Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Tzemanaki, A.; Walters, P.; Pipe, A. G.; Melhuish, C.; Dogramadzi, S. (2014)
Publisher: John Wiley & Sons
Languages: English
Types: Article
Background: Over the past century, abdominal surgery has seen a rapid transition from open procedures to less invasive methods such as robot-assisted minimally invasive surgery (MIS). This paper aims to investigate and discuss the needs of MIS in terms of instrumentation and to inform the design of a novel instrument.\ud Methods: A survey was conducted among surgeons regarding their opinions on surgical training, surgical systems, how satisfied they are with them and how easy they are to use. A concept for MIS robotic instrumentation was then developed and a series of focus groups with surgeons were ran to discuss it. The initial prototype of the robotic instruments, herein demonstrated, comprises modular rigid links with soft joints actuated by shape memory alloy helix\ud actuators; these instruments are controlled using a sensory hand exoskeleton.\ud Results: The results of the survey, as well as the ones of the focus groups, are presented here. A first prototype of the system was built and initial laboratory rests have been conducted in order to evaluate this approach.\ud Conclusions: The analysed data from both the survey and the focus groups justify the chosen concept of anthropomorphic MIS robotic instrumentation which imitates the natural motion of the hands.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. G. M. Jonsdottir, S. Jorgensen, S. L. Cohen, K. N. Wright, N. T. Shah, N. Chavan, and J. I. Einarsson, “Increasing minimally invasive hysterectomy: effect on cost and complications.” Obstetrics and gynecology, vol. 117, no. 5, pp. 1142-9, May 2011.
    • 2. P. Allemann, J. Leroy, M. Asakuma, F. Al Abeidi, B. Dallemagne, and J. Marescaux, “Robotics may overcome technical limitations of single-trocar surgery: an experimental prospective study of Nissen fundoplication.” Archives of surgery (Chicago, Ill.: 1960), vol. 145, no. 3, pp. 267-71, Mar. 2010.
    • 3. Cancer Research UK, “Cancer incidence statistics for the UK,” 2012. [Online] Available: http://publications.cancerresearchuk.org/downloads/ Product/CS CS INCIDENCE.pdf.
    • 4. J. Solly, C. Bunce, and S. Cowley, “Focus on Cholecystectomy,” The Journal of One-Day Surgery, pp. 15-18, 2006.
    • 5. Sages, “Integrating Advanced Laparoscopy Into Surgical Residency Training: A Sages Postion Paper - Curriculum Guidelines In Advanced Laparoscopic Surgery,” pp. 1-5, 2009.
    • 6. J. Dankelman, F. Painter, B. Schanker, D. Samaha, and J. Hansen, “Increasing complexity of medical technology and consequences for training and outcome of care,” World Health Organisation, 2010.
    • 7. K. Doné, A. DiMartino, T. Judkins, S. Hallbeck, and D. Oleynikov, "Evaluation of laparoscopic tools for usability and comfort", In Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 48, no. 12, pp. 1359-1362, SAGE Publications, 2004.
    • 8. D. A. G. Reyes, B. Tang, and A. Cuschieri, "Minimal access surgery (MAS)-related surgeon morbidity syndromes", Surgical Endoscopy and Other Interventional Techniques 20, no. 1: 1-13, 2006.
    • 9. R. Berguer, and A. Hreljac. "The relationship between hand size and difficulty using surgical instruments: a survey of 726 laparoscopic surgeons." Surgical Endoscopy And Other Interventional Techniques 18, no. 3 (2004): 508-512.
    • 10. L. C. Tan, S. Samanta, and S. W. Hosking, “Safe transition from open to laparoscopic fundoplication by an established consultant-the importance of repeated audit.” Annals of the Royal College of Surgeons of England, vol. 84, no. 2, pp. 84-8, Mar. 2002.
    • 11. S. J. Soot, N. Eshraghi, M. Farahmand, B. C. Sheppard, and C. W. Deveney, “Transition from open to laparoscopic fundoplication: the learning curve.” Department of Surgery, Oregon Health Sciences University, and the Portland Veterans Administration Medical Center, 97201, USA., Tech. Rep. 3, 1999.
    • 12. D. M. Herron, “A Consensus Document on Robotic Surgery: Prepared by the SAGES-MIRA Robotic Surgery Consensus Group,” pp. 1-22, 2007.
    • 13. A. Liu, F. Tendick, K. Cleary, and C. Kaufmann, “A ed.), vol. 328, no. 7452, pp. 1372-5, Jun. 2004. Survey of Surgical Simulation: Applications, 23. P. M. Boynton and T. Greenhalgh, “Selecting, Technology, and Education,” Presence Teleoperators designing, and developing your questionnaire.” BMJ and Virtual Environments, vol. 12, no. 6, pp. 599-614, (Clinical research ed.), vol. 328, no. 7451, pp. 1292-5, 2003. May 2004.
