The effects of laparoscopic graspers with enhanced haptic feedback on applied forces: a randomized comparison with conventional graspers

Alleblas, Chantal C. J.; Vleugels, M.P.H.; Coppus, S.F.P.J.; Nieboer, Theodoor E.

doi:10.1007/s00464-017-5623-9

Cited by 34 publications

(42 citation statements)

References 34 publications

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“…A study showed that enhanced haptic feedback may reduce the interaction force between instrument and tissues during surgery. Therefore, this may lead to less tissue damage, fewer complications, shorter operation times, and improved ergonomics [36].…”

Section: Optigrip™ (Endoscopic Force-reflecting Instruments Bv Malmentioning

confidence: 99%

Handheld Devices for Laparoscopic Surgery

Sánchez‐Margallo¹,

Sánchez‐Margallo²,

AmirSzold³

2018

New Horizons in Laparoscopic Surgery

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Despite the well-known benefits of minimally invasive surgery (MIS) to the patients, this surgical technique implies some technical challenges for surgeons. These technical limitations are increased with the introduction of laparoendoscopic single-site (LESS) surgery. In order to overcome some of these technical difficulties, new handheld devices have been developed, providing improved functionalities along with precision-driven and articulating instrument tips. In this chapter, we will review the current status of handheld devices for laparoscopy and LESS surgery. Devices that provide additional and innovative functionalities in comparison with conventional surgical instruments will be considered. Results will be based on studies published in the scientific literature and our experience. These surgical devices will be organized into two main groups, mechanical devices and robotic-driven devices. In general, these instruments intend to simulate the dexterity of movements of a human wrist. Mechanical devices are cheaper and easier to develop, so most of the available handheld instruments fall into this category. The majority of the robotic-driven devices are needle holders with an articulating tip, controlled by an interface implemented on the instrument handle. In general, these handheld devices claim to offer an enhancement of dexterity, precision, and ergonomics.

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Section: Optigrip™ (Endoscopic Force-reflecting Instruments Bv Malmentioning

confidence: 99%

Handheld Devices for Laparoscopic Surgery

Sánchez‐Margallo¹,

Sánchez‐Margallo²,

AmirSzold³

2018

New Horizons in Laparoscopic Surgery

View full text Add to dashboard Cite

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“…Virtual-reality-based simulators offer objective feedback, which often correlates positively with patient-related outcomes, and different case scenarios (Brydges et al, 2015 ). However, they often lack realistic haptic feedback which is key in improving laparoscopic skills of the trainee (Pinzon et al, 2016 ; Alleblas et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator

et al. 2020

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Percutaneous Nephrolithotomy is the standard surgical procedure used to remove large kidney stones. PCNL procedures have a steep learning curve; a physician needs to complete between 36 and 60 procedures, to achieve clinical proficiency. Marion Surgical K181 is a virtual reality surgical simulator, which emulates the PCNL procedures without compromising the well-being of patients. The simulator uses a VR headset to place a user in a realistic and immersive operating theater, and haptic force-feedback robots to render physical interactions between surgical tools and the virtual patient. The simulator has two modules for two different aspects of PCNL kidney stone removal procedure: kidney access module where the user must insert a needle into the kidney of the patient, and a kidney stone removal module where the user removes the individual stones from the organ. In this paper, we present user trials to validate the face and construct validity of the simulator. The results, based on the data gathered from 4 groups of users independently, indicate that Marion's surgical simulator is a useful tool for teaching and practicing PCNL procedures. The kidney stone removal module of the simulator has proven construct validity by identifying the skill level of different users based on their tool path. We plan to continue evaluating the simulator with a larger sample of users to reinforce our findings.

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“… 10 Reduced haptic feedback leads to grasping and tearing of tissue with excessive force. 11 Which in turn causes tissue damage and more complications. Henceforth, force reflecting operative instruments (FROIs) have been developed to increase haptic feedback during laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Potential Value of Haptic Feedback in Minimally Invasive Surgery for Deep Endometriosis

Vlek¹,

Burm²,

Govers³

et al. 2020

Surg Innov

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Introduction. Laparoscopic treatment of deep endometriosis (DE) is associated with intra- and post-operative morbidity. New technological developments, such as haptic feedback in laparoscopic instruments, could reduce the rate of complications. The aim of this study was to assess the room for improvement and potential cost-effectiveness of haptic feedback instruments in laparoscopic surgery. Methods. To assess the potential value of haptic feedback, a decision analytical model was constructed. Complications that could be related to the absence of haptic feedback were included in the model. Costs of complications were based on the additional length of hospital stay, operating time, outpatient visits, reinterventions, and/or conversions to laparotomy. The target population consists of women who are treated for DE in the Netherlands. A headroom analysis was performed to estimate the maximum value of haptic feedback in case it would be able to prevent all selected intra- and post-operative complications. Results. A total of 9.7 intraoperative and 47.0 post-operative complications are expected in the cohort of 636 patients annually treated for DE in the Netherlands. Together, these complications cause an additional length of hospital stay of 432.1 days, 10.2 additional outpatient visits, 73.9 reinterventions, and 4.2 conversions. Most consequences are related to post-operative complications. The total additional annual costs due to complications were €436 623, amounting to €687 additional costs per patient. Discussion. This study demonstrated that the potential value for improvement in DE laparoscopic surgery by using haptic feedback instruments is considerable, mostly caused by the potential prevention of major post-operative complications.

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The effects of laparoscopic graspers with enhanced haptic feedback on applied forces: a randomized comparison with conventional graspers

Cited by 34 publications

References 34 publications

Handheld Devices for Laparoscopic Surgery

Handheld Devices for Laparoscopic Surgery

Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator

Potential Value of Haptic Feedback in Minimally Invasive Surgery for Deep Endometriosis

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