Print Email Facebook Twitter Review of techniques to achieve optical surface cleanliness and their potential application to surgical endoscopes Title Review of techniques to achieve optical surface cleanliness and their potential application to surgical endoscopes Author Kreeft (student), Davey Arkenbout, E.A. (TU Delft Medical Instruments & Bio-Inspired Technology) Henselmans, P.W.J. (TU Delft Medical Instruments & Bio-Inspired Technology) Van Furth, Wouter R. (Leiden University Medical Center) Breedveld, P. (TU Delft Medical Instruments & Bio-Inspired Technology) Date 2017 Abstract A clear visualization of the operative field is of critical importance in endoscopic surgery. During surgery the endoscope lens can get fouled by body fluids (eg, blood), ground substance, rinsing fluid, bone dust, or smoke plumes, resulting in visual impairment. As a result, surgeons spend part of the procedure on intermittent cleaning of the endoscope lens. Current cleaning methods that rely on manual wiping or a lens irrigation system are still far from ideal, leading to longer procedure times, dirtying of the surgical site, and reduced visual acuity, potentially reducing patient safety. With the goal of finding a solution to these issues, a literature review was conducted to identify and categorize existing techniques capable of achieving optically clean surfaces, and to show which techniques can potentially be implemented in surgical practice. The review found that the most promising method for achieving surface cleanliness consists of a hybrid solution, namely, that of a hydrophilic or hydrophobic coating on the endoscope lens and the use of the existing lens irrigation system. Subject biomedical engineeringflexible endoscopygynecologic laparoscopyinterventional endoscopyneurosurgeryNOTESSILSsingle-site surgery To reference this document use: http://resolver.tudelft.nl/uuid:b88303a7-fbde-4ed4-af58-d9ab9a8e772b DOI https://doi.org/10.1177/1553350617708959 ISSN 1553-3506 Source Surgical Innovation, 24 (5), 509-527 Part of collection Institutional Repository Document type review Rights © 2017 Davey Kreeft (student), E.A. Arkenbout, P.W.J. Henselmans, Wouter R. Van Furth, P. Breedveld Files PDF 1553350617708959.pdf 465.16 KB Close viewer /islandora/object/uuid:b88303a7-fbde-4ed4-af58-d9ab9a8e772b/datastream/OBJ/view