HapticV1, PascalFrancis, Corpus, bibRecord, 000948

Effects of visual force feedback on robot-assisted surgical task performance

Identifieur interne : 000948 ( PascalFrancis/Corpus ); précédent : 000947; suivant : 000949

Effects of visual force feedback on robot-assisted surgical task performance

Auteurs : Carol E. Reiley ; Takintope Akinbiyi ; Darius Burschka ; David C. Chang ; Allison M. Okamura ; David D. Yuh

Source :

Journal of thoracic and cardiovascular surgery [ 0022-5223 ] ; 2008.

RBID : Pascal:08-0305556

Descripteurs français

Pascal (Inist)
- Force, Boucle réaction, Robot, Chirurgie, Evaluation performance, Performance, Anesthésie, Appareil circulatoire, Cardiologie, Traitement.

English descriptors

KwdEn :
- Anesthesia, Cardiology, Circulatory system, Feedback, Force, Performance, Performance evaluation, Robot, Surgery, Treatment.

Abstract

Objective: Direct haptic (force or tactile) feedback is negligible in current surgical robotic systems. The relevance of haptic feedback in robot-assisted performances of surgical tasks is controversial. We studied the effects of visual force feedback, a haptic feedback surrogate, on tying surgical knots with fine sutures similar to those used in cardiovascular surgery. Methods: By using a modified da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) equipped with force-sensing instrument tips and real-time visual force feedback overlays in the console image, 10 surgeons each tied 10 knots with and 10 knots without visual force feedback. Four surgeons had significant prior da Vinci experience, and the remaining 6 surgeons did not. Performance parameters, including suture breakage and secure knots, peak and standard deviation of applied forces, and completion times using 5-0 silk sutures, were recorded. Chi-square and Student t test analyses determined the differences between groups. Results: Among surgeon subjects with robotic experience, no differences in measured performance parameters were found between robot-assisted knot ties executed with and without visual force feedback. Among surgeons without robotic experience, however, visual force feedback was associated with lower suture breakage rates, peak applied forces, and standard deviations of applied forces. Visual force feedback did not impart differences in knot completion times or loose knots for either surgeon group. Conclusions: Visual force feedback resulted in reduced suture breakage, lower forces, and decreased force inconsistencies among novice robotic surgeons, although elapsed time and knot quality were unaffected. In contrast, visual force feedback did not affect these metrics among surgeons experienced with the da Vinci system. These results suggest that visual force feedback primarily benefits novice robot-assisted surgeons, with diminishing benefits among experienced surgeons.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02	`01`			`@0 JTCSAQ`
A03		`1`		`@0 J. thorac. cardiovasc. surg.`
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A08	`01`	`1`	`ENG`	`@1 Effects of visual force feedback on robot-assisted surgical task performance`
A11	`01`	`1`		`@1 REILEY (Carol E.)`
A11	`02`	`1`		`@1 AKINBIYI (Takintope)`
A11	`03`	`1`		`@1 BURSCHKA (Darius)`
A11	`04`	`1`		`@1 CHANG (David C.)`
A11	`05`	`1`		`@1 OKAMURA (Allison M.)`
A11	`06`	`1`		`@1 YUH (David D.)`
A14	`01`			`@1 Engineering Research Center and Computer Integrated Surgery Systems and Technology, Johns Hopkins University @2 Baltimore, Md @3 USA @Z 1 aut. @Z 2 aut. @Z 5 aut. @Z 6 aut.`
A14	`02`			`@1 Department of Computer Science, Technical University of Munich @2 Munich @3 DEU @Z 3 aut.`
A14	`03`			`@1 Program for Outcomes Research, Department of Surgery, Johns Hopkins School of Medicine @2 Baltimore, Md @3 USA @Z 4 aut.`
A14	`04`			`@1 Division of Cardiac Surgery, Johns Hopkins Medical Institutions @2 Baltimore, Md @3 USA @Z 6 aut.`
A20				`@1 196-202`
A21				`@1 2008`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 9747 @5 354000197840250270`
A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
A45				`@0 17 ref.`
A47	`01`	`1`		`@0 08-0305556`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Journal of thoracic and cardiovascular surgery`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Objective: Direct haptic (force or tactile) feedback is negligible in current surgical robotic systems. The relevance of haptic feedback in robot-assisted performances of surgical tasks is controversial. We studied the effects of visual force feedback, a haptic feedback surrogate, on tying surgical knots with fine sutures similar to those used in cardiovascular surgery. Methods: By using a modified da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) equipped with force-sensing instrument tips and real-time visual force feedback overlays in the console image, 10 surgeons each tied 10 knots with and 10 knots without visual force feedback. Four surgeons had significant prior da Vinci experience, and the remaining 6 surgeons did not. Performance parameters, including suture breakage and secure knots, peak and standard deviation of applied forces, and completion times using 5-0 silk sutures, were recorded. Chi-square and Student t test analyses determined the differences between groups. Results: Among surgeon subjects with robotic experience, no differences in measured performance parameters were found between robot-assisted knot ties executed with and without visual force feedback. Among surgeons without robotic experience, however, visual force feedback was associated with lower suture breakage rates, peak applied forces, and standard deviations of applied forces. Visual force feedback did not impart differences in knot completion times or loose knots for either surgeon group. Conclusions: Visual force feedback resulted in reduced suture breakage, lower forces, and decreased force inconsistencies among novice robotic surgeons, although elapsed time and knot quality were unaffected. In contrast, visual force feedback did not affect these metrics among surgeons experienced with the da Vinci system. These results suggest that visual force feedback primarily benefits novice robot-assisted surgeons, with diminishing benefits among experienced surgeons.
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C03	`04`	`X`	`FRE`	`@0 Chirurgie @5 12`
C03	`04`	`X`	`ENG`	`@0 Surgery @5 12`
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C03	`06`	`X`	`SPA`	`@0 Rendimiento @5 14`
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C03	`08`	`X`	`FRE`	`@0 Appareil circulatoire @5 16`
C03	`08`	`X`	`ENG`	`@0 Circulatory system @5 16`
C03	`08`	`X`	`SPA`	`@0 Aparato circulatorio @5 16`
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Format Inist (serveur)

