Basic Surgical Instruments and Their Use

Corley, Fred G.; Thomas, Ryan M.

doi:10.1053/j.otsm.2011.10.001

Cited by 4 publications

(3 citation statements)

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“…The most important ergonomic issues with traditional scissors handles (Corley and Thomas 2011;Haag and Storz 2011) are the concentration of pressure from the small contact area of the eye rings that causes pain to the skin and the unnecessary moment caused by the poor fit of the eye ring shape to the gripping fingers. Furthermore, although the thumb, index finger and ring finger form a triangular supporting surface in the professional grip that stabilises the movement of the blade edges as illustrated in Figure 1, no particular consideration is given to placement of the index finger on the traditional shank.…”

Section: New Handle Designmentioning

confidence: 99%

“…Previous studies have notably pointed out ergonomic problems, but it is still difficult to translate study results to clinical practice; this is due to insufficient research both on tool design and manufacture, and physiological assessment, applicable to professional use. The most basic of these tools are surgical scissors that are used for tasks including cutting and peeling tissue (Corley and Thomas 2011). Although scissors for medical use have been employed since the fifteenth century, the traditional structure of two blades fixed together at a pivot and eye rings through which to pass the fingers remains unchanged (Haag and Storz 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Although scissors for medical use have been employed since the fifteenth century, the traditional structure of two blades fixed together at a pivot and eye rings through which to pass the fingers remains unchanged (Haag and Storz 2011). The professional grip for surgical scissors (Figure 1) of putting the thumb and ring finger through the eye rings and placing the index finger on the shank (Baber 2006;Corley and Thomas 2011) puts the hand in the natural position for approaching the operative field. This grip, which differs from the way employed for general use, such as with stationery, was adapted to fit the human body by changing the usage method -what is known as soft ergonomics.…”

Section: Introductionmentioning

confidence: 99%

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Ergonomic design and evaluation of new surgical scissors

et al. 2015

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Section: New Handle Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ergonomic design and evaluation of new surgical scissors

et al. 2015

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References and Further Reading

2016

Rapid Perioperative Care

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Requirement analysis for an AI-based AR assistance system for surgical tools in the operating room: stakeholder requirements and technical perspectives

Cramer,

Kucharski,

Kreimeier

et al. 2024

Int J CARS

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Purpose We aim to investigate the integration of augmented reality (AR) within the context of increasingly complex surgical procedures and instrument handling toward the transition to smart operating rooms (OR). In contrast to cumbersome paper-based surgical instrument manuals still used in the OR, we wish to provide surgical staff with an AR head-mounted display that provides in-situ visualization and guidance throughout the assembly process of surgical instruments. Our requirement analysis supports the development and provides guidelines for its transfer into surgical practice. Methods A three-phase user-centered design approach was applied with online interviews, an observational study, and a workshop with two focus groups with scrub nurses, circulating nurses, surgeons, manufacturers, clinic IT staff, and members of the sterilization department. The requirement analysis was based on key criteria for usability. The data were analyzed via structured content analysis. Results We identified twelve main problems with the current use of paper manuals. Major issues included sterile users’ inability to directly handle non-sterile manuals, missing details, and excessive text information, potentially delaying procedure performance. Major requirements for AR-driven guidance fall into the categories of design, practicability, control, and integration into the current workflow. Additionally, further recommendations for technical development could be obtained. Conclusion In conclusion, our insights have outlined a comprehensive spectrum of requirements that are essential for the successful implementation of an AI- and AR-driven guidance for assembling surgical instruments. The consistently appreciative evaluation by stakeholders underscores the profound potential of AR and AI technology as valuable assistance and guidance.

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Basic Surgical Instruments and Their Use

Cited by 4 publications

References 1 publication

Ergonomic design and evaluation of new surgical scissors

Ergonomic design and evaluation of new surgical scissors

References and Further Reading

Requirement analysis for an AI-based AR assistance system for surgical tools in the operating room: stakeholder requirements and technical perspectives

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