NDLI: A cochlear implantation robot in surgical practice

Content Provider	IEEE Xplore Digital Library
Author	Coulson, C.J. Reid, A.P. Proops, D.W.
Copyright Year	2008
Description	Author affiliation: ENT Dept., Univ. Hosp. Trust, Birmingham (Coulson, C.J.; Reid, A.P.; Proops, D.W.)
Abstract	Cochlear implantation has become the standard treatment for severe to profoundly deaf patients over the last 20 years and is likely to increase as instrumentation systems improve such that patients with less deficiency can benefit and if the procedure can lead to accurate and a more efficient process of implantation. The critical step in the operation appears to be creating the cochleostomy, through which the implant electrode can be passed. A cochleostomy is created by drilling away the bony outer cochlea wall and, ideally, leaving the underlying endosteal membrane intact. The membrane is opened with a knife and implant is inserted. Inadvertent protrusion of the drill through the endosteal membrane may damage the scala tympani or osseous spiral lamina, and will contaminate the endolymph and perilymph with bone dust which, combined with the pressure surge experienced, may lead to a reduction in residual hearing. If the endosteal membrane is not perforated during the drilling process, and is opened by a knife, the damage to the cochlea will be minimised and residual hearing will be preserved. It has been shown that robotics can be applied in microsurgical tasks as a tool by automatically controlling the interaction between tissue and the tool point. The research reported here has led to clinical trials of an autonomous surgical robot system able to carry out the critical process of penetrating the bone tissue of the wall of the cochlea without penetration of the endosteal membrane located immediately inside the cochlea. Use of the robotic micro-drill in theatre represents the first application of an autonomous surgical robotic device and has shown that this is the ideal way to prepare a cochleostomy. The consistent results and the smooth form of the cochleostomy will enable more consistent insertion of implant electrodes and the likelihood of consistent results in terms of electrode performance. The means to avoid penetration of the endosteal membrane is expected to lead to a reduced complication rate.
Starting Page	173
Ending Page	176
File Size	3337900
Page Count	4
File Format	PDF
ISBN	9781424437795
DOI	10.1109/MMVIP.2008.4749528
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2008-12-02
Publisher Place	New Zealand
Access Restriction	Subscribed
Rights Holder	Intl Journal of Intelligent
Subject Keyword	Electrodes Drilling Deafness Instruments Surgery Medical treatment Implants Auditory system Biomembranes Robots
Content Type	Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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Mechanics involved in cochlear implantation

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Implementation of spectral maxima sound processing for cochlear implants by using Bark scale frequency band partition

The Surprising Performance of Present-Day Cochlear Implants

Hearing problems treated with hearing aids and cochlear implants

Evaluation and measurements at the cochlear implantations

Mechatronic hand-held surgical robots

System Design of a Cochlear Implant

A cochlear implantation robot in surgical practice

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