Evidence map›Paper›PMID 38862746›Full record

ArticleInternational journal of computer assisted radiology and surgery2024

A robot-assisted tracheal intubation system based on a soft actuator?

Jiayuan Liu, Longfei Ma, Chengquan Hu, Jingyi Kang, Boyu Zhang, Ruiyang Li, Hongen Liao

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Article in International journal of computer assisted radiology and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

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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

7 authors.

Jiayuan Liu *School of Biomedical Engineering, Tsinghua University, Beijing, 100084, China.
Longfei Ma *School of Biomedical Engineering, Tsinghua University, Beijing, 100084, China.
Chengquan HuSchool of Biomedical Engineering, Tsinghua University, Beijing, 100084, China.
Jingyi KangSchool of Biomedical Engineering, Tsinghua University, Beijing, 100084, China.
Boyu ZhangSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Ruiyang LiSchool of Biomedical Engineering, Tsinghua University, Beijing, 100084, China.
Hongen LiaoSchool of Biomedical Engineering, Tsinghua University, Beijing, 100084, China. liao@tsinghua.edu.cn.ORCID http://orcid.org/0000-0003-3847-9347

Funding

Institute for Intelligent Healthcare, Tsinghua University 2022ZLB001National Key Research and Development Program of China 2022YFC2405200National Natural Science Foundation of China 82027807National Natural Science Foundation of China U22A2051Tsinghua-Foshan Innovation Special Fund 2021THFS0104Tsinghua University Spring Breeze Fund 2021Z99CFY023
6 · The paper itself

Abstract

purposeTracheal intubation is the gold standard of airway protection and constitutes a pivotal life-saving technique frequently employed in emergency medical interventions. Hence, in this paper, a system is designed to execute tracheal intubation tasks automatically, offering a safer and more efficient solution, thereby alleviating the burden on physicians.

methodsThe system comprises a tracheal tube with a bendable front end, a drive system, and a tip endoscope. The soft actuator provides two degrees of freedom for precise orientation. It is fabricated with varying-hardness silicone and reinforced with fibers and spiral steel wire for flexibility and safety. The hydraulic actuation system and tube feeding mechanism enable controlled bending and delivery. Object detection of key anatomical features guides the robotic arm and soft actuator. The control strategy involves visual servo control for coordinated robotic arm and soft actuator movements, ensuring accurate and safe tracheal intubation.

resultsThe kinematics of the soft actuator were established using a constant curvature model, allowing simulation of its workspace. Through experiments, the actuator is capable of 90° bending as well as 20° deflection on the left and right sides. The maximum insertion force of the tube is 2 N. Autonomous tracheal intubation experiments on a training manikin were successful in all 10 trials, with an average insertion time of 45.6 s.

conclusionExperimental validation on the manikin demonstrated that the robot tracheal intubation system based on a soft actuator was able to perform safe, stable, and automated tracheal intubation. In summary, this paper proposed a safe and automated robot-assisted tracheal intubation system based on a soft actuator, showing considerable potential for clinical applications.

Indexed as

Equipment DesignIntubation, IntratrachealBiomechanical PhenomenaHumansManikinsRoboticsRobotic Surgical ProceduresHydraulic actuationRobot-assistedSoft actuatorTracheal intubation

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Registered trials

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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.