NO :	PASCAL 08-0305556 INIST
ET :	Effects of visual force feedback on robot-assisted surgical task performance
AU :	REILEY (Carol E.); AKINBIYI (Takintope); BURSCHKA (Darius); CHANG (David C.); OKAMURA (Allison M.); YUH (David D.)
AF :	Engineering Research Center and Computer Integrated Surgery Systems and Technology, Johns Hopkins University/Baltimore, Md/Etats-Unis (1 aut., 2 aut., 5 aut., 6 aut.); Department of Computer Science, Technical University of Munich/Munich/Allemagne (3 aut.); Program for Outcomes Research, Department of Surgery, Johns Hopkins School of Medicine/Baltimore, Md/Etats-Unis (4 aut.); Division of Cardiac Surgery, Johns Hopkins Medical Institutions/Baltimore, Md/Etats-Unis (6 aut.)
DT :	Publication en série; Niveau analytique
SO :	Journal of thoracic and cardiovascular surgery; ISSN 0022-5223; Coden JTCSAQ; Etats-Unis; Da. 2008; Vol. 135; No. 1; Pp. 196-202; Bibl. 17 ref.
LA :	Anglais
EA :	Objective: Direct haptic (force or tactile) feedback is negligible in current surgical robotic systems. The relevance of haptic feedback in robot-assisted performances of surgical tasks is controversial. We studied the effects of visual force feedback, a haptic feedback surrogate, on tying surgical knots with fine sutures similar to those used in cardiovascular surgery. Methods: By using a modified da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) equipped with force-sensing instrument tips and real-time visual force feedback overlays in the console image, 10 surgeons each tied 10 knots with and 10 knots without visual force feedback. Four surgeons had significant prior da Vinci experience, and the remaining 6 surgeons did not. Performance parameters, including suture breakage and secure knots, peak and standard deviation of applied forces, and completion times using 5-0 silk sutures, were recorded. Chi-square and Student t test analyses determined the differences between groups. Results: Among surgeon subjects with robotic experience, no differences in measured performance parameters were found between robot-assisted knot ties executed with and without visual force feedback. Among surgeons without robotic experience, however, visual force feedback was associated with lower suture breakage rates, peak applied forces, and standard deviations of applied forces. Visual force feedback did not impart differences in knot completion times or loose knots for either surgeon group. Conclusions: Visual force feedback resulted in reduced suture breakage, lower forces, and decreased force inconsistencies among novice robotic surgeons, although elapsed time and knot quality were unaffected. In contrast, visual force feedback did not affect these metrics among surgeons experienced with the da Vinci system. These results suggest that visual force feedback primarily benefits novice robot-assisted surgeons, with diminishing benefits among experienced surgeons.
CC :	002B11; 002B12; 002B27
FD :	Force; Boucle réaction; Robot; Chirurgie; Evaluation performance; Performance; Anesthésie; Appareil circulatoire; Cardiologie; Traitement
ED :	Force; Feedback; Robot; Surgery; Performance evaluation; Performance; Anesthesia; Circulatory system; Cardiology; Treatment
SD :	Fuerza; Retroalimentación; Robot; Cirugía; Evaluación prestación; Rendimiento; Anestesia; Aparato circulatorio; Cardiología; Tratamiento
LO :	INIST-9747.354000197840250270
ID :	08-0305556

