Haptic/virtual reality orthopedic surgical simulators: a literature review

Syamlan, Adlina; Fathurachman, None; Denis, Kathleen; Poorten, Emmanuel Vander; Pramujati, Bambang; Tjahjowidodo, Tegoeh

doi:10.1007/s10055-022-00666-y

Cited by 8 publications

(3 citation statements)

References 149 publications

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“…hip, knee and shoulder arthroplasty, lack VR training simulators with realistic haptic feedback. Here, solely visuals-only VR applications exist 12 , or they rely on pen-like haptic devices capable of providing only a fraction of the forces required for a realistic haptic simulation, e.g. over 300 N for Acetabula reaming during hips arthroplasty 13 .…”

Section: Introductionmentioning

confidence: 99%

Perceived realism of haptic rendering methods for bimanual high force tasks: original and replication study

Lorenz,

Hoffmann,

Kaluschke

et al. 2023

Sci Rep

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Realistic haptic feedback is a key for virtual reality applications in order to transition from solely procedural training to motor-skill training. Currently, haptic feedback is mostly used in low-force medical procedures in dentistry, laparoscopy, arthroscopy and alike. However, joint replacement procedures at hip, knee or shoulder, require the simulation of high-forces in order to enable motor-skill training. In this work a prototype of a haptic device capable of delivering double the force (35 N to 70 N) of state-of-the-art devices is used to examine the four most common haptic rendering methods (penalty-, impulse-, constraint-, rigid body-based haptic rendering) in three bimanual tasks (contact, rotation, uniaxial transition with increasing forces from 30 to 60 N) regarding their capabilities to provide a realistic haptic feedback. In order to provide baseline data, a worst-case scenario of a steel/steel interaction was chosen. The participants needed to compare a real steel/steel interaction with a simulated one. In order to substantiate our results, we replicated the study using the same study protocol and experimental setup at another laboratory. The results of the original study and the replication study deliver almost identical results. We found that certain investigated haptic rendering method are likely able to deliver a realistic sensation for bone-cartilage/steel contact but not for steel/steel contact. Whilst no clear best haptic rendering method emerged, penalty-based haptic rendering performed worst. For simulating high force bimanual tasks, we recommend a mixed implementation approach of using impulse-based haptic rendering for simulating contacts and combine it with constraint or rigid body-based haptic rendering for rotational and translational movements.

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Section: Introductionmentioning

confidence: 99%

Perceived realism of haptic rendering methods for bimanual high force tasks: original and replication study

Lorenz,

Hoffmann,

Kaluschke

et al. 2023

Sci Rep

View full text Add to dashboard Cite

show abstract

“…A comprehensive review of surgical simulators for orthopedic and neurosurgeries which focuses on haptic and virtual reality technologies is presented in [12]. The review paper informs that the main part of the orthopedic simulator is the haptic system.…”

mentioning

confidence: 99%

“…The haptic system in the simulator is expected to provide tactile sensations that mimic the real-life feel of orthopedic surgery. The haptic system is supported by the force feedback which is calculated based on the interaction between virtual tools and the simulated anatomy [12]. More detail of the review study on medical training systems and potential automated systems in bone drilling is presented in Chapter 3.…”

mentioning

confidence: 99%

Bone Drilling: A Review with a Lab Case Study of Bone Layer Classification Using Vibration Signal and Long Short-Term Memory

Caesarendra

2024

Preprint

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In orthopedics, bone drilling is a crucial part of a surgical method commonly carried out for internal fixation in bone fracture treatment. The primary purpose of bone drilling is the creation of holes for screw insertion to immobilize fractured parts. The bone drilling task depends on the orthopedist and surgeon’s high level of skill and experience. This paper aimed to provide a summary of previously published review studies in the field of bone drilling. This review paper also presents a comprehensive review of the application of machine learning for bone drilling and as a future direction for the automation system. This review can also help medical surgeons and bone drillers understand the latest improvements through parameter selection and optimization strategies to reduce bone damage in bone drilling procedures. Apart from the review study, bone drilling vibration data collected in the University laboratory experiment is also presented in this study. The vibration data consist of three different layers of femur cow bone which are processed and classified using several machine learning methods. LSTM is, used in the bone drilling classification study to prove that the layers of the bone drilling are associated with the vibration signal and can be classified and predicted using the machine learning method.

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Dynamic Tactile Synthetic Tissue: from Soft Robotics to Hybrid Surgical Simulators

Thurner,

Maier,

Kaltenbrunner

et al. 2024

Advanced Intelligent Systems

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Surgical simulators are valuable educational tools for physicians, enhancing their proficiency and improving patient safety. However, they typically still suffer from a lack of realism as they do not emulate dynamic tissue biomechanics haptically and fail to convincingly mimic real‐time physiological reactions. This study presents a dynamic tactile synthetic tissue, integrating both sensory and actuatory capabilities within a fully soft unit, as a core component for soft robotics and future hybrid surgical simulators utilizing dynamic physical phantoms. The adaptive surface of the tissue replica, actuated via hydraulics, is assessed by an embedded carbon black silicone sensor layer using electrical impedance tomography to determine internally or externally induced deformations. The integrated fluid chambers enable pressure and force measurements. The combination of these principles enables real‐time tissue feedback as well as closed loop operation, allowing optimal interaction with the environment. Based on the concepts of soft robotics, such artificial tissues find broad applicability, demonstrated via a soft gripper and surgical simulation applications including a dynamic, artificial brain phantom as well as a synthetic, beating heart. These advancements pave the way toward enhanced realism in surgical simulators including reliable performance evaluation and bear the potential to transform the future of surgical training methodologies.

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Haptic/virtual reality orthopedic surgical simulators: a literature review

Cited by 8 publications

References 149 publications

Perceived realism of haptic rendering methods for bimanual high force tasks: original and replication study

Perceived realism of haptic rendering methods for bimanual high force tasks: original and replication study

Bone Drilling: A Review with a Lab Case Study of Bone Layer Classification Using Vibration Signal and Long Short-Term Memory

Dynamic Tactile Synthetic Tissue: from Soft Robotics to Hybrid Surgical Simulators

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