A first in man clinical trial to asses the the use of am image guided robotic system to safely and effectively create a minimally invasive access tunnel to the middle ear cavity to allow access to the round window for cochlear implant electrode insertion.
A first in man feasibility study of an image guided robotic system for performing a key-hole approach to the middle ear cavity.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Inselspital University Hospital Bern
Bern, Switzerland
Drilling accuracy
The lateral distance between the center lines of the planned and drilled tunnel positions at the level of the facial nerve measured from medical image data
Time frame: Image data acquired during the procedure
Number of successfully completed robotic procedures
The number of procedures drilled robotically to the middle ear cavity
Time frame: The procedure (day 0)
The number of successful cochlear implant electrode array insertions
Number of electrode arrays implanted through the key-hole approach to the middle ear cavity
Time frame: The procedure (day 0)
Registration accuracy
Fiducial matching error of patient to image registration
Time frame: The procedure (day 0)
Time of the robotic procedure and its subparts
Total time of the robotic procedure from opening to closing (mean and standard deviation) and of the subprocesses
Time frame: The procedure (day 0)
Adverse events
Any clinical complications including facial nerve or chorda tympani damage, infection, negative audiological outcomes etc
Time frame: day 0-30
Blood loss
Intraoperative blood loss (ml)
Time frame: The procedure (day 0)
Postoperative pain
Pain scale and prescribed pain medication
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Time frame: day 0-30
Invasiveness of the intervention
Size of incision (mm)
Time frame: The procedure (day 0)