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Effect of sensory substitution on suture-manipulation forces for robotic surgical systems.

Identifieur interne : 001999 ( PubMed/Corpus ); précédent : 001998; suivant : 001A00

Effect of sensory substitution on suture-manipulation forces for robotic surgical systems.

Auteurs : Masaya Kitagawa ; Daniell Dokko ; Allison M. Okamura ; David D. Yuh

Source :

RBID : pubmed:15632837

English descriptors

Abstract

Direct haptic (force or tactile) feedback is not yet available in commercial robotic surgical systems. Previous work by our group and others suggests that haptic feedback might significantly enhance the execution of surgical tasks requiring fine suture manipulation, specifically those encountered in cardiothoracic surgery. We studied the effects of substituting direct haptic feedback with visual and auditory cues to provide the operating surgeon with a representation of the forces he or she is applying with robotic telemanipulators.

DOI: 10.1016/j.jtcvs.2004.05.029
PubMed: 15632837

Links to Exploration step

pubmed:15632837

Le document en format XML

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<title xml:lang="en">Effect of sensory substitution on suture-manipulation forces for robotic surgical systems.</title>
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<name sortKey="Kitagawa, Masaya" sort="Kitagawa, Masaya" uniqKey="Kitagawa M" first="Masaya" last="Kitagawa">Masaya Kitagawa</name>
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<nlm:affiliation>Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA.</nlm:affiliation>
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<name sortKey="Dokko, Daniell" sort="Dokko, Daniell" uniqKey="Dokko D" first="Daniell" last="Dokko">Daniell Dokko</name>
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<name sortKey="Okamura, Allison M" sort="Okamura, Allison M" uniqKey="Okamura A" first="Allison M" last="Okamura">Allison M. Okamura</name>
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<name sortKey="Yuh, David D" sort="Yuh, David D" uniqKey="Yuh D" first="David D" last="Yuh">David D. Yuh</name>
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<title xml:lang="en">Effect of sensory substitution on suture-manipulation forces for robotic surgical systems.</title>
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<name sortKey="Kitagawa, Masaya" sort="Kitagawa, Masaya" uniqKey="Kitagawa M" first="Masaya" last="Kitagawa">Masaya Kitagawa</name>
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<nlm:affiliation>Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA.</nlm:affiliation>
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<name sortKey="Dokko, Daniell" sort="Dokko, Daniell" uniqKey="Dokko D" first="Daniell" last="Dokko">Daniell Dokko</name>
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<name sortKey="Okamura, Allison M" sort="Okamura, Allison M" uniqKey="Okamura A" first="Allison M" last="Okamura">Allison M. Okamura</name>
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<name sortKey="Yuh, David D" sort="Yuh, David D" uniqKey="Yuh D" first="David D" last="Yuh">David D. Yuh</name>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Anastomosis, Surgical (instrumentation)</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Cardiac Surgical Procedures (instrumentation)</term>
<term>Cardiac Surgical Procedures (methods)</term>
<term>Confidence Intervals</term>
<term>Feedback</term>
<term>Humans</term>
<term>Man-Machine Systems</term>
<term>Probability</term>
<term>Risk Factors</term>
<term>Robotics</term>
<term>Sensitivity and Specificity</term>
<term>Surgery, Computer-Assisted</term>
<term>Suture Techniques (instrumentation)</term>
<term>Tensile Strength</term>
<term>Touch</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Anastomosis, Surgical</term>
<term>Cardiac Surgical Procedures</term>
<term>Suture Techniques</term>
</keywords>
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<term>Anastomosis, Surgical</term>
<term>Cardiac Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Confidence Intervals</term>
<term>Feedback</term>
<term>Humans</term>
<term>Man-Machine Systems</term>
<term>Probability</term>
<term>Risk Factors</term>
<term>Robotics</term>
<term>Sensitivity and Specificity</term>
<term>Surgery, Computer-Assisted</term>
<term>Tensile Strength</term>
<term>Touch</term>
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<div type="abstract" xml:lang="en">Direct haptic (force or tactile) feedback is not yet available in commercial robotic surgical systems. Previous work by our group and others suggests that haptic feedback might significantly enhance the execution of surgical tasks requiring fine suture manipulation, specifically those encountered in cardiothoracic surgery. We studied the effects of substituting direct haptic feedback with visual and auditory cues to provide the operating surgeon with a representation of the forces he or she is applying with robotic telemanipulators.</div>
</front>
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<Day>14</Day>
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<Title>The Journal of thoracic and cardiovascular surgery</Title>
<ISOAbbreviation>J. Thorac. Cardiovasc. Surg.</ISOAbbreviation>
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<ArticleTitle>Effect of sensory substitution on suture-manipulation forces for robotic surgical systems.</ArticleTitle>
<Pagination>
<MedlinePgn>151-8</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Direct haptic (force or tactile) feedback is not yet available in commercial robotic surgical systems. Previous work by our group and others suggests that haptic feedback might significantly enhance the execution of surgical tasks requiring fine suture manipulation, specifically those encountered in cardiothoracic surgery. We studied the effects of substituting direct haptic feedback with visual and auditory cues to provide the operating surgeon with a representation of the forces he or she is applying with robotic telemanipulators.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using the robotic da Vinci surgical system (Intuitive Surgical, Inc, Sunnyvale, Calif), we compared applied forces during a standardized surgical knot-tying task under 4 different sensory-substitution scenarios: no feedback, auditory feedback, visual feedback, and combined auditory-visual feedback.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The forces applied with these sensory-substitution modes more closely approximate suture tensions achieved under ideal haptic conditions (ie, hand ties) than forces applied without such sensory feedback. The consistency of applied forces during robot-assisted suture tying aided by visual feedback or combined auditory-visual feedback sensory substitution is superior to that achieved with hand ties. Robot-assisted ties aided with auditory feedback revealed levels of consistency that were generally equivalent or superior to those attained with hand ties. Visual feedback and auditory feedback improve the consistency of robotically applied forces.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Sensory substitution, in the form of visual feedback, auditory feedback, or both, confers quantifiable advantages in applied force accuracy and consistency during the performance of a simple surgical task.</AbstractText>
</Abstract>
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