    • 14. D. A. Duchene, A. Moinzadeh, I. S. Gill, R. V. Clayman, 24. D. S. Walonick, “A Selection from Survival Statistics,” and H. N. Winfield, “Survey of residency training in StatPac, Inc, 2010. laparoscopic and robotic surgery.” The Journal of 25. K. Krippendorff, An introduction to content analysis, Urology, vol. 176, no. 5, pp. 2158-2166; discussion vol. 15, no. 4. Academy of Management, 2004, pp. 2167, 2006. 584-602.
    • 15. J. M. Gobern, C. M. Novak, and E. G. Lockrow, “Survey 26. P. Mayring, Qualitative Content Analysis, Basic Ideas of robotic surgery training in obstetrics and of Content Analysis, vol. 1, no. 2, 2000. gynecology residency,” J Minim Invasive Gynecol, vol. 27. C. Zhang, B. Robb, J. Waters, D. Selzer, E. Wiebke, and 18, no. 6, pp. 755-760, 2011. V. George, “Incidence of Incisional Hernias Increase
    • 16. K. Cleary, “Medical robotics and the operating room with Single Port Laparoscopic Technique,” 2012. of the future.” Conference Proceedings of the [Online] Available: International Conference of IEEE Engineering in http://www.sages.org/imagelibrary/details.php?id=1 Medicine and Biology Society, vol. 7, pp. 7250-7253, 03803. 2005. 28. S. Paul, P. McCulloch and A. Sedrakyan, “Robotic
    • 17. A. Tzemanaki, S. Dogramadzi, T. Pipe, and C. surgery: revisiting no innovation without evaluation”, Melhuish, “Towards an Anthropomorphic Design of BMJ: British Medical Journal, 346, 2013. Minimally Invasive Instrumentation for Soft Tissue 29. P. Walters and D. McGoran, “Digital fabrication of Robotic Surgery”, in Advances in Autonomous smart structures and mechanisms - creative Robotics, Springer Berlin Heidelberg, pp. 455-456, applications in art and design,” in IS&T Digital 2012. Fbrication 2011, Minneapolis, 2011.
    • 18. M.J.H. Lum, D.C.W. Friedman, G. Sankaranarayanan, 30. A. J. Madhani, G. Niemeyer, and J. K. J. Salisbury, “The H. King, K. Fodero, R. Leuschke, B. Hannaford, J. Black Falcon: a teleoperated surgical instrument for Rosen, and M.N. Sinanan, “The RAVEN: Design and minimally invasive surgery,” in International Validation of a Telesurgery System”, The International Conference on Intelligent Robots and Systems, vol. 2, Journal of Robotics Research, vol. 28, no. 9, pp. 1183- no. October. Ieee, 1998, pp. 936-944. 1197, 2009. 31. D.G. Kamper, E.G. Cruz, and M.P. Siegel,
    • 19. L. Dipietro, A.M. Sabatini, and P. Dario, “A Survey of “Stereotypical fingertip trajectories during grasping”, Glove-Based Systems and Their Applications”, vol. 38, Journal of Neurophysiology, vol. 90, pp. 3702-3710, no. 4. IEEE, pp. 461-482, 2008. 2003.
    • 20. D. Kim, O. Hilliges, S. Izadi, A.D. Butler, J. Chen, I. 32. H.J. Marcus, A.H. Hallet, T.P. Candy, D. Nandi, G.Z. Oikonomidis, and P. Olivier, “Digits: freehand 3D Yang and A. Darzi, Electronic response to S. Paul et al., interactions anywhere using a wrist-worn gloveless “Robotic surgery: revisiting no innovation without sensor”, 25th annual ACM symposium on User evaluation”. BMJ 2013, [Online] Available: interface software and technology, pp. 167-176, http://www.bmj.com/content/346/bmj.f1573?tab=re 2012. sponses (accessed 10 April 2013).
    • 21. A. Wege and G. Hommel, “Development and control 33. E. A. M. Heijnsdijk, J. Dankelman, and D. J. Gouma, of a hand exoskeleton for rehabilitation of hand “Effectiveness of grasping and duration of clamping injuries”, vol. 24, no. 1. IEEE, pp. 3046-3051, 2005. using laparoscopic graspers.” Surgical endoscopy, vol.
    • 22. P. M. Boynton, “Administering, analysing, and 16, no. 9, pp. 1329-31, Sep. 2002. reporting your questionnaire.” BMJ (Clinical research
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article