An anthropomorphic design for a minimally invasive surgical system based on a survey of surgical technologies, techniques and training

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Tzemanaki, A. ; Walters, P. ; Pipe, A. G. ; Melhuish, C. ; Dogramadzi, S. (2014)

Background: Over the past century, abdominal surgery has seen a rapid transition from open procedures to less invasive methods such as robot-assisted minimally invasive surgery (MIS). This paper aims to investigate and discuss the needs of MIS in terms of instrumentation and to inform the design of a novel instrument.\ud Methods: A survey was conducted among surgeons regarding their opinions on surgical training, surgical systems, how satisfied they are with them and how easy they are to use. A concept for MIS robotic instrumentation was then developed and a series of focus groups with surgeons were ran to discuss it. The initial prototype of the robotic instruments, herein demonstrated, comprises modular rigid links with soft joints actuated by shape memory alloy helix\ud actuators; these instruments are controlled using a sensory hand exoskeleton.\ud Results: The results of the survey, as well as the ones of the focus groups, are presented here. A first prototype of the system was built and initial laboratory rests have been conducted in order to evaluate this approach.\ud Conclusions: The analysed data from both the survey and the focus groups justify the chosen concept of anthropomorphic MIS robotic instrumentation which imitates the natural motion of the hands.
  • References (22)
    22 references, page 1 of 3

    1. G. M. Jonsdottir, S. Jorgensen, S. L. Cohen, K. N. Wright, N. T. Shah, N. Chavan, and J. I. Einarsson, “Increasing minimally invasive hysterectomy: effect on cost and complications.” Obstetrics and gynecology, vol. 117, no. 5, pp. 1142-9, May 2011.

    2. P. Allemann, J. Leroy, M. Asakuma, F. Al Abeidi, B. Dallemagne, and J. Marescaux, “Robotics may overcome technical limitations of single-trocar surgery: an experimental prospective study of Nissen fundoplication.” Archives of surgery (Chicago, Ill.: 1960), vol. 145, no. 3, pp. 267-71, Mar. 2010.

    3. Cancer Research UK, “Cancer incidence statistics for the UK,” 2012. [Online] Available: http://publications.cancerresearchuk.org/downloads/ Product/CS CS INCIDENCE.pdf.

    4. J. Solly, C. Bunce, and S. Cowley, “Focus on Cholecystectomy,” The Journal of One-Day Surgery, pp. 15-18, 2006.

    5. Sages, “Integrating Advanced Laparoscopy Into Surgical Residency Training: A Sages Postion Paper - Curriculum Guidelines In Advanced Laparoscopic Surgery,” pp. 1-5, 2009.

    6. J. Dankelman, F. Painter, B. Schanker, D. Samaha, and J. Hansen, “Increasing complexity of medical technology and consequences for training and outcome of care,” World Health Organisation, 2010.

    7. K. Doné, A. DiMartino, T. Judkins, S. Hallbeck, and D. Oleynikov, "Evaluation of laparoscopic tools for usability and comfort", In Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 48, no. 12, pp. 1359-1362, SAGE Publications, 2004.

    8. D. A. G. Reyes, B. Tang, and A. Cuschieri, "Minimal access surgery (MAS)-related surgeon morbidity syndromes", Surgical Endoscopy and Other Interventional Techniques 20, no. 1: 1-13, 2006.

    9. R. Berguer, and A. Hreljac. "The relationship between hand size and difficulty using surgical instruments: a survey of 726 laparoscopic surgeons." Surgical Endoscopy And Other Interventional Techniques 18, no. 3 (2004): 508-512.

    10. L. C. Tan, S. Samanta, and S. W. Hosking, “Safe transition from open to laparoscopic fundoplication by an established consultant-the importance of repeated audit.” Annals of the Royal College of Surgeons of England, vol. 84, no. 2, pp. 84-8, Mar. 2002.

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