Epidural with fiber Bragg grating. A fiber Bragg grating is an optical fiber that has had its core treated with ultraviolet light so that it has a periodic variation in its index of refraction, with a certain spacing $d$. Along a few millimeters, there are "lines" with a greater index than the rest of the core (Fig. 36.21a). When light over a broad wavelength range is sent into the fiber, one wavelength, called the Bragg wavelength $\lambda_B$, is reflected and the rest is transmitted. The value of $\lambda_B$ depends on $d$. If a force $F$ decreases the length of the grating, decreasing $d$, then $\lambda_{\mathrm{B}}$ decreases. Thus, the grating acts as a strain gauge. Figure $36.21 b$ gives the change $\Delta \lambda_{\mathrm{B}}$ in the Bragg wavelength versus applied force $F$.
Recent research suggests that a fiber Bragg grating could be used in robotic assisted surgery in an epidural procedure in which a needle is inserted into the epidural space of the spinal column to release an anesthetic fluid. The surgeon first inserts the needle into the back and then manually monitors the force magnitude required to advance the needle. This tricky procedure requires much practice so that the surgeon knows when the needle has reached the epidural space and not overshot it, an error that could result in serious complications. Figure $36.21 c$ is a graph of the force magnitude $F$ versus displacement $x$ of the needle tip in a typical epidural procedure. (The line segments have been straightened somewhat from the original data.) (1) As $x$ increases from 0 , the skin resists the needle, but at $x=$ $8.0 \mathrm{~mm}$ the force is finally great enough to pierce the skin, and then the required force decreases. (2) Next, the needle finally pierces the interspinous ligament at $x=18 \mathrm{~mm}$ and (3) the relatively tough ligamentum flavum at $x=30 \mathrm{~mm}$. (4) As the needle then enters the epidural space, the force drops sharply. A new surgeon must learn this pattern of force magnitude versus displacement to recognize when to stop pushing on the needle.
If a fiber Bragg grating could be incorporated into an epidural needle, an automated system could monitor $\Delta \hat{\lambda}_B$ to determine when the needle is properly placed. For the plot of Fig. $36.21 b$, what is $\Delta \lambda_{\mathrm{B}}$ for the peak force at (a) $x=8.0 \mathrm{~mm}$, (b) $x=18 \mathrm{~mm}$, and (c) $x=30 \mathrm{~mm}$ ?
(Figure Cant Copy)
Figure 36.21 Problem 98.