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Lenssen, T.A. (author), Dankelman, J. (author), Horeman, T. (author)Introduction: Most robotic instruments and their drives still risk residual contamination due to cleaning complexities, rendering them limited reusable, and tend to have larger instruments than the 5mm laparoscopic standard. The novel steerable laparoscopic SATA-LRS uses modularity for cleanability and exchangeability. The SATA-Drive: a...journal article 2024
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Schrijvershof, Pim (author), Rahimi, A. Masie (author), Leone, Nicola (author), Bloemendaal, Alexander (author), Daams, Freek (author), Arezzo, Alberto (author), Mintz, Yoav (author), Horeman, T. (author)Surgeons performing robotic-assisted laparoscopic surgery experience physical stress and overuse of shoulder muscles due to sub-optimal arm support during surgery. The objective is to present a novel design and prototype of a dynamic arm support for robotic laparoscopic surgery to evaluate its ergonomics and performance on the AdLap-VR...journal article 2024
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Postema, R.R. (author), Hardon, Hidde (author), Rahimi, A. Masie (author), Horeman, Roel (author), Nickel, Felix (author), Dankelman, J. (author), Bloemendaal, A.L.A. (author), van der Elst, M. (author), van der Peet, Donald L. (author), Daams, Freek (author), Hardon, S.F. (author), Horeman, T. (author)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...journal article 2024
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Klok, J.W.A. (author), Groenewegen, Jessica (author), Temmerman, Olivier (author), Van Straten, Niels (author), van Straten, Bart (author), Dankelman, J. (author), Horeman, T. (author)Objective: Cemented total hip arthroplasty (THA) demonstrates superior survival rates compared to uncemented procedures. Nevertheless, most younger patients opt for uncemented THA, as removing well-fixed bone cement in the femur during revisions is complex, particularly the distal cement plug. This removal procedure often increases the risk...journal article 2024
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Leone, Nicola (author), Scozzari, Gitana (author), Olandese, Francesco (author), Horeman, T. (author), Passera, Roberto (author), Arezzo, Alberto (author), Morino, Mario (author)Hospitals in Europe produce approximately 6 million tons of medical waste annually, about one-third of this originating in operating rooms. Most of it is solid waste, which can be recycled if bodily fluids do not contaminate it. Only 2–3% of hospital waste must be disposed of as infectious waste, and this is much lower than the 50–70% of...journal article 2024
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Rahimi, A. Masie (author), Hardon, S.F. (author), Willuth, E. (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), Horeman, T. (author), Nickel, F. (author), Daams, Freek (author)Introduction: Although robotic-assisted surgery is increasingly performed, objective assessment of technical skills is lacking. The aim of this study is to provide validity evidence for objective assessment of technical skills for robotic-assisted surgery. Methods: An international multicenter study was conducted with participants from the...journal article 2023
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Hardon, S.F. (author), Willuth, E. (author), Rahimi, A. Masie (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), van der Peet, Donald L. (author), Daams, Freek (author), Nickel, F. (author), Horeman, T. (author)Introduction: Robot-assisted surgery is often performed by experienced laparoscopic surgeons. However, this technique requires a different set of technical skills and surgeons are expected to alternate between these approaches. The aim of this study is to investigate the crossover effects when switching between laparoscopic and robot-assisted...journal article 2023
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Lenssen, T.A. (author), Bîrjac, R. (author), Dankelman, J. (author), Horeman, T. (author)Introduction: Based on the success of the former “Shaft-Actuated, Tip-Articulated” SATA-Drive, a prototype robotic instrument driver for modular, steerable, laparoscopic instruments, a new driver is designed and tested to improve previously lacking features concerning cleanability, instrument adaptation, practical application and control. The...journal article 2023
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Klok, J.W.A. (author), Postema, R.R. (author), Steintorsson, Astor T. (author), Dankelman, J. (author), Horeman, T. (author)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...journal article 2023
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Postema, R.R. (author), Hardon, S.F. (author), Cefai, David (author), Dankelman, J. (author), Jansen, F.W. (author), Camenzuli, Christian (author), Calleja-Agius, Jean (author), Horeman, T. (author)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...journal article 2023
