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Artigo em Inglês | MEDLINE | ID: mdl-26737386

RESUMO

Micron is a fully handheld active micromanipulator that helps to improve position accuracy and precision in microsurgery by cancelling hand tremor. This work describes adaptation, tuning, and testing of the Micron system for stapedotomy, a microsurgical procedure performed in the middle ear to restore hearing that requires accurate manipulation in narrow spaces. Two end-effectors, a handle, and a brace (or rest) were designed and prototyped. The control system was adapted for the new hardware. The system was tested ex vivo in stapedotomy procedure comparing manually-performed and Micron-assisted surgical tasks. Tremor amplitude was found to be reduced significantly. Further testing is needed in order to obtain statistically significant results regarding other parameters dealing with regularity of the fenestra shape.


Assuntos
Microcirurgia/instrumentação , Procedimentos Cirúrgicos Robóticos/métodos , Cirurgia do Estribo/instrumentação , Cirurgia do Estribo/métodos , Orelha/anatomia & histologia , Orelha/fisiologia , Desenho de Equipamento , Humanos , Micromanipulação/instrumentação , Microcirurgia/métodos , Imagens de Fantasmas , Procedimentos Cirúrgicos Robóticos/instrumentação , Tremor
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