Trocar and instrument positioning system TISKA. An assist device for endoscopic solo surgery.

作者: M. O. Schurr , A. Arezzo , B. Neisius , H. Rininsland , H.-U. Hilzinger

DOI: 10.1007/S004649901029

关键词: Artificial intelligencePositioning systemEndoscopeRobotic armSurgeryGuidance systemRoboticsRetractorMedicineLaparoscopySimulationKinematics

摘要: The assistance received by the surgeon from support personnel during surgical laparoscopy is extremely important. This includes retracting of instruments and positioning endoscope. However, human costly often does not provide satisfaction for surgeon. aim project was to develop a mechanical arm capable manipulating laparoscopic instrument under control operating system design based on particular kinematic construction that maintains an invariant point constraint motion coincident with trocar puncture site through abdominal wall. guidance allows transparent intuitive operation, its setup easy quick. It may be adapted either as retractor or optic device. A new generation systems, improved ergonomy, will first step toward diffusion solo surgery techniques in minimally invasive therapy. We believe this prototype represents valid compromise between robotic conventional instruments.

参考文章(10)
A. L. Benabid, S. Lavallee, D. Hoffmann, P. Cinquin, J. Demongeot, F. Danel, Potential use of robots in endoscopic neurosurgery. Acta Neurochirurgica. ,vol. 54, pp. 93- 97 ,(1992) , 10.1007/978-3-7091-6687-1_14
Hiroyuki Koyama, Tateki Uchida, Hiroyasu Funakubo, Kintomo Takakura, Heinz Fankhauser, Development of a New Microsurgical Robot for Stereotactic Neurosurgery Stereotactic and Functional Neurosurgery. ,vol. 54, pp. 462- 467 ,(1990) , 10.1159/000100255
FREDERICK A. MATSEN, JOSEPH L. GARBINI, JOHN A. SIDLES, BRIAN PRATT, DONALD BAUMGARTEN, RICHARD KAIURA, Robotic assistance in orthopaedic surgery. A proof of principle using distal femoral arthroplasty Clinical Orthopaedics and Related Research. ,vol. 296, pp. 178- 186 ,(1993) , 10.1097/00003086-199311000-00031
MICHAEL E. MORAN, Stationary and automated laparoscopically assisted technologies. Journal of laparoendoscopic surgery. ,vol. 3, pp. 221- 227 ,(1993) , 10.1089/LPS.1993.3.221
B. L. Davies, R. D. Hibberd, M. J. Coptcoat, J. E. A. Wickham, A surgeon robot prostatectomy--a laboratory evaluation. Journal of Medical Engineering & Technology. ,vol. 13, pp. 273- 277 ,(1989) , 10.3109/03091908909016201
Patrick J. Kelly, Bruce A. Kall, Stephan Goerss, Franklin Earnest, Computer-assisted stereotaxic laser resection of intra-axial brain neoplasms. Journal of Neurosurgery. ,vol. 64, pp. 427- 439 ,(1986) , 10.3171/JNS.1986.64.3.0427
L. W. Traverso, K. P. Koo, K. Hargrave, S. W. Unger, T. S. Roush, L. L. Swanstrom, M. S. Woods, J. H. Donohue, D. J. Deziel, I. B. Simon, E. Froines, J. Hunter, N. J. Soper, Standardizing laparoscopic procedure time and determining the effect of patient age/gender and presence or absence of surgical residents during operation : A prospective multicenter trial Surgical Endoscopy and Other Interventional Techniques. ,vol. 11, pp. 226- 229 ,(1997) , 10.1007/S004649900331
Taylor Ks, Robodoc: study tests robot's use in hip surgery. Hospitals. ,vol. 67, pp. 46- ,(1993)
Kunad G, Neisius B, Dautzenberg P, Trapp R, Mueglitz J, Kinematic Problems of Manipulators for Minimal Invasive Surgery Endoscopic surgery and allied technologies. ,vol. 1, pp. 160- ,(1993)
Schmitt M, Buess G, Schurr Mo, Voges U, Melzer A, Breitwieser H, Kunert W, Experimental telemanipulation in endoscopic surgery. Surgical laparoscopy & endoscopy. ,vol. 6, pp. 167- ,(1996)