title: [Force-based local navigation in robot-assisted implantation bed anlage in the lateral skull base. An experimental study].
abstract: Excellent precision, miss of retiring, reproducibility are main characteristics of robots in the operating theatre. Because of these facts their use for surgery in the lateral scull base is of great interest. In recent experiments we determined process parameters for robot assisted reaming of a cochlea implant bed and for a mastoidectomy. These results suggested that optimizing parameters for thrilling with the robot is needed. Therefore we implemented a suitable reaming curve from the geometrical data of the implant and a force controlled process control for robot assisted reaming at the lateral scull base. Experiments were performed with an industrial robot on animal and human scull base specimen. Because of online force detection and feedback of sensory data the reaming with the robot was controlled. With increasing force values above a defined limit feed rates were automatically regulated. Furthermore we were able to detect contact of the thrill to dura mater by analyzing the force values. With the new computer program the desired implant bed was exactly prepared. Our examinations showed a successful reaming of an implant bed in the lateral scull base with a robot. Because of a force controlled reaming process locale navigation is possible and enables careful thrilling with a robot.
authors.affiliation: Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitätskliniken des Saarlandes, Homburg/Saar. hnoppli@med-rz.uni-sb.de
authors.forename: P K
authors.initials: PK
authors.lastname: Plinkert
authors.forename: P A
authors.initials: PA
authors.lastname: Federspil
authors.forename: B
authors.initials: B
authors.lastname: Plinkert
authors.forename: D
authors.initials: D
authors.lastname: Henrich
mesh_terms: D001696:Biomechanical Phenomena; D019929:Cochlear Implantation / Q000295:instrumentation*; D006801:Humans; D008416:Mastoid / Q000601:surgery; D009862:Online Systems / Q000295:instrumentation; D012371:Robotics / Q000295:instrumentation*; D019291:Skull Base / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D013525:Surgical Instruments