Title
Characterization of Force and Torque Interactions During a Simulated Transgastric Appendectomy Procedure
Abstract
We have developed an instrumented endoscope grip handle equipped with a six-axis load cell and measured forces and torques during a simulated transgastric natural orifice translumenal endoscopic surgery appendectomy procedure performed in an EASIE-R ex vivo simulator. The data were collected from ten participating surgeons of varying degrees of expertise which was analyzed to compute a set of six force and torque parameters for each coordinate axis for each of the nine tasks of the appendectomy procedure. The mean push/pull force was found to be 3.64 N (σ = 3.54 N) in the push direction and the mean torque was 3.3 N · mm (σ = 38.6 N · mm) in the counterclockwise direction about the push/pull axis. Most interestingly, the force and torque data about the nondominant x and z axes showed a statistically significant difference (p <; 0.05) between the expert and novice groups for five of the nine tasks. These data may be useful in developing surgical platforms especially new haptic devices and simulation systems for emerging natural orifice procedures.
Year
DOI
Venue
2015
10.1109/TBME.2014.2369956
IEEE Trans. Biomed. Engineering
Keywords
Field
DocType
virtual reality,force,human factors,surgery,haptic interface,haptic device,torque
Load cell,Torque,Computer science,Simulation,Body orifice,Haptic technology,Endoscopic surgery
Journal
Volume
Issue
ISSN
62
3
0018-9294
Citations 
PageRank 
References 
1
0.39
3
Authors
5
Name
Order
Citations
PageRank
Saurabh Dargar155.29
Cecilia Brino210.73
Kai Matthes310.73
Ganesh Sankaranarayanan417524.85
Suvranu De521934.31