Dr. Ir. Ewout A. Arkenbout PhD-Candidate Delft University of Technology Faculty of Mechanical Engineering (3mE) BioMechanical Engineering (BME) Bio-Inspired Technology Group (BITE) Mail: EwoutArkenbout@gmail.com

My name is Ewout Arkenbout (1986). I was a PhD candidate at the BioMechanical Engineering (BME) department. Over the course of my education, I developed an interest in the design and development of medical instruments. Often, the facets involved in (re)designing such instruments are various, and rarely only limited to mechanical problems. Clinical issues, ergonomics, human factors, dimensional limitations, patient variability and various other factors all have large impacts on the design and function of medical instrumentation. The challenge to solve all these issues, and combine them into an elegant (and preferably simple robust mechanical) solution is what has captivated me.

My PhD work was focused on the development of control strategies for dendritic (i.e. multi-branched) instrumentation for skull base surgery. To this end I developed a setup that allows for the coupling of physical hand motions to virtual (dendritic) instrument movements. This setup functions as a design tool for the assessment of control strategies of any simulated steerable instrument. In this way we can try out and get a feel for any chosen control strategy for any envision instrument before we go on towards the actual prototyping stage. I call this design method: Gesture-based design. For more information on this test setup and dendritic instruments, visit this page.

Publications

Journal Articles

• E.A. Arkenbout, J. C. de Winter, A. Ali, J. Dankelman, and P. Breedveld, “A gesture-based design tool: assessing 2DOF vs. 4DOF steerable instrument control,” PLOS ONE, (submitted 2018).
• E.A. Arkenbout, F. H. van den Berg, J. C. de Winter, P. W. Henselmans, W. R. van Furth, and P. Breedveld, “Bimanual control assessment of multibranched EETS instrument,” Ergonomics, (submitted 2017).
• Arkenbout, E. A., van den Haak, L., Penning, M., Rog, E., Vierwind, A., van Cappelle, L. E., … & de Winter, J. C. F. (2017). A Laparoscopic Morcellator Redesign to Constrain Tissue Using Integrated Gripping Teeth. Journal of Medical Devices, 11(1), 011005.
• Meeuwsen, F. C., Guédon, A. C., Arkenbout, E. A., van der Elst, M., Dankelman, J., & van den Dobbelsteen, J. J. (2017). The art of electrosurgery: Trainees and experts. Surgical innovation, 24(4), 373-378.
• Kreeft, D., Arkenbout, E. A., Henselmans, P. W. J., Van Furth, W. R., & Breedveld, P. (2017). Review of Techniques to Achieve Optical Surface Cleanliness and Their Potential Application to Surgical Endoscopes. Surgical innovation, 24(5), 509-527.
• van den Haak, L., Arkenbout, E. A., Sandberg, E. M., & Jansen, F. W. (2016). Power morcellator features affecting tissue spill in gynecologic laparoscopy: an in-vitro study. Journal of minimally invasive gynecology, 23(1), 107-112.
• Arkenbout, E.A., Winter, J.C.F., Breedveld, P. (2015) Robust hand motion tracking through data fusion of 5DT Data Gove and Nimble VR Kinect camera measurements. Sensors, 15(12), 31644-31671
• Arkenbout, E. A., van den Haak, L., Driessen, S. R. C., Thurkow, A. L., & Jansen, F.-W. (2015). Assessing Basic Physiology of the Morcellation Process and Tissue Spread: A Time-action Analysis. Journal of Minimally Invasive Gynecology, 22(2), 255-260. doi: http://dx.doi.org/10.1016/j.jmig.2014.10.009
• Sakes, A., Arkenbout, E. A., Jelinek, F., van der Kolk, J. H., & Breedveld, P. (2015). Design of an endovascular morcellator for the surgical treatment of equine Cushing’s disease. Veterinary Quarterly, 1-18. doi: 10.1080/01652176.2015.1047676
• Arkenbout, E.A., Henselmans, P. J., Jelinek, F., & Breedveld, P. (2014). A state of the art review and categorization of multi-branched instruments for NOTES and SILS. Surgical Endoscopy, 1-16. doi:10.1007/s00464-014-3816-z
• Driessen, S. R. C., Arkenbout, E. A., Thurkow, A. L., & Jansen, F.-W. (2014). Electromechanical Morcellators in Minimally Invasive Gynecologic Surgery: An Update. Journal of Minimally Invasive Gynecology, 21(3), 377-383. doi: http://dx.doi.org/10.1016/j.jmig.2013.12.121
• Jelinek, F., Arkenbout, E. A., Sakes, A., & Breedveld, P. (2014). Minimally invasive surgical instruments with an accessory channel capable of integrating fibre-optic cable for optical biopsy: a review of the state of the art. Proc Inst Mech Eng H, 228(8), 843-853. doi: 10.1177/0954411914546891

