Foot-controlled endoscope positioner for laparoscopy: Development of the master and slave interfaces

In operating rooms, communication errors between the surgeons and assistants may be a source of inefficiency or error. In laparoscopic surgery, the endoscopic camera is an essential device, usually held by a human, and, why not, by a robotic assistant. In this paper, a novel four-DoF isotonic foot interface for controlling an endoscope positioner is proposed, featuring two rotational and two translational DoFs of the foot. To have an intuitive control paradigm with minimum confusion for the user, the foot movements match the positioner movements in direction. The Thales delta robot is chosen as the slave. The robot's design is modified to provide the necessary four DoFs. Initial tests confirm the functionality of the proposed master-slave endoscope positioner system.

[1]  B R Lee,et al.  Laparoscopic visual field. Voice vs foot pedal interfaces for control of the AESOP robot. , 1998, Surgical endoscopy.

[2]  Shumin Zhai,et al.  Human Performance in Six Degree of Freedom Input Control , 2002 .

[3]  S. Unger,et al.  AESOP robotic arm , 1994, Surgical Endoscopy.

[4]  A. Agelarakis,et al.  Early Evidence of Cranial Surgical Intervention in Abdera, Greece, a Nexus to On Head Wounds of the Hippocratic Corpus , 2006 .

[5]  Yukihiro Hama,et al.  Foot pedal‐activated injector for contrast‐enhanced sonography , 2005, Journal of clinical ultrasound : JCU.

[6]  Jan Van Looy,et al.  Identifying barriers in telesurgery by studying current team practices in robot-assisted surgery , 2013, 2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops.

[7]  T A Stellato,et al.  History of laparoscopic surgery. , 1992, The Surgical clinics of North America.

[8]  Reymond Clavel,et al.  Delta Thales, a novel architecture for an orientating device with fixed RCM (remote center of movement) and linear movement in direction of the RCM , 2006 .

[9]  J. Gilbert.  The EndoAssist robotic camera holder as an aid to the introduction of laparoscopic colorectal surgery. , 2009, Annals of the Royal College of Surgeons of England.

[10]  Etienne Burdet,et al.  In a demanding task, three-handed manipulation is preferred to two-handed manipulation , 2016, Scientific Reports.

[11]  S. Spaner,et al.  A brief history of endoscopy, laparoscopy, and laparoscopic surgery. , 1997, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[12]  Etienne Burdet,et al.  Third Arm Manipulation for Surgical Applications: An Experimental Study , 2016 .

[13]  R. Polet,et al.  Using a laparoscope manipulator (LAPMAN) in laparoscopic gynecological surgery. , 2008, Surgical technology international.

[14]  Anthony G Gallagher,et al.  Human-Factors Lessons Learned from the Minimally Invasive Surgery Revolution , 2003, Seminars in laparoscopic surgery.

[15]  Philippe Cinquin,et al.  ViKY Robotic Scope Holder: Initial Clinical Experience and Preliminary Results Using Instrument Tracking , 2010, IEEE/ASME Transactions on Mechatronics.

[16]  R. Clavel.  Conception d'un robot parallèle rapide à 4 degrés de liberté , 1991 .

[17]  Alireza Mirbagheri,et al.  Operation and Human Clinical Trials of RoboLens: an Assistant Robot for Laparoscopic Surgery , 2015 .

[18]  Thoralf M Sundt,et al.  Teamwork and communication in the operating room: relationship to discrete outcomes and research challenges. , 2011, Anesthesiology clinics.

[19]  Fumio Miyazaki,et al.  FAce MOUSe: A novel human-machine interface for controlling the position of a laparoscope , 2003, IEEE Trans. Robotics Autom..

[20]  Etienne Burdet,et al.  Control of a Supernumerary Robotic Hand by Foot: An Experimental Study in Virtual Reality , 2015, PloS one.

[21]  Qin Shi,et al.  Measurement of the Range of Motion of Laparoscopic Instruments Based on an Optical Tracking System , 2016 .