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Robertson, P.D. (author), van Duijn, Matthijs (author), Arezzo, Alberto (author), Mintz, Yoav (author), Horeman, T. (author)Background: During laparoscopic surgery, CO<sub>2</sub> insufflation gas could leak from the intra-abdominal cavity into the operating theater. Medical staff could therefore be exposed to hazardous substances present in leaked gas. Although previous studies have shown that leakage through trocars is a contributing factor, trocar performance...journal article 2023
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Robertson, P.D. (author), Sterke, F. (author), van Weteringen, Willem (author), Arezzo, Alberto (author), Mintz, Yoav (author), Horeman, T. (author)Background: During minimal access surgery, surgical smoke is produced which can potentially be inhaled by the surgical team, leading to several health risks. This smoke can escape from the abdominal cavity into the operating room due to trocar leakage. The trocars and insufflator that are used during surgery influence gas leakage. Therefore,...journal article 2023
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Horeman, T. (author), Postema, R.R. (author), Fischer, T. (author), Calleja-Agius, J. (author), Camenzuli, C. (author), Alvino, L. (author), Hardon, S.F. (author), Bonjer, H. J. (author)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...journal article 2023
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van Straten, Bart (author), Alvino, Letizia (author), Horeman, T. (author)Our world is the only planet, as far as we know, which harbors life. The number of humans on our planet has grown tremendously in recent centuries. In 1800 one billion humans occupied our earth; on 15 November 2022, this number reached 8 billion.<br/><br/>A result of this growth, the emissions of carbon dioxide (CO2), the primary greenhouse gas...book 2023
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White, N.A. (author), Oude Vrielink, Timo J.C. (author), van der Bogt, Koen E.A. (author), Cohen, Adam F. (author), Rotmans, Joris I. (author), Horeman, T. (author)Introduction: The recent introduction of the European Medical Device Regulation poses stricter legislation for manufacturers developing medical devices in the EU. Many devices have been placed into a higher risk category, thus requiring more data before market approval, and a much larger focus has been placed on safety. For implantable and...journal article 2023
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Marsidi, Nick (author), Scheepens, Karlijn M.J. (author), Goeman, Jelle J. (author), Horeman, T. (author), Genders, Roel E. (author)Mechanical stress influences scarring of a surgical wound. Several lines have been proposed for the best excision direction. It is unknown if these lines still apply when the body posture changes. The objective is to measure the skin reaction force in four directions and determine the direction of least force. Secondary objective is to...journal article 2023
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Horeman, T. (author), Lenssen, T.A. (author)Chirurgische robotsystemen winnen aanzienlijk aan populariteit in de medische wereld vanwege hun voordelen op het gebied van precisie, comfort en behendigheid voor de chirurg, wat resulteert in een verbeterd chirurgisch resultaat. Deze voordelen gelden voor ziekenhuizen over de hele wereld, maar zijn niet overal even toegankelijk. Complexe...report 2022
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Wei, J.C. (author), Crezee, W.H.A. (author), Jongeneel, H. (author), de Haas, T.S.A. (author), Kool, W.L.A. (author), Blaauw, Bryan J. (author), Dankelman, J. (author), Horeman, T. (author)The success of total hip arthroplasty depends on the experience of the surgeon, and one of the ways the surgeon currently determines the final implant insertion depth is to listen to the change in audible pitch of the hammering sound. We investigated the use of vibration emissions as a novel method for insertion quality assessment. A non...journal article 2022
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Wei, J.C. (author), Blaauw, Bryan (author), van der Pol, D.G.M. (author), Cruz Saldivar, M. (author), Lai, C. (author), Dankelman, J. (author), Horeman, T. (author)Background: In hip arthroplasties, surgeons rely on their experience to assess the stability and balance of hip tissues when fitting the implant to their patients. During the operation, surgeons use a modular, temporary set of implants to feel the tension in the surrounding soft tissues and adjust the implant configuration. This process is...journal article 2022
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Duijndam, J.M. (author), van Straten, Bart (author), Duzijn, Y.S. (author), van der Sijp, Joost (author), Lieshout, Michiel (author), Horeman, T. (author)De totale zorg draagt naar schatting voor 5 tot 8% bij aan de totale CO2-uitstoot in Nederland. Dit wordt mede veroorzaakt door het grote verbruik van medische wegwerpproducten, die na gebruik verbrand worden. Onderzocht is of gebruikte chirurgische mondmaskers gerecycled kunnen worden om nieuwe medische producten te maken. Recyclen kan ervoor...journal article 2022