, 14(15): 1698. August 2024.\n
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@article{Spiller2024,\r\n author = {Spiller, Moritz and Esmaeili, Nazila and Sühn, Thomas and Boese, Axel and Turial, Salmai and Gumbs, Andrew A and Croner, Roland and Friebe, Michael and Illanes, Alfredo},\r\n title = {Enhancing Veress Needle Entry with Proximal Vibroacoustic Sensing for Automatic Identification of Peritoneum Puncture},\r\n journal = {Diagnostics (Basel)},\r\n year = {2024},\r\n month = {August},\r\n day = {5},\r\n volume = {14},\r\n number = {15},\r\n pages = {1698},\r\n doi = {10.3390/diagnostics14151698},\r\n pmid = {39125574},\r\n pmcid = {PMC11311580},\r\n issn = {2075-4418},\r\n note = {PubMed-not-MEDLINE},\r\n abstract = {Laparoscopic access, a critical yet challenging step in surgical procedures, often leads to complications. Existing systems, such as improved Veress needles and optical trocars, offer limited safety benefits but come with elevated costs. In this study, a prototype of a novel technology for guiding needle interventions based on vibroacoustic signals is evaluated in porcine cadavers. The prototype consistently detected successful abdominal cavity entry in 100% of cases during 193 insertions across eight porcine cadavers. The high signal quality allowed for the precise identification of all Veress needle insertion phases, including peritoneum puncture. The findings suggest that this vibroacoustic-based guidance technology could enhance surgeons' situational awareness and provide valuable support during laparoscopic access. Unlike existing solutions, this technology does not require sensing elements in the instrument's tip and remains compatible with medical instruments from various manufacturers.},\r\n affiliation = {SURAG Medical GmbH, Leipzig, Germany; Chair for Computer Aided Medical Procedures and Augmented Reality, Technical University of Munich, Munich, Germany; Department of Orthopaedic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany; INKA-Innovation Laboratory for Image Guided Therapy, Otto-von-Guericke University Magdeburg, Magdeburg, Germany; Department of Pediatric Surgery and Pediatric Traumatology, University Clinic for General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, Magdeburg, Germany; University Clinic for General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, Magdeburg, Germany; Advanced & Minimally Invasive Surgery Excellence Center, American Hospital Tblisi, Tblisi, Georgia; Faculty of Computer Science, AGH University of Science and Technology, Krakow, Poland; Center for Innovation, Business Development & Entrepreneurship, FOM University of Applied Sciences, Essen, Germany.},\r\n funding = {03EFOST032/Federal Ministry for Economic Affairs and Climate Action},\r\n publisher = {Switzerland},\r\n note = {M.S., N.E., T.S., A.B., M.F., and A.I. are shareholders of SURAG Medical GmbH, a medical technology startup that is developing a medical device based on proximal vibroacoustic sensing. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.}\r\n}\r\n\r\n\r\n\r\n
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\n Laparoscopic access, a critical yet challenging step in surgical procedures, often leads to complications. Existing systems, such as improved Veress needles and optical trocars, offer limited safety benefits but come with elevated costs. In this study, a prototype of a novel technology for guiding needle interventions based on vibroacoustic signals is evaluated in porcine cadavers. The prototype consistently detected successful abdominal cavity entry in 100% of cases during 193 insertions across eight porcine cadavers. The high signal quality allowed for the precise identification of all Veress needle insertion phases, including peritoneum puncture. The findings suggest that this vibroacoustic-based guidance technology could enhance surgeons' situational awareness and provide valuable support during laparoscopic access. Unlike existing solutions, this technology does not require sensing elements in the instrument's tip and remains compatible with medical instruments from various manufacturers.\n