Publications, media and R&D
The microsurgical training programme in Gothenburg, Sweden: early experiences.
Mihai Oltean, Paolo Sassu, Mats Hellström, Peter Axelsson, Lars Ewaldsson,
Anders G. Nilsson & Michael Axelsson.
Journal of Plastic Surgery and Hand Surgery, 21016, DOI: 10.1080/2000656X.2016.1213735
Link to this article: http://dx.doi.org/10.1080/2000656X.2016.1213735
Defining Standards in Experimental Microsurgical Training: Recommendations of the European Society for Surgical Research (ESSR) and the International Society for
Experimental Microsurgery (ISEM)
René H. Tolba, Zoltán Czigány, Suzanne Osorio Lujan, Mihai Oltean, Michael Axelsson, Yelena Akelina, Antonio Di Cataldo, Iren Miko, Istvan Furka, Uta Dahmen, Eiji Kobayashi, Mihai Ionac, Norbert Nemeth
European Surgical Research, 2017, DOI: 10.1159/000479005
Link to this article: https://www.karger.com/Article/FullText/479005
2014 issue #4
A system for recording hand and finger movements and synchronous video during microsurgery
Description to be added
An affordable and powerful microscope camera system
At the Scandinavian Microsurgery Academy in Gothenburg we train both pre-clinical personal and clinically active surgeons in microsurgery (for more information see http://microsurgery.se ). We constantly try to improve the training curriculum within a limited budget. One important part of the training is to give the participants continuous feedback and instructions while they work under the microscope. In order to do so the instructors need to see what the participants are doing. Traditionally this was done using a side-tube or an extra set of oculars . Both side-tubes and extra set of oculars are expensive and you can only see the work by one student at the time. Another option is to use a camera mounted in a phototube showing the work field on a screen. This allows you to follow several students at the same time. If the system have some means to output the feed you can also use the system as an instruction microscope for the entire group. Buying commercially available video systems is expensive and the microscopes also need to have a phototube.
We have tested a cheaper system based on a modified Logitech c920 camera (mounted in a new house with a c-mount, http://lukse.lt/uzrasai/2013-07-modifying-logitech-c920-to-for-cs-lenses/) in combination with Samsung 10” tablet and the CameraFi app, this combination cost around 600 EUR which is low compared to side-tubes and commercially available camera system.
With this system it is possible to view live full screen video, save images or video and cast (via Chrome cast) the live feed to the teaching screen in the front of the room. The downside is that in order to run the camera for a full day the tablet needs to be connected to the power adapter since the camera drains the battery. The solution is to use a Simulcharge OTG-adapter that allow you to charge the tablet at the same time as some other peripheral is connected but there are compatibility problems and it does not work without problems.
On the wih list
- A system that is more stable and do not have the problem with charging through the same input as the camera
- A more powerful system with more functions
- A system with an even lower price tag
Hardware Raspberry pi
We investigated the possibility to use a Raspberry pi computer and Camera V2 to meet the criteria above.
The Raspberry pi Camera V2 needs an adapter in order for it to be used. As part of this project three adapters were developed (for c-mount, ocular and side-tube) in two different versions, one for use with the standard flat cable (https://www.adafruit.com/product/1731) and one for HDMI cable in combination with the Pi Camera HDMI Cable Extension (https://www.tindie.com/products/freto/pi-camera-hdmi-cable-extension/).
Link to Sketchfab were the adapters can be viewed and downloaded, microVIEW adapters
If you plan to use the c-mount adapter on a phot tube you need to remove the lens from teh Rspberri pi camera, there eis a lens tool at Adafruit but you can also you a pair of fine forceps, to unscrew the lens. Save the lens so that you can reamount it if you need the camera for the ocular or sidetube adapters.
The Raspberry pi need an external screen and can be connected to either a HDMI or VGA compatible screen. In order to be able to avoid using a keyboard and mouse we used a Sundfounder 10” screen (https://www.sunfounder.com/10-1-touch-screen.html, and in order to be able to mount the screen on a stand at the workstations a case for the screen was designed, this can also be downloaded in STL format
Software – microVIEW program
The video feed from the camera can be activated using a simple command line command but it does not give you any control of the camera settings or option for saving still images or video.
The software that we use is written by Bill Williams https://github.com/Billwilliams1952/microVIEW
This program allow us to:
(not a complete list of functions):
- View life video in different resolution settings up to 30fps
- Adjust the camera settings
- Save still images (3280 × 2464 pixels)
- Save video (1080 p30)
- Create time laps video/photos
- Annotate the video/images with date and time information
- Stream the live feed over the internet
- Change the interface language
The finished setup
Below are pictures of the finished setups for all three adapters and the Sounfounder screen mounted in the 3D printed casing
A. Setup with the side tube adapter mounted on a Leica microscope side-tube (Series M400/500), B detailed view of the adapter
A. Setup with the c-mount adapter mounted on a photo tube, B detailed view of the adapter
A. Setup with the ocular adapter mounted in one of the ocular tube of the extra ocular set, B detailed view of the adapter
With inspiration from the original Sun Lee´s practice disc for microsurgery training for beginners (see Lee_et_al-1983-Microsurgery) and the Practi-rings (see Anastomosis device_MD) from René Remie Surgicla Skill Center (https://www.rrssc.eu/) we designed a new version of this training tool.
The major difference is that the new version is that the rubber membrane is fastened without creating any tension in the membrane and this allows complex patterns to be cut without distorsions
The image above show a screen shot from Spaceclaim that was used for designing the suturing ring that was then 3D printed using a Formlab 2 priner. The image below shows the punch used to cut out various patterns in the rubber dam that is used.
Description to be added