Characterization of Force and Torque Interactions during a Simulated Transgastric Appendectomy Procedure
Identifieur interne : 001380 ( Main/Curation ); précédent : 001379; suivant : 001381Characterization of Force and Torque Interactions during a Simulated Transgastric Appendectomy Procedure
Auteurs : Saurabh Dargar ; Cecilia Brino ; Kai Matthes ; Ganesh Sankaranarayanan ; Suvranu DeSource :
- IEEE transactions on bio-medical engineering [ 0018-9294 ] ; 2014.
English descriptors
- KwdEn :
- Appendectomy (education), Appendectomy (instrumentation), Appendectomy (methods), Biomechanical Phenomena, Endoscopy, Digestive System (education), Endoscopy, Digestive System (instrumentation), Endoscopy, Digestive System (methods), Equipment Design, Humans, Models, Theoretical, Pressure, Stomach (surgery), Task Performance and Analysis, Torque, User-Computer Interface.
- MESH :
- education : Appendectomy, Endoscopy, Digestive System.
- instrumentation : Appendectomy, Endoscopy, Digestive System.
- methods : Appendectomy, Endoscopy, Digestive System.
- surgery : Stomach.
- Biomechanical Phenomena, Equipment Design, Humans, Models, Theoretical, Pressure, Task Performance and Analysis, Torque, User-Computer Interface.
Abstract
We have developed an instrumented endoscope grip handle equipped with a 6-axis load cell and measured forces and torques during a simulated transgastric NOTES appendectomy procedure performed in an EASIE-R©
Url:
DOI: 10.1109/TBME.2014.2369956
PubMed: 25398173
PubMed Central: 4344408
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PMC:4344408Le document en format XML
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<author><name sortKey="Brino, Cecilia" sort="Brino, Cecilia" uniqKey="Brino C" first="Cecilia" last="Brino">Cecilia Brino</name>
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<author><name sortKey="Matthes, Kai" sort="Matthes, Kai" uniqKey="Matthes K" first="Kai" last="Matthes">Kai Matthes</name>
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<author><name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
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<author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name>
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<author><name sortKey="Brino, Cecilia" sort="Brino, Cecilia" uniqKey="Brino C" first="Cecilia" last="Brino">Cecilia Brino</name>
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<author><name sortKey="Matthes, Kai" sort="Matthes, Kai" uniqKey="Matthes K" first="Kai" last="Matthes">Kai Matthes</name>
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<author><name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
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<term>Appendectomy (instrumentation)</term>
<term>Appendectomy (methods)</term>
<term>Biomechanical Phenomena</term>
<term>Endoscopy, Digestive System (education)</term>
<term>Endoscopy, Digestive System (instrumentation)</term>
<term>Endoscopy, Digestive System (methods)</term>
<term>Equipment Design</term>
<term>Humans</term>
<term>Models, Theoretical</term>
<term>Pressure</term>
<term>Stomach (surgery)</term>
<term>Task Performance and Analysis</term>
<term>Torque</term>
<term>User-Computer Interface</term>
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<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Appendectomy</term>
<term>Endoscopy, Digestive System</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Appendectomy</term>
<term>Endoscopy, Digestive System</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Appendectomy</term>
<term>Endoscopy, Digestive System</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Stomach</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Biomechanical Phenomena</term>
<term>Equipment Design</term>
<term>Humans</term>
<term>Models, Theoretical</term>
<term>Pressure</term>
<term>Task Performance and Analysis</term>
<term>Torque</term>
<term>User-Computer Interface</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">We have developed an instrumented endoscope grip handle equipped with a 6-axis load cell and measured forces and torques during a simulated transgastric NOTES appendectomy procedure performed in an EASIE-R<sup>©</sup>
<italic>ex vivo</italic>
simulator. The data were collected from 10 participating surgeons of varying degrees of expertise which was analyzed to compute a set of 6 force and torque parameters for each coordinate axis for each of the nine tasks of the appendectomy procedure. The mean push/pull force was found to be 3.64 N (σ=3.54 N) in the push direction and the mean torque was 3.3 N-mm (σ=38.6 N-mm) in the counter-clockwise direction about the push/pull axis. Most interestingly, the force and torque data about the non-dominant×and z axes showed a statistically significant difference (p<0.05) between the expert and novice groups for five of the nine tasks. This data may be useful in developing surgical platforms especially new haptic devices and simulation systems for emerging natural orifice procedures.</p>
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