The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis

Bergholz, Max; Ferle, Manuel; Weber, Bernhard M.

doi:10.1038/s41598-023-46641-8

Cited by 8 publications

(4 citation statements)

References 80 publications

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“…Robotic surgery requires extensive training for the surgeon and support staff. Only a few robotic surgery systems provide the surgeon with a sense of touch, which can be critical in some procedures [ 62 ]. Healthcare professionals, considering incorporating robotic surgery into their practice, can choose from many commercial robots.…”

Section: Discussionmentioning

confidence: 99%

Review of robotic surgery platforms and end effectors

Cepolina,

Razzoli

2024

J Robotic Surg

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In the last 50 years, the number of companies producing automated devices for surgical operations has grown extensively. The population started to be more confident about the technology capabilities. The first patents related to surgical robotics are expiring and this knowledge is becoming a common base for the development of future surgical robotics. The review describes some of the most popular companies manufacturing surgical robots. The list of the company does not pretend to be exhaustive but wishes to give an overview of the sector. Due to space constraints, only a limited selction of companies is reported. Most of the companies described are born in America or Europe. Advantages and limitations of each product firm are described. A special focus is given to the end effectors; their shape and dexterity are crucial for the positive outcome of the surgical operations. New robots are developed every year, and existing robots are allowed to perform a wider range of procedures. Robotic technologies improve the abilities of surgeons in the domains of urology, gynecology, neurology, spine surgery, orthopedic reconstruction (knee, shoulder), hair restoration, oral surgery, thoracic surgery, laparoscopic surgery, and endoscopy.

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Section: Discussionmentioning

confidence: 99%

Review of robotic surgery platforms and end effectors

Cepolina,

Razzoli

2024

J Robotic Surg

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“…New simulator systems have added haptics back into the instrumentation and as robotic surgical systems continue to advance, this difficulty may be overcome. 27 Younger students and house officers with more familiarity with technology, especially augmented and virtual reality games or devices, might have an advantage when utilizing this equipment. 28,29 Even though experienced surgeons required a similar total number of attempts to gain proficiency, they achieved proficiency in both tasks in approximately half the time that students in our previous study 19 did.…”

Section: Discussionmentioning

confidence: 99%

Experienced veterinary surgeons require multiple attempts but gain proficiency rapidly in robotic simulator tasks

Buote,

Fransson,

Rishniw

2024

ajvr

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OBJECTIVE To assess attempts to proficiency of experienced veterinary surgeons for 2 surgical tasks when using a robotic simulator (Mimic dV-Trainer; Surgical Sciences) and determine factors associated with the successful performance of these tasks. METHODS Veterinary surgeons with rigid, minimally invasive surgery experience performed 2 tasks (“pick and place” and “knot the ring 1”) using the simulator until they attained proficiency. Individual performance variables were recorded. The number of attempts to proficiency was recorded. Performance variables were also assessed for effect on proficiency by the Kendall tau correlation and hierarchical multiple linear regression. The study period was from July 25, 2022, through December 14, 2022. RESULTS The 18 surgeons enrolled required a median of 8.5 attempts (95% CI, 7 to 12; range, 6 to 22) to reach proficiency for the basic task versus 27 attempts (95% CI, 21 to 38; range, 10 to 63) for the advanced task. Surgeons took a median of 6 minutes (range, 3 to 11 minutes) to complete training for the basic task and 12 minutes (range, 4 to 46 minutes) for the advanced task. The number of attempts to reach proficiency correlated strongly with economy of motion (tau = 0.72), instrument collisions (tau = 0.72), and time to completion (tau = 0.96). CLINICAL RELEVANCE Although experienced surgeons required a high number of attempts to gain proficiency in robotic simulator tasks, they did achieve proficiency quickly, encouraging future investigations into their use for training. Specific motion metrics were identified which improved efficiency during training.

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“…Even though these differences in task completion time were not significant, it seems that the continuous vibration feedback slowed the participants down, which might eventually lead, at least in part, to favorable force application. In contrast, haptic feedback provided in robotic surgery seemed to have a positive effect on task completion time [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Can you feel the force just right? Tactile force feedback for training of minimally invasive surgery—evaluation of vibration feedback for adequate force application

von Bechtolsheim,

Bielert,

Schmidt

et al. 2024

Surg Endosc

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Background Tissue handling is a crucial skill for surgeons and is challenging to learn. The aim of this study was to develop laparoscopic instruments with different integrated tactile vibration feedback by varying different tactile modalities and assess its effect on tissue handling skills. Methods Standard laparoscopic instruments were equipped with a vibration effector, which was controlled by a microcomputer attached to a force sensor platform. One of three different vibration feedbacks (F1: double vibration > 2 N; F2: increasing vibration relative to force; F3: one vibration > 1.5 N and double vibration > 2 N) was applied to the instruments. In this multicenter crossover trial, surgical novices and expert surgeons performed two laparoscopic tasks (Peg transfer, laparoscopic suture, and knot) each with all the three vibration feedback modalities and once without any feedback, in a randomized order. The primary endpoint was force exertion. Results A total of 57 subjects (15 surgeons, 42 surgical novices) were included in the trial. In the Peg transfer task, there were no differences between the tactile feedback modalities in terms of force application. However, in subgroup analysis, the use of F2 resulted in a significantly lower mean-force application (p-value = 0.02) among the student group. In the laparoscopic suture and knot task, all participants exerted significantly lower mean and peak forces using F2 (p-value < 0.01). These findings remained significant after subgroup analysis for both, the student and surgeon groups individually. The condition without tactile feedback led to the highest mean and peak force exertion compared to the three other feedback modalities. Conclusion Continuous tactile vibration feedback decreases the mean and peak force applied during laparoscopic training tasks. This effect is more pronounced in demanding tasks such as laparoscopic suturing and knot tying and might be more beneficial for students. Laparoscopic tasks without feedback lead to increased force application.

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The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis

Cited by 8 publications

References 80 publications

Review of robotic surgery platforms and end effectors

Review of robotic surgery platforms and end effectors

Experienced veterinary surgeons require multiple attempts but gain proficiency rapidly in robotic simulator tasks

Can you feel the force just right? Tactile force feedback for training of minimally invasive surgery—evaluation of vibration feedback for adequate force application

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