Benchmarking of Comfort and Learnability of a New Soft Robotic Tool for Key-hole Surgery

Laparoscopic surgery requires precise and time consuming procedures to be performed. These procedures involve awkward poses in the upper body as well as the hands and fingers of the surgeons. STIFF-FLOP is an ongoing EU FP7 project that proposes the creation of a stiffness controllable soft robotic manipulator for laparoscopic surgery. The manipulator is proposed to help laparoscopic surgeons and their patients by simplifying the tasks involved and reducing risk of errors. This paper reports on a series of tests performed as part of a study into the new soft manipulator’s ease of use and level of required effort as well as learnability. The study was performed on a limited prototype of the manipulator. Surface EMG of the forearm muscles was used to benchmark effort and comfort and questionnaires were provided for subjective assessment. Participants (n=25) were timed and their muscles activities recorded for comparison. Results show that the average rms EMG levels were 25.9% less with the STIFF-FLOP manipulator when compared with conventional laparoscopic tools. On a second attempt with the STIFF-FLOP manipulator participants spent an average of 32.1% less time, showing the manipulator’s learnability and ease of adaptation. Further details and analysis of results are provided within the paper. Keywords— minimally invasive surgery, electromyography, comfort, learnability, benchmarking, robotic surgery

[1]  Zhongmin Qiu,et al.  Efficiency and Safety of Pulmonary Rehabilitation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease , 2015, Medical science monitor : international medical journal of experimental and clinical research.

[2]  C. Manthous,et al.  Ventilator Settings Can Substantially Impact Patients’ Comfort , 2015, Journal of intensive care medicine.

[3]  Andrea Viti,et al.  Ergon-trial: ergonomic evaluation of single-port access versus three-port access video-assisted thoracic surgery , 2014, Surgical Endoscopy.

[4]  P. Dasgupta,et al.  An assessment of the physical impact of complex surgical tasks on surgeon errors and discomfort: a comparison between robot‐assisted, laparoscopic and open approaches , 2015, BJU international.

[5]  Hurteau Hurteau,et al.  Laparoscopic surgery assisted by a robotic cameraman: concept and experimental results , 1994, Proceedings of the 1994 IEEE International Conference on Robotics and Automation.

[6]  Paolo Dario,et al.  Force feedback-based telemicromanipulation for robot surgery on soft tissues , 1989, Images of the Twenty-First Century. Proceedings of the Annual International Engineering in Medicine and Biology Society,.