Zusammenfassung
This thesis presents the design and implementation of an integrated
image-guided robot-assisted endoscopic system (from here it will
be referred to by the single word System ) for the safe navigation
within the spinal meningeal space, providing the surgeon with the
direct vision of the structures (i.e. spinal cord, roots, vessels)
and with the possibility of performing some particularly useful operations,
like laser coagulation, local electrostimulation, local injection
of drugs or cleaning procedures of arachnoidal fibrosis. A more detailed
explanation of the medical aspects (anatomical and physiological
constraints, needs, state of the art, requirements) as well as a
description of the problem from a scientific and technical viewpoint
are given in chapter 1. The many peculiarities of the environment
and the necessity of preserving the inner delicate structures make
the development of the System a real challenge from the scientific
and technical viewpoints: the designed System will necessarily be
complex, requiring the design and implementation of several sub-systems.
For this reason, the approach followed during the design and development
of the System consisted in a continuous sequence of modeling and
prototypical implementations of the models: the final configuration
is the resultof a seriesof improvements; for the sake of clarity
of presentation, I will try to separatemodeling from implementation,
even though this will oblige the reader to frequent “jumps�? from
chapter 2 to chapter 3, where the implementation of the System is
described. The experiments performed to validate the sub-systems
and the whole System as well, are presented in chapter 4. Chapter
5 reports the conclusions, the discussion and outlines the possible
future work. In appendix A the schematics and the layout of the Electronic
Control Unit are shown, while appendix B contains the proposed and
accepted simplified surgical protocol used for subarachnoid space
endoscopy with the System .
Nutzer