• Title/Summary/Keyword: surgeon

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Study for the Indirect Measuring Method of Operational Force in Surgical Robot Instrument (복강경 수술용 로봇 인스트루먼트의 간접적 작동력 측정법에 관한 연구)

  • Kim, Chi-Yen;Lee, Min-Cheol;Lee, Tae-Kyung;Choi, Seung-Wook;Park, Min-Kyu
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.9
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    • pp.840-845
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    • 2010
  • This paper proposes the method indirectly measuring the operating force of the end-effect tip of surgical robot instrument which conducts the surgical operation in the body on behalf of the surgeon's hand. Due to the size and safety obligation to the surgical robot instrument, it is difficult to measure the operation force of its tip like grasping force. However the instrument is driven by cable-pulley torque transmission mechanism and when some force is occurred at the tip, then the reaction force appears on the cable as additional tension. Based on this phenomenon, this paper proposes a method to estimate the operating force from measuring reaction force against the driving motor by using a loadcell. And it induces mathematical equation to calculate the force from loadcell by approaching the modulus of elasticity to high order polynomial. And this paper proves the validity of proposed mechanism by experimental test.

Use of a Miniplate for Skeletal Anchorage in the Forced Eruption of a Severely Impacted Mandibular Second Molar: Case Report (Miniplate를 골격성 고정원으로 사용한 심도있는 매복 하악 제2대구치의 맹출 치료: 증례보고)

  • Lim, Jae-Sung;Yoon, Hyun-Joong;Lee, Sang-Hwa
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.185-189
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    • 2011
  • Tooth impaction represents the stop of eruption by clinical and radiographical disturbance in eruption path or the dislocation of tooth germ. The most common factor in tooth eruption disorders are spacial deficiency with other causes reported to be odontogenic tumors, periodontal ligament injury, etc. Impaction of the mandibular second molar is relatively rare and reported in about 3 out of 1,000 people. Because the second molars tend to erupt in a mesial direction, this situation can lead to serious problems if untreated, including dental caries, periodontal disease and root resorption of the first molar. Treatment of this problem includes, surgical repositioning and orthodontic forced eruption. Because each procedure have the definite advantages and disadvantages, and influenced by circumferential environment, these have limits for successfu1 recovery as independent treatment. In a case at St. Mary's Hospital, we performed successful correction of a horizontal impacted mandibular second molar using a miniplate skeletal anchorage system. We introduce this treatment as a valid method for an impacted second molar and consider a oromaxillofacial surgeon's role in tooth movement treatment.

Development of Control and HMI for Safe Robot Assisted Minimally Invasive Surgery (최소침습수술용 로봇의 안전성을 위한 제어 및 HMI 개발)

  • Jung, Hoi-Ju;Song, Hyun-Jong;Park, Jang-Woo;Park, Shin-Suk
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.9
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    • pp.1048-1053
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    • 2011
  • Recently, robots have been used in surgical area. Robotic surgery in Minimally Invasive Surgery gives many advantages to surgeons and patients both. This study introduce a robotic assistant to improve the safety of telerobotic Minimally Invasive Surgical procedures. The master-slave system is applied to the telerobotic surgical system with the master arm, which control the system, and slave robot which operates the surgery on the patient body. By using a 3-DOF master arm, the surgeon can control the 6-DOF surgical robot under the constraint of fulcrum point. This paper explains the telerobotic surgical system and confirms the system with the precision of the robot control related to the fulcrum point to enhance the safety.

A Case Report of Posttraumatic Pseudoaneurysm of the Superficial Temporal Artery (외상 후 발생한 얕은관자동맥 가성동맥류의 치험례)

  • Kim, Nam Hun;Yang, Jeong Yeol;Cheon, Ji Seon;Kim, Gyu Bo
    • Archives of Craniofacial Surgery
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    • v.11 no.1
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    • pp.49-52
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    • 2010
  • Posttraumatic pseudoaneurysm of the superficial temporal artery is very rare and occurs secondary to trauma. Clinical diagnosis is based on past history of trauma and physical examination and can be confirmed by duplex ultrasonogram, digital subtraction angiography, CT and MRI. Ligation of proximal and distal ends of the superficial temporal artery and excision of the pseudoaneurysm has been the standard treatment. Compressive therapy, endovascular coil embolization, percutaneous thrombin injection under ultrasound guidance have been reported as alternative treatment methods. When surgical excision of the superficial temporal artery pseudoaneurysm is performed, surgeon must be concerned about the anatomical relation between superficial temporal artery and temporal branches of the facial nerve. In this article, we report a rare case of superficial temporal artery pseudoaneurysm with some review of the literatures about anatomical relation between superficial temporal artery and temporal branches of facial nerve.

Ablation Depth of Cornea and Munnerlyn Formula in Refractive Keratectomy (각막굴절교정절제술에서 각막의 절제 깊이와 Munnerlyn 식)

  • Choi, Woon Sang;Kim, Yoon-Kyung;Lee, Sung Ah
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.121-124
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    • 2007
  • Ablation depth of cornea in refractive keratectomy was calculated by Munnerlyn formula. The calculations were preformed for various optical diameter (4 mm~8 mm) and various amount of corrections (-1 Dptr ~ -12 Dptr). The results to be compared with the Munnerlyn approximated formula had little effect within lower corrections, but in higher corrections > 6 Dptr can be occurred the error of 1 Dptr. Although ablation depth were evaluated, the results were only calculated by mathematical model of geometric assumptions. Because ablation depth can vary with operation conditions, the correction factor should be considered not only ablation depth by Munnerlyn formula but also surgeon-specific factor.

