Pointing with a One-Eyed Cursor for Supervised Training in Minimally Invasive Robotic Surgery

Pointing in the endoscopic view of a surgical robot is a natural and efficient way for instructors to communicate with trainees in robot-assisted minimally invasive surgery. However, pointing in a stereo-endoscopic view can be limited by problems such as video delay, double vision, arm fatigue, and reachability of the pointer controls. We address these problems by hardware-based overlaying the stereo-endoscopic view with a one-eyed cursor, which can be comfortably controlled by a wireless, gyroscopic air mouse. The proposed system was positively evaluated by five experienced instructors in four full-day training units in robot-assisted minimally invasive surgery on anaesthetised pigs.

[1]  Daniel J. Wigdor,et al.  Designing for low-latency direct-touch input , 2012, UIST.

[2]  B. Guthrie,et al.  Virtual Interactive Presence and Augmented Reality (VIPAR) for Remote Surgical Assistance , 2011, Neurosurgery.

[3]  M. Kraus,et al.  Real-Time Augmented Reality for Robotic-Assisted Surgery , 2015 .

[4]  Medical Advisory Secretariat Robotic-assisted minimally invasive surgery for gynecologic and urologic oncology: an evidence-based analysis. , 2010, Ontario health technology assessment series.

[5]  Ronald Azuma,et al.  Recent Advances in Augmented Reality , 2001, IEEE Computer Graphics and Applications.

[6]  Osman Ratib,et al.  Augmented reality to the rescue of the minimally invasive surgeon. The usefulness of the interposition of stereoscopic images in the Da Vinci™ robotic console , 2013, The international journal of medical robotics + computer assisted surgery : MRCAS.

[7]  Elmar Eisemann,et al.  Design and evaluation of mouse cursors in a stereoscopic desktop environment , 2014, 2014 IEEE Symposium on 3D User Interfaces (3DUI).

[8]  Robert J. Teather,et al.  Pointing at 3d target projections with one-eyed and stereo cursors , 2013, CHI.

[9]  Peter Yellowlees,et al.  3-D telestration: a teaching tool for robotic surgery. , 2008, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[10]  Pourang Irani,et al.  Consumed endurance: a metric to quantify arm fatigue of mid-air interactions , 2014, CHI.

[11]  Colin Ware,et al.  Selection using a one-eyed cursor in a fish tank VR environment , 1997, TCHI.

[12]  Francesco Volonté,et al.  Learning Tools and Simulation in Robotic Surgery: State of the Art , 2013, World Journal of Surgery.