Jessica Burgner-Kahrs

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We describe transnasal skull base surgery, including the current clinical procedure and the ways in which a robotic system has the potential to enhance the current standard of care. The available workspace is characterized by segmenting medical images and reconstructing the available 3D geometry. We then describe thin, “tentacle-like” robotic(More)
Steerable needles have the potential to improve the effectiveness of needle-based clinical procedures such as biopsy and drug delivery by improving targeting accuracy and reaching previously inaccessible targets that are behind sensitive or impenetrable anatomical regions. We present a new needle steering system capable of automatically reaching targets in(More)
New approaches to intracerebral hemorrhage management are motivated by its high incidence and 40% mortality rate. Surgery is sometimes attempted to decompress the brain, although patient outcomes are similar regardless of whether surgery occurs. We hypothesize that surgical decompression is not more effective because current open surgical techniques disrupt(More)
In the quest to design higher curvature bevel-steered needles, kinked bevel-tips have been one of the most successful approaches yet proposed. However, the price to be paid for enhancing steerability in this way has been increased tissue damage, since the prebent tip cuts a local helical path into tissue when axially rotated. This is problematic when(More)
Anecdotally, surgeons sometimes observe large errors when using image guidance in endonasal surgery. We hypothesize that one contributing factor is the possibility that operating room personnel might accidentally bump the optically tracked rigid body attached to the patient after registration has been performed. In this paper we explore the registration(More)
In this paper, we describe the state of the art in continuum robot manipulators and systems intended for application to interventional medicine. Inspired by biological trunks, tentacles, and snakes, continuum robot designs can traverse confined spaces, manipulate objects in complex environments, and conform to curvilinear paths in space. In addition, many(More)
This paper presents a miniature wrist that can be integrated into needle-sized surgical instruments. The wrist consists of a nitinol tube with asymmetric cutouts that is actuated by a single tendon to provide high distal curvature. We derive and experimentally validate kinematic and static models for the wrist and describe several prototype wrists,(More)
Concentric tube robots exhibit complex workspaces due to the way their component tubes bend and twist as they interact with one another. This paper explores ways to compute and characterize their workspaces. We use Monte Carlo random samples of the robot's joint space and a discrete volumetric workspace representation, which can describe both reachability(More)
INTRODUCTION Non-aneurysmal intracerebral hemorrhage (ICH) is a significant burden to quality of life, society, and life itself. It comprises approximately 20% of all strokes with 40% and 55% median mortality rates at 30 days and 1 year, respectively [1]. The current standard of care consists of conservative medical management and treatment of any risk(More)
Tubular continuum robots are particularly useful for minimally invasive surgery due to their small size and ability to dexterously manipulate in constrained environments. The robot can be used teleoperated or operated (semi-)autonomously. In both cases, safe manipulation has to be ensured considering constraints from the patient's unique anatomy and(More)