The Community for Technology Leaders
RSS Icon
Subscribe
Issue No.04 - October-December (2010 vol.3)
pp: 280-291
Eleonora Patricia Westebring-van der Putten , Delft University of Technology, Delft, The Netherlands
John J. van den Dobbelsteen , Delft University of Technology, Delft, The Netherlands
Richard H.M. Goossens , Delft University of Technology Delft University of Technology, Delft, The Netherlands
Jack J. Jakimowicz , Catharina Hospital, Eindhoven, Delft, The Netherlands
Jenny Dankelman , Delft University of Technology Delft University of Technology, Delft, The Netherlands
ABSTRACT
Little is known about the influence of augmented feedback, on laparoscopic grasp control. To gain more knowledge on the influence of this on the learning curve, two experiments were conducted. In the first experiment, four groups learned a single-handed laparoscopic lifting task. Three groups received augmented feedback (visual, haptic, or a combination of feedback modes) on slip and excessive pinch force. In the second experiment, a two-handed task had to be accomplished to investigate whether paying reduced attention would influence grasp-force control. The surgeons and novices either received tactile feedback or no augmented feedback on grasp forces. In both experiments, learning sessions and a retention test followed a pretest. In the two-handed task, novices who received tactile feedback could control their pinch force in order to remain within the required limits unlike participants who did not receive augmented feedback. Approximately, one-third of the participants who received augmented feedback became dependent on the signal. Regardless of their level of experience, participants benefited from augmented feedback. This research supports the claim that there is a need for augmented tactile feedback when learning laparoscopic grasp control. It enhances learning and goes beyond what could be achieved without.
INDEX TERMS
Education, human performance, medical simulation, tactile device.
CITATION
Eleonora Patricia Westebring-van der Putten, John J. van den Dobbelsteen, Richard H.M. Goossens, Jack J. Jakimowicz, Jenny Dankelman, "The Effect of Augmented Feedback on Grasp Force in Laparoscopic Grasp Control", IEEE Transactions on Haptics, vol.3, no. 4, pp. 280-291, October-December 2010, doi:10.1109/TOH.2010.23
REFERENCES
[1] H.G. Stassen, J. Dankelman, C.A. Grimbergen, and D.W. Meijer, "Man-Machine Aspects of Minimally Invasive Surgery," Ann. Rev. in Control, vol. 25, pp. 111-122, 2001.
[2] J. Dankelman, M. Wentink, and H.G. Stassen, "Human Reliability and Training in Minimally Invasive Surgery," Minimally Invasive Therapy and Allied Technologies, vol. 12, pp. 129-135, July 2003.
[3] J.A. Cartmill, A.J. Shakeshaft, W.R. Walsht, and C.J. Martin, "High Pressures Are Generated at the Tip of Laparoscopic Graspers," J. Surgery, vol. 69, pp. 127-130, 1999.
[4] E.A.M. Heijnsdijk, M. van der Voort, H. de Visser, J. Dankelman, and D.J. Gouma, "Inter- and Intraindividual Variabilities of Perforation Forces of Human and Pig Bowel Tissue," Surgical Endoscopy, vol. 17, pp. 1923-1926, Dec. 2003.
[5] S. De, J. Rosen, A. Dagan, P. Swanson, M. Sinanan, and B. Hannaford, "Assessment of Tissue Damage Due to Mechanical Stresses," Proc. IEEE/RAS-EMBS Int'l Conf. Biomedical Robotics and Biomechatronics, pp. 823-828, 2006.
[6] R. Anup and K.A. Balasubramanian, "Surgical Stress and the Gastrointestinal Tract," J. Surgical Research, vol. 92, pp. 291-300, 2000.
[7] D.D. Marucci, A.J. Shakeshaft, J.A. Cartmill, M.R. Cox, S.G. Adams, and C.J. Martin, "Grasper Trauma during Laparoscopic Cholecystectomy," J. Surgery, vol. 70, pp. 578-581, Aug. 2000.
[8] E.A.M. Heijnsdijk, J. Dankelman, and D.J. Gouma, "Effectiveness of Grasping and Duration of Clamping Using Laparoscopic Graspers," Surgical Endoscopy, vol. 16, pp. 1329-1331, Sept. 2002.
[9] P. Reissman, T. Teoh, K. Skinner, J. Burns, and S. Wexner, "Adhesion Formation after Laparoscopic Anterior Resection in a Porcine Model: A Pilot Study," Surgical Laparoscopy and Endoscopy, vol. 6, pp. 136-139, 1996.
[10] E.P. Westebring-van der Putten, J.J. van den Dobbelsteen, R.H.M. Goossens, J.J. Jakimowicz, and J. Dankelman, "Force Feedback Requirements for Efficient Laparoscopic Grasp Control," Ergonomics, vol. 52, pp. 1055-1066, 2008.
[11] E.P. Westebring-van der Putten, J.J. van den Dobbelsteen, R.H.M. Goossens, J.J. Jakimowicz, and J. Dankelman, "Effect of Laparoscopic Grasper Force Transmission Ratio on Grasp Control," Surgical Endoscopy, vol. 23, pp. 818-824, 2009.
