Use of an Intuitive Telemanipulator System for Remote Trauma Surgery: An Experimental Study

Bowersox, Jon C.; Cordts, Paul R.; LaPorta, Anthony J.

doi:10.1016/s1072-7515(98)00105-7

Cited by 59 publications

(29 citation statements)

References 23 publications

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“…Emphasis must therefore be given to the development of virtual reality training systems to allow for this form of virtual training and to pave the way for applications in telemanipulation. 7,20,38 …”

Section: Educational Qualitymentioning

confidence: 99%

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Assessment of Telemedicine in Surgical Education and Patient Care

Demartines

Mutter²,

Vix³

et al. 2000

Annals of Surgery

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ObjectiveTo analyze the value of teleconferencing for patient care and surgical education by assessing the activity of an international academic network. Summary Background DataThe uses of telemedicine include teleeducation, training, and consulting, and surgical teams are now involved, sharing diagnostic information and opinions without the need for travel. However, the value of telematics in surgery remains to be assessed. MethodsDuring a 2-year period, weekly surgical teleconferences were held among six university hospitals in four European countries. To assess the accuracy of telediagnosis for surgical cases, 60 randomly selected cases were analyzed by a panel of surgeons. Participants' opinions were analyzed by questionnaire. ResultsSeventy teleconferences (50 lectures and 271 case presentations) were held. Ninety-five of the 114 participants (83.3%) completed the final questionnaire. Eighty-six percent rated the surgical activity as good or excellent, 75.7% rated the scientific level as good or excellent, 55.8% rated the daily clinical activity as good or excellent, and 28.4% rated the manual surgical technique as good or excellent. The target organ was identified in all the cases; the organ structure and pathology were considered well defined in 93.3%, and the fine structure was considered well defined in 58.3%. Diagnosis was accurate in 17 cases (28.3%), probable in 25 (41.7%), possible but uncertain in 16 (26.7%), and not possible in 2 cases (3.3%). Discussion among the remote sites increased the rate of valuable therapeutic advice from 55% of cases before the discussion to 95% after the discussion. Eighty-six percent of the surgeons expressed satisfaction with telematics for medical education and patient care. ConclusionsParticipant satisfaction was high, transmission of clinical documents was accurate, and the opportunity to discuss case documentation and management significantly improved diagnostic potential, resulting in an accuracy rate of up to 95%. Teleeducation and teleconsultation in surgery appear to be beneficial.In this information age, the new computer-based communication technologies called telematics offer enormous potential for applications in medical and surgical practice and education.1 The introduction of these tools in surgery has attracted much interest; however, the possibilities of combining increasing computing power 2 with surgeons' objectives and needs have not yet been properly analyzed. First, we must assess the results of telematic applications in medicine and surgery. 3,4 The field of telemedicine involves far more than just the transmission of patient files.5 It involves education, 6,7 training, 8 consulting, 9 and mentoring, 10 -12 and in the near future will include accreditation. 13 Currently, surgical teams are involved in teleconferencing, sharing medical advice and offering second opinions without the need to transfer the patient.14 -16 The time and costs of travel on the part of experts are limiting factors to joint consultations or meet- 282ings.17 Telemedicine s...

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Section: Educational Qualitymentioning

confidence: 99%

“…Clinical relevance to patient care and value in academic education are stressed. Further applications in medicine (e.g., computer-assisted surgery, telemanipulation by robotics, 20 or the use of virtual reality for surgical teaching 7 ) will not be discussed in this paper. …”

mentioning

confidence: 99%

Assessment of Telemedicine in Surgical Education and Patient Care

Demartines

Mutter²,

Vix³

et al. 2000

Annals of Surgery

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“…This report represents a summary of the Surgery in Space Symposium held in Houston, TX, December [4][5][6]2005. This meeting was sponsored in part by a grant from TATRC, a grant from the UC College of Medicine, and support form MD Robotics.…”

Section: Discussionmentioning

confidence: 99%

Conference Support - Surgery in Extreme Environments - Center for Surgical Innovation

Doarn¹

2007

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. REPORT DATE (DD-MM-YYYY)01/01/07 (From -To) REPORT TYPE Final Proceedings DATES COVERED PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBERUniversity of Cincinnati Cincinnati OH 45221-0627 SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 SPONSOR/MONITOR'S REPORT NUMBER(S) DISTRIBUTION / AVAILABILITY STATEMENTApproved for Public Release; Distribution Unlimited SUPPLEMENTARY NOTES ABSTRACTThis report is a summary of a symposium that was planned and held on December 5-6, 2005, in Houston, TX. The focus of this symposium was on surgery in extreme environments. During this two day event, invited experts from academia, government, and industry gathered to discuss what has already been accomplished in the area of surgery during spaceflight. This included activities underway within DoD, TATRC, NASA, the Russian Space Program, and other activities in which a surgical presence, although limited, was used in extreme environments. This symposium looked at the many challenges that are faced in providing advanced surgical care. SUBJECT TERMSNone provided. EXECUTIVE SUMMARYThis report summarizes the events that led up to and conduct of a discipline-specific symposium on surgery in extreme environments. Although the principle focus was on surgery in space, the participants and stakeholders, including government, industry, and academia, provided valuable insight and content for surgical applications in extreme environments. The assemblage of astronauts and researchers participated in a series of didactic lectures on surgery in extreme environments, including spaceflight, the battlefield, the jungle, and Mt. Everest. The presentation material provided and the literature search accomplished prior to the meeting established a strong foundation for establishing a definitive collection of materials to meet the one of the key objectives of this work. OnThe development of a monograph or text on surgery in extreme environments will be of great value to government, academia, and ...

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“…We modified the instruments of the Da Vinci ® telemanipulator system for measuring forces while executing surgical tasks (Bowersox et al, 1998). Since the shaft of the surgical instruments is made of carbon fibre, force sensors have to be very sensitive and reliable.…”

Section: Haptic Instruments and Haptic Interfacementioning

confidence: 99%