Virtual Reality-based Control of Robotic Endoscope in Laparoscopic Surgery

Robotic laparoscopic surgery has provided various benefits, but during the surgery, the surgeons are experiencing uncomfortable positioning issue which leads to neck pain and back pain. So, for an enhanced & efficient ergonomic robot-assisted surgery, a novel virtual reality (VR)-based endoscope control system (ECS) is proposed in this research. The overall system in this study is composed of a da Vinci research kit (dVRK), 4-degree-of-freedom ECS, three-dimensional endoscope, and VR headset with a built-in attitude and heading reference system (AHRS) module. Also, the proposed VR headset could replace a stereo viewer in the dVRK which could reduce the size of surgical robot system. Furthermore, the three dimensional endoscope could be controlled by a built-in AHRS module in the VR headset. The proposed system has been verified with four novice volunteers. They showed rapid learning through the peg-transfer task. Additionally, a collision avoidance strategy for VR-based ECS control was developed and verified by performing computer-based simulations. The ergonomic VR-based ECS proposed in this research could greatly reduce surgeon’s pains in both neck and back which potentially reduce surgeon’s workload during the surgery.

[1]  M. Schijven,et al.  The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review , 2009, Surgical Endoscopy.

[2]  Sungwan Kim,et al.  Head-mounted interface for intuitive vision control and continuous surgical operation in a surgical robot system , 2018, Medical & Biological Engineering & Computing.

[3]  Kai-Tai Song,et al.  Virtual reality control of a robotic camera holder for minimally invasive surgery , 2017, 2017 11th Asian Control Conference (ASCC).

[4]  Sungwan Kim,et al.  A development of assistant surgical robot system based on surgical-operation-by-wire and hands-on-throttle-and-stick , 2016, BioMedical Engineering OnLine.

[5]  Arif Ahmad,et al.  Robotic surgery: current perceptions and the clinical evidence , 2016, Surgical Endoscopy.

[6]  Tanneguy Redarce,et al.  Mouth gesture and voice command based robot command interface , 2009, 2009 IEEE International Conference on Robotics and Automation.

[7]  Zhiyuan Yan,et al.  Real-Time Collision Avoidance Algorithm for Surgical Robot Based on OBB Intersection Test , 2017, ICIRA.

[8]  Alfred Cuschieri,et al.  Economic evaluation of da Vinci-assisted robotic surgery: a systematic review , 2012, Surgical Endoscopy.

[9]  Seung Hyuk Baik,et al.  Outcomes of Robotic-Assisted Colorectal Surgery Compared with Laparoscopic and Open Surgery: a Systematic Review , 2014, Journal of Gastrointestinal Surgery.

[10]  Han Gil Seo,et al.  Vision-aided brain–machine interface training system for robotic arm control and clinical application on two patients with cervical spinal cord injury , 2019, Biomedical engineering online.

[11]  J. Joseph,et al.  Ergonomic evaluation and guidelines for use of the daVinci Robot system. , 2010, Journal of endourology.

[12]  Tatsuo Nakamura,et al.  Hands-free interface for surgical procedures based on foot movement patterns , 2014, 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[13]  Bob Djavan,et al.  Open Versus Laparoscopic Versus Robot-Assisted Laparoscopic Prostatectomy: The European and US Experience. , 2010, Reviews in urology.

[14]  Ming Li,et al.  Gaussian diffusion sinogram inpainting for X-ray CT metal artifact reduction , 2017, Biomedical engineering online.

[15]  Sungwan Kim,et al.  Development of stereo endoscope system with its innovative master interface for continuous surgical operation , 2017, Biomedical engineering online.

[16]  Ada T L Ng,et al.  Current status of robot-assisted surgery. , 2014, Hong Kong medical journal = Xianggang yi xue za zhi.

[17]  Masakatsu G. Fujie,et al.  Pupil Variation Applied to the Eye Tracking Control of an Endoscopic Manipulator , 2016, IEEE Robotics and Automation Letters.

[18]  T. Ahlering,et al.  Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with laparoscopic radical prostatectomy. , 2003, The Journal of urology.

[19]  I. Broeders,et al.  Robot-assisted surgical systems: a new era in laparoscopic surgery. , 2002, Annals of the Royal College of Surgeons of England.

[20]  M. Menon,et al.  Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. , 2009, European urology.

[21]  G. Ballantyne Robotic surgery, telerobotic surgery, telepresence, and telementoring , 2002, Surgical Endoscopy And Other Interventional Techniques.