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Pascal:08-0305556

Le document en format XML

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<front><div type="abstract" xml:lang="en">Objective: Direct haptic (force or tactile) feedback is negligible in current surgical robotic systems. The relevance of haptic feedback in robot-assisted performances of surgical tasks is controversial. We studied the effects of visual force feedback, a haptic feedback surrogate, on tying surgical knots with fine sutures similar to those used in cardiovascular surgery. Methods: By using a modified da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) equipped with force-sensing instrument tips and real-time visual force feedback overlays in the console image, 10 surgeons each tied 10 knots with and 10 knots without visual force feedback. Four surgeons had significant prior da Vinci experience, and the remaining 6 surgeons did not. Performance parameters, including suture breakage and secure knots, peak and standard deviation of applied forces, and completion times using 5-0 silk sutures, were recorded. Chi-square and Student t test analyses determined the differences between groups. Results: Among surgeon subjects with robotic experience, no differences in measured performance parameters were found between robot-assisted knot ties executed with and without visual force feedback. Among surgeons without robotic experience, however, visual force feedback was associated with lower suture breakage rates, peak applied forces, and standard deviations of applied forces. Visual force feedback did not impart differences in knot completion times or loose knots for either surgeon group. Conclusions: Visual force feedback resulted in reduced suture breakage, lower forces, and decreased force inconsistencies among novice robotic surgeons, although elapsed time and knot quality were unaffected. In contrast, visual force feedback did not affect these metrics among surgeons experienced with the da Vinci system. These results suggest that visual force feedback primarily benefits novice robot-assisted surgeons, with diminishing benefits among experienced surgeons.</div>
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<fA14 i1="03"><s1>Program for Outcomes Research, Department of Surgery, Johns Hopkins School of Medicine</s1>
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<fC01 i1="01" l="ENG"><s0>Objective: Direct haptic (force or tactile) feedback is negligible in current surgical robotic systems. The relevance of haptic feedback in robot-assisted performances of surgical tasks is controversial. We studied the effects of visual force feedback, a haptic feedback surrogate, on tying surgical knots with fine sutures similar to those used in cardiovascular surgery. Methods: By using a modified da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) equipped with force-sensing instrument tips and real-time visual force feedback overlays in the console image, 10 surgeons each tied 10 knots with and 10 knots without visual force feedback. Four surgeons had significant prior da Vinci experience, and the remaining 6 surgeons did not. Performance parameters, including suture breakage and secure knots, peak and standard deviation of applied forces, and completion times using 5-0 silk sutures, were recorded. Chi-square and Student t test analyses determined the differences between groups. Results: Among surgeon subjects with robotic experience, no differences in measured performance parameters were found between robot-assisted knot ties executed with and without visual force feedback. Among surgeons without robotic experience, however, visual force feedback was associated with lower suture breakage rates, peak applied forces, and standard deviations of applied forces. Visual force feedback did not impart differences in knot completion times or loose knots for either surgeon group. Conclusions: Visual force feedback resulted in reduced suture breakage, lower forces, and decreased force inconsistencies among novice robotic surgeons, although elapsed time and knot quality were unaffected. In contrast, visual force feedback did not affect these metrics among surgeons experienced with the da Vinci system. These results suggest that visual force feedback primarily benefits novice robot-assisted surgeons, with diminishing benefits among experienced surgeons.</s0>
