Fuzzy Inference based Operation Training Framework with Application to Microvascular Anastomosis

Most conventional training schemes require trainees to perform repetitive operations. In this way, novices usually require a long learning period and lack personalized training assistance. To address the above issues, we propose a new training framework based on fuzzy inference. Firstly, a modified fuzzy C-means (FCM) classifier is utilised to partition the tasks based on human motor behaviours. Operation performance is comprehensively assessed in each subtask by task-based criterion and the corresponding results are fed back to the trainee in real time during the subtask execution. Once the trainee reaches the operational standard of each subtask, he/she can proceed the next one. Distinguished from traditional repetitive training without intervention, the trainee can leverage purposeful modifications and repetitions in a closed-loop manner. The expertise degree of trainees can lead to differences in training time, avoiding unnecessarily long training sessions for experienced trainees. The proposed method is therefore suitable for the parallel training with different levels of operation. Comparative experiments on microvascular anastomosis task have demonstrated higher training efficiency of the proposed training strategy.

[1]  E. Yeatman,et al.  Deep Reinforcement Learning-Based Control Framework for Multilateral Telesurgery , 2022, IEEE Transactions on Medical Robotics and Bionics.

[2]  E. Burdet,et al.  Identification of Multiple Limbs Coordination Strategies in a Three-Goal Independent Task , 2022, IEEE Transactions on Medical Robotics and Bionics.

[3]  H. Yokoi,et al.  Anthropomorphic Dual-Arm Coordinated Control for a Single-Port Surgical Robot Based on Dual-Step Optimization , 2022, IEEE Transactions on Medical Robotics and Bionics.

[4]  Guang-Zhong Yang,et al.  Eye-Tracking for Performance Evaluation and Workload Estimation in Space Telerobotic Training , 2022, IEEE Transactions on Human-Machine Systems.

[5]  E. Yeatman,et al.  A Novel Training and Collaboration Integrated Framework for Human–Agent Teleoperation , 2021, Sensors.

[6]  Eric M. Yeatman,et al.  Multiple-Pilot Collaboration for Advanced Remote Intervention using Reinforcement Learning , 2021, IECON 2021 – 47th Annual Conference of the IEEE Industrial Electronics Society.

[7]  Hak-Keung Lam,et al.  Event-Triggered Prescribed-Time Fuzzy Control for Space Teleoperation Systems Subject to Multiple Constraints and Uncertainties , 2021, IEEE Transactions on Fuzzy Systems.

[8]  Hak-Keung Lam,et al.  Analysis and Design of Interval Type-2 Polynomial-Fuzzy-Model-Based Networked Tracking Control Systems , 2021, IEEE Transactions on Fuzzy Systems.

[9]  Ya-Yen Tsai,et al.  Dual-arm Coordinated Manipulation for Object Twisting with Human Intelligence , 2021, 2021 IEEE International Conference on Systems, Man, and Cybernetics (SMC).

[10]  Hongde Qin,et al.  Adaptive interval type-2 fuzzy control for multi-legged underwater robot with input saturation and full-state constraints , 2021, Int. J. Syst. Sci..

[11]  Bin Liang,et al.  Adaptive Fault-Tolerant Prescribed-Time Control for Teleoperation Systems With Position Error Constraints , 2020, IEEE Transactions on Industrial Informatics.

[12]  Hak-Keung Lam,et al.  Event-Triggered Interval Type-2 Fuzzy Control for Uncertain Space Teleoperation Systems with State Constraints , 2020, 2020 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE).

[13]  Dmitry Vetrov,et al.  Controlling Overestimation Bias with Truncated Mixture of Continuous Distributional Quantile Critics , 2020, ICML.

[14]  H. Lam,et al.  Hankel-Norm-Based Model Reduction for Stochastic Discrete-Time Nonlinear Systems in Interval Type-2 T–S Fuzzy Framework , 2020, IEEE Transactions on Cybernetics.

[15]  Mohammed Jeelani,et al.  A practical approach for successful small group teaching in medical schools with student centered curricula , 2019, Journal of advances in medical education & professionalism.

