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Open Access 01-07-2021

Impact of haptic feedback on applied intracorporeal forces using a novel surgical robotic system—a randomized cross-over study with novices in an experimental setup

Authors: Johanna Miller, Manuel Braun, Johannes Bilz, Sebastian Matich, Carsten Neupert, Wolfgang Kunert, Andreas Kirschniak

Published in: Surgical Endoscopy | Issue 7/2021

Abstract

Background

Most currently used surgical robots have no force feedback; the next generation displays forces visually. A novel single-port robotic surgical system called FLEXMIN has been developed. Through an outer diameter of 38 mm, two instruments are teleoperated from a surgeon’s control console including true haptic force feedback. One additional channel incorporates a telescope, another is free for special instrument functions.

Methods

This randomized cross-over study analyzed the effect of haptic feedback on the application of intracorporeal forces. In a standardized experiment setup, the subjects had to draw circles with the surgical robot as gently as possible. The applied forces, the required time spans, and predefined error rates were measured.

Results

Without haptic feedback, the maximum forces (median/IQR) were 6.43 N/2.96 N. With haptic feedback, the maximum forces were lower (3.57 N/1.94 N, p < 0.001). Also, the arithmetic means of the force progression (p < 0.001) and their standard deviations (p < 0.001) were lower. Not significant were the shorter durations and lower error rates. No sequence effect of force or duration was detected. No characteristic learning or fatigue curve was observed.

Conclusions

In the experiment setup, the true haptic force feedback can reduce the applied intracorporeal robotic force to one-half when considering the aspects maximum, means, and standard deviation. Other test tasks are needed to validate the influence of force feedback on surgical efficiency and safety.

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Title: Impact of haptic feedback on applied intracorporeal forces using a novel surgical robotic system—a randomized cross-over study with novices in an experimental setup
Authors: Johanna Miller
Manuel Braun
Johannes Bilz
Sebastian Matich
Carsten Neupert
Wolfgang Kunert
Andreas Kirschniak
Publication date: 01-07-2021
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 7/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-020-07818-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of haptic feedback on applied intracorporeal forces using a novel surgical robotic system—a randomized cross-over study with novices in an experimental setup

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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