Gestonurse: a robotic surgical nurse for handling surgical instruments in the operating room

Jacob, Mithun George; Li, Yu Ting; Akingba, George; Wachs, Juan P.

doi:10.1007/s11701-011-0325-0

Cited by 45 publications

(26 citation statements)

References 15 publications

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“…One of the more radical, recent initiatives, requiring standardisation in extremis, is the development of the automated scrub nurse that issues implements and materials in response to commands from the surgeon (see for example 'Gestonurse ' Jacob et al 2011, Wachs, et al 2014); a development that is founded, in part, upon the idea that robots are not subject to the performance variation and error sometimes ascribed to surgical assistants. These initiatives reflect the ambivalent standing of the scrub nurse and her or his knowledge and expertise, that skills and competencies of the scrub nurse are 'non-technical' with the role primarily consisting of reading the mind and responding where necessary to the demands of the surgeon.…”

Section: Discussion: Agency Practice and Embodied Actionmentioning

confidence: 99%

Exchanging Implements: The Micro‐Materialities of Multidisciplinary Work in the Operating Theatre

Heath¹,

Luff²,

Sanchez-Svensson³

et al. 2018

Materialities of Care

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Surgical procedures rely upon an array of commonplace tools, implements and materials that mediate practice and disciplinary collaboration within the operating theatre. Substantial time is dedicated to the issue and provision of these artefacts and their timely exchange is critical to the successful accomplishment of surgical procedures. In this paper, we consider the practice, knowledge and agency that enables particular implements and materials to be handled and passed from one to the other that in turn enables their deployment with regard to the particular procedure and the contingencies 'at hand'. We address the technicalities of these 'non-technical skills' and examine how they rely upon a disciplinary vision and interactional organisation that informs both the scrutiny of action and the ways in which implements and materials are exchanged with the surgeon. Word Count of abstract: 130Word Count of main body of article: 6,835

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Section: Discussion: Agency Practice and Embodied Actionmentioning

confidence: 99%

Exchanging Implements: The Micro‐Materialities of Multidisciplinary Work in the Operating Theatre

Heath¹,

Luff²,

Sanchez-Svensson³

et al. 2018

Materialities of Care

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“…Studies on the application of gesture-based COTS devices in robot-assisted surgery failed to demonstrate usefulness, either due to the high cost of the robotic arm when using commercial cameras in surgical instrumentation (101) and, in the case of the LMC, due to the need for a more robust API (102)(103), or to lack of sufficient accuracy and robustness to manipulate a medical robot (48). However, a simulation study of endonasal pituitary surgery that compared the LMC with the Phantom Omni showed that surgeons achieved a percentage of tumour mass resection and procedure duration very similar to that accomplished with the robot using the LMC (104).…”

Section: Discussionmentioning

confidence: 99%

Use of commercial off-the-shelf devices for detection of manual gestures in surgery. A Systematic Literature Review (Preprint)

Alvarez-Lopez¹,

Maina²,

Saigí-Rubió³

2018

Preprint

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Background. The increasingly pervasive presence of technology in the operating room (OR) raises the need to study the interaction between the surgeon and the computer system. A new generation of tools known as commercial off-the-shelf (COTS) devices that enable non-contact gesture-based human-computer interaction (HCI) are currently being explored as a solution in surgical environments. The aim of this systematic review was to provide an account of the state-of-the-art of COTS devices in the detection of manual gestures in surgery, and to identify their use as a simulation tool for teaching motor skills in minimally invasive surgery (MIS). Methods. A systematic literature review was conducted in PubMed, Embase, ScienceDirect and IEEE for articles published between January 2000 and 2016 on the use of COTS devices for gesture detection in surgical environments, and in simulation for surgical skills learning in MIS. Results. A total of 2709 studies were identified, 76 of which met the search selection criteria. The Microsoft KinectTM and the Leap Motion ControllerTM were the most widely used COTS devices. The most common intervention was image manipulation in surgical and interventional radiology environments, followed by interaction with virtual reality environments for educational or interventional purposes; the possibility of using this technology to develop portable, low-cost simulators for skills learning in MIS was also examined. Given that the vast majority of articles found in this systematic review were proof-of-concept or prototype user and feasibility testing, we can conclude that this is a field that is still in the exploration phase in areas that require touchless manipulation in environments and settings that must adhere to asepsis and antisepsis protocols, such as angiography suites and operating rooms. Conclusions: COTS devices applied to hand and instrument GBIs in the field of simulation for skills learning and training in MIS could open up a promising field to achieve the ubiquitous training and pre-surgical warm-up.

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“…The use of robots as an assistant in hospitals is has seen an increase Proceedings of the IEEE SoutheastCon 2015, April 9 -12, 2015 -Fort Lauderdale, Florida 978-1-4673-7300-5/15/$31.00 ©2015 IEEE 300-5/15/$31.00 ©2015 IEEE lately. 'Gestonurse' is a robot assistant to help the surgeon in the operating room (OR) by passing surgical instruments [27] [28]. Speech and gesture can be used to control the robot operations.…”

Section: Medicinementioning

confidence: 99%

“…Speech and gesture can be used to control the robot operations. Figure 5 [27] shows the robotic scrub nurse Gestonurse assisting in the OR.…”

Section: Medicinementioning

confidence: 99%

Human-robot collaboration: A survey

Chandrasekaran

Conrad

2015

SoutheastCon 2015

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Human-Machine collaboration is a vastly developing field in the area of Robotics. This paper introduces the concept of such collaboration and describes its use in various facets of our society. The various kinds of interaction between humans and robots in applications such as elderly care, schools and education, medicine, military and space exploration have been reviewed in this paper. Also, the learning process used by the robot for interacting with the human and environment is presented.

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Gestonurse: a robotic surgical nurse for handling surgical instruments in the operating room

Cited by 45 publications

References 15 publications

Exchanging Implements: The Micro‐Materialities of Multidisciplinary Work in the Operating Theatre

Exchanging Implements: The Micro‐Materialities of Multidisciplinary Work in the Operating Theatre

Use of commercial off-the-shelf devices for detection of manual gestures in surgery. A Systematic Literature Review (Preprint)

Human-robot collaboration: A survey

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