Laryngorhinootologie 2008; 87(9): 620-622
DOI: 10.1055/s-0028-1086164
Tipps & Tricks

© Georg Thieme Verlag KG Stuttgart ˙ New York

Erster klinischer Einsatz eines neuartigen Mikromanipulators für die Mittelohrchirurgie

First clinical use of a new micromanipulator for the middle ear surgeryT. Maier1 , G. Strauß3,4 , A. Dietz3,4 , T.C. Lüth1,2
  • 1MIMED, Lehrstuhl Mikrotechnik und Medizingerätetechnik - Prof. Dr. Tim C. Lüth, TU München, Boltzmannstr. 11, 85748 Garching
  • 2IMETUM - Zentralinstitut für Medizintechnik - Prof. Dr. Tim C. Lüth, TU München, Boltzmannstr. 15, 85748 Garching
  • 3Klinik und Poliklinik für HNO - Heilkunde/ Plastische Operationen, Prof. Dr. Andreas Dietz, Universität Leipzig, Liebigstr. 10-14, 04103 Leipzig
  • 4ICCAS, Innovation Center Computer Assisted Surgery, Universität Leipzig, Semmelweis-straße 14, 04103 Leipzig
Further Information

Publication History

Publication Date:
29 August 2008 (online)

 

Summary

Some of the current challenges in the middle ear surgery are caused by limited fields of view and limited access to the region of interest. Also the small size of middle ear structures and difficult ergonomic conditions can make middle ear surgery very challenging. A small micromanipulator "MircoMan" was developed to resolve these limitations by enabling telemanipulation of standard ENT instruments. The system can be used under difficult surgery conditions. It can be integrated into standard surgical procedures and is characterized by low system complexity. The first clinical was for a tympanoplasty type III.

Literatur

  • 01 Duval C . Jones J . Assessment of the amplitude of oscillations associated with high-frequency components of physiological tremor: impact of loading and signal differentiation.  Exp Brain Res. 2005;  163 261-266
  • 02 De Nil LF . Lafaille SJ . Jaw and finger movement accuracy under visual and nonvisual feed-back conditions.  Percept Mot Skills. 2002;  95 1129-1140
  • 03 Coulson CJ . Reid AP . Proops DW . et al . ENT challenges at the small scale.  Int J Med Robot. 2007;  3 91-96
  • 04 Strauss G . Winkler D . Jacobs S . et al . Mechatronik in der HNO-Chirurgie.  HNO. 2005;  53 623-630
  • 05 Strauss G . Meixensberger J . Dietz A . et al . Automation in der HNO-Chirurgie.  Laryngo-Rhino-Otolo. 2007;  86 256-262
  • 06 Weinstein GS . O'Malley BW Jr. Snyder W . et al . Transoral robotic surgery: supraglottic partial laryngectomy.  Ann Otol Rhinol Laryngol. 2007;  116 19-23
  • 07 O'Malley BW Jr. Weinstein GS . Hockstein NG . Transoral robotic surgery (TORS): glottic microsurgery in a canine model.  J Voice. 2007;  20 263-268
  • 08 Ballantyne GH . Robotic surgery, telerobotic surgery, telepresence, and telemonitoring.  Surg Endosc. 2002;  16 1389-1402

Dipl.-Ing. Thomas Maier

Lehrstuhl für Mikrotechnik und Medizingerätetechnik (MiMed)

TU München

Boltzmannstrasse 15

85748 Garching