[12] E.P. Westebring-van der Putten, R.H.M. Goossens, J.J. Jakimowicz, and J. Dankelman, "Haptics in Minimally Invasive Surgery—A Review," Minimally Invasive Therapy and Allied Technologies, vol. 17, pp. 3-16, 2008.
[13] T. D'Alessio and R. Steindler, "Slip Sensors for the Control of the Grasp in Functional Neuromuscular Stimulation," Medical Eng. and Physics, vol. 17, pp. 466-470, Sept. 1995.
[14] H. de Visser, "Grasping Safely: Instruments for Bowel Manipulation Investigated," PhD thesis, Faculty of Mechanical, Maritime and Materials Eng., Delft Univ. of Tech nology, 2003.
[15] C.R. Wagner, "Force Feedback in Surgery, Physical Constraints and Haptic Information," PhD thesis, Eng. and Applied Sciences, Harvard Univ., 2006.
[16] M. MacFarlane, J. Rosen, B. Hannaford, C. Pellegrini, and M. Sinanan, "Force-Feedback Grasper Helps Restore Sense of Touch in Minimally Invasive Surgery," J. Gastrointestinal Surgery, vol. 3, pp. 278-285, 1999.
[17] T. Akinbiyi, C.E. Reiley, S. Saha, D. Burschka, C.J. Hasser, D.D. Yuh, and A.M. Okamura, "Dynamic Augmented Reality for Sensory Substitution in Robot-Assisted Surgical Systems," Proc. IEEE EMBS Conf., vol. 1, pp. 567-570, 2006.
[18] B.T. Bethea, A.M. Okamura, M. Kitagawa, T.P. Fitton, S.M. Cattaneo, V.L. Gott, W.A. Baumgartner, and D.D. Yuh, "Application of Haptic Feedback to Robotic Surgery," J. Laparoendoscopic and Advanced Surgical Techniques, vol. 14, pp. 191-195, June 2004.
[19] R.A. Magill, Motor Learning and Control, Concepts and Applications, eighth ed. McGraw-Hill, 2006.
[20] T. Judkins, D. Oleynikov, and N. Stergiou, "Real-Time Augmented Feedback Benefits Robotic Laparoscopic Training," Studies in Health Technology and Informatics, vol. 119, pp. 243-248, 2006.
[21] M. Kitagawa, D. Dokko, A.M. Okamura, and D.D. Yuh, "Effect of Sensory Substitution on Suture-Manipulation Forces for Robotic Surgical Systems," J. Thoracic and Cardiovascular Surgery, vol. 129, pp. 151-158, Jan. 2005.
[22] M.V. Ottermo, M. Øvstedal, T. Langø, Ø. Stavdahl, Y. Yavuz, T.A. Johansen, and R. Mårvik, "The Role of Tactile Feedback in Laparoscopic Surgery," Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, vol. 16, pp. 390-400, 2006.
[23] E.P. Westebring-van der Putten, W.W. Lysen, V.D. Hensen, N. Koopmans, R.H.M. Goossens, J.J. van den Dobbelsteen, J. Dankelman, and J.J. Jakimowicz, "Tactile Feedback Exceeds Visual Feedback to Display Tissue Slippage in a Laparoscopic Grasper," Medicine Meets Virtual Reality 17, J. D. Westwood, S. W. Westwood, R. S. Haluck, M. H. Hoffmann, G. T. Mogel, R. Philps, R. A. Robb, and K. G. Vosburgh, eds., vol. 142, pp. 420-425, IOS Press, 2009.
[24] M. Salada, P. Vishton, J.E. Colgate, and E. Frankel, "Two Experiments on the Perception of Slip at the Fingertip," Proc. 12th Int'l Symp. Haptic Interfaces for Virtual Environment and Teleoperator Systems, pp. 146-153, 2004.
[25] E.P. Westebring-van der Putten, J.J. van den Dobbelsteen, R.H.M. Goossen, J.J. Jakimowicz, and J. Dankelman, "Effect of Laparoscopic Grasper Force Transmission Ratio on Grasp Control," Surgical Endoscopy, vol. 23, pp. 818-824, 2008.
[26] D. Machin, M. Campbell, P. Fayers, and A. Pinol, Sample Size Tables for Clinical Studies, second ed. Blackwell Science, 1997.
[27] H. de Visser, E.A. Heijnsdijk, J.L. Herder, and P.V. Pistecky, "Forces and Displacements in Colon Surgery," Surgical Endoscopy, vol. 16, pp. 1426-1430, Oct. 2002.
[28] H. Forssberg, A.C. Eliasson, H. Kinoshita, R.S. Johansson, and G. Westling, "Development of Human Precision Grip. I: Basic Coordination of Force," Experimental Brain Research, vol. 85, pp. 451-457, 1991.
20 ms
(Ver 2.0)

Marketing Automation Platform Marketing Automation Tool