Evaluation of robotically controlled advanced endoscopic instruments

Rob Reilink, Astrid M.L. Kappers, Stefano Stramigioli, Sarthak Misra

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)

Abstract

Background Advanced flexible endoscopes and instruments with multiple degrees of freedom enable physicians to perform challenging procedures such as the removal of large sections of mucosal tissue. However, these advanced endoscopes are difficult to control and require several physicians to cooperate. Methods In this article, we present a robotic system that allows the physi- cian to control an instrument in an intuitive way, using a haptic device. Perfor- mance with the robotic and conventional control methods were compared in a human subjects experiment. Subjects used both methods to tap a series of tar- gets. They performed four trials while looking at the endoscopic monitor, and two trials while looking at the instrument directly. Results Subjects were significantly faster using the robotic method, 54 s vs 164 s. Their performance in the second trial was significantly improved with respect to the first trial. Conclusions This study provides evidence that the robotic control method can be implemented to improve the performance of physicians using advanced flexible endoscopes.
Original languageUndefined
Pages (from-to)240-246
Number of pages7
JournalInternational journal of medical robotics and computer assisted surgery
Volume9
Issue number2
DOIs
Publication statusPublished - Jun 2013

Keywords

  • EWI-23319
  • Minimally invasive surgery
  • IR-85842
  • Medical robotics
  • METIS-296417
  • Flexible endoscopy

Cite this

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title = "Evaluation of robotically controlled advanced endoscopic instruments",
abstract = "Background Advanced flexible endoscopes and instruments with multiple degrees of freedom enable physicians to perform challenging procedures such as the removal of large sections of mucosal tissue. However, these advanced endoscopes are difficult to control and require several physicians to cooperate. Methods In this article, we present a robotic system that allows the physi- cian to control an instrument in an intuitive way, using a haptic device. Perfor- mance with the robotic and conventional control methods were compared in a human subjects experiment. Subjects used both methods to tap a series of tar- gets. They performed four trials while looking at the endoscopic monitor, and two trials while looking at the instrument directly. Results Subjects were significantly faster using the robotic method, 54 s vs 164 s. Their performance in the second trial was significantly improved with respect to the first trial. Conclusions This study provides evidence that the robotic control method can be implemented to improve the performance of physicians using advanced flexible endoscopes.",
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Evaluation of robotically controlled advanced endoscopic instruments. / Reilink, Rob; Kappers, Astrid M.L.; Stramigioli, Stefano; Misra, Sarthak.

In: International journal of medical robotics and computer assisted surgery, Vol. 9, No. 2, 06.2013, p. 240-246.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Evaluation of robotically controlled advanced endoscopic instruments

AU - Reilink, Rob

AU - Kappers, Astrid M.L.

AU - Stramigioli, Stefano

AU - Misra, Sarthak

N1 - eemcs-eprint-23319

PY - 2013/6

Y1 - 2013/6

N2 - Background Advanced flexible endoscopes and instruments with multiple degrees of freedom enable physicians to perform challenging procedures such as the removal of large sections of mucosal tissue. However, these advanced endoscopes are difficult to control and require several physicians to cooperate. Methods In this article, we present a robotic system that allows the physi- cian to control an instrument in an intuitive way, using a haptic device. Perfor- mance with the robotic and conventional control methods were compared in a human subjects experiment. Subjects used both methods to tap a series of tar- gets. They performed four trials while looking at the endoscopic monitor, and two trials while looking at the instrument directly. Results Subjects were significantly faster using the robotic method, 54 s vs 164 s. Their performance in the second trial was significantly improved with respect to the first trial. Conclusions This study provides evidence that the robotic control method can be implemented to improve the performance of physicians using advanced flexible endoscopes.

AB - Background Advanced flexible endoscopes and instruments with multiple degrees of freedom enable physicians to perform challenging procedures such as the removal of large sections of mucosal tissue. However, these advanced endoscopes are difficult to control and require several physicians to cooperate. Methods In this article, we present a robotic system that allows the physi- cian to control an instrument in an intuitive way, using a haptic device. Perfor- mance with the robotic and conventional control methods were compared in a human subjects experiment. Subjects used both methods to tap a series of tar- gets. They performed four trials while looking at the endoscopic monitor, and two trials while looking at the instrument directly. Results Subjects were significantly faster using the robotic method, 54 s vs 164 s. Their performance in the second trial was significantly improved with respect to the first trial. Conclusions This study provides evidence that the robotic control method can be implemented to improve the performance of physicians using advanced flexible endoscopes.

KW - EWI-23319

KW - Minimally invasive surgery

KW - IR-85842

KW - Medical robotics

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