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Guiding the Surgical Gesture Using an Electro-Tactile Stimulus Array on the Tongue: A Feasibility Study

Robineau, Fabien, Boy, Frederic, Orliaguet, Jean-Pierre, Demongeot, Jacques and Payan, Yohan 2007. Guiding the Surgical Gesture Using an Electro-Tactile Stimulus Array on the Tongue: A Feasibility Study. IEEE Transactions on Biomedical Engineering 54 (4) , pp. 711-717. 10.1109/TBME.2006.889180

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Abstract

Under conventional "open-" surgery, the physician has to take care of the patient, interact with other clinicians and check several monitoring devices. Nowadays, the computer assisted surgery proposes to integrate 3-D cameras in the operating theatre in order to assist the surgeon in performing minimally invasive surgical punctures. The cameras localize the needle and the computer guides the surgeon towards an intracorporeal clinically defined target. A visualization system (screen) is employed to provide the surgeon with indirect visual spatial information about the intracorporeal positions of the needle. The present work proposes to use another sensory modality to guide the surgeon, thus keeping the visual modality fully dedicated to the surgical gesture. For this, the sensory substitution paradigm using the Bach-y-Rita's "Tongue Display Unit" (TDU) is exploited to provide to the surgeon information of the position tool. The TDU device is composed of a 6 times 6 matrix of electrodes transmitting electrotactile information on the tongue surface. The underlying idea consists in transmitting information about the deviation of the needle movement with regard to a preplanned "optimal" trajectory. We present an experiment assessing the guidance effectiveness of an intracorporeal puncture under TDU guidance with respect to the performance evidenced under a usual visual guidance system.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
T Technology > TA Engineering (General). Civil engineering (General)
Publisher: Institute of Electrical and Electronic Engineers
ISSN: 0018-9294
Last Modified: 19 Mar 2016 22:58
URI: https://orca.cardiff.ac.uk/id/eprint/33414

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