An analytical modeling with experimental validation of bone temperature rise in drilling process

Analysis of the influence of surgical robot drilling parameters on the temperature of skull drilling based on Box-Behnken design

It is easy to cause thermal damage to the bone tissue when the surgical robot performs skull drilling to remove bone flaps, due to the large diameter of the drill bit, the large heat-generating area, and the long drilling time. Therefore, in order to reduce the thermal damage during the robot-assisted skull drilling process, the relationship between the drilling parameters and the drilling temperature during the skull drilling was studied in this paper. Firstly, a dynamic numerical simulation model of the skull drilling process was established by ABAQUS, and a temperature simulation plan for skull drilling was designed based on the Box-Behnken method. Then according to the simulation results, a quadratic regression model of drill diameter, feed rate, drill speed, and drilling temperature was established by using the multiple regression method. By analyzing the regression model, the influence of drilling parameters on the drilling temperature was clarified. Finally, the bone drilling experiment was carried out, and the error percentage was lower than 10.5% through the experiment to verify the reliability of the conclusion, and a safety strategy was proposed to ensure the safety of the surgical drilling process based on this experiment.

Progress in Excision Methods of Bone Materials

Bone resection is a common technique in modern surgery, which can be divided into contact (such as mechanical osteotomy and ultrasonic osteotomy) and non-contact (such as laser osteotomy). Irrespective of the excision method, it causes processing damage to natural bone material, thus affecting bone healing. To reduce the machining damage in bone resection, different machining variables (cutting fluid temperature, feed rate, rotational speed, and ultrasonic frequency) were considered to explore the selection of various cutting conditions. This paper reviews the excision of natural bone materials including mechanical osteotomy, laser osteotomy, and ultrasonic osteotomy, especially traditional drilling and ultrasonic cutting, which represent the traditional and prospective methods of bone excision technology, respectively. Finally, the differences between methods are emphasized and the future trends in osteotomy technology and condition control during osteotomy are analyzed.

Proposal for a Novel Abrasive Machining Method for Preparing the Surface of Periarticular Tissue during Orthopedic Surgery on Hip Joints

Drilling, cutting, and milling are the most common methods used in orthopedic surgery. However, popular machining methods do not obtain the complex shape of the periarticular tissue surfaces, increasing operation time and patient recovery. This paper reports an attempt to research a novel design of a machining process for surgical procedures. A device using abrasion machining based on mechanical erosion was proposed. Machining uses an undefined geometry of the cutting grains to cut tissue in any direction during oscillatory tool movement. This new concept is based on a cylindrical abrasive device made of brown fused alumina and silicon carbide grains deposited with an epoxy resin binder on the surface of a polyamide shaft. The best results in terms of machining efficiency were obtained for grains of the BFA80 type. Cutting experiments with different values in terms of cutting speed, granulation of the abrasive grains, pressure forces, and machining scope showed that the proposed concept, by developing the shape of the device, allows for penetration of the tissue structure. The research shows the possibility of using the proposed method during periarticular tissue machining.

A predictive model for cortical bone temperature distribution during drilling

Bone drilling is an important procedure in medical orthopedic surgery and it is inevitable that heat will be generated during the drilling process and higher temperatures can cause thermal damage to the bone tissue near the drilled hole. Therefore, the capability to obtain the cortical bone drilling temperature distribution area can have great significance for medical bone surgery. Based on the theory of heat transfer, a predictive model for cortical bone drilling temperature distribution was established. The energy distribution coefficient in cortical bone drilling was derived, based on conjugate gradient inversion. A cortical bone drilling experiment platform was built to verify the temperature distribution prediction model. The results show that the model of cortical bone drill temperature distribution could predict accurately the drilling temperature distribution, both for different depths and for different radial distances. Additionally, the effects of different drilling conditions (spindle speed, feed rate, drill diameter) on the temperature of drilling cortical bone were considered.