A Framework for Objective Evaluation of Handheld Robotic Surgical Tools Against Patient Needs

A Framework for Objective Evaluation of Handheld Robotic Surgical Tools Against Patient Needs
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针对患者需求的手持式机器人手术工具客观评估框架

DOI:
10.1115/dmd2022-1039
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发表时间:
2022
期刊:
2022 Design of Medical Devices Conference
影响因子:
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通讯作者:
Kowalewski, Timothy M.
Kowalewski, Timothy M.
中科院分区:
--
文献类型:
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作者:
Davies, Nathan D.;Ullah, Yusra Farhat;Kowalewski, Timothy M.

文献摘要

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外科医生也是人:他们的最佳表现受到神经生理学的限制。如果一个不能手术的病人的情况需要手术治疗,超出了人类的能力极限,怎么办?精密手术机器人能否帮助外科医生超越人类神经生理学的基本极限?本文采用督导法提出了一个定量的框架和基准任务,以评估手持手术工具的可行性,以满足量化的速度和精度的要求,在非接触式的相互作用,超出人类的限制,临床需要。给出了常见手术场景中此类交互的示例用例。有和没有计算机辅助的直线跟踪任务的初步结果表明,在临床速度/准确性需求不足的情况下,所提出的框架。然后,该框架用于阐明其他技术候选人的规格,以成功地超过所使用的模态的速度和精度特性。
Surgeons are human: their best possible performance is limited by their neurophysiology. What if an inoperable patient’s condition demands surgical treatment that exceeds such human performance limits? Can precision surgical robots help surgeons surpass such fundamental human neurophysiological limits? This article employs the Steering law to proposes a quantitative framework and benchmark tasks to evaluate the feasibility of a handheld surgical tool for meeting the quantified speed and accuracy requirements of a clinical need in non-contact interactions that exceed human limitations. Example use cases of such interactions in common surgical scenarios are presented. Preliminary results from a straight-line tracking task with and without computer assistance demonstrate the proposed framework in the context of falling short of a clinical speed/accuracy need. The framework is then used to articulate specifications for additional technology candidates to successfully exceed the speed and accuracy characteristics of the modality used.