Investigation of hand tremor suppression by a customized passive surgical support robot during internal limiting membrane peeling.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-08-08 DOI:10.1097/IAE.0000000000004226

Soichiro Yamamoto, Yuta Taniguchi, Yohei Kuroki, Hidenori Nagahama, Shin Tanaka, Kazuaki Kadonosono, Fumihito Arai, Hiroshi Enaida

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Abstract

Purpose: To construct a quantitative evaluation system for hand tremor during internal limiting membrane (ILM) peeling and investigate changes in hand tremor attributable to the use of the customized passive surgical support robot.

Methods: This analytical and experimental study developed a hand tremor evaluation system that synchronizes three elements: surgical microscope images, an artificial eye module with a force sensor to simulate ILM peeling, and microforceps with an inertial measurement unit. Two surgeons used this system to measure hand tremor during ILM peeling with and without the robot.

Results: The horizontal, vertical, and combined vertical and horizontal components of hand tremor were 8.1 ± 6.1, 1.7 ± 1.8, and 8.5 ± 6.2 mG, respectively, in the no robot group. These components decreased to 7.2 ± 6.0, 1.5 ± 1.7, and 7.5 ± 6.1 mG, respectively, in the robot group. In particular, hand tremor was significantly suppressed by 11.9% for the horizontal component using the robot (p = 0.0006).

Conclusion: The newly constructed system helps to quantitatively evaluate hand tremor during ILM peeling. The customized passive surgical support robot enables to decrease hand tremor during ILM peeling.

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研究定制的被动式手术支持机器人在内缘膜剥离过程中抑制手部震颤的效果。

目的：构建内缘膜（ILM）剥离过程中手部震颤的定量评估系统，并研究使用定制的被动手术支持机器人后手部震颤的变化：本分析和实验研究开发了一种手部震颤评估系统，该系统由三个元素同步组成：手术显微镜图像、带有力传感器的人工眼模块（用于模拟ILM剥离）以及带有惯性测量单元的微钳。两名外科医生使用该系统测量了在使用和不使用机器人的情况下剥离ILM过程中的手部震颤：结果：在无机器人组中，手部震颤的水平、垂直以及垂直和水平组合分量分别为 8.1 ± 6.1、1.7 ± 1.8 和 8.5 ± 6.2 mG。在机器人组中，这些分量分别降至 7.2 ± 6.0、1.5 ± 1.7 和 7.5 ± 6.1 mG。使用机器人后，手部震颤的水平分量明显减少了 11.9% (p = 0.0006)：结论：新构建的系统有助于定量评估 ILM 剥离过程中的手部震颤。定制的被动式手术支持机器人可减少ILM剥离过程中的手部震颤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.

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