The value of collision feedback in robotic surgical skills training

Collision feedback about instrument and environment interaction is often lacking in robotic surgery training devices. The PoLaRS virtual reality simulator is a newly developed desk trainer that overcomes drawbacks of existing robot trainers for advanced laparoscopy. This study aimed to assess the effect of haptic and visual feedback during...

Design And Evaluation Of A Balanced Compliant Laparoscopic Grasper

In laparoscopic surgery, quality of haptic feedback is reduced compared to conventional surgery, leading to unintentional tissue damage during grasping. From the perspective of haptics, poor mechanical design of laparoscopic instrument joints induces friction and a nonlinear actuation-tip force relation. In this study, a novel laparoscopic...

Pre-clinical evaluation of the new veress needle+ mechanism on thiel-embalmed bodies: a controlled crossover study - Experimental research

Background: <br/>Veress needles (VN) are commonly used in establishing pneumoperitoneum in laparoscopic surgery. Previously, a VN with a new safety mechanism ‘VeressPLUS’ needle (VN+) was developed to reduce the amount of overshoot.<br/><br/>Methods: <br/>Eighteen participants (novices, intermediates, and experts) performed in total of 248...

The relevance of reducing Veress needle overshooting

Safe insertion of the Veress needle during laparoscopy relies on the surgeons’ technical skills in order to stop needle insertion just in time to prevent overshooting in the underlying organs. To reduce this risk, a wide variety of Veress needle systems were developed with safety mechanisms that limit the insertion speed, insertion depth or...

Safe implementation of hand held steerable laparoscopic instruments: a survey among EAES surgeons

The complexity of handheld steerable laparoscopic instruments (SLI) may impair the learning curve compared to conventional instruments when first utilized. This study aimed to provide the current state of interest in the use of SLI, the current use of these in daily practice and the type of training which is conducted before using SLI in the...

A novel Veress needle mechanism that reduces overshooting after puncturing the abdominal wall

Background: Complications that occur in laparoscopic surgery are often associated with the initial entry into the peritoneal cavity. The literature reported incidences of Veress needle (VN) injuries of e.g. 0.31% and 0.23%. In a 2010 national survey of laparoscopic entry techniques in the Canadian General Surgical practice, 57.3% of...

Measuring the Drag Latency of Touchscreen Displays for Human-in-the-Loop Simulator Experiments

This paper presents a novel methodology for measuring the drag latency of touchscreens. Drag latency is a characteristic of touch hardware that can affect key metrics of human performance as typically collected in human-in-the-loop (simulator) experiments. The proposed methodology uses a laser and laser sensor to obtain an external measurement...

Haptic exploration improves performance of a laparoscopic training task

Background: Laparoscopy has reduced tactile and visual feedback compared to open surgery. There is increasing evidence that visual and haptic information converge to form a more robust mental representation of an object. We investigated whether tactile exploration of an object prior to executing a laparoscopic action on it improves...

Development of an ankle-foot orthosis that provides support for flaccid paretic plantarflexor and dorsiflexor muscles

ADJUST, a novel ankle-foot orthosis (AFO) that we have developed, allows the ankle a normal range of motion (ROM) while providing support for flaccid ankle-muscle paresis. It consists of two leaf-spring hinges that independently control plantarflexion and dorsiflexion stiffness. To evaluate whether ADJUST meets the minimum mechanical...

Static and dynamic angles of repose in loose granular materials under reduced gravity

Granular materials avalanche when a static angle of repose is exceeded and freeze at a dynamic angle of repose. Such avalanches occur subaerially on steep hillslopes and wind dunes and subaqueously at the lee side of deltas. Until now it has been assumed that the angles of repose are independent of gravitational acceleration. The objective of...