Otitis media with effusion (OME) is a very common ear disease occurring in adults and children alike when the middle ear is infected or the eustachian tube becomes dysfunctional, resulting in accumulation of fluid in the middle ear space. When medication as the first treatment fails, a grommet is commonly surgically inserted on the tympanic membrane (TM) of the patient to discharge the fluid. In this paper, a novel “all-in-one” device allowing office-based grommet insertion in an awake patient with OME is proposed, designed, fabricated, and tested. It utilizes a highly integrated structure encompassing key components of a mechanical system, a sensing system and a motion control system, all are synergized to enable the surgery to be completed in a short time automatically, precisely, effectively, and safely. The experimental results obtained with the device working on a mock membrane with characteristics representative of the TM are duly furnished, showing a success rate of up to 98%.
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September 2014
Research-Article
Design of a Surgical Device for Office-Based Myringotomy and Grommet Insertion for Patients With Otitis Media With Effusion
Kok Kiong Tan,
Kok Kiong Tan
Department of Electrical and
Computer Engineering,
117576,
Computer Engineering,
National University of Singapore
,117576,
Singapore
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Wenyu Liang,
Wenyu Liang
1
Department of Electrical and
Computer Engineering,
e-mail: liangwenyu@nus.edu.sg
Computer Engineering,
National University of Singapore
,117576
, Singapore
e-mail: liangwenyu@nus.edu.sg
1Corresponding author.
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Le Phuong Pham,
Le Phuong Pham
Department of Electrical and
Computer Engineering,
Computer Engineering,
National University of Singapore
,117576
, Singapore
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Sunan Huang,
Sunan Huang
Department of Bioengineering,
National University of Singapore
,117576
, Singapore
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Chee Wee Gan,
Chee Wee Gan
Department of Otolaryngology,
National University of Singapore
,119228
, Singapore
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Hsueh Yee Lim
Hsueh Yee Lim
Department of Otolaryngology,
National University of Singapore
,119228
, Singapore
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Kok Kiong Tan
Department of Electrical and
Computer Engineering,
117576,
Computer Engineering,
National University of Singapore
,117576,
Singapore
Wenyu Liang
Department of Electrical and
Computer Engineering,
e-mail: liangwenyu@nus.edu.sg
Computer Engineering,
National University of Singapore
,117576
, Singapore
e-mail: liangwenyu@nus.edu.sg
Le Phuong Pham
Department of Electrical and
Computer Engineering,
Computer Engineering,
National University of Singapore
,117576
, Singapore
Sunan Huang
Department of Bioengineering,
National University of Singapore
,117576
, Singapore
Chee Wee Gan
Department of Otolaryngology,
National University of Singapore
,119228
, Singapore
Hsueh Yee Lim
Department of Otolaryngology,
National University of Singapore
,119228
, Singapore
1Corresponding author.
Manuscript received June 8, 2013; final manuscript received March 13, 2014; published online July 21, 2014. Assoc. Editor: Carl Nelson.
J. Med. Devices. Sep 2014, 8(3): 031001 (12 pages)
Published Online: July 21, 2014
Article history
Received:
June 8, 2013
Revision Received:
March 13, 2014
Citation
Kiong Tan, K., Liang, W., Phuong Pham, L., Huang, S., Wee Gan, C., and Yee Lim, H. (July 21, 2014). "Design of a Surgical Device for Office-Based Myringotomy and Grommet Insertion for Patients With Otitis Media With Effusion." ASME. J. Med. Devices. September 2014; 8(3): 031001. https://doi.org/10.1115/1.4027247
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