Grasper having tactile sensing function using acoustic reflection for laparoscopic surgery

Ly, Hiep Hoang; Tanaka, Yoshihiro; Fukuda, Tomohiro; Sano, Akihito

doi:10.1007/s11548-017-1592-7

Cited by 22 publications

(11 citation statements)

References 24 publications

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“…There are various ongoing attempts to integrate tactile sense into the laparoscopic instruments such as pneumatic, acoustic reflection, and Stochastic resonance, but no actual product has come out yet. [8][9][10] Some articulating laparoscopic devices with increased freedom of movement are already in the market. However, most products have been unsuccessful.…”

Section: Discussionmentioning

confidence: 99%

Multi-DOF (Degree of Freedom) Articulating Laparoscopic Instrument is an Effective Device in Performing Challenging Sutures

Min

Cho

Park

et al. 2019

J Minim Invasive Surg

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Although laparoscopic surgery had been performed in clinical practice for over 30 years, there has not been much improvement on instruments. Several articulating laparoscopic instruments have been developed including the robotic system. A new multi-degree of freedom (DOF) articulating laparoscopic device has been developed. We compared the ability to perform challenging sutures between the new device and the robotic system. Methods: Five experienced surgeons with over 100 laparoscopic surgery cases performed the suture task with both instruments. Everyone was new at articulating instruments including a robotic system. The suturing task consisted of two vertical sutures, downward and upward vertical direction. The duration of needle grabbing, first surgical tie, square tie, and the final reverse tie was measured. Results: When doing the downward suture, the median time to complete the suture was 127 vs. 136 seconds for ArtiSential ® and the robot, respectively (p=0.754). Other measurements such as needle grabbing, first tie, second tie and final knot did not show any significant difference between the two instruments. Upward suture also did not show a significant difference. The total completion time was 127 vs. 112 seconds for for ArtiSential ® and the robot, respectively (p=0.675). Time taken in each interval did not show any significant difference. Conclusion: Both instruments performed the suturing tasks with no difference in duration. ArtiSential ® can be mixed up with usual instruments. Surgeons can choose any device, but when articulation is needed, ArtiSential ® could be an alternative choice to the robotic system.

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Section: Discussionmentioning

confidence: 99%

Multi-DOF (Degree of Freedom) Articulating Laparoscopic Instrument is an Effective Device in Performing Challenging Sutures

Min

Cho

Park

et al. 2019

J Minim Invasive Surg

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“…They could demonstrate that the threads tore more rarely during knotting under visual feedback and the consistency of the forces with the DaVinci system was even better than with the hands 81 146 . Similarly, Ly et al could reveal the advantages of acoustic feedback when it was coupled with sensory forceps 110 .…”

Section: Hapticsmentioning

confidence: 99%

Robotische Chirurgie – operiert der Roboter?

Schuler

2018

Laryngo-Rhino-Otol

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ZuSammenfaSSungDer Roboter-assistierten Chirurgie (RAC) im Kopf-Hals-Bereich wird ein großes Potenzial zugeschrieben. Vor allem in der operativen Onkologie wird der Einsatz von Roboter-Systemen als besonders interessant erachtet. Bislang sind 2 Gerätetypen (DaVinci ® und FLEX ® ) für die klinische Anwendung im Kopf-HalsBereich zugelassen, und multiple weitere Systeme befinden sich in der präklinischen Erprobungsphase. Auch wenn prinzipiell bestimmte Patientengruppen von der RAC profitieren könnten, finden sich keine systematischen randomisierten Studien. Ein möglicher Vorteil der RAC gegenüber den bisherigen Standardverfahren kann daher bisher nicht nachgewiesen werden. Der begrenzte klinische Nutzen und die finanzielle Zusatzbelastung scheinen aktuell der Hauptgrund zu sein, warum der flächende-ckende Einsatz der RAC bislang ausgeblieben ist. Diese Über-sichtsarbeit beschreibt die verschiedenen Anwendungsmöglich-keiten der RAC im Kopf-Hals-Bereich. Außerdem werden die finanziellen und technischen Herausforderungen, sowie anstehende Weiterentwicklungen der RAC beleuchtet. Besonderes Augenmerk wird auf spezielle Risiken der Roboter-Chirurgie und aktuell laufende klinische Studien gelegt. Mittelfristig wird davon ausgegangen, dass die RAC Einzug in die klinische Routine erhalten wird und sich das medizinische Personal zunehmend mit den technischen, wissenschaftlichen und auch ethischen Besonderheiten auseinandersetzen muss.

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“…This tactile sensing can be made mobile, portable, wearable, and remote controllable, and the sensed tactile data can be shared by multiple people simultaneously. In clinical research, tactile technology has been adapted to enhance medical tools, especially those used in gastroenterological surgery (Ly et al 2017;Fukuda et al 2015Fukuda et al , 2018Tanaka et al 2014Tanaka et al , 2016b. Surface display, which presents the surface of the object near the contact point between the object and the body with a robot arm (Hirota and Hirose 1995;Hirose and Hirota 1993), robotic graphics (McNeely 1993), and partial surface display (Hirota and Hirose 1998) have become staples of virtual reality, including wearable devices.…”

Section: Imperfect Human Life With Imperfect Robotsmentioning

confidence: 99%

An Acquaintance with An Aging Society

Yamada

2019

Social Sciences

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Low birth rates and higher life expectancy have been ravaging Japanese society. This article summarizes some of the latest medical knowledge and assistive activities, with a nod toward one nonprofit organization’s efforts to deliver better home healthcare to the elderly through housing and technologies, in the world’s first super-aging society. The response to the transforming society requires a combination of familiar customs and new technologies that create a favorable environment for mobility and continuous learning that are key to elderly health. As other countries will face similar issues, further international interdisciplinary knowledge-building will be necessary to face the challenges of super-aging societies.

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Grasper having tactile sensing function using acoustic reflection for laparoscopic surgery

Abstract: Experimental results demonstrated that the prototype grasper can measure grasping force, enabling safe and stable grasping.

Cited by 22 publications

References 24 publications

Multi-DOF (Degree of Freedom) Articulating Laparoscopic Instrument is an Effective Device in Performing Challenging Sutures

Multi-DOF (Degree of Freedom) Articulating Laparoscopic Instrument is an Effective Device in Performing Challenging Sutures

Robotische Chirurgie – operiert der Roboter?

An Acquaintance with An Aging Society

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