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Laser Assisted Robotic Surgery of the anterior Eye Segment
Robotic surgery is a reality in several surgical fields, such as in gastrointestinal surgery. In ophthalmic surgery the required high spatial precision is limiting the application of robotic system, and even if several attempts have been designed in the last 10 years, only some application in retinal surgery were tested in animal models. The combination of photonics and robotics can really open new frontiers in minimally invasive surgery, improving the precision, reducing tremor, amplifying scale of motion, and automating the procedure. In this manuscript we present the preliminary results in developing a vision guided robotic platform for laser-assisted anterior eye surgery. The robotic consolle is composed by a robotic arm equipped with an "end effector" designed to deliver laser light to the anterior corneal surface. The main intended application is for laser welding of corneal tissue in laser assisted penetrating keratoplasty and endothelial keratoplasty. The consolle is equipped with an integrated vision system. The experiment originates from a clear medical demand in order to improve the efficacy of at least 20 different surgical procedures: when the prototype will be optimized other surgical areas will be included in its application, such as neurosurgery, urology and spinal surgery. This research activity has been performed in the framework of the Experiment “LA-ROSESâ€, granted by FP7 ECORD++ - The European Coordination Hub for Open Robotics Development (2015-2016).
Italy
Bernardo Magnani, Fabio Leoni, Francesca Rossi
Bernardo Magnani received the Laurea Degree in Mechanical Engineering from the University of Pisa in 1995 and in 1999 he obtained the Ph.D. in Microsystems Engineering at SSSA. He was Project Manager of the BIOMED2/MIAS project, coordinated by SSSA and aimed at the devel-opment of an integrated system for Computer Assisted Surgery for Minimally Invasive Arthros-copy. From 1999 to 2000 he was the Project Manager of the EU project “Medical Micro-Instrument Competence Centre†in the framework of Europractice. In 2000 he became General Manager of Ekymed.
Fabio Leoni received his Master Degree in Computer Science from Dipartimento di Informatica - University of Pisa, Italy in July 1997 and the Ph.D. in Robotics from the University of Genova in 2001. He covered a Post-doc Fellow position at the BioRobotics Institute of SSSA assisting the management of the Industrial Research and Development (IRD) Group of SSSA. Since No-vember 2013 he has taken office as President of Fastenica s.r.l. in order to exploit the industrial research activity performed by IRD Group.
Francesca Rossi is Researcher at the Institute of Applied Physics “Nello Carraraâ€, of the Italian National Research Council, where she collaborates since 2003. Her skills are in the studies of light-tissue interactions. At present her research interests include experimental and theoretical studies on the temperature dynamics during light irradiations of bio-tissue. She is involved in the coordination of research activities in the framework of several regional, national and European projects, with a focus on the development of new surgical, therapeutic and diagnostic laser-based approaches in Ophthalmology, Dermatology, Neurosurgery, etc. She is author of more than 30 papers published in peer-reviewed international scientific journals; she is author of 6 patents.
Fabio Leoni received his Master Degree in Computer Science from Dipartimento di Informatica - University of Pisa, Italy in July 1997 and the Ph.D. in Robotics from the University of Genova in 2001. He covered a Post-doc Fellow position at the BioRobotics Institute of SSSA assisting the management of the Industrial Research and Development (IRD) Group of SSSA. Since No-vember 2013 he has taken office as President of Fastenica s.r.l. in order to exploit the industrial research activity performed by IRD Group.
Francesca Rossi is Researcher at the Institute of Applied Physics “Nello Carraraâ€, of the Italian National Research Council, where she collaborates since 2003. Her skills are in the studies of light-tissue interactions. At present her research interests include experimental and theoretical studies on the temperature dynamics during light irradiations of bio-tissue. She is involved in the coordination of research activities in the framework of several regional, national and European projects, with a focus on the development of new surgical, therapeutic and diagnostic laser-based approaches in Ophthalmology, Dermatology, Neurosurgery, etc. She is author of more than 30 papers published in peer-reviewed international scientific journals; she is author of 6 patents.
A33 (pav. 6)