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The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery
(1) We describe the boundary conditions for minimally invasive cardiac surgery (MICS) with the aim to reduce procedure-related patient injury and discomfort. (2) The analysis of the MICS work process and its demand for improved tools and devices is followed by a description of the relevant sub-speci...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432110/ https://www.ncbi.nlm.nih.gov/pubmed/34501325 http://dx.doi.org/10.3390/jcm10173877 |
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author | Cocchieri, Riccardo van de Wetering, Bertus Stijnen, Marco Riezebos, Robert de Mol, Bastian |
author_facet | Cocchieri, Riccardo van de Wetering, Bertus Stijnen, Marco Riezebos, Robert de Mol, Bastian |
author_sort | Cocchieri, Riccardo |
collection | PubMed |
description | (1) We describe the boundary conditions for minimally invasive cardiac surgery (MICS) with the aim to reduce procedure-related patient injury and discomfort. (2) The analysis of the MICS work process and its demand for improved tools and devices is followed by a description of the relevant sub-specialties of bio-medical engineering: electronics, biomechanics, and materials sciences. (3) Innovations can represent a desired adaptation of an existing work process or a radical redesign of procedure and devices such as in transcutaneous procedures. Focused interaction between engineers, industry, and surgeons is always mandatory (i.e., a therapeutic alliance for addressing ‘unmet patient or professional needs’. (4) Novel techniques in MICS lean heavily on usability and safe and effective use in dedicated hands. Therefore, the use of training and simulation models should enable skills selection, a safe learning curve, and maintenance of proficiency. (5) The critical technical steps and cost–benefit trade-offs during the journey from invention to application will be explained. Business considerations such as time-to-market and returns on investment do shape the cost–benefit room for commercial use of technology. Proof of clinical safety and effectiveness by physicians remains important, but establishing the technical reliability of MICS tools and warranting appropriate surgical skills come first. |
format | Online Article Text |
id | pubmed-8432110 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84321102021-09-11 The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery Cocchieri, Riccardo van de Wetering, Bertus Stijnen, Marco Riezebos, Robert de Mol, Bastian J Clin Med Review (1) We describe the boundary conditions for minimally invasive cardiac surgery (MICS) with the aim to reduce procedure-related patient injury and discomfort. (2) The analysis of the MICS work process and its demand for improved tools and devices is followed by a description of the relevant sub-specialties of bio-medical engineering: electronics, biomechanics, and materials sciences. (3) Innovations can represent a desired adaptation of an existing work process or a radical redesign of procedure and devices such as in transcutaneous procedures. Focused interaction between engineers, industry, and surgeons is always mandatory (i.e., a therapeutic alliance for addressing ‘unmet patient or professional needs’. (4) Novel techniques in MICS lean heavily on usability and safe and effective use in dedicated hands. Therefore, the use of training and simulation models should enable skills selection, a safe learning curve, and maintenance of proficiency. (5) The critical technical steps and cost–benefit trade-offs during the journey from invention to application will be explained. Business considerations such as time-to-market and returns on investment do shape the cost–benefit room for commercial use of technology. Proof of clinical safety and effectiveness by physicians remains important, but establishing the technical reliability of MICS tools and warranting appropriate surgical skills come first. MDPI 2021-08-28 /pmc/articles/PMC8432110/ /pubmed/34501325 http://dx.doi.org/10.3390/jcm10173877 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Cocchieri, Riccardo van de Wetering, Bertus Stijnen, Marco Riezebos, Robert de Mol, Bastian The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery |
title | The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery |
title_full | The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery |
title_fullStr | The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery |
title_full_unstemmed | The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery |
title_short | The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery |
title_sort | impact of biomedical engineering on the development of minimally invasive cardio-thoracic surgery |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432110/ https://www.ncbi.nlm.nih.gov/pubmed/34501325 http://dx.doi.org/10.3390/jcm10173877 |
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