Discussion about training effects of haptic guide function for endoscopic forceps operation

Kumiko Motodoi, T. Tokuyasu, T. Kusano, M. Inomata, N. Shiraishi, S. Kitanou
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Abstract

At present, some training tools for endoscopic surgery have been commercialized such as box simulator and virtual training simulator. These training tools enable a trainee to practice various operation without any risks of a patient and have been utilized by unskilled surgeons in medical institutions. However, more effective training environments have been required by the doctors who engage in medical education. Then this study focuses on the importance of improving fundamental operation skills in an operating room. Because, most of human tissues, such as blood vessels, organs, and nerves, are easily bruised by surgical tools. Due to the structural particularity of endoscopic forceps makes us difficult to only move the tip of forceps on a straight line. Hence, this study suggests a haptic guide function that dynamically controls the position of forceps to the appropriate direction in the forceps operation. In this paper, the system structure and the control methods of forceps control devices are firstly described. The training effects of our proposed system will be discussed by reviewing the experimental results.
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内镜下手术钳操作触觉引导功能训练效果探讨
目前,一些内窥镜手术训练工具已经商业化,如盒子模拟器和虚拟训练模拟器。这些培训工具使受训者能够在不给病人带来任何风险的情况下进行各种手术,并已被医疗机构中不熟练的外科医生使用。然而,从事医学教育的医生需要更有效的培训环境。在此基础上,着重探讨了提高手术室基本操作技能的重要性。因为,大多数人体组织,如血管、器官和神经,很容易被手术工具擦伤。由于内窥镜钳结构的特殊性,我们很难只在一条直线上移动钳头。因此,本研究提出了一种触觉引导功能,在钳的操作中动态控制钳的位置到合适的方向。本文首先介绍了钳子控制装置的系统结构和控制方法。本文将通过对实验结果的回顾来讨论系统的训练效果。
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