Comparison of Baseline Tremor under Various Microsurgical Conditions

This paper presents the characterization and comparison of physiological tremor for pointing tasks in multiple environments, as a baseline for performance evaluation of microsurgical robotics. Previous studies have examined the characteristics of physiological tremor under laboratory settings as well as different operating conditions. However, different test methods make the comparison of results across trials and conditions difficult. Two vitroretinal micro surgeons were evaluated while performing a pointing task with no entry-point constraint, constrained by an artificial eye model, and constrained by a rabbit eye in vivo. For the three respective conditions the 3D RMS positioning error was 144 μm, 258 μm, and 285 μm, and maximum 3D error was 349 μm, 647 μm, and 696 μm. A spectral analysis was also performed, confirming a distinct peak near in the 6-12 Hz frequency range, characteristic of hand tremor during tasks in all three environments.

[1]  R. Graczyk The eye. , 1955, Radiography.

[2]  R. N. Stiles,et al.  Mechanical factors in human tremor frequency. , 1967, Journal of applied physiology.

[3]  R. Elble,et al.  Motor-unit activity responsible for 8- to 12-Hz component of human physiological finger tremor. , 1976, Journal of neurophysiology.

[4]  K Sakamoto,et al.  Characteristics of physiological tremor in five fingers and evaluations of fatigue of fingers in typing. , 1992, The Annals of physiological anthropology = Seiri Jinruigaku Kenkyukai kaishi.

[5]  J. R. Rosenberg,et al.  Load-independent contributions from motor-unit synchronization to human physiological tremor. , 1999, Journal of neurophysiology.

[6]  C. Marsden,et al.  Common 3 and 10 Hz oscillations modulate human eye and finger movements while they simultaneously track a visual target , 1999, The Journal of physiology.

[7]  Cameron N. Riviere,et al.  A study of instrument motion in retinal microsurgery , 2000, Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143).

[8]  Dennis P. Han,et al.  A study of surgical approaches to retinal vascular occlusions. , 2000, Archives of ophthalmology.

[9]  Kevin Barraclough,et al.  I and i , 2001, BMJ : British Medical Journal.

[10]  Cameron N. Riviere,et al.  Three-dimensional accuracy assessment of eye surgeons , 2001, 2001 Conference Proceedings of the 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[11]  Cameron N. Riviere,et al.  Physiological tremor amplitude during retinal microsurgery , 2002, Proceedings of the IEEE 28th Annual Northeast Bioengineering Conference (IEEE Cat. No.02CH37342).

[12]  MP Caligiuri,et al.  A portable hand-held device for quantifying and standardizing tremor assessment , 2004, Journal of medical engineering & technology.

[13]  C.N. Riviere,et al.  Static and dynamic accuracy of vitreoretinal surgeons , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[14]  Adriano O Andrade,et al.  A review on techniques for tremor recording and quantification. , 2007, Critical reviews in biomedical engineering.

[15]  W.T. Latt,et al.  System to Assess Accuracy of Micromanipulation , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[16]  Cameron N. Riviere,et al.  Autoregressive modeling of physiological tremor under microsurgical conditions , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[17]  Zhi-Hong Mao,et al.  Extraction of Sources of Tremor in Hand Movements of Patients With Movement Disorders , 2009, IEEE Transactions on Information Technology in Biomedicine.

[18]  Cameron N. Riviere,et al.  High-Speed Microscale Optical Tracking Using Digital Frequency-Domain Multiplexing , 2009, IEEE Transactions on Instrumentation and Measurement.

[19]  Russell H. Taylor,et al.  New steady-hand Eye Robot with micro-force sensing for vitreoretinal surgery , 2010, 2010 3rd IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics.

[20]  John D. Pitcher,et al.  Robotic Eye Surgery: Past, Present, and Future , 2012 .

[21]  Cameron N. Riviere,et al.  Micron: An Actively Stabilized Handheld Tool for Microsurgery , 2012, IEEE Transactions on Robotics.

[22]  Cameron N. Riviere,et al.  Comparative evaluation of monocular augmented-reality display for surgical microscopes , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.