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<server><NO>PASCAL 08-0305556 INIST</NO>
<ET>Effects of visual force feedback on robot-assisted surgical task performance</ET>
<AU>REILEY (Carol E.); AKINBIYI (Takintope); BURSCHKA (Darius); CHANG (David C.); OKAMURA (Allison M.); YUH (David D.)</AU>
<AF>Engineering Research Center and Computer Integrated Surgery Systems and Technology, Johns Hopkins University/Baltimore, Md/Etats-Unis (1 aut., 2 aut., 5 aut., 6 aut.); Department of Computer Science, Technical University of Munich/Munich/Allemagne (3 aut.); Program for Outcomes Research, Department of Surgery, Johns Hopkins School of Medicine/Baltimore, Md/Etats-Unis (4 aut.); Division of Cardiac Surgery, Johns Hopkins Medical Institutions/Baltimore, Md/Etats-Unis (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of thoracic and cardiovascular surgery; ISSN 0022-5223; Coden JTCSAQ; Etats-Unis; Da. 2008; Vol. 135; No. 1; Pp. 196-202; Bibl. 17 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: Direct haptic (force or tactile) feedback is negligible in current surgical robotic systems. The relevance of haptic feedback in robot-assisted performances of surgical tasks is controversial. We studied the effects of visual force feedback, a haptic feedback surrogate, on tying surgical knots with fine sutures similar to those used in cardiovascular surgery. Methods: By using a modified da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) equipped with force-sensing instrument tips and real-time visual force feedback overlays in the console image, 10 surgeons each tied 10 knots with and 10 knots without visual force feedback. Four surgeons had significant prior da Vinci experience, and the remaining 6 surgeons did not. Performance parameters, including suture breakage and secure knots, peak and standard deviation of applied forces, and completion times using 5-0 silk sutures, were recorded. Chi-square and Student t test analyses determined the differences between groups. Results: Among surgeon subjects with robotic experience, no differences in measured performance parameters were found between robot-assisted knot ties executed with and without visual force feedback. Among surgeons without robotic experience, however, visual force feedback was associated with lower suture breakage rates, peak applied forces, and standard deviations of applied forces. Visual force feedback did not impart differences in knot completion times or loose knots for either surgeon group. Conclusions: Visual force feedback resulted in reduced suture breakage, lower forces, and decreased force inconsistencies among novice robotic surgeons, although elapsed time and knot quality were unaffected. In contrast, visual force feedback did not affect these metrics among surgeons experienced with the da Vinci system. These results suggest that visual force feedback primarily benefits novice robot-assisted surgeons, with diminishing benefits among experienced surgeons.</EA>
<CC>002B11; 002B12; 002B27</CC>
<FD>Force; Boucle réaction; Robot; Chirurgie; Evaluation performance; Performance; Anesthésie; Appareil circulatoire; Cardiologie; Traitement</FD>
<ED>Force; Feedback; Robot; Surgery; Performance evaluation; Performance; Anesthesia; Circulatory system; Cardiology; Treatment</ED>
<SD>Fuerza; Retroalimentación; Robot; Cirugía; Evaluación prestación; Rendimiento; Anestesia; Aparato circulatorio; Cardiología; Tratamiento</SD>
<LO>INIST-9747.354000197840250270</LO>
<ID>08-0305556</ID>
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Effects of visual force feedback on robot-assisted surgical task performance

Effects of visual force feedback on robot-assisted surgical task performance

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