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Differences in grip forces among various robotic instruments and da Vinci surgical platforms.

Identifieur interne : 001843 ( Ncbi/Merge ); précédent : 001842; suivant : 001844

Differences in grip forces among various robotic instruments and da Vinci surgical platforms.

Auteurs : Phillip Mucksavage [États-Unis] ; David C. Kerbl ; Donald L. Pick ; Jason Y. Lee ; Elspeth M. Mcdougall ; Michael K. Louie

Source :

RBID : pubmed:21235410

English descriptors

Abstract

The da Vinci surgical platform is becoming increasingly available and utilized. Due to the lack of haptic feedback, visual cues are necessary to estimate grip forces and tissue tensions during surgery. We directly measured the grip forces of robotic EndoWrist instruments using the three available da Vinci robotic surgical platforms.

DOI: 10.1089/end.2010.0306
PubMed: 21235410

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pubmed:21235410

Le document en format XML

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<name sortKey="Mucksavage, Phillip" sort="Mucksavage, Phillip" uniqKey="Mucksavage P" first="Phillip" last="Mucksavage">Phillip Mucksavage</name>
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<nlm:affiliation>Department of Urology, University of California-Irvine, Orange, California 92868, USA. pmucksav@uci.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Urology, University of California-Irvine, Orange, California 92868</wicri:regionArea>
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<name sortKey="Kerbl, David C" sort="Kerbl, David C" uniqKey="Kerbl D" first="David C" last="Kerbl">David C. Kerbl</name>
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<name sortKey="Pick, Donald L" sort="Pick, Donald L" uniqKey="Pick D" first="Donald L" last="Pick">Donald L. Pick</name>
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<name sortKey="Lee, Jason Y" sort="Lee, Jason Y" uniqKey="Lee J" first="Jason Y" last="Lee">Jason Y. Lee</name>
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<name sortKey="Mcdougall, Elspeth M" sort="Mcdougall, Elspeth M" uniqKey="Mcdougall E" first="Elspeth M" last="Mcdougall">Elspeth M. Mcdougall</name>
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<name sortKey="Pick, Donald L" sort="Pick, Donald L" uniqKey="Pick D" first="Donald L" last="Pick">Donald L. Pick</name>
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<name sortKey="Lee, Jason Y" sort="Lee, Jason Y" uniqKey="Lee J" first="Jason Y" last="Lee">Jason Y. Lee</name>
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<name sortKey="Mcdougall, Elspeth M" sort="Mcdougall, Elspeth M" uniqKey="Mcdougall E" first="Elspeth M" last="Mcdougall">Elspeth M. Mcdougall</name>
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<title level="j">Journal of endourology / Endourological Society</title>
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<term>Robotics</term>
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<div type="abstract" xml:lang="en">The da Vinci surgical platform is becoming increasingly available and utilized. Due to the lack of haptic feedback, visual cues are necessary to estimate grip forces and tissue tensions during surgery. We directly measured the grip forces of robotic EndoWrist instruments using the three available da Vinci robotic surgical platforms.</div>
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<Year>2011</Year>
<Month>Mar</Month>
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<Title>Journal of endourology / Endourological Society</Title>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The da Vinci surgical platform is becoming increasingly available and utilized. Due to the lack of haptic feedback, visual cues are necessary to estimate grip forces and tissue tensions during surgery. We directly measured the grip forces of robotic EndoWrist instruments using the three available da Vinci robotic surgical platforms.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Robotic instruments were tested in the da Vinci S, Si, and Standard systems. A load cell was placed in a housing unit that allowed for measurement of the grip forces applied by the tip of each robotic instrument. Each instrument was tested six times, and all data were analyzed using Student's t-tests or analysis of variance when appropriate.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Slight differences in grip force were seen when the instrument was tested through 2 degrees of freedom at the tip (p = 0.02, analysis of variance) and when comparing a new instrument to an older instrument (p = 0.001 at the neutral position). There was no statistical difference in grip force between the left and right robotic arms. There was a broad range of grip forces between the various robotic instruments. The lowest grip force was registered in the double fenestrated grasper (2.26 ± 0.15 N), whereas the highest was seen in the Hem-o-lok clip applier (39.92 ± 0.89 N). In comparison to the S and Si, the Standard platform appeared to have significantly higher grip forces.</AbstractText>
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