The Artisential® Articulated Laparoscopic Forceps: A Dry Lab Study to Examine Dexterity and Learning Effects in Operators with Different Levels of Laparoscopic Experience

Abstract

Purpose: The advent of robotic surgery has highlighted the advantages of articulation. This dry-lab study examined the dexterity and learning effect of a new articulated laparoscopic instrument: the ArtiSential® forceps (LIVSMED, Seongnam, Republic of Korea). Methods: A peg board task was designed. Three groups of volunteers with varying levels of laparoscopic expertise were organized to perform the task: expert, intermediate and novice. The participants performed the task using articulated and straight instruments, once before a 30-min training session and once afterwards. The times required to perform the task were recorded. The performances were analyzed and compared between the groups as well as between the straight and articulated instruments. Results: The experts were significantly faster than the novices with both instruments before the 30-min training session (p = 0.0317 for each instrument). No significant time difference was found among the three groups after the 30-min training session. The decrease in the time required to perform the peg-transfer task with the articulated instrument was significantly greater in the novice and intermediate groups (p = 0.0159 for each group). No significant difference in time reduction was observed between the groups with the straight instrument. Regardless of the user, the articulated device was associated with faster task performance than the straight device after 8 hours of training (p = 0.0039). Conclusion: The ArtiSential® articulated device can improve dexterity. A significantly greater learning effect was observed in the novice and intermediate groups in comparison with experts. A plateau in the learning curve was observed after a few hours of training.

ArtiSential® Articulated Wrist-Like Instruments and Their First Application in Pediatric Minimally Invasive Surgery: Case Reports and Literature Review of the Most Commonly Available Robot-Inspired Devices

“…The shaft diameter is 10 mm [11,12] The ArtiSential ® (Figure 3E) is an 8 mm diameter pistol-handle instrument. It has zero ben radius when deflected; its wrist function is guaranteed by two joints at the end effector that couples their movements with the ones of the handle [13][14][15][16][17][18].…”

Early experience with the ARTISENTIAL® articulated instruments in laparoscopic low anterior resection with TME

“…After acquiring ARTISENTIAL ® early in 2020, our surgical department initiated a dry lab training for its medical staff. Soon afterwards, our group conducted a study which confirmed at least a good understanding and command of the ARTISENTIAL ® instruments by our surgeons [21]. Since then, more than 40 surgical procedures, including colorectal resections for benign and oncologic indications, mesh rectopexies and hernia repair, were performed with ARTISENTIAL ® at our institute.…”

“…2). This basically eliminates the fulcrum effect principle, known from standard laparoscopy [21]. All procedures in this study were performed with the ARTISENTIAL ® monopolar spatula and the ARTISENTIAL ® bipolar forceps (Fig.…”

“…R0 resection was confirmed in all patients with no cases of circumferential resection margin involvement. The median number of harvested lymph nodes was 15 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28). The median length of the distal resection margin was 5 cm (range 1-11 cm).…”

Chirurgische Therapie des Ösophaguskarzinoms – neue Technologien, moderne Konzepte

“…[11]. Neben den hochkomplexen und teuren RAS-Masterand-Slave-Systemen haben sich jüngst mehrere Anbieter von Laparoskopiesystemen mit roboterähnlichen Eigenschaften vornehmlich im Hinblick auf Triangulationsmöglichkeiten platziert [12][13][14].…”