Schoeb, Dominik, Stefan and Klodmann, Julian and Schlager, Daniel and Müller, Philippe, F. and Miernik, Arkadiusz and Bahls, Thomas (2018) Robotic waterjet wound debridement – Workflow adaption for clinical application and systematic evaluation of a novel technology. PLoS One, 13, pp. 1-14. Public Library of Science (PLoS). doi: 10.1371/journal.pone.0204315. ISSN 1932-6203.
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Official URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0204315
Abstract
Objective We evaluated the clinical potential of a novel robotic system for autonomous performance of waterjet wound debridement. Summary background data Within the last decade, waterjet wound debridement has proven to be a valid alternative to the conventional approach using sharp spoons and scalpel. Methods The DLR MIRO robot using the DLR MICA instrument for robotic surgery was adapted for actuation of an ERBEJET 2 flexible endoscopic waterjet probe. Waterjet debridement of various wound shapes and sizes using a porcine skin model was compared between this novel robotic system and a control group of human medical professionals with regard to wound area cleaned by the waterjet, off-target area, and procedural time. Results After the wound area was registered in the robotic system, it automatically generated a cleaning path and performed debridement based on generated surface model. While the robotic system demonstrated a significant advantage for the covered wound area (p = 0.031), the average off-target area was not significantly different from human controls. Human participants had high variability in cleaning quality across users and trials, while the robotic system provided stable results. Overall procedural time was significantly lower in trials performed by humans. Conclusions Robotic waterjet wound debridement is a promising new technological approach compared to the current clinical standard of interventional wound therapy, providing higher efficiency and quality of wound cleaning compared to human performance. Additional trials on more complicated wound shapes and in vivo tissue are necessary to more thoroughly evaluate the clinical potential of this technology.
Item URL in elib: | https://elib.dlr.de/121965/ | |||||||||||||||||||||
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Document Type: | Article | |||||||||||||||||||||
Title: | Robotic waterjet wound debridement – Workflow adaption for clinical application and systematic evaluation of a novel technology | |||||||||||||||||||||
Authors: |
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Date: | 27 September 2018 | |||||||||||||||||||||
Journal or Publication Title: | PLoS One | |||||||||||||||||||||
Refereed publication: | Yes | |||||||||||||||||||||
Open Access: | Yes | |||||||||||||||||||||
Gold Open Access: | Yes | |||||||||||||||||||||
In SCOPUS: | Yes | |||||||||||||||||||||
In ISI Web of Science: | Yes | |||||||||||||||||||||
Volume: | 13 | |||||||||||||||||||||
DOI : | 10.1371/journal.pone.0204315 | |||||||||||||||||||||
Page Range: | pp. 1-14 | |||||||||||||||||||||
Editors: |
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Publisher: | Public Library of Science (PLoS) | |||||||||||||||||||||
ISSN: | 1932-6203 | |||||||||||||||||||||
Status: | Published | |||||||||||||||||||||
Keywords: | robotic waterjet wound debridement, Surgical and invasive medical procedure, medical robotics | |||||||||||||||||||||
HGF - Research field: | Aeronautics, Space and Transport | |||||||||||||||||||||
HGF - Program: | Space | |||||||||||||||||||||
HGF - Program Themes: | Space System Technology | |||||||||||||||||||||
DLR - Research area: | Raumfahrt | |||||||||||||||||||||
DLR - Program: | R SY - Space System Technology | |||||||||||||||||||||
DLR - Research theme (Project): | R - Medical Assistance Systems [SY] | |||||||||||||||||||||
Location: | Oberpfaffenhofen | |||||||||||||||||||||
Institutes and Institutions: | Institute of Robotics and Mechatronics (since 2013) > Mechatronic Systems | |||||||||||||||||||||
Deposited By: | Bahls, Thomas | |||||||||||||||||||||
Deposited On: | 29 Nov 2018 15:52 | |||||||||||||||||||||
Last Modified: | 29 Nov 2018 15:52 |
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