TY - JOUR
T1 - The Flux One Magnetic Navigation System
T2 - A Preliminary Assessment for Stent Implantation
AU - Heunis, Christoff M.
AU - Silva, Bruno
AU - Sereni, Giulia
AU - Lam, Martijn C.W.
AU - Belakhal, Besma
AU - Gaborit, Arold
AU - Wermelink, Bryan
AU - Geelkerken, Bob R.H.
AU - Misra, Sarthak
N1 - Publisher Copyright:
IEEE
PY - 2023/9
Y1 - 2023/9
N2 - Minimally-invasive surgery (MIS) for stent implantation is a complex procedure requiring specialized instruments. It often leads to prolonged patient recovery, and interrupted operations due to incorrect instrument selection and complex anatomy. This study presents a novel magnetic navigation system that addresses these challenges by using magnetic fields and computed tomography imaging to precisely navigate minimally-invasive surgical guidewires. The system is designed based on consultations with surgeons, and analysis of technical and clinical requirements of stent implantation procedures. Results from a human-in-the-loop case study with eleven operators indicate a 47% reduction in guidewire navigation times, while successfully reaching all predetermined luminal targets. The clinical relevance, usability, and operator satisfaction are also measured using a user experience questionnaire, and interviews and showed positive results. Compared to conventional, manual guidewire navigation, the magnetic navigation system has the potential to significantly impact the efficiency of the clinical workflow and improve complex endovascular aortic repair procedures.
AB - Minimally-invasive surgery (MIS) for stent implantation is a complex procedure requiring specialized instruments. It often leads to prolonged patient recovery, and interrupted operations due to incorrect instrument selection and complex anatomy. This study presents a novel magnetic navigation system that addresses these challenges by using magnetic fields and computed tomography imaging to precisely navigate minimally-invasive surgical guidewires. The system is designed based on consultations with surgeons, and analysis of technical and clinical requirements of stent implantation procedures. Results from a human-in-the-loop case study with eleven operators indicate a 47% reduction in guidewire navigation times, while successfully reaching all predetermined luminal targets. The clinical relevance, usability, and operator satisfaction are also measured using a user experience questionnaire, and interviews and showed positive results. Compared to conventional, manual guidewire navigation, the magnetic navigation system has the potential to significantly impact the efficiency of the clinical workflow and improve complex endovascular aortic repair procedures.
KW - Instruments
KW - Magnetic flux
KW - Magnetic resonance imaging
KW - Maintenance engineering
KW - Medical robots and systems
KW - Navigation
KW - Robots
KW - Surgery
KW - Surgical robotics: planning
KW - Surgical robotics: steerable catheters/needles
KW - 2023 OA procedure
UR - http://www.scopus.com/inward/record.url?scp=85163432185&partnerID=8YFLogxK
U2 - 10.1109/LRA.2023.3289108
DO - 10.1109/LRA.2023.3289108
M3 - Article
AN - SCOPUS:85163432185
SN - 2377-3766
VL - 8
SP - 5640
EP - 5647
JO - IEEE Robotics and automation letters
JF - IEEE Robotics and automation letters
IS - 9
ER -