Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback

Cricothyrotomy procedures, involving risky incisions on the neck skin and internal membranes, require rigorous training. In this paper, a novel incision sensor measuring the incision path in a cricothyrotomy training simulation is proposed. The sensor provides quantitative feedback to trainees on th...

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Main Authors: Bummo Ahn, Woonjae Choi, Mark P. Ottensmeyer, Hoeryong Jung
Format: Article
Language:English
Published: IEEE 2019-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/8607980/
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author Bummo Ahn
Woonjae Choi
Mark P. Ottensmeyer
Hoeryong Jung
author_facet Bummo Ahn
Woonjae Choi
Mark P. Ottensmeyer
Hoeryong Jung
author_sort Bummo Ahn
collection DOAJ
description Cricothyrotomy procedures, involving risky incisions on the neck skin and internal membranes, require rigorous training. In this paper, a novel incision sensor measuring the incision path in a cricothyrotomy training simulation is proposed. The sensor provides quantitative feedback to trainees on their incision practice, enhancing the effectiveness of the simulation. The sensor measures the electric potential, which decreases monotonically along the direction of current flow on the conductive material at the incision point, and converts it to coordinate values, based on the relationship between the electric potential and the position. The sensor comprises three layers of conductive tape, which are electrically isolated by two dielectric layers, and is fabricated as a thin film. The first two conductive layers (driving layers) are alternately energized to create distributions of electric potential in the x or y directions across the sensor plane. The third conductive layer (sensing layer), placed under the driving layers, transfers the electric potential to the output channel of the sensor at the point where a metal blade creates a short circuit between the energized driving layer and the sensing layer. The alternating measurements are converted to x and y coordinates of the incision position. The experiments for characterization and performance validation were performed using sensor prototypes fabricated with the proposed design and fabrication procedures. The experimental results show that the proposed sensor facilitates the measurement of the incision paths aligned with and diagonal to the x andy axes within root mean square errors of 0.98 and 1.03 mm, respectively.
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spelling doaj.art-31899c351eda4e739cef6dffee8f41182022-12-21T19:58:06ZengIEEEIEEE Access2169-35362019-01-017129471295810.1109/ACCESS.2019.28919588607980Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative FeedbackBummo Ahn0Woonjae Choi1Mark P. Ottensmeyer2Hoeryong Jung3https://orcid.org/0000-0001-7080-6630Robotics Research and Development Group, Korea Institute of Industrial Technology, Ansan-si, South KoreaRobotics Research and Development Group, Korea Institute of Industrial Technology, Ansan-si, South KoreaDepartment of Radiology, Medical Device and Simulation Laboratory, Massachusetts General Hospital, Cambridge, MA, USADepartment of Mechanical Engineering, Konkuk University, Seoul, South KoreaCricothyrotomy procedures, involving risky incisions on the neck skin and internal membranes, require rigorous training. In this paper, a novel incision sensor measuring the incision path in a cricothyrotomy training simulation is proposed. The sensor provides quantitative feedback to trainees on their incision practice, enhancing the effectiveness of the simulation. The sensor measures the electric potential, which decreases monotonically along the direction of current flow on the conductive material at the incision point, and converts it to coordinate values, based on the relationship between the electric potential and the position. The sensor comprises three layers of conductive tape, which are electrically isolated by two dielectric layers, and is fabricated as a thin film. The first two conductive layers (driving layers) are alternately energized to create distributions of electric potential in the x or y directions across the sensor plane. The third conductive layer (sensing layer), placed under the driving layers, transfers the electric potential to the output channel of the sensor at the point where a metal blade creates a short circuit between the energized driving layer and the sensing layer. The alternating measurements are converted to x and y coordinates of the incision position. The experiments for characterization and performance validation were performed using sensor prototypes fabricated with the proposed design and fabrication procedures. The experimental results show that the proposed sensor facilitates the measurement of the incision paths aligned with and diagonal to the x andy axes within root mean square errors of 0.98 and 1.03 mm, respectively.https://ieeexplore.ieee.org/document/8607980/Conductive tapecricothyrotomy simulationincision sensormedical simulation
spellingShingle Bummo Ahn
Woonjae Choi
Mark P. Ottensmeyer
Hoeryong Jung
Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback
IEEE Access
Conductive tape
cricothyrotomy simulation
incision sensor
medical simulation
title Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback
title_full Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback
title_fullStr Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback
title_full_unstemmed Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback
title_short Incision Sensor Using Conductive Tape for Cricothyrotomy Training Simulation With Quantitative Feedback
title_sort incision sensor using conductive tape for cricothyrotomy training simulation with quantitative feedback
topic Conductive tape
cricothyrotomy simulation
incision sensor
medical simulation
url https://ieeexplore.ieee.org/document/8607980/
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AT woonjaechoi incisionsensorusingconductivetapeforcricothyrotomytrainingsimulationwithquantitativefeedback
AT markpottensmeyer incisionsensorusingconductivetapeforcricothyrotomytrainingsimulationwithquantitativefeedback
AT hoeryongjung incisionsensorusingconductivetapeforcricothyrotomytrainingsimulationwithquantitativefeedback