[16]  Eko Pujiyanto,et al.  On optimizing the number of repetition in an operation skill training program based on cost of quality and learning curve , 2019, Cogent Engineering.

[17]  Witold Pedrycz,et al.  Design of Reinforced Interval Type-2 Fuzzy C-Means-Based Fuzzy Classifier , 2018, IEEE Transactions on Fuzzy Systems.

[18]  Nan Zhang,et al.  A T–S Fuzzy Model Identification Approach Based on a Modified Inter Type-2 FRCM Algorithm , 2018, IEEE Transactions on Fuzzy Systems.

[19]  Ligang Wu,et al.  Model Reduction of Discrete-Time Interval Type-2 T–S Fuzzy Systems , 2018, IEEE Transactions on Fuzzy Systems.

[20]  Daniel R. Malcom Teaching and assessing clinical ethics through group reading experience and student-led discussion. , 2018, Currents in pharmacy teaching & learning.

[21]  Bin Liang,et al.  Chebyshev-neural-network-based adaptive fixed-time control of bilateral teleoperation , 2017, 2017 36th Chinese Control Conference (CCC).

[22]  Hak-Keung Lam,et al.  Classification of epilepsy seizure phase using interval type-2 fuzzy support vector machines , 2016, Neurocomputing.

[23]  Etienne Burdet,et al.  On the analysis of movement smoothness , 2015, Journal of NeuroEngineering and Rehabilitation.

[24]  Hak-Keung Lam,et al.  Model reduction for interval type-2 Takagi-Sugeno fuzzy systems , 2015, Autom..

[25]  G. Watanabe,et al.  [da Vinci surgical system]. , 2014, Kyobu geka. The Japanese journal of thoracic surgery.

[26]  D. Oleynikov,et al.  Survey of minimally invasive general surgery fellows training in robotic surgery , 2013, Journal of Robotic Surgery.

[27]  Nabeel A. Arain,et al.  Proficiency-based training for robotic surgery: construct validity, workload, and expert levels for nine inanimate exercises , 2012, Surgical Endoscopy.

[28]  D. Litwin,et al.  Human Emotion and Response in Surgery (HEARS): a simulation-based curriculum for communication skills, systems-based practice, and professionalism in surgical residency training. , 2010, Journal of the American College of Surgeons.

[29]  N. Niranjan,et al.  Structured assessment of microsurgery skills in the clinical setting. , 2010, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[30]  L W Sun,et al.  Advanced da Vinci surgical system simulator for surgeon training and operation planning , 2007, The international journal of medical robotics + computer assisted surgery : MRCAS.

[31]  Prasad V. Prabhu,et al.  A review of human error in aviation maintenance and inspection , 2000 .

[32]  R. Nudo,et al.  Effects of Repetitive Motor Training on Movement Representations in Adult Squirrel Monkeys: Role of Use versus Learning , 2000, Neurobiology of Learning and Memory.

[33]  R. Reznick,et al.  Objective structured assessment of technical skill (OSATS) for surgical residents , 1997, The British journal of surgery.

[34]  Stephen L. Chiu,et al.  Fuzzy Model Identification Based on Cluster Estimation , 1994, J. Intell. Fuzzy Syst..

[35]  Robert T. Hays,et al.  Simulation Fidelity in Training System Design: Bridging the Gap Between Reality and Training , 1988 .

[36]  James C. Bezdek,et al.  Pattern Recognition with Fuzzy Objective Function Algorithms , 1981, Advanced Applications in Pattern Recognition.

[37]  Kapil Gupta,et al.  Causes and Impact of Human Error in Maintenance of Mechanical Systems , 2020, MATEC Web of Conferences.

[38]  Shuxiang Guo,et al.  Design and evaluation of safety operation VR training system for robotic catheter surgery , 2017, Medical & Biological Engineering & Computing.

[39]  Rhona Flin,et al.  Safety at the Sharp End: A Guide to Non-Technical Skills , 2008 .