A handheld, portable cranial drilling tool for safely creating holes in the skull without damaging brain tissue is presented. Such a device is essential for neurosurgeons and mid-level practitioners treating patients with traumatic brain injury. A typical procedure creates a small hole for inserting sensors to monitor intra-cranial pressure measurements and/or removing excess fluid. Drilling holes in emergency settings with existing tools is difficult and dangerous due to the risk of a drill bit unintentionally plunging into brain tissue. Cranial perforators, which counter-bore holes and automatically stop upon skull penetration, do exist but are limited to large diameter hole size and an operating room environment. The tool presented here is compatible with a large range of bit diameters and provides safe, reliable access. This is accomplished through a dynamic bi-stable linkage that supports drilling when force is applied against the skull but retracts upon penetration when the reaction force is diminished. Retraction is achieved when centrifugal forces from rotating masses overpower the axial forces, thus changing the state of the bi-stable mechanism. Initial testing on ex-vivo animal structures has demonstrated that the device can withdraw the drill bit in sufficient time to eliminate the risk of soft tissue damage. Ease of use and portability of the device will enable its use in unregulated environments such as hospital emergency rooms and emergency disaster relief areas.
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ASME 2013 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference
August 4–7, 2013
Portland, Oregon, USA
Conference Sponsors:
- Design Engineering Division
- Computers and Information in Engineering Division
ISBN:
978-0-7918-5593-5
PROCEEDINGS PAPER
Assured Safety Drill With Bi-Stable Bit Retraction Mechanism Available to Purchase
Paul M. Loschak,
Paul M. Loschak
Harvard School of Engineering & Applied Sciences, Cambridge, MA
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Kechao Xiao,
Kechao Xiao
Harvard School of Engineering & Applied Sciences, Cambridge, MA
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Hao Pei,
Hao Pei
Harvard School of Engineering & Applied Sciences, Cambridge, MA
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Samuel B. Kesner,
Samuel B. Kesner
Harvard School of Engineering & Applied Sciences, Cambridge, MA
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Ajith J. Thomas,
Ajith J. Thomas
Beth Israel Deaconess Medical Center, Boston, MA
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Conor J. Walsh
Conor J. Walsh
Harvard School of Engineering & Applied Sciences, Cambridge, MA
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Paul M. Loschak
Harvard School of Engineering & Applied Sciences, Cambridge, MA
Kechao Xiao
Harvard School of Engineering & Applied Sciences, Cambridge, MA
Hao Pei
Harvard School of Engineering & Applied Sciences, Cambridge, MA
Samuel B. Kesner
Harvard School of Engineering & Applied Sciences, Cambridge, MA
Ajith J. Thomas
Beth Israel Deaconess Medical Center, Boston, MA
Conor J. Walsh
Harvard School of Engineering & Applied Sciences, Cambridge, MA
Paper No:
DETC2013-12088, V06AT07A001; 8 pages
Published Online:
February 12, 2014
Citation
Loschak, PM, Xiao, K, Pei, H, Kesner, SB, Thomas, AJ, & Walsh, CJ. "Assured Safety Drill With Bi-Stable Bit Retraction Mechanism." Proceedings of the ASME 2013 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. Volume 6A: 37th Mechanisms and Robotics Conference. Portland, Oregon, USA. August 4–7, 2013. V06AT07A001. ASME. https://doi.org/10.1115/DETC2013-12088
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