Abstract

Transcatheter aortic valve implantation has shown superior clinical outcomes compared to open aortic valve replacement surgery. The loss of the natural sense of touch, inherited from its minimally invasive nature, could lead to misplacement of the valve in the aortic annulus. In this study, a cylindrical optical fiber sensor is proposed to be integrated with valve delivery catheters. The proposed sensor works based on intensity modulation principle and is capable of measuring and localizing lateral force. The proposed sensor was constituted of an array of optical fibers embedded on a rigid substrate and covered by a flexible shell. The optical fibers were modeled as Euler–Bernoulli beams with both-end fixed boundary conditions. To study the sensing principle, a parametric finite element model of the sensor with lateral point loads was developed and the deflection of the optical fibers, as the determinant of light intensity modulation was analyzed. Moreover, the sensor was fabricated, and a set of experiments were performed to study the performance of the sensor in lateral force measurement and localization. The results showed that the transmitted light intensity decreased up to 24% for an external force of 1 N. Additionally, the results showed the same trend between the simulation predictions and experimental results. The proposed sensor was sensitive to the magnitude and position of the external force which shows its capability for lateral force measurement and localization.

Highlights

  • Transcatheter procedures are among the most expanded areas in minimally invasive surgeries (MISs)

  • As the sensor was intended for transcatheter aortic valve implantation (TAVI) applications for annulus localization, it should have the ability to measure the bending-based light intensity modulation in the optical fibers caused by lateral contact forces between the sensor and aortic valve leaflets

  • The results showed that the light intensity for this load case decreased by 24% synchronously with the external force

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Summary

Introduction

Transcatheter procedures are among the most expanded areas in minimally invasive surgeries (MISs). During such procedures, catheter-based techniques (CBTs) are used to perform surgery or intervention on the heart and vasculature. A catheter is a thin flexible tube that is inserted into the patient’s blood vessels and advanced towards an intraluminal anatomic site, e.g., coronary arteries, via small incisions in the femoral or radial artery or veins. Such procedures are performed for both diagnosis and treatment purposes [1]. A CBT is more favorable clinically in comparison with conventional open surgery

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