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Force Sensing Forceps for Cochlear Implant Surgery

Last updated: 04/25/2022

Summary

There are two deliverables in the project. Forceps: The project aims to design a prototype for testing the force of the forceps against a ground truth to verify the accuracy of the forces measured which will help in the Cochlear Implant surgical procedures.

Background, Specific Aims, and Significance

A cochlear implant is a small electronic device that electrically stimulates the cochlear nerve (nerve for hearing). The implant has external and internal parts. The external part sits behind the ear. It picks up sounds with a microphone. It then processes the sound and transmits it to the internal part of the implant. However, currently, there are no established methods for guidance, monitoring, or feedback to the surgeon and the implant insertion process is entirely dependent on surgeon dexterity. [2]. Studies show that overall 17.6% trauma rate which implies that CI (Cochlear Implantation) insertion could be improved with more accurate and consistent electrode insertion.[3]

With regards to robot-assisted surgery (RAS), studies show patient outcomes are associated, in part, the number of RAS procedures a surgeon performs translates into a smooth operation with [4]:

1. Decreased operation time 2. Fewer chances of hemorrhage 3. More flexibility in procedures 4. 3-D and magnified image of the surgical site 5. Greater precision due to elimination of surgeon’s hand tremor

The goal of the project is to design a prototype for testing the force-sensing forceps that can measure force, thereby enabling successful and safe insertion procedures which will eventually, reduce the trauma rates.

The goal of the semester is 1. To design and develop a fully working prototype and testing 2. Calibration and Testing of the new Force/Torque sensor 3. Experimental methods to create calibration procedures to validate the sensor data concerning ground truth.

Deliverables

Technical Approach

The forceps are attached to a Force/Torque sensor “ WITTENSTEIN™ Hex21 6-Axis Force/Torque Sensor ” which collects data in real-time.

Generated data is validated through many experimental methods such as calculating spring constants of Jaws and the springs using the Force equation, F = -k . x (displacement of the spring/jaws) in Newtons

Dependencies

Milestones and Status

  1. Milestone name: Sensor Data Validation
    • Planned Date: 03/29
    • Expected Date: 04/16
    • Status: Completed (Sensor setbacks)
  2. Milestone name: Experimental Design
    • Planned Date: 04/26
    • Expected Date: 04/26
    • Status: Completed
  3. Milestone name: Data Comparison
    • Planned Date: 05/11
    • Expected Date: 05/11
    • Status: In progress

Reports and presentations

* Project Poster

Project Bibliography

List of references:

1. Radiological and histological evidence of cochlear implant insertion trauma in adult patients. Cochlear Implants systematic_review_radiological_and_histological_evidence_of_cochlear_implant_insertion_trauma_in_adult_patients.pdf

2. Force Perception Thresholds in Cochlear Implantation Surgery

3. Project Proposal by Justin Kim (CIS 2, Spring 2020) cochlear_implant_forceps_project_proposal_.pdf

4. Cochlear Implant insertion forces -Paper

5. Calibration Procedure 0353.pdf

Other Resources and Project Files and Updates

Project Data and Media files:

1. force_sensing_forceps.pdf

2. force_sensing_forceps_1.4_.pdf

3. force_sensing_forceps_1.5_.pdf