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Special Section Technical Briefs

Design and Thermal Testing of an Automatic Drill Guide for Less Invasive Cochlear Implantation1

[+] Author and Article Information
Neal P. Dillon, Jason E. Mitchell, Robert J. Webster, III

Department of Mechanical Engineering,
Vanderbilt University,
Nashville, TN 37235

M. Geraldine Zuniga, Robert F. Labadie

Department of Otolaryngology,
Vanderbilt University Medical Center,
Nashville, TN 37235

DOI: 10.1115/1.4033223Manuscript received March 1, 2016; final manuscript received March 17, 2016; published online May 12, 2016. Editor: William Durfee.

J. Med. Devices 10(2), 020923 (May 12, 2016) (2 pages) Paper No: MED-16-1163; doi: 10.1115/1.4033223 History: Received March 01, 2016; Revised March 17, 2016

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References

Labadie, R. F. , Mitchell, J. , Balachandran, R. , and Fitzpatrick, J. M. , 2009, “ Customized, Rapid-Production Microstereotactic Table for Surgical Targeting: Description of Concept and In Vitro Validation,” Int. J. Comput. Assisted Radiol. Surg., 4(3), pp. 273–280. [CrossRef]
Bell, B. , Stieger, C. , Gerber, N. , Arnold, A. , Nauer, C. , Hamacher, V. , Kompis, M. , Nolte, L. , Caversaccio, M. , and Weber, S. , 2012, “ A Self-Developed and Constructed Robot for Minimally Invasive Cochlear Implantation,” Acta Oto-laryngol., 132(4), pp. 355–360. [CrossRef]
Kratchman, L. B. , Schurzig, D. , McRackan, T. R. , Balachandran, R. , Noble, J. H. , Webster, R. J. , and Labadie, R. F. , 2012, “ A Manually Operated, Advance Off-Stylet Insertion Tool for Minimally Invasive Cochlear Implantation Surgery,” IEEE Trans. Biomed. Eng., 59(10), pp. 2792–2800. [CrossRef] [PubMed]
Kobler, J. P. , Beckmann, D. , Rau, T. S. , Majdani, O. , and Ortmaier, T. , 2014, “ An Automated Insertion Tool for Cochlear Implants With Integrated Force Sensing Capability,” Int. J. Comput. Assisted Radiol. Surg., 9(3), pp. 481–494. [CrossRef]
Feldmann, A. , Anso, J. , Bell, B. , Williamson, T. , Gavaghan, K. , Gerber, N. , Rohrbach, H. , Weber, S. , and Zysset, P. , 2015, “ Temperature Prediction Model for Bone Drilling Based on Density Distribution and In Vivo Experiments for Minimally Invasive Robotic Cochlear Implantation,” Ann. Biomed. Eng. (epub).
Labadie, R. F. , Balachandran, R. , Noble, J. H. , Blachon, G. S. , Mitchell, J. E. , Reda, F. A. , Dawant, B. M. , and Fitzpatrick, J. M. , 2014, “ Minimally Invasive Image-Guided Cochlear Implantation Surgery: First Report of Clinical Implementation,” Laryngoscope, 124(8), pp. 1915–1922. [CrossRef] [PubMed]

Figures

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Fig. 1

(a) Less invasive CI surgical system consisting of a microtable and drill guide attached to the patient’s skull and (b) CT scan showing two-stage drill path to cochlea passing close to facial nerve

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Fig. 2

The automatic drill guide mounts to the microtable and is programmed to drill from lateral skull surface to the cochlea

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Fig. 3

Experimental setup for evaluating the temperature rise near the facial nerve during minimally invasive CI surgery, and image of heat distribution as the drill enters the middle ear for one trial

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Fig. 4

Mean temperature on plane at a distance of 0.5 mm (average distance of facial nerve) from edge of drill path at middle ear throughout the drilling procedure. The solid and dashed lines represent the first and second trial for the parameter set, respectively.

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