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Characterization of Force and Torque Interactions during a Simulated Transgastric Appendectomy Procedure

Identifieur interne : 001380 ( Main/Exploration ); précédent : 001379; suivant : 001381

Characterization of Force and Torque Interactions during a Simulated Transgastric Appendectomy Procedure

Auteurs : Saurabh Dargar ; Cecilia Brino ; Kai Matthes ; Ganesh Sankaranarayanan ; Suvranu De

Source :

RBID : PMC:4344408

English descriptors

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©ex vivo 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.


Url:
DOI: 10.1109/TBME.2014.2369956
PubMed: 25398173
PubMed Central: 4344408


Affiliations:


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Le document en format XML

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<name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
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<term>Appendectomy (education)</term>
<term>Appendectomy (instrumentation)</term>
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<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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<term>Appendectomy</term>
<term>Endoscopy, Digestive System</term>
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<term>Appendectomy</term>
<term>Endoscopy, Digestive System</term>
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<term>Appendectomy</term>
<term>Endoscopy, Digestive System</term>
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<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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<name sortKey="Dargar, Saurabh" sort="Dargar, Saurabh" uniqKey="Dargar S" first="Saurabh" last="Dargar">Saurabh Dargar</name>
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<name sortKey="Matthes, Kai" sort="Matthes, Kai" uniqKey="Matthes K" first="Kai" last="Matthes">Kai Matthes</name>
<name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
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