Ergonomic Aspects of Different Handles for Minimally Invasive Surgery - An Emg Based Study:

作者: U. Matern , C. Giebmeyer , R. Bergmann , P. Waller , M. Faist

DOI: 10.1177/154193120104501703

关键词:

摘要: Various studies have been performed to test different instrument handles in minimally invasive surgery (MIS). Although criteria for ergonomic suggested, date it remains unresolved which handle design is best suited various needs. The comparison of electromyogram (EMG) activities muscles provides information about the force developed by each muscle and allows assess its contribution a functional movement. aim present study was evaluate types simple grasping maneuver with respect required main forearm muscles. Four (axial handle, ring shank Hirschberg handle) were tested 12 volunteers while manipulating 0.1 N micro switch standard arm position. To forces used during surgical procedures measurements repeated 2.5 switch. During EMG activity five recorded normalized respe...

参考文章(8)
L. F. Horgan, D. C. O'riordan, N. Doctor, Neuropraxia following laparoscopic procedures: An occupational injury Minimally Invasive Therapy & Allied Technologies. ,vol. 6, pp. 33- 35 ,(1997) , 10.3109/13645709709152823
D. C. van der Zee, N. M. A. Bax, Digital nerve compression due to laparoscopic surgery. Surgical Endoscopy and Other Interventional Techniques. ,vol. 9, pp. 740- 740 ,(1995) , 10.1007/BF00187956
U. Matern, Principles of ergonomic instrument handles Minimally Invasive Therapy & Allied Technologies. ,vol. 10, pp. 169- 173 ,(2001) , 10.1080/136457001753192295
ALI W. MAJEED, Laparoscopist's Thumb: An Occupational Hazard Archives of Surgery. ,vol. 128, pp. 357- 357 ,(1993) , 10.1001/ARCHSURG.1993.01420150117022
M.A. VAN VEELEN, D.W. MEIJER, Ergonomics and Design of Laparoscopic Instruments: Results of a Survey among Laparoscopic Surgeons Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 9, pp. 481- 489 ,(1999) , 10.1089/LAP.1999.9.481
R. Berguer, S. Gerber, G. Kilpatrick, An ergonomic comparison of in-line vs pistol-grip handle configuration in a laparoscopic grasper Surgical Endoscopy and Other Interventional Techniques. ,vol. 12, pp. 805- 808 ,(1998) , 10.1007/S004649900717
U. Matern, P. Waller, Instruments for minimally invasive surgery: principles of ergonomic handles. Surgical Endoscopy and Other Interventional Techniques. ,vol. 13, pp. 174- 182 ,(1999) , 10.1007/S004649900934
U. Matern, M. Eichenlaub, P. Waller, K.-D. Rückauer, MIS instruments. An experimental comparison of various ergonomic handles and their design. Surgical Endoscopy and Other Interventional Techniques. ,vol. 13, pp. 756- 762 ,(1999) , 10.1007/S004649901093