safety. In addition to the mechatronic design of this system, this paper contributes experimental validation in the context of colloid cyst removal, comparing our new robotic system to standard manual endoscopy in a brain phantom. The robotic approach essentially eliminated endoscope tilt during the procedure (17.09° for the manual approach vs. 1.16° for the robotic system). The robotic system also enables a single surgeon to perform the procedure - typically in a manual approach one surgeon aims the endoscope and another operates the tools delivered through its ports.

Indexed as

concentric tube robotcontinuum robotminimally-invasive surgeryneuroendoscopyrobot-assisted surgery

Identifiers

PMID33746503
PMCPMC7971161
OpenAlexW3008679443

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.