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

Identifieur interne : 000E99 ( PascalFrancis/Corpus ); précédent : 000E98; suivant : 000F00

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 : Pascal:05-0146348

Descripteurs français

English descriptors

Abstract

Objectives: 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. 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. 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. 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.

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.
A05       @2 129
A06       @2 1
A08 01  1  ENG  @1 Effect of sensory substitution on suture-manipulation forces for robotic surgical systems
A11 01  1    @1 KITAGAWA (Masaya)
A11 02  1    @1 DOKKO (Daniell)
A11 03  1    @1 OKAMURA (Allison M.)
A11 04  1    @1 YUH (David D.)
A14 01      @1 Department of Mechanical Engineering, Johns Hopkins University @2 Baltimore, Md @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 Division of Cardiac Surgery, Johns Hopkins Medical Institutions @2 Baltimore, Md @3 USA @Z 4 aut.
A20       @1 151-158
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 9747 @5 354000126487710210
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 23 ref.
A47 01  1    @0 05-0146348
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of thoracic and cardiovascular surgery
A66 01      @0 USA
C01 01    ENG  @0 Objectives: 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. 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. 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. 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.
C02 01  X    @0 002B25E
C03 01  X  FRE  @0 Chirurgie @5 05
C03 01  X  ENG  @0 Surgery @5 05
C03 01  X  SPA  @0 Cirugía @5 05
C03 02  X  FRE  @0 Substitution @5 09
C03 02  X  ENG  @0 Substitution @5 09
C03 02  X  SPA  @0 Substitución @5 09
C03 03  X  FRE  @0 Suture @5 10
C03 03  X  ENG  @0 Suture @5 10
C03 03  X  SPA  @0 Sutura @5 10
C03 04  X  FRE  @0 Manipulation @5 11
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C03 04  X  SPA  @0 Manipulación @5 11
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C03 05  X  SPA  @0 Fuerza @5 12
C03 06  X  FRE  @0 Robotique @5 13
C03 06  X  ENG  @0 Robotics @5 13
C03 06  X  SPA  @0 Robótica @5 13
C03 07  X  FRE  @0 Système @5 14
C03 07  X  ENG  @0 System @5 14
C03 07  X  SPA  @0 Sistema @5 14
C03 08  X  FRE  @0 Coeur @5 15
C03 08  X  ENG  @0 Heart @5 15
C03 08  X  SPA  @0 Corazón @5 15
C03 09  X  FRE  @0 Thorax @5 17
C03 09  X  ENG  @0 Thorax @5 17
C03 09  X  SPA  @0 Tórax @5 17
C03 10  X  FRE  @0 Traitement @5 25
C03 10  X  ENG  @0 Treatment @5 25
C03 10  X  SPA  @0 Tratamiento @5 25
N21       @1 094
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 05-0146348 INIST
ET : Effect of sensory substitution on suture-manipulation forces for robotic surgical systems
AU : KITAGAWA (Masaya); DOKKO (Daniell); OKAMURA (Allison M.); YUH (David D.)
AF : Department of Mechanical Engineering, Johns Hopkins University/Baltimore, Md/Etats-Unis (1 aut., 2 aut., 3 aut.); Division of Cardiac Surgery, Johns Hopkins Medical Institutions/Baltimore, Md/Etats-Unis (4 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of thoracic and cardiovascular surgery; ISSN 0022-5223; Coden JTCSAQ; Etats-Unis; Da. 2005; Vol. 129; No. 1; Pp. 151-158; Bibl. 23 ref.
LA : Anglais
EA : Objectives: 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. 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. 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. 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.
CC : 002B25E
FD : Chirurgie; Substitution; Suture; Manipulation; Force; Robotique; Système; Coeur; Thorax; Traitement
ED : Surgery; Substitution; Suture; Manipulation; Force; Robotics; System; Heart; Thorax; Treatment
SD : Cirugía; Substitución; Sutura; Manipulación; Fuerza; Robótica; Sistema; Corazón; Tórax; Tratamiento
LO : INIST-9747.354000126487710210
ID : 05-0146348

Links to Exploration step

Pascal:05-0146348

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<ET>Effect of sensory substitution on suture-manipulation forces for robotic surgical systems</ET>
<AU>KITAGAWA (Masaya); DOKKO (Daniell); OKAMURA (Allison M.); YUH (David D.)</AU>
<AF>Department of Mechanical Engineering, Johns Hopkins University/Baltimore, Md/Etats-Unis (1 aut., 2 aut., 3 aut.); Division of Cardiac Surgery, Johns Hopkins Medical Institutions/Baltimore, Md/Etats-Unis (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of thoracic and cardiovascular surgery; ISSN 0022-5223; Coden JTCSAQ; Etats-Unis; Da. 2005; Vol. 129; No. 1; Pp. 151-158; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Objectives: 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. 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. 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. 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.</EA>
<CC>002B25E</CC>
<FD>Chirurgie; Substitution; Suture; Manipulation; Force; Robotique; Système; Coeur; Thorax; Traitement</FD>
<ED>Surgery; Substitution; Suture; Manipulation; Force; Robotics; System; Heart; Thorax; Treatment</ED>
<SD>Cirugía; Substitución; Sutura; Manipulación; Fuerza; Robótica; Sistema; Corazón; Tórax; Tratamiento</SD>
<LO>INIST-9747.354000126487710210</LO>
<ID>05-0146348</ID>
</server>
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