Title
Enhanced computer-assisted laser microsurgeries with a “virtual microscope” based surgical system
Abstract
Ergonomic and human-centered approaches are increasingly important in the design of surgeon-machine interfaces. In the case of microsurgeries, the procedures suffer from susceptibility to variation in surgeon skill and equipment characteristics. This paper presents a novel, computer-assisted surgical interface for laser-based microsurgeries, called the “μRALP Surgical System”. With the system, surgeries can be performed with improved safety and precision using a three-part architecture: (i) a 3D viewer device providing stereoscopic visualization; (ii) a graphics stylus that controls a motorized micromanipulator for laser aiming and activation; and (iii) a configuration interface allowing system setup and modifications in real-time. The system combines the advantages of a computer-assisted platform while respecting the visualization and manipulation requirements of a microsurgical procedure. The features include intraoperative planning for automatic laser incisions and ablations as well as safety regions based on virtual overlays in the surgeon's field-of-view. A comparative evaluation of the proposed system against the traditional system points to the clear superiority of the new interface. The quantitative comparison shows that the proposed interface is safer, more precise, and better controlled. The qualitative comparison demonstrates that the interface is easier to use, easier to learn, and has a minimal training requirement. The technological advances presented here shall lead to enhanced interfaces, increasing the capacity of surgical systems through user-centered design approaches.
Year
DOI
Venue
2014
10.1109/ICRA.2014.6907469
Robotics and Automation
Keywords
Field
DocType
bioMEMS,data visualisation,ergonomics,laser ablation,laser applications in medicine,man-machine systems,medical robotics,micromanipulators,surgery,user interfaces,virtual reality,μRALP Surgical System,3D viewer device,automatic laser ablations,automatic laser incisions,computer-assisted platform,computer-assisted surgical interface,configuration interface,enhanced computer-assisted laser microsurgeries,equipment characteristics,ergonomic approach,graphics stylus,human-centered approach,intraoperative planning,laser activation,laser aiming,manipulation requirements,microsurgical procedure,minimal training requirement,motorized micromanipulator,qualitative comparison,quantitative comparison,safety regions,stereoscopic visualization,surgeon field-of-view,surgeon skill,surgeon-machine interface design,system modifications,system setup,three-part architecture,traditional system,user-centered design approach,virtual microscope based surgical system,virtual overlays,visualization requirements,Computer-assisted surgery,laser microsurgeries,stylus-based manipulation,virtual microscope
Engineering drawing,Virtual microscope,Simulation,Control engineering,Laser,Engineering
Conference
Volume
Issue
ISSN
2014
1
1050-4729
Citations 
PageRank 
References 
4
0.63
4
Authors
4
Name
Order
Citations
PageRank
Nikhil Deshpande15910.38
Jesus Ortiz2679.14
Darwin G. Caldwell32900319.72
Leonardo S. Mattos412328.31