Evaluation of the effect of a laparoscopic robotized needle holder on ergonomics and skills

Bensignor, Thierry; Morel, Guillaume; Reversat, David; Fuks, David; Gayet, Brice

doi:10.1007/s00464-015-4217-7

Cited by 45 publications

(41 citation statements)

References 18 publications

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“…We consider that it is fundamental to analyze the effect of a novel surgical instrument on the surgeon's ergonomics and performance. In this regard, several studies have been published for some of the handheld instruments that have been recently introduced in the market [23,24,29]. However, we consider that these studies should be done at an early stage prior to the final production and market launch.…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

“…Bensignor et al [24] evaluated the effect of this instrument on the surgeon's skills and ergonomics during the performance of three basic suturing tasks on simulator. Performance outcomes, skills outcomes, and ergonomics were assessed.…”

Section: Jaimy (Endocontrol Grenoble France)mentioning

confidence: 99%

Handheld Devices for Laparoscopic Surgery

Sánchez‐Margallo¹,

Sánchez‐Margallo²,

AmirSzold³

2018

New Horizons in Laparoscopic Surgery

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“…In the clinical field, these devices have been used in conjunction with virtual reality systems for rehabilitation purposes [25] and surgical planning applications [26]. Recently, this technology has been used to analyze the surgeon's hand movements while using different surgical instruments during laparoscopic practice [5,8,11,27] (Figure 4).…”

Section: Data Glovesmentioning

confidence: 99%

“…They provide precisiondriven and articulating instrument tips, which increase the triangulation, and therefore improve the performance of some surgical maneuvers. One example of these systems is Jaimy® (Endocontrol, Grenoble, France), which provides two additional degrees of freedom controlled by a joystick placed on an ergonomic handle [8]. This handheld robotic instrument was ergonomically compared by means of surgeon's posture and muscular activity analysis with a conventional needle holder during the performance of basic laparoscopic training tasks.…”

Section: Handheld Robotic Instrumentsmentioning

confidence: 99%

“…Several studies reported lower complication rates and blood loss than conventional laparoscopic surgery [7]. This technology has been also integrated with LESS, and even more complex procedures by means of flexible access devices [8]. The main limitations of robotic surgery are high expenses and maintenance costs, difficulty to use it in lowvolume or low-income centers, required experience from the surgical team, and instruments replacement [9].…”

Section: Introductionmentioning

confidence: 99%

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Ergonomics in Laparoscopic Surgery

Sánchez‐Margallo¹,

Sánchez‐Margallo²

2017

Laparoscopic Surgery

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Despite the many advantages for patients, laparoscopic surgery entails certain ergonomic inconveniences for surgeons, which may result in decreasing the surgeons' performance and musculoskeletal disorders. In this chapter, the current status of ergonomics in laparoscopy, laparoendoscopic single-site surgery (LESS), and robotassisted surgery will be reviewed. Ergonomic guidelines for laparoscopic surgical practice and methods for ergonomic assessment in surgery will be described. Results will be based on the scientific literature and our experience. Results showed that the surgeon's posture during laparoscopic surgery is mainly affected by the static body postures, the height of the operating table, the design of the surgical instruments, the position of the main screen, and the use of foot pedals. Ergonomics during the laparoscopic surgical practice is related to the level of experience. Better ergonomic conditions entail an improvement in task performance. Laparoscopic instruments with axial handle lead to a more ergonomic posture for the wrist compared to a ring handle. LESS is physically more demanding than conventional and hybrid approaches, requiring greater level of muscular activity in the back and arm muscles, but better wrist position compared with traditional laparoscopy. Physical and cognitive ergonomics with robotic assistance were significantly less challenging when compared to conventional laparoscopic surgery.

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Portable manipulation system for commercial robotic surgery forceps

Yazici

Koçak

Öztan

et al. 2023

Robotics Computer Surgery

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BackgroundTransition from the utilisation of traditional instruments to new robotic methodologies in surgical operations occurs rapidly. Although the implementation of these methodologies to classical surgery operations is advantageous due to increased precisions and enhanced motion capabilities of robotic systems, overall worldwide accessibility and adaptation are still limited due to high equipment costs and special infrastructure requirements.MethodologyThe design of four degrees of freedom low cost, compact and portable manipulation system was proposed to allow the utilisation of commercial robotic surgery forceps like a conventional laparoscopy instrument without the necessity of bulky manipulation systems.ResultsThe structural design of the system was carried out along with necessary kinematic and coupled motion analysis. Prototypes were constructed. Hardware verification of the system was executed using implemented control methodology.ConclusionsThe proposed design successfully demonstrated the advantages of multi degree of freedom robotic surgery forceps in a portable handheld system compared to classical laparoscopy instruments.

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Evaluation of the effect of a laparoscopic robotized needle holder on ergonomics and skills

Abstract: This study suggests that the use of a robotized needle holder improves both posture and the quality of laparoscopic sutures.

Cited by 45 publications

References 18 publications

Handheld Devices for Laparoscopic Surgery

Handheld Devices for Laparoscopic Surgery

Ergonomics in Laparoscopic Surgery

Portable manipulation system for commercial robotic surgery forceps

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