Haptic feedback in the da Vinci Research Kit (dVRK): A user study based on grasping, palpation, and incision tasks.


Journal

The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 26 11 2018
revised: 24 02 2019
accepted: 04 04 2019
pubmed: 11 4 2019
medline: 7 1 2020
entrez: 11 4 2019
Statut: ppublish

Résumé

It was suggested that the lack of haptic feedback, formerly considered a limitation for the da Vinci robotic system, does not affect robotic surgeons because of training and compensation based on visual feedback. However, conclusive studies are still missing, and the interest in force reflection is rising again. We integrated a seven-DoF master into the da Vinci Research Kit. We designed tissue grasping, palpation, and incision tasks with robotic surgeons, to be performed by three groups of users (expert surgeons, medical residents, and nonsurgeons, five users/group), either with or without haptic feedback. Task-specific quantitative metrics and a questionnaire were used for assessment. Force reflection made a statistically significant difference for both palpation (improved inclusion detection rate) and incision (decreased tissue damage). Haptic feedback can improve key surgical outcomes for tasks requiring a pronounced cognitive burden for the surgeon, to be possibly negotiated with longer completion times.

Sections du résumé

BACKGROUND BACKGROUND
It was suggested that the lack of haptic feedback, formerly considered a limitation for the da Vinci robotic system, does not affect robotic surgeons because of training and compensation based on visual feedback. However, conclusive studies are still missing, and the interest in force reflection is rising again.
METHODS METHODS
We integrated a seven-DoF master into the da Vinci Research Kit. We designed tissue grasping, palpation, and incision tasks with robotic surgeons, to be performed by three groups of users (expert surgeons, medical residents, and nonsurgeons, five users/group), either with or without haptic feedback. Task-specific quantitative metrics and a questionnaire were used for assessment.
RESULTS RESULTS
Force reflection made a statistically significant difference for both palpation (improved inclusion detection rate) and incision (decreased tissue damage).
CONCLUSIONS CONCLUSIONS
Haptic feedback can improve key surgical outcomes for tasks requiring a pronounced cognitive burden for the surgeon, to be possibly negotiated with longer completion times.

Identifiants

pubmed: 30970387
doi: 10.1002/rcs.1999
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1999

Subventions

Organisme : Regione Toscana

Informations de copyright

© 2019 John Wiley & Sons, Ltd.

Auteurs

Arianna Saracino (A)

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy.
Center for Micro-BioRobotics, Istituto Italiano di Tecnologia, Pontedera, Italy.

Anton Deguet (A)

Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland.

Fabio Staderini (F)

Center of Oncological Minimally Invasive Surgery, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.

Mohamed Nassim Boushaki (MN)

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy.

Fabio Cianchi (F)

Center of Oncological Minimally Invasive Surgery, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.

Arianna Menciassi (A)

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy.

Edoardo Sinibaldi (E)

Center for Micro-BioRobotics, Istituto Italiano di Tecnologia, Pontedera, Italy.

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Classifications MeSH