Mechatronic system for individual intraoperative forming of patient position for spinal neurosurgery

Mechatronic system for individual intraoperative forming of patient position for spinal neurosurgery

Andrei A. Vorotnikov
RSI «TechnoBioMed» – subdivision of Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Healthcare of the Russian Federation (Russian University of Medicine), Research Scientist, 4, ul. Dolgorukovskaya, Moscow, 127006, Russia; Moscow State University of Technology «STANKIN» (MSUT «STANKIN»), Institute of Digital Intelligent Systems, Robotics and Mechatronics Department, Senior Lecturer, 1, Vadkovsky pereulok, Moscow, 127055, Russia, This email address is being protected from spambots. You need JavaScript enabled to view it., ORCID: 0000-0001-6371-8894

Yuri V. Poduraev
Doctor of Technical Science, Professor, RSI «TechnoBioMed» – subdivision of Russian University of Medicine, Director, 4, ul. Dolgorukovskaya, Moscow, 127006, Russia; MSUT «STANKIN», Institute of Digital Intelligent Systems, Robotics and Mechatronics Department, Professor, 1, Vadkovsky pereulok, Moscow, 127055, Russia, ORCID: 0000-0002-7585-6466

Received October 29, 2024

Abstract
It is often necessary to partially change the patient's position when operating on complex spinal pathologies in neurosurgery. The complexity caused by the pathology, the need for repositioning, stretching or pressurizing the vertebrae, the inconvenience of the instrumentation and the surgeon's position are clear reasons for moving the patient. They have always been leveled by applying excessive efforts of the surgeons or by means of pads. In addition to the difficulty of such actions, the need to involve additional personnel in the operating room for support and, simply, the possible return of the patient to the original position, there is always a risk of uncontrollably touching vital tissues with irreversible consequences. Therefore, an urgent task for medical robotics is the development of patient movement systems that allow changing his position during neurosurgical operations. A prototype of a promising mechatronic system with the ability to form an individual patient position during neurosurgical operations on the spine is proposed for consideration.

Key words
Medical Robotics, neurosurgery, spinal fusion, operating table, complex form surface, force measurement.

Bibliographic description
Vorotnikov, A.A. and Poduraev, Yu.V. (2025), "Mechatronic system for individual intraoperative forming of patient position for spinal neurosurgery", Robotics and Technical Cybernetics, vol. 13, no. 2, pp. 151-159, EDN: FKKTVB. (in Russian).

EDN
FKKTVB

UDC identifier
621:004.896:007.52:617.547

References

  1. Poduraev, Yu.V. et al. (2023). Medicinskaja robototehnika [Medical Robotics], Limited liability company Publishing group “GEOTAR-Media”, Moscow, Rossia, ISBN: 978-5-9704-7503-4, DOI: 10.33029/9704-7503-4-ROB-2023-1-384. (in Ruaaian).
  2. Levchenko, O.V., Krylov, V.V. and Zakondyrin, D.E. (2017), “Practical training of neurosurgeons in Russia. Part 1. Problems and solutions”, Neurosurgery, no. 1, pp. 72-78. (in Russian).
  3. Website of the Ministry of Health: official website (2019), “Analytical report on the state of the neurosurgical service of the Russian Federation in 2019”, available at: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/053/766/original/oтче_за_2019_год.pdf?1610949850. (Accessed 10 September 2024).
  4. Krylov, V.V., Konovalov, A.N., Dashyan, V.G. and Kondakov, E.N. (2016), “The state of the neurosurgical service of the Russian Federation”, Neurosurgery, 3, pp. 3-44. (in Russian).
  5. Belitsky, E.S., Soloviev, M.A., Kovalsky, V.M., Vorotnikov, A.A. et al. (2023). Mechatronic linear movement device for constructing surfaces of complex shapes with the possibility of force measurement. Robotics and Technical Cybernetics, 11(2), pp. 85-93, DOI: 10.31776/RTCJ.11201. (in Russian).
  6. Belitsky, E.S., Solovyev, M.A., Smirnov, D.B., Vorotnikov, A.A. et al. (2024), “Force measurement using a multi-section mechatronic module for localization of the patient's support areas during the formation of his spatial position”, Proceedings of SPIE – The International Society for Optical Engineering, 12983, 1298328. DOI: 10.1117/12.3017972.
  7. Smirnov, D., Vorotnikov, A. and Poduraev, Yu. (2023), “Errors Evaluation of Weighing Platforms with Arrangements of 2, 3 and 4 Force Sensors”, Proceedings of the 34th DAAAM International Symposium, pp.0515-0520, B. Katalinic (Ed.), Published by DAAAM International, ISBN 978-3-902734-41-9, ISSN: 1726-9679, Vienna, Austria, DOI: 10.2507/34th.daaam.proceedings.067.
  8. Kovalsky, V.M., Soloviev, M.A., Belitsky, E.S., Vorotnikov, A.A. et al., The Russian University of Medicine (2023), Mehatronnaja sistema formirovanija individual'nogo intraoperacionnogo polozhenija pacienta [Mechatronic system for forming individual intraoperative patient position], pat. no. 2803982 C1. (in Russian).
  9. Kovalskii, V.M., Vorotnikov, A.A., Grin, A.A. and Krylov, V.V. (2021), “Assessment of the homogeneity of polymeric materials using hounsfield units”, Journal of Physics: Conference Series. Сер. “International Conference on Automatics and Energy, ICAE 2021”, p. 012169, DOI: 10.1088/1742-6596/2096/1/012169.
  10. Grin', A.A., Ivanov, E.M., Kordonskij, A.Ju. and Kajkov A.K. (2022), “The influence of the timing of decompressive-stabilizing intervention on the outcome of treatment of patients with complicated spinal cord injury of the cervical, thoracic and lumbar spine”, Rossijskij nejrohirurgicheskij zhurnal imeni professora A.L. Polenova, vol. 14, no. S1, p. 93. (in Russian).
  11. Jackson, R.P., Guerra L.E. and Waggoner, T.A. Surgical table with patient support having flexible inner frame supported on rigid outer frame, pat. no. US 2020/0170868 A1.
  12. DuBois, Ch.B., Ben Hertz, Lane, T.A., Williamson, R.L. et al. (2017), Patent Application Publication, pat. no. 2017/0135890 A1 US. CPC A61G 13/08.
  13. Diel, M., Ladd, Ch. and Lamb, S. (2015), Surgery table having coordinated motion, no. US 2015/0113733 A1.
  14. Poduraev, Yu.V. (2009), Mehatronika: osnovy, metody, primenenie: uchebnoe posobie dlja studentov vuzov [Mechatronics: Base, Methods, Application. A textbook for students of higher educational institutions studying in the specialty “Mechatronics” of the training program “Mechatronics and Robotics”], Moscow, Russia. (in Russian).