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Impact of haptic feedback on applied intracorporeal forces using a novel surgical robotic system - a randomized cross-over study with novices in an experimental setup

Miller, Johanna ; Braun, Manuel ; Bilz, Johannes ; Matich, Sebastian ; Neupert, Carsten ; Kunert, Wolfgang ; Kirschniak, Andreas (2021)
Impact of haptic feedback on applied intracorporeal forces using a novel surgical robotic system - a randomized cross-over study with novices in an experimental setup.
In: Surgical Endoscopy, 35 (7)
doi: 10.1007/s00464-020-07818-8
Artikel, Bibliographie

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Kurzbeschreibung (Abstract)

Background: Most currently used surgical robots have no force feedback; the next generation displays forces visually. A novel single-port robotic surgical system called FLEXMIN has been developed. Through an outer diameter of 38 mm, two instruments are teleoperated from a surgeon’s control console including true haptic force feedback. One additional channel incorporates a telescope, another is free for special instrument functions.

Methods: This randomized cross-over study analyzed the effect of haptic feedback on the application of intracorporeal forces. In a standardized experiment setup, the subjects had to draw circles with the surgical robot as gently as possible. The applied forces, the required time spans, and predefined error rates were measured.

Results: Without haptic feedback, the maximum forces (median/IQR) were 6.43 N/2.96 N. With haptic feedback, the maximum forces were lower (3.57 N/1.94 N, p < 0.001). Also, the arithmetic means of the force progression (p < 0.001) and their standard deviations (p < 0.001) were lower. Not significant were the shorter durations and lower error rates. No sequence effect of force or duration was detected. No characteristic learning or fatigue curve was observed.

Conclusions: In the experiment setup, the true haptic force feedback can reduce the applied intracorporeal robotic force to one-half when considering the aspects maximum, means, and standard deviation. Other test tasks are needed to validate the influence of force feedback on surgical efficiency and safety.

Typ des Eintrags: Artikel
Erschienen: 2021
Autor(en): Miller, Johanna ; Braun, Manuel ; Bilz, Johannes ; Matich, Sebastian ; Neupert, Carsten ; Kunert, Wolfgang ; Kirschniak, Andreas
Art des Eintrags: Bibliographie
Titel: Impact of haptic feedback on applied intracorporeal forces using a novel surgical robotic system - a randomized cross-over study with novices in an experimental setup
Sprache: Englisch
Publikationsjahr: 22 Juli 2021
Verlag: Springer
Titel der Zeitschrift, Zeitung oder Schriftenreihe: Surgical Endoscopy
Jahrgang/Volume einer Zeitschrift: 35
(Heft-)Nummer: 7
DOI: 10.1007/s00464-020-07818-8
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Kurzbeschreibung (Abstract):

Background: Most currently used surgical robots have no force feedback; the next generation displays forces visually. A novel single-port robotic surgical system called FLEXMIN has been developed. Through an outer diameter of 38 mm, two instruments are teleoperated from a surgeon’s control console including true haptic force feedback. One additional channel incorporates a telescope, another is free for special instrument functions.

Methods: This randomized cross-over study analyzed the effect of haptic feedback on the application of intracorporeal forces. In a standardized experiment setup, the subjects had to draw circles with the surgical robot as gently as possible. The applied forces, the required time spans, and predefined error rates were measured.

Results: Without haptic feedback, the maximum forces (median/IQR) were 6.43 N/2.96 N. With haptic feedback, the maximum forces were lower (3.57 N/1.94 N, p < 0.001). Also, the arithmetic means of the force progression (p < 0.001) and their standard deviations (p < 0.001) were lower. Not significant were the shorter durations and lower error rates. No sequence effect of force or duration was detected. No characteristic learning or fatigue curve was observed.

Conclusions: In the experiment setup, the true haptic force feedback can reduce the applied intracorporeal robotic force to one-half when considering the aspects maximum, means, and standard deviation. Other test tasks are needed to validate the influence of force feedback on surgical efficiency and safety.

Freie Schlagworte: Surgical robot, Haptics, Force feedback, Randomized controlled trial, Experiment setup
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Erstveröffentlichung

Sachgruppe der Dewey Dezimalklassifikatin (DDC): 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin, Gesundheit
600 Technik, Medizin, angewandte Wissenschaften > 621.3 Elektrotechnik, Elektronik
Fachbereich(e)/-gebiet(e): 18 Fachbereich Elektrotechnik und Informationstechnik
18 Fachbereich Elektrotechnik und Informationstechnik > Mikrotechnik und Elektromechanische Systeme
Hinterlegungsdatum: 17 Dez 2024 12:40
Letzte Änderung: 17 Dez 2024 12:40
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