scholarly journals Epidural needle with embedded optical fibers for spectroscopic differentiation of tissue: ex vivo feasibility study

2011 ◽  
Vol 2 (6) ◽  
pp. 1452 ◽  
Author(s):  
Adrien E. Desjardins ◽  
Benno H.W. Hendriks ◽  
Marjolein van der Voort ◽  
Rami Nachabé ◽  
Walter Bierhoff ◽  
...  
2010 ◽  
Vol 112 (5) ◽  
pp. 1128-1135 ◽  
Author(s):  
Chien-Kun Ting ◽  
Mei-Yung Tsou ◽  
Pin-Tarng Chen ◽  
Kuang-Yi Chang ◽  
M. Susan Mandell ◽  
...  

Background Up to 10% of epidurals fail due to incorrect catheter placement. We describe a novel optical method to assist epidural catheter insertion in a porcine model. Methods Optical emissions were tested on ex vivo tissues from porcine paravertebral tissues to identify optical reflective spectra. The wavelengths of 650 and 532 nm differentiated epidural space from the ligamentum flavum. We then used a hollow stylet that contained optical fibers to place epidural needles in anesthetized pigs. Real-time data were displayed on an oscilloscope and stored for analysis. A total of 50 punctures were done in four laboratory pigs. Data were expressed as mean +/- SD. Results Paired t test shows significant optical differences between the epidural space and the ligamentum flavum at both 650 nm (P < 0.001) and 532 nm (P = 0.014). Mean magnitudes for 650 nm, 532 nm, and their ratio were 3.565 +/- 0.194, 2.542 +/- 0.145, and 0.958 +/- 0.172 at epidural space and 3.842 +/- 0.191, 2.563 +/- 0.131, and 1.228 +/- 0.244 at ligamentum flavum, respectively. There were no differences in the optical characteristics of the ligamentum flavum and epidural space at different levels in the lumbar and thoracic region (two-way ANOVA P > 0.05). Conclusions This is the first study to introduce a new optical method to localize epidural space in a porcine model. Epidural space could be identified by the changes in the reflective pattern of light emitted at 650 nm, which were specific for the ligamentum flavum and dural tissue. Real-time optical information successfully guided a modified Tuohy needle into the epidural space.


2016 ◽  
Vol 83 (2) ◽  
pp. 447-450 ◽  
Author(s):  
Toshihiro Nishizawa ◽  
Toshio Uraoka ◽  
Seiji Sagara ◽  
Hidekazu Suzuki ◽  
Teppei Akimoto ◽  
...  
Keyword(s):  

2013 ◽  
Vol 1 (1) ◽  
pp. 24 ◽  
Author(s):  
Matthew DC Eames ◽  
Arik Hananel ◽  
John W Snell ◽  
Neal F Kassell ◽  
Jean-Francois Aubry

2021 ◽  
Author(s):  
Aizhan Issatayeva ◽  
Aida Amantayeva ◽  
Wilfried Blanc ◽  
Carlo Molardi ◽  
Daniele Tosi

2001 ◽  
Vol 185 (6) ◽  
pp. S221
Author(s):  
Daniel Surbek ◽  
Alan Young ◽  
Andreina Schoeberlein ◽  
Enrico Danzer ◽  
Lisbeth Dudler ◽  
...  

2002 ◽  
Author(s):  
Marco Van Uffelen ◽  
Francis Berghmans ◽  
Benoit Brichard ◽  
Paul Borgermans ◽  
Marc C. Decreton

2019 ◽  
Vol 250 (3) ◽  
pp. 262-274 ◽  
Author(s):  
Rachel Barrow‐McGee ◽  
Julia Procter ◽  
Julie Owen ◽  
Natalie Woodman ◽  
Cristina Lombardelli ◽  
...  

2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Claudio Quaglia ◽  
Selene Tognarelli ◽  
Edoardo Sinibaldi ◽  
Nicodemo Funaro ◽  
Paolo Dario ◽  
...  

A novel, miniature wireless robotic capsule for releasing bioadhesive patches in the gastrointestinal (GI) tract was designed, fabricated, and preliminarily tested. In particular, the assembled prototype was successfully navigated in a GI phantom, up to a target site where the release mechanism was verified. Then, deployment of a bioadhesive patch onto ex vivo porcine tissue was accomplished, and patch adhesion strength was verified. The main application of the present system is the deployment of anchoring patches for miniature robotic modules to be operated in the targeted anatomical domain. Such an innovative application stems from the wise blend of robotics and bioadhesion. Obtained results, which are consistent with previous investigations by the group, confirm the viability of the adopted bioadhesives for the envisaged anchoring tasks. The present feasibility study complies with the spirit of minimally invasive, wireless diagnosis, and therapy, and provides a preliminary contribution for their advancement.


2015 ◽  
Vol 36 (9) ◽  
pp. 2410-2416
Author(s):  
S. Stolik ◽  
D. A. Fabila ◽  
J. M. de la Rosa ◽  
G. Escobedo ◽  
K. Suárez-Álvarez ◽  
...  

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