“…The latter can include issues of overreliance on the automated functions, issues of workload shifts associated with managing an additional system, and issues of out-of-loop unfamiliarity, that is, difficulties in developing and maintaining an appropriate level of situation awareness because of a reduced active involvement in the automated processes (Ferris, Sarter, & Wickens, 2010). A generic framework model of types and levels of automation that can be used to classify different automated systems and to evaluate their consequences for human performance has been introduced by Parasuraman, Sheridan, and Wickens (2000;Wickens, Huiyang, Santamaria, Sebok, & Sarter, 2010). Referring to this model, pointer-based IGN systems represent a comparatively low degree of automated assistance that just partially supports the acquisition and integration of visual information from the operative site and leaves any further decision making and implementation of actions completely with the surgeon ).…”