Developing a piezoresistive sensor based bionic neurological intraoperative monitoring system for spine surgery skill training

Author:

Wu Sin-Syuan1ORCID,Hsueh Meng Lun2ORCID,Lin Jang-Chun34,Chen Pin-Chuan1ORCID,Liu Wei-Hsiu56

Affiliation:

1. Department of Mechanical Engineering, National Taiwan University of Science and Technology 1 , Taipei, Taiwan

2. Graduate Institute of Intelligent Robotics, Hwa Hsia University of Technology 2 , New Taipei City, Taiwan

3. 3 Department of Radiation Oncology, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan

4. 4 Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

5. 5 Department of Neurological Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan

6. 6 Department of Surgery, School of Medicine, National Defense Medical Center, Taipei, Taiwan

Abstract

This research aims to tackle the limitations faced in surgical education nowadays, particularly in the complex field of spinal cord tumor removal surgery. An innovative flexible piezoresistive sensor designed to mimic a motor nerve was developed and integrated into a bionic spine surgery simulation system, allowing for the intraoperative nerve monitoring possible during simulated tumor removal surgeries. The motor nerve, fabricated using a combination of carbon nanotubes and silicone rubber, exhibited a strong correlation between applied force and resultant changes in resistance, as confirmed by experimental results. This creative system can play an important role in providing valuable feedback for training doctors, facilitating the assessment of surgical precision and success, and enabling doctors to take necessary precautions to minimize the risk of nerve damage in real surgical scenarios. Ultimately, this proposed system has the potential to elevate the standard of surgical education, foster skill development among doctors, and significantly contribute to enhanced patient care and recovery.

Funder

Tri-Service General Hospital

National Science and Technology Council

Taipei Medical University-Shuang Ho Hospital, Ministry of Health and Welfare

National Taiwan University of Science and Technology - Hwa Hsia University of Technology

Publisher

AIP Publishing

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