{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:32:52Z","timestamp":1792690372147,"version":"4.5.0"},"reference-count":39,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006360","name":"The German German Federal Ministry for Economic Affairs and Climate Action","doi-asserted-by":"publisher","award":["03EFOST032"],"award-info":[{"award-number":["03EFOST032"]}],"id":[{"id":"10.13039\/501100006360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Laparoscopic access, a critical yet challenging step in surgical procedures, often leads to complications. Existing systems, such as improved Veress needles and optical trocars, offer limited safety benefits but come with elevated costs. In this study, a prototype of a novel technology for guiding needle interventions based on vibroacoustic signals is evaluated in porcine cadavers. The prototype consistently detected successful abdominal cavity entry in 100% of cases during 193 insertions across eight porcine cadavers. The high signal quality allowed for the precise identification of all Veress needle insertion phases, including peritoneum puncture. The findings suggest that this vibroacoustic-based guidance technology could enhance surgeons\u2019 situational awareness and provide valuable support during laparoscopic access. Unlike existing solutions, this technology does not require sensing elements in the instrument\u2019s tip and remains compatible with medical instruments from various manufacturers.<\/jats:p>","DOI":"10.3390\/diagnostics14151698","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T15:45:22Z","timestamp":1722872722000},"page":"1698","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Enhancing Veress Needle Entry with Proximal Vibroacoustic Sensing for Automatic Identification of Peritoneum Puncture"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5470-4850","authenticated-orcid":false,"given":"Moritz","family":"Spiller","sequence":"first","affiliation":[{"name":"SURAG Medical GmbH, 04229 Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9741-9788","authenticated-orcid":false,"given":"Nazila","family":"Esmaeili","sequence":"additional","affiliation":[{"name":"SURAG Medical GmbH, 04229 Leipzig, Germany"},{"name":"Chair for Computer Aided Medical Procedures and Augmented Reality, Technical University of Munich, 85748 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5132-2884","authenticated-orcid":false,"given":"Thomas","family":"S\u00fchn","sequence":"additional","affiliation":[{"name":"SURAG Medical GmbH, 04229 Leipzig, Germany"},{"name":"Department of Orthopaedic Surgery, Otto-von-Guericke University Magdeburg, 39106 Magdeburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5874-7145","authenticated-orcid":false,"given":"Axel","family":"Boese","sequence":"additional","affiliation":[{"name":"INKA\u2014Innovation Laboratory for Image Guided Therapy, Otto-von-Guericke University Magdeburg, 39106 Magdeburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2642-5413","authenticated-orcid":false,"given":"Salmai","family":"Turial","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Traumatology, University Clinic for General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, 39120 Magdeburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7044-5318","authenticated-orcid":false,"given":"Andrew A.","family":"Gumbs","sequence":"additional","affiliation":[{"name":"University Clinic for General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, 39120 Magdeburg, Germany"},{"name":"Advanced & Minimally Invasive Surgery Excellence Center, American Hospital Tblisi, 0102 Tblisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6248-7086","authenticated-orcid":false,"given":"Roland","family":"Croner","sequence":"additional","affiliation":[{"name":"University Clinic for General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, 39120 Magdeburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8624-0800","authenticated-orcid":false,"given":"Michael","family":"Friebe","sequence":"additional","affiliation":[{"name":"INKA\u2014Innovation Laboratory for Image Guided Therapy, Otto-von-Guericke University Magdeburg, 39106 Magdeburg, Germany"},{"name":"Faculty of Computer Science, AGH University of Science and Technology, 30-059 Krakow, Poland"},{"name":"Center for Innovation, Business Development & Entrepreneurship, FOM University of Applied Sciences, 45141 Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0118-0483","authenticated-orcid":false,"given":"Alfredo","family":"Illanes","sequence":"additional","affiliation":[{"name":"SURAG Medical GmbH, 04229 Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1089\/gyn.2016.0111","article-title":"Complications of Laparoscopy in Connection with Entry Techniques","volume":"33","author":"Alkatout","year":"2017","journal-title":"J. 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