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Technological Trend of Functional Clothing by Analysis of Korean Patent (국내 특허분석을 통한 기능성이 적용된 의복의 기술 동향)

  • Kim, Ho Jung
    • Fashion & Textile Research Journal
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    • v.16 no.1
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    • pp.160-166
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    • 2014
  • Patent and utility indicate international competitiveness in the knowledge-based society of the $21^{st}$century where both the quantity and quality of the nation's scientific intelligence and innovative technology represent key criteria to evaluate its strength. Thus, discerning the trends of patents is inevitable for further development. This research is centered on apprehending the technological current of the functional clothing of Korea, through an analysis of patents and utility models. The number of patent applications in Korea was low until the mid-1990s. However, it began to grow rapidly in the 2000s and the number of patents surpassed the number of utility starting in 2006. The technological level of invention in this field has been turned into a higher level. The IPC code with the strongest application was the field related to temperature controllable clothing (A41D 13/005), followed by surgeon or patient apparel related fields (A41D 13/12), and reflective or luminous safety devices (A41D 13/01).The main technological idea was to give functionality that could protect the human body from various hazards and represents the goal of various applied techniques. About 66% of domestic patent applications belong to individuals; however, the proportion of corporate or institutional applications(including universities) remains poor. Consequently, more systematic and long-term support for research on patents is required.

Implication of Sternalis Muscle on Staged Breast Reconstruction with Implant (유방재건수술 시 발견된 복장근육(Sternalis Muscle)에 대한 수술응용 례)

  • Jung, Sung Gyun;Cheon, Jin K.
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.773-775
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    • 2006
  • Purpose: The sternalis muscle is an accessory muscle of the anterior chest wall. This is a rare anatomic variant reported in approximately 8 percent of the population, with variation among races. While several anatomic studies of the sternalis muscle exist, nothing in the literature addresses the implications of this muscle on staged breast reconstruction with implant. Methods: We encountered two consecutive patients with a left sternalis muscle who underwent immediate staged breast reconstruction with a tissue expander. We offer a strategy for dealing with this rare, but known, anatomic variant during staged implant reconstruction. Firstly, recognizing the presence of a sternalis muscle mandates the elevation of the pectoralis major muscle and the sternalis muscle in continuity. Secondly, slight modifications must be made during the submuscular dissection to create a properly placed pocket for the tissue expander. Results: While our encounters with this anatomic variant are few, our experiences with two consecutive patients illustrate that the reconstructive surgeon must be familiar with the sternalis muscle and be prepared to adapt his or her technique for tissue expander placement when faced with this accessory muscle. Conclusion: To date, no reports exist in the literature describing the operative implications of this anatomic variant. We offer our technique for dealing with this accessory muscle during staged implant reconstruction of the breast.

Psychosomatic Approach to Plastic Surgery (성형수술의 정신신체의학적 접근)

  • Hwang, Kun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.3-9
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    • 1999
  • Abnormal external appearance may cause psychiatric trauma or problem in social adaption. The plastic surgeons should consider the patient's quality of life, and their roles are correcting psychiatric and emotional trauma as well as external appearance which help the patient adapting social life. Because the patients in plastic surgery have higher level of expectation for the result of their operation, it is necessary for the surgeons to explain precisely the procedure and possible complications precisely at preoperative meeting and to maintain the good doctor-patient relationship at postoperative follow-up period. In case if the patient dissatisfy the postoperative result, it is recommended to listen the second opinion from another plastic surgeon. If the patient still dissatisfy, then the patient should be consulted to psychiatrist.

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Computer Integrated Surgical Robot System for Spinal Fusion

  • Kim Sungmin;Chung Goo Bong;Oh Se Min;Yi Byung-Ju;Kim Whee Kuk;Park Jong Il;Kim Young Soo
    • Journal of Biomedical Engineering Research
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    • v.26 no.5
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    • pp.265-270
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    • 2005
  • A new Computer Integrated Surgical Robot system is composed of a surgical robot, a surgical planning system, and an optical tracking system. The system plays roles of an assisting surgeon and taking the place of surgeons for inserting a pedicle screw in spinal fusion. Compared to pure surgical navigation systems as well as conventional methods for spinal fusion, it is able to achieve better accuracy through compensating for the portending movement of the surgical target area. Furthermore, the robot can position and guide needles, drills, and other surgical instruments or conducts drilling/screwing directly. Preoperatively, the desired entry point, orientation, and depth of surgical tools for pedicle screw insertion are determined by the surgical planning system based on CT/MR images. Intra-operatively, position information on surgical instruments and targeted surgical areas is obtained from the navigation system. Two exemplary experiments employing the developed image-guided surgical robot system are conducted.

A Case of Hemangioma of the Tongue in Adult (성인에서 발생한 혀의 거대 혈관종 1예)

  • Jung, Moon-Sang;Lee, Byeong-Cheol;Mo, Jung-A;Cho, Pyung-San
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.1
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    • pp.41-44
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    • 2010
  • Hemangiomas are the most common benign tumors or tumor-like malformations of blood vessels or blood filled cavernous spaces. Hemangiomas of the oral cavity represents 14% of all hemangiomas. Most hemangiomas are detected by one year of age and most commonly occurred in the lips, tongue, buccal mucosa and palate. But hemangiomas are sometimes reported in adults. We report one case of extensive hemangioma of the tongue in adult. Our case is a 48-year-old male who presented with a hemangioma occupying entirely two-third of the tongue. Treating those lesions pose a challenge to the surgeon. This paper discusses one case of extensive tongue hemangiomas treated with alcoholic sclerotherapy with satisfactory results supporting this particular approach in the management of these lesion.