First experience with THE AUTOLAP™ SYSTEM: an imagebased robotic camera steering device

Paulus Johannes Maria Wijsman (Corresponding Author), Ivo Adriaan Maria Johannes Broeders, Hylke Brenkman, Amir Szold, Antonello Forgione, Henk Schreuder, Esther Consten, Werner Draaisma, Paul Verheijen, Jelle Ruurda, Yuval Kaufman

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)

Abstract

BACKGROUND:
Robotic camera holders for endoscopic surgery have been available for 20 years but market penetration is low. The current camera holders are controlled by voice, joystick, eyeball tracking, or head movements, and this type of steering has proven to be successful but excessive disturbance of surgical workflow has blocked widespread introduction. The Autolap™ system (MST, Israel) uses a radically different steering concept based on image analysis. This may improve acceptance by smooth, interactive, and fast steering. These two studies were conducted to prove safe and efficient performance of the core technology.

METHODS:
A total of 66 various laparoscopic procedures were performed with the AutoLap™ by nine experienced surgeons, in two multi-center studies; 41 cholecystectomies, 13 fundoplications including hiatal hernia repair, 4 endometriosis surgeries, 2 inguinal hernia repairs, and 6 (bilateral) salpingo-oophorectomies. The use of the AutoLap™ system was evaluated in terms of safety, image stability, setup and procedural time, accuracy of imaged-based movements, and user satisfaction.

RESULTS:
Surgical procedures were completed with the AutoLap™ system in 64 cases (97%). The mean overall setup time of the AutoLap™ system was 4 min (04:08 ± 0.10). Procedure times were not prolonged due to the use of the system when compared to literature average. The reported user satisfaction was 3.85 and 3.96 on a scale of 1 to 5 in two studies. More than 90% of the image-based movements were accurate. No system-related adverse events were recorded while using the system.

CONCLUSION:
Safe and efficient use of the core technology of the AutoLap™ system was demonstrated with high image stability and good surgeon satisfaction. The results support further clinical studies that will focus on usability, improved ergonomics and additional image-based features.

KEYWORDS:
Active camera control systems; Autolap™; Camera holder; Laparoscopy; Robotic; Steering
Original languageEnglish
Pages (from-to)2560-2566
JournalSurgical endoscopy
Volume32
Issue number5
Early online date3 Nov 2017
DOIs
Publication statusPublished - May 2018
Externally publishedYes

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