A Review of Simulators with Haptic Devices for Medical Training

A Review of Simulators with Haptic Devices for Medical Training
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DOI:
10.1007/s10916-016-0459-8
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发表时间:
2016-04-01
影响因子:
5.3
通讯作者:
Benes, Bedrich
Benes, Bedrich
中科院分区:
医学3区
文献类型:
--
作者:
Escobar-Castillejos, David;Noguez, Julieta;Benes, Bedrich

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医疗程序通常涉及使用触觉通过使用特殊工具来操纵器官或组织。医生需要做大量的准备才能成功地进行手术;例如,研究表明,至少需要750次手术才能获得足够的经验来正确地进行医疗程序。触觉设备已经成为一种重要的培训替代方案,它们被认为可以改善医疗培训,因为它们可以让用户通过在模拟中添加触觉来与虚拟环境进行交互。该领域以前的文章指出,与医学院目前使用的培训环境(尸体,动物或合成皮肤和器官)相比,触觉设备可以增强外科医生的学习。因此,虚拟环境使用触觉设备来提高真实感。本文的目的是提供一个国家的最新的医疗模拟器,使用触觉设备的审查。特别是我们专注于缝合,触诊,牙科手术,内窥镜检查,腹腔镜检查和骨科。这些模拟器进行审查和比较,从所使用的技术,自由度的数量,力反馈,感知现实主义,沉浸感,并提供给用户的反馈的角度来看。在结论中,每个领域的几个意见和建议,为今后的工作。
Medical procedures often involve the use of the tactile sense to manipulate organs or tissues by using special tools. Doctors require extensive preparation in order to perform them successfully; for example, research shows that a minimum of 750 operations are needed to acquire sufficient experience to perform medical procedures correctly. Haptic devices have become an important training alternative and they have been considered to improve medical training because they let users interact with virtual environments by adding the sense of touch to the simulation. Previous articles in the field state that haptic devices enhance the learning of surgeons compared to current training environments used in medical schools (corpses, animals, or synthetic skin and organs). Consequently, virtual environments use haptic devices to improve realism. The goal of this paper is to provide a state of the art review of recent medical simulators that use haptic devices. In particular we focus on stitching, palpation, dental procedures, endoscopy, laparoscopy, and orthopaedics. These simulators are reviewed and compared from the viewpoint of used technology, the number of degrees of freedom, degrees of force feedback, perceived realism, immersion, and feedback provided to the user. In the conclusion, several observations per area and suggestions for future work are provided.