Journal of Computer Aided Surgery Vol.4 No.2


骨穿孔小型軟性ドリルを用いた骨髄移植用 造血幹細胞採取デバイスの開発

Stem Cell Harvesting Device with Passive Flexible Drilling Unit for Bone Marrow Transplantation


大橋晃太(学生会員)a,波多伸彦a*,松村有子c,緒方徹c,
矢作直樹c,佐久間一郎b,土肥健純a
a東京大学大学院情報理工学系研究科
b東京大学大学院新領域創成科学研究科
C東京大学大学院医学系研究科
Kota Ohashi a,Nobuhiko Hata a,Tomoko Matsumura c,Toru Ogatac,
Naoki Yahagic,Ichiro Sakuma b,Takeyoshi Dohi a
a Graduate School of Information Science and Technology,The University of Tokyo
b Graduate School of Frontier Sciences,The University of Tokyo
c Graduate School of Medicine,The University of Tokyo

Abstract
 We present a novel device to effciently harvest bone marrow in bone marrow transplantation using newly proposed passive flexible drilling unit and suction mechanism. The device is aimed at less invasive bone marrow harvesting by collecting stem cells from the iliac bone with minimal punctures,less operation time.The device consists of Stem Cell Harvesting Device with Passive Flexible Drilling Unit.The device is inserted into the medullary space from the iliac crest and aspirates the bone marrow while an end−mill on the tip of the Passive Flexible Drilling Unit drills through the cancellous bone to create a curved path.We found,from in vitro and in vivo plg study,that the device can be inserted into the medullary space of the pig iliac bone 131mm by 32. 1mm/min and harvests bone marrow about 6 times as many per puncture as the conventional Aspiration Method. The device,When applied in clinical study,will enable less in vasiveness to donors by harvesting graft from wider area of the iliac bone than conventional aspiration method.
Key words
 Bone Marrow Transplantation,Drilling Cancellousbone,Flexible Device,Hematopoletic Stem Cells.


光学的位置計測とリアルタイムイメージングを用いた四次元下顎運動解析システムの開発

Development of Four-Dimensional Analysis System of Movements with Optical Position Measuring and Real-time Imaging

重田優子(正会員)*a,鈴木直樹a,大竹義人a,服部麻木a,小林 馨b,小川 匠C,福島俊士C
a東京慈恵会医科大学総合医科学研究センター高次元医用画像工学研究所
b鶴見大学歯学部歯科放射線学教室
C同歯科補綴学第二講座
Yuhko Shigeta a,Naoki Suzuki a,Yoshito Otake a,Asaki Hattori a,Kaoru Kobayashi b,Takumi Ogawa c,Shunji Fukushima c
a Institute for High Dimensional Medical Imaging,Jikei University School of Medicine
b Department of Oral Radiology,Tsurumi University School of Dental Medicine
c The 2nd Department of Prosthetic Dentistry School of Dental Medicine

Abstract
 The purpose of this study is to apply 3-dimensional image to mandibular movement data,and to discuss the clinical utility of this infomation. The subject was a 26−yeas-old female of volunteer who has no missing teeth and no morbid findings in clinicalexaminations. Prior to taking the computerized(CT),mandibular movements weremeasured using POLARIS,an optical position measurement device .The skull,mandibular and clutches were reconstructed into a 3-dimensional image from the obtained CT data. The relationship markers and anatomic structures were computed on CT irnaging.The movents in each region of the anatomic structures were calculated using the data from the CT and POLARIS.The 3-dimensional imaging on the computer monitor was synchronized with the hurman movement by a real-time imagingsystem. The following fundamental jaw movements were mainly investigated:qpening and closing motions,border jaw movements in the sagittal plane and lateral excursion movements.In intercuspal position and all sorts of mandibular movements,we could observevarious condyle movements including the relationship of the position between the condyle and the temporal bone.Therefore this information can be applied to predict the regions of guide and loading each movement. There is a possibility that it uncovers unprecedented movements and relationships between movements and anatomic structures in patients with osteoarthritis.By using this system,we could acquire much more infomation than by previous analysis of mandibular movements.It was suggeste dthat 4-ehimensis would beuseful in studying the pathogenesis of disease and convalescence in Tempromandibular disorders.
Key words
  4-dimensional analysis,Mandibular movement,Three-dimensional imaging,Healthy volunteer.


 サージェリレコーディングシステムの提案と試作

Proposal of the Surgery Recording System

生田幸士(正会員)a*,加藤大香士a,吉山博幸a
a名古屋大学大学院工学研究科マイクロシステム工学専攻
Koji Ikuta a,Takashi Kato a,Hiroaki Yoshiyama a
a Department of Micro System Engineering,School of Engineering,Nagoya University

Abstract
  The concept of“Surgery Recording System”(SRS)for laparoscopy was proposed and the first prototype was developed. The concepts of the system are:the coordination for present surglcal environment,non−obstructive sensor equipments’layout of surgeon's operations,the record of total surgical information on time scale. First of all,the surgery recording forceps was developed with which a6−DOF magnetic position sensor and a 6−axis force/torque sensor,efficently small and light weight, were equipped.Position,orientation,force,torque informationsof the forceps are recorded into a PC(hard disk drive)through the operation by a skillful surgeon.The laparoscopic view imageand the expert's comments are also recorded into a digital video tape.SRS was tested preliminary at in vivo pig experimentand was able to record the above−mentioned significant surgical data to the liver by an expert on laparoscopy.
Key words
  Surgery Recording System,Surgery Recording Forceps,Laparoscopy,6−DOF Magnetic Position Sensor,6−axis Force/Torque Sensor.