Abstract
Epidural anesthesia is the most diffused clinical practice described as a placement of a medical needle into an epidural space, an insertion of a catheter through the needle and an injection of anesthetic in order to numb the nerves. A skilled anesthesiologist penetrates the needle through tissue layers such as subcutaneous fat, interspinous ligament, intraspinous ligament, ligamentum flavum and reaches the target space. Currently, methods of positioning of the needle tip into the epidural space are based on subjective perception, which are not safe and accurate. In order to improve the effectiveness of the epidural space identification, this work proposes a sensorized optical fiber mounted externally on the needle. This medical device provides continuous and real-Time measurements with the help of an optical backscattered reflectometry. When the needle is exposed to strain variations during its advancement, the intensity of backscattered light changes. By correlating the spectrum with the reference one, strain patterns can be produced. Obtained data can detect the needle passage from one tissue to the other in a custom made phantom, which mimics a human spinal anatomy. Specifically, needle passage from the stiff ligamentum flavum to the soft epidural space results in a significant strain drop and a consequent increase, which is considered as a crucial indicator of epidural space identification. The proposed device is advantageous over existing optical guidance: it does not obstruct the flow of a liquid in the inner side of the needle; the needle from the tip to the tail performs as a sensor.
| Original language | English |
|---|---|
| Title of host publication | Optical Fibers and Sensors for Medical Diagnostics and Treatment Applications XIX |
| Editors | Israel Gannot, Israel Gannot |
| Publisher | SPIE |
| ISBN (Electronic) | 9781510623866 |
| DOIs | |
| Publication status | Published - Jan 1 2019 |
| Event | Optical Fibers and Sensors for Medical Diagnostics and Treatment Applications XIX 2019 - San Francisco, United States Duration: Feb 2 2019 → Feb 3 2019 |
Publication series
| Name | Progress in Biomedical Optics and Imaging - Proceedings of SPIE |
|---|---|
| Volume | 10872 |
| ISSN (Print) | 1605-7422 |
Conference
| Conference | Optical Fibers and Sensors for Medical Diagnostics and Treatment Applications XIX 2019 |
|---|---|
| Country | United States |
| City | San Francisco |
| Period | 2/2/19 → 2/3/19 |
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Keywords
- Backscatter-ing reectometry
- Epidural anesthesia
- Epidural needle
- Medical equipment
- Optical fibers
- Strain sensing
ASJC Scopus subject areas
- Electronic, Optical and Magnetic Materials
- Atomic and Molecular Physics, and Optics
- Biomaterials
- Radiology Nuclear Medicine and imaging
Cite this
Distributed strain sensing optical guidance for epidural anesthesia. / Beisenova, Aidana; Issatayeva, Aizhan; Molardi, Carlo; Tosi, Daniele.
Optical Fibers and Sensors for Medical Diagnostics and Treatment Applications XIX. ed. / Israel Gannot; Israel Gannot. SPIE, 2019. 1087202 (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 10872).Research output: Chapter in Book/Report/Conference proceeding › Conference contribution
}
TY - GEN
T1 - Distributed strain sensing optical guidance for epidural anesthesia
AU - Beisenova, Aidana
AU - Issatayeva, Aizhan
AU - Molardi, Carlo
AU - Tosi, Daniele
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Epidural anesthesia is the most diffused clinical practice described as a placement of a medical needle into an epidural space, an insertion of a catheter through the needle and an injection of anesthetic in order to numb the nerves. A skilled anesthesiologist penetrates the needle through tissue layers such as subcutaneous fat, interspinous ligament, intraspinous ligament, ligamentum flavum and reaches the target space. Currently, methods of positioning of the needle tip into the epidural space are based on subjective perception, which are not safe and accurate. In order to improve the effectiveness of the epidural space identification, this work proposes a sensorized optical fiber mounted externally on the needle. This medical device provides continuous and real-Time measurements with the help of an optical backscattered reflectometry. When the needle is exposed to strain variations during its advancement, the intensity of backscattered light changes. By correlating the spectrum with the reference one, strain patterns can be produced. Obtained data can detect the needle passage from one tissue to the other in a custom made phantom, which mimics a human spinal anatomy. Specifically, needle passage from the stiff ligamentum flavum to the soft epidural space results in a significant strain drop and a consequent increase, which is considered as a crucial indicator of epidural space identification. The proposed device is advantageous over existing optical guidance: it does not obstruct the flow of a liquid in the inner side of the needle; the needle from the tip to the tail performs as a sensor.
AB - Epidural anesthesia is the most diffused clinical practice described as a placement of a medical needle into an epidural space, an insertion of a catheter through the needle and an injection of anesthetic in order to numb the nerves. A skilled anesthesiologist penetrates the needle through tissue layers such as subcutaneous fat, interspinous ligament, intraspinous ligament, ligamentum flavum and reaches the target space. Currently, methods of positioning of the needle tip into the epidural space are based on subjective perception, which are not safe and accurate. In order to improve the effectiveness of the epidural space identification, this work proposes a sensorized optical fiber mounted externally on the needle. This medical device provides continuous and real-Time measurements with the help of an optical backscattered reflectometry. When the needle is exposed to strain variations during its advancement, the intensity of backscattered light changes. By correlating the spectrum with the reference one, strain patterns can be produced. Obtained data can detect the needle passage from one tissue to the other in a custom made phantom, which mimics a human spinal anatomy. Specifically, needle passage from the stiff ligamentum flavum to the soft epidural space results in a significant strain drop and a consequent increase, which is considered as a crucial indicator of epidural space identification. The proposed device is advantageous over existing optical guidance: it does not obstruct the flow of a liquid in the inner side of the needle; the needle from the tip to the tail performs as a sensor.
KW - Backscatter-ing reectometry
KW - Epidural anesthesia
KW - Epidural needle
KW - Medical equipment
KW - Optical fibers
KW - Strain sensing
UR - http://www.scopus.com/inward/record.url?scp=85064877185&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85064877185&partnerID=8YFLogxK
U2 - 10.1117/12.2506763
DO - 10.1117/12.2506763
M3 - Conference contribution
T3 - Progress in Biomedical Optics and Imaging - Proceedings of SPIE
BT - Optical Fibers and Sensors for Medical Diagnostics and Treatment Applications XIX
A2 - Gannot, Israel
A2 - Gannot, Israel
PB - SPIE
ER -