Investigation and Development of an Endourology Haptic Robot Simulator for Surgical Training

用于外科训练的腔内泌尿外科触觉机器人模拟器的研究和开发

• 批准号: 2275730
• 金额: --
• 依托单位: University of Bristol
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2275730
• 关键词: Investigation; Development; Endourology; Haptic; Robot

Within any type of surgery, training is key to the patient's safety. This process requires a lot of time and can be stressful for both the trainer (experienced surgeon) and the trainee.Robotics has been utilised within surgery, with systems such as the DaVinci [1] (a system in which the operating tools are controlled remotely), and simulation technologies.In the field of endourology, in which small internal instruments and endoscopes are used to perform surgery within the urinary tract, the company Simbionix, with their software 'Uromentor' [2] are currently leading the market in simulators used for training. However, ttheir capabilities are limited, and, furthermore, do not include haptic feedback. Additionally, hands-on training often results in expensive equipment being damaged due to the steep learning curve of new surgeons.The proposed research project will investigate these shortcomings and develop a novel medical simulator within this field.Through tracking the hands of experienced surgeons when performing these procedures, there is potential to build a workspace, of motion, movements and forces. The data within this would allow the system to distinguish between novel surgeons and advanced surgeons and compare what they are doing differently. Such an investigation would also answer the question of 'how much feedback and at what resolution is required' so that the learning experience of surgical trainees is improved, and the learning length shortened. This primary research then allows for a simulator to be created with haptic feedback and multiple sensors integrated. The simulator will also record these procedures, allowing feedback to be given. On top of using this system for training purposes, it has the potential to make experienced surgeons even better and unlearn mistakes which they have become accustomed to, as they would receive feedback in real-time. This project also provides the stepping stones for advanced diagnostics and improving instrumentation in urology. The proposed methodology is only within its initial stage and could be subject to change through the project.References[1] Intuitive, "About da Vinci Systems," Intuitive , [Online]. Available: https://www.davincisurgery.com/da-vinci-systems/about-da-vinci-systems . [Accessed 31 May 2020].[2] 3D Systems, "Uro Mentor," 3D Systems, [Online]. Available: https://simbionix.com/simulators/uro-mentor/ . [Accessed 31 May 2020].

在任何类型的手术中，培训都是患者安全的关键。这个过程需要大量的时间，并且对培训师（经验丰富的外科医生）和受训者来说都会带来压力。机器人已在外科手术中得到应用，包括达芬奇[1]（远程控制操作工具的系统）等系统和模拟技术。在腔内泌尿外科领域，使用小型内部器械和内窥镜在泌尿道内进行手术，Simbionix 公司及其软件 “Uromentor”[2] 目前在培训模拟器市场上处于领先地位。然而，它们的功能是有限的，而且不包括触觉反馈。此外，由于新外科医生的学习曲线陡峭，实践培训通常会导致昂贵的设备损坏。拟议的研究项目将调查这些缺点，并在该领域开发一种新颖的医学模拟器。通过跟踪经验丰富的外科医生在执行这些手术时的手，有可能建立一个包含运动、运动和力的工作空间。其中的数据将使系统能够区分新手外科医生和高级外科医生，并比较他们的不同做法。这样的调查还将回答“需要多少反馈以及以什么分辨率”的问题，从而改善外科学员的学习体验，缩短学习时间。这项初步研究允许创建一个具有触觉反馈和集成多个传感器的模拟器。模拟器还将记录这些过程，以便给出反馈。除了使用该系统进行培训之外，它还有可能使经验丰富的外科医生变得更好，并忘记他们已经习惯的错误，因为他们会收到实时反馈。该项目还为泌尿外科的高级诊断和改进仪器提供了垫脚石。所提出的方法仅处于初始阶段，可能会在整个项目中发生变化。参考文献[1] Intuitive，“关于达芬奇系统”，Intuitive，[在线]。可用：https://www.davincisurgery.com/da-vinci-systems/about-da-vinci-systems。 [访问日期：2020 年 5 月 31 日]。[2] 3D Systems，“Uro Mentor”，3D Systems，[在线]。可用：https://simbionix.com/simulators/uro-mentor/。 [2020 年 5 月 31 日访问]。