Abstract
This paper describes a surgical manipulator to stabilize intrauterine fetus with ultrasound image guidance. The manipulator includes an outline of 4 mm in diameter, a mechanism with 7 joints, and a set of balloons. The manipulator is arranged as straight form and the balloon is fold to be a minimum size before the insertion. Accuracy evaluation of bending performance showed that the standard deviations were ±3.6 degrees on wired-driven mechanism and ±1.6 degrees on linkage-driven mechanism. Experimental results also demonstrated high repeatability of the mechanisms. In feasibility experiments, ultrasound images in 2D and 3D modes were examined for guiding the manipulator. The 2D images provided wide view and easily viewable display of the balloon inflation. The 3D images provided easily viewable display of bending motion of the arm and the relative position of a phantom. It is possible to operate the manipulator in utero under the ultrasound guidance in 2D and 3D by switching them in each procedural stage.
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References
Walsh, D.S., Adzick, N.S., Sutton, L.N., Johnson, M.P.: The Rationale for in utero Repair of Myelomeningocele. Fetal. Diagn. Ther. 16, 312–322 (2001)
Farmer, D.L., Koch, C.S., Peacock, W.J., Danielpour, M., Gupta, N., Lee, H., Harrison, M.R.: In Utero Repair of Myelomeningocele. Arch. Surg. 138, 872–878 (2003)
Bruner, J.P., Richards, W.O., Tulipan, N.B., Arney, T.L.: Endoscopic coverage of fetal myelomeningocele in utero. Am. J. Obstet. Gynccol. 180, 153–158 (1999)
Kohl, T., Hering, R., Heep, A., Schaller, C., Meyer, B., Greive, C., et al.: Percutaneous Fetoscopic Patch Coverage of Spina Bifida Aperta in the Human - Early Clinical Experience and Potential. Fetal Diagn Ther. 21, 185–193 (2006)
Hamada, A.H., Walsh, W., Heddings, A., Bruner, J.P., Tulipan, N.: Intrauterine myelomeningocele Repair: effect on Short-Term Complications of Prematurity. Fetal Diagn Ther. 19, 83–86 (2004)
Barini, R., Weber, M., Barreto, G., Cursino, K., Zambelli, H., Parando, A., Sbragia, L.: Abruptio Placentae during Fetal Myelomeningocele Repair. Fetal Diagn Ther. 2, 115–117 (2006)
Oberg, K.C., Robles, A.E., Ducsay, C.A., Rasi, C.R., Rouse, G.A., Childers, B.J., Evans, M.L., Kirsch, W.M., Hardesty, R.A.: Endoscopic intrauterine surgery in primates. Surg. Endosc. 13, 420–426 (1999)
Tsubouchi, K., Harada, K., Chiba, T., Enosawa, S., Fujie, M.G.: Development of the drawn-in type stabilizer for a fetus operation. In: The 14th conference of Japan computer-aided-surgery society, pp. 45–46 (2005)
Liao, H., Suzuki, H., Matsumiya, K., Masamune, K., Dohi, T., Chiba, T.: Fetus Support Manipulator with Flexible Balloon-Based Stabilizer for Endoscopic Intrauterine Surgery. In: Larsen, R., Nielsen, M., Sporring, J. (eds.) MICCAI 2006. LNCS, vol. 4190, pp. 412–419. Springer, Heidelberg (2006)
Yamanaka, N., Yamashita, H., Matsumiya, K., Liao, H., Masamune, K., Chiba, T., Dohi, T.: Balloon-Based Manipulator with Multiple Linkages for Intrauterine Surgery. In: Proceedings of the 2007 IEEE/RSJ International Conference on Intelligent Robots and Systems, pp. 1278–1283 (2007)
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Yamanaka, N. et al. (2008). Surgical Manipulator with Balloon for Stabilizing Fetus in Utero under Ultrasound Guidance. In: Dohi, T., Sakuma, I., Liao, H. (eds) Medical Imaging and Augmented Reality. MIAR 2008. Lecture Notes in Computer Science, vol 5128. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79982-5_29
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DOI: https://doi.org/10.1007/978-3-540-79982-5_29
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-79981-8
Online ISBN: 978-3-540-79982-5
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