Technical Briefs

• Jelinek, F., Arkenbout, E. A., Henselmans, P. W., Pessers, R., & Breedveld, P. (2014). Classification of Joints Used in Steerable Instruments for Minimally Invasive Surgery. Journal of Medical Devices, 8(3),030914.
• Arkenbout, E. A., & Breedveld, P. (2013). A Comprehensive Overview of Multi-Branched Instruments
  Intended for NOTES and SILS. Journal of Medical Devices, 7(2), 020921-020921. doi: 10.1115/1.4024345
• Sakes, A., Arkenbout, E. A., van der Kolk, J. H., & Breedveld, P. (2013). A Comprehensive Overview of Removal Methods for the Surgical Treatment of Cushing’s Disease for Human and Veterinary Applications. Journal of Medical Devices, 7(2), 020905-020905. doi: 10.1115/1.4024342

Conference Proceedings

• Arkenbout, E. A., de Winter, J.C.F., & Breedveld, P. (2015). Pilot study: 5DT Data Glove assessment and the measurement of maximum accelerations during finger exions and extensions. Paper presented at the 5th Dutch Bio-Medical Engineering Conference, Egmond aan Zee, The Netherlands.
• Arkenbout, E. A., de Winter, J. C. F., & Breedveld, P. (2014, Sept. 18-20). Pilot study: validity assessment of camera-based hand motion tracking for MIS instrument control. Paper presented at the Proc. 26th International Conference of Society for Medical innovation and Technology (SMIT), Shanghai, China.
• Arkenbout, E. A., de Winter, J. C. F., & Breedveld, P. (2014). Using Kinect with 3Gear Systems software to determine hand and finger movement: An assessment for minimally invasive surgery applications. Paper presented at the Design of Medical Devices – Europe Edition 2014, Delft, Netherlands.
• Henselmans, P. J., Gerboni, G., Arkenbout, E. A., & Breedveld, P. (2014). The HelixFlex 2D: multi-actuation control. Paper presented at the Design of Medical Devices Conference Europe Edition 2014, Delft, The Netherlands.
• Sakes, A., Arkenbout, E. A., Kolk, J. H. v. d., & Breedveld, P. (2014, Sept. 18-20). Design of an endovascular morcellator for the surgical treatment of Cushings disease in horses. Paper presented at the Proc. 26th International Conference of Society for Medical innovation and Technology (SMIT), Shanghai, China.
• Arkenbout, E. A., & Breedveld, P. (2013, Jan. 24-25). Review of multi-branched instruments for natural orifice translumenal endoscopic surgery (NOTES). Paper presented at the 4th Dutch Bio-Medical Engineering Conference, Egmond aan Zee, The Netherlands.
• Arkenbout, E.A., Jansen, F.-W., & Herder, J. (2011). A Comparitive Overview of Existing and Experimental Morcellators in Gynecology and Urology. Journal of Medical Devices, 5(2), 027529-027529. doi: 10.1115/1.3590867
• Arkenbout, E.A., Jansen, F.-W., & Herder, J. (2011). Proposed Protocol for Objective Morcellator Analysis. Journal of Medical Devices, 5(2), 027529.
• Arkenbout, E.A., & Herder, J. (2010). The Quickstand: A Portable Device to Facilitate Standing Up. Journal of Medical Devices, 4(2), 027512.
• Arkenbout, E. A., Berg, N. J. v. d., Visser, R. J., Schutte, S., Helm, F. C. T. v. d., Bosch, W. A. v.d., & Simonsz, H. J. (2008). Eyelid Pressure Measurements for Early Diagnosis. Paper presented at the ARVO conference, Fort Lauderdale, FL, USA.