Feasibility and accuracy of a robotic guidance system for navigated spine surgery in a hybrid operating room: a cadaver study.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked DownloadThe combination of navigation and robotics in spine surgery has the potential to accurately identify and maintain bone entry position and planned trajectory. The goal of this study was to examine the feasibility, accuracy and efficacy of a new robot-guided system for semi-automated, minimally invasive, pedicle screw placement. A custom robotic arm was integrated into a hybrid operating room (OR) equipped with an augmented reality surgical navigation system (ARSN). The robot was mounted on the OR-table and used to assist in placing Jamshidi needles in 113 pedicles in four cadavers. The ARSN system was used for planning screw paths and directing the robot. The robot arm autonomously aligned with the planned screw trajectory, and the surgeon inserted the Jamshidi needle into the pedicle. Accuracy measurements were performed on verification cone beam computed tomographies with the planned paths superimposed. To provide a clinical grading according to the Gertzbein scale, pedicle screw diameters were simulated on the placed Jamshidi needles. A technical accuracy at bone entry point of 0.48 ± 0.44 mm and 0.68 ± 0.58 mm was achieved in the axial and sagittal views, respectively. The corresponding angular errors were 0.94 ± 0.83° and 0.87 ± 0.82°. The accuracy was statistically superior (p < 0.001) to ARSN without robotic assistance. Simulated pedicle screw grading resulted in a clinical accuracy of 100%. This study demonstrates that the use of a semi-automated surgical robot for pedicle screw placement provides an accuracy well above what is clinically acceptable

Characteristics modeling for supercritical circulating fluidized bed boiler working in oxy-combustion technology

Among the technologies which allow to reduce greenhouse gas emission, mainly carbon dioxide, special attention deserves the idea of ‘zeroemission’ technology based on boilers working in oxy-combustion technology. In the paper the results of analyses of the influence of changing two quantities, namely oxygen share in oxidant produced in the air separation unit, and oxygen share in oxidant supplied to the furnace chamber on the selected characteristics of a steam boiler including the degree of exhaust gas recirculation, boiler efficiency and adiabatic flame temperature, was examined. Due to the possibility of the integration of boiler model with carbon dioxide capture, separation and storage installation, the subject of the analysis was also to determine composition of the flue gas at the outlet of a moisture condensation installation. Required calculations were made using a model of a supercritical circulating fluidized bed boiler working in oxy-combustion technology, which was built in a commercial software and in-house codes

Determination of technical and economic parameters of an ionic transport membrane air separation unit working in a supercritical power plant

In this paper an air separation unit was analyzed. The unit consisted of: an ionic transport membrane contained in a four-end type module, an air compressor, an expander fed by gas that remains after oxygen separation and heat exchangers which heat the air and recirculated flue gas to the membrane operating temperature (850 °C). The air separation unit works in a power plant with electrical power equal to 600 MW. This power plant additionally consists of: an oxy-type pulverized-fuel boiler, a steam turbine unit and a carbon dioxide capture unit. Life steam parameters are 30 MPa/650 °C and reheated steam parameters are 6 MPa/670 °C. The listed units were analyzed. For constant electrical power of the power plant technical parameters of the air separation unit for two oxygen recovery rate (65% and 95%) were determined. One of such parameters is ionic membrane surface area. In this paper the formulated equation is presented. The remaining technical parameters of the air separation unit are, among others: heat exchange surface area, power of the air compressor, power of the expander and auxiliary power. Using the listed quantities, the economic parameters, such as costs of air separation unit and of individual components were determined. These quantities allowed to determine investment costs of construction of the air separation unit. In addition, they were compared with investment costs for the entire oxy-type power plant

al- Shajarah : journal of the International Institute of Islamic Thought and Civilization (ISTAC)

This chapter will present the synthesis of basic pyridines functionalised in various positions with a range of different substituents. The discussion will highlight the advantages of each synthetic strategy