English

Towards a Procedure Optimised Steerable Microcatheter for Deep Seated Neurosurgery

Medical Physics 2023-09-06 v1 Robotics

Abstract

In recent years, the steerable needles have attracted significant interest in Minimally Invasive Surgery (MIS). Amongst these, the flexible Programmable-bevel tip needle (PBN) concept has successfully achieved an in-vivo demonstration to evaluate the feasibility of Convection Enhanced Delivery (CED) of chemotherapeutics within the ovine model, with a 2.5 mm PBN prototype. However, further size reduction is necessary for other diagnostic and therapeutic procedures involving deep-seated tissue structures. Since PBNs have a complex cross-section geometry, standard production methods, such as extrusion, fails as the outer diameter is reduced further. This paper presents our first attempt to demonstrate a new manufacturing method for the PBN that employs thermal drawing technology. Experimental characterisation tests were performed for the 2.5 mm PBN and a new 1.3 mm Thermally Drawn (TD) PBN prototype described here. The results show that thermal drawing presents a significant advantage in miniaturising complex needle structures. However, the steering behaviour is affected due to the choice of material in this first attempt, a limitation which will be addressed in future work.

Keywords

Cite

@article{arxiv.2303.01815,
  title  = {Towards a Procedure Optimised Steerable Microcatheter for Deep Seated Neurosurgery},
  author = {Ayhan Aktas and A. Anil Demircali and Riccardo Secoli and Burak Temelkuran and F. Rodriguez y Baena},
  journal= {arXiv preprint arXiv:2303.01815},
  year   = {2023}
}
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