dorsal/arxiv
View SchemaGuiding the surgical gesture using an electro-tactile stimulus array on the tongue: A feasibility study
| Authors | Fabien Robineau, Frédéric Boy, Jean-Pierre Orliaguet, Jacques Demongeot, Yohan Payan |
|---|---|
| Categories | |
| ArXiv ID | physics/0703236 |
| URL | https://arxiv.org/abs/physics/0703236 |
| DOI | 10.1109/TBME.2006.889180 |
| Journal | IEEE Transactions on bio-medical engineering. 54 (2007) 711-717 |
Abstract
Under conventional "open-" surgery, the physician has to take care of the patient, interact with other clinicians and check several monitoring devices. Nowadays, the Computer Assisted Surgery proposes to integrate 3D cameras in the operating theatre in order to assist the surgeon in performing minimal-invasive surgical punctures. The cameras localize the needle and the computer guides the surgeon towards an intracorporeal clinically-defined target. A visualization system (screen) is employed to provide the surgeon with indirect visual spatial information about the intracorporeal positions of the needle. The present work proposes to use another sensory modality to guide the surgeon thus keeping the visual modality fully dedicated to the surgical gesture. For this, the sensory substitution paradigm using the Bach-y-Rita's "Tongue Display Unit" (TDU) is exploited to provide to the surgeon information of the position tool. The TDU device is composed of a 6x6 matrix of electrodes transmitting electrotactile information on the tongue surface. The underlying idea consists in transmitting information about the deviation of the needle movement with regard to a pre-planned "optimal" trajectory. We present an experiment assessing the guidance effectiveness of an intracorporeal puncture under TDU guidance with respect to the performance evidenced under a usual visual guidance system.
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"abstract": "Under conventional \"open-\" surgery, the physician has to take care of the\npatient, interact with other clinicians and check several monitoring devices.\nNowadays, the Computer Assisted Surgery proposes to integrate 3D cameras in the\noperating theatre in order to assist the surgeon in performing minimal-invasive\nsurgical punctures. The cameras localize the needle and the computer guides the\nsurgeon towards an intracorporeal clinically-defined target. A visualization\nsystem (screen) is employed to provide the surgeon with indirect visual spatial\ninformation about the intracorporeal positions of the needle. The present work\nproposes to use another sensory modality to guide the surgeon thus keeping the\nvisual modality fully dedicated to the surgical gesture. For this, the sensory\nsubstitution paradigm using the Bach-y-Rita\u0027s \"Tongue Display Unit\" (TDU) is\nexploited to provide to the surgeon information of the position tool. The TDU\ndevice is composed of a 6x6 matrix of electrodes transmitting electrotactile\ninformation on the tongue surface. The underlying idea consists in transmitting\ninformation about the deviation of the needle movement with regard to a\npre-planned \"optimal\" trajectory. We present an experiment assessing the\nguidance effectiveness of an intracorporeal puncture under TDU guidance with\nrespect to the performance evidenced under a usual visual guidance system.",
"arxiv_id": "physics/0703236",
"authors": [
"Fabien Robineau",
"Fr\u00e9d\u00e9ric Boy",
"Jean-Pierre Orliaguet",
"Jacques Demongeot",
"Yohan Payan"
],
"categories": [
"physics.med-ph",
"q-bio.NC"
],
"doi": "10.1109/TBME.2006.889180",
"journal_ref": "IEEE Transactions on bio-medical engineering. 54 (2007) 711-717",
"title": "Guiding the surgical gesture using an electro-tactile stimulus array on the tongue: A feasibility study",
"url": "https://arxiv.org/abs/physics/0703236"
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