Preliminary evaluation of a new microsurgical robotic system for head and neck surgery

This paper presents an implementation and evaluation of the Robotic ENT Microsurgery System (REMS). The implementation is discussed in reference to analysis from previous work, and evaluated using a simulated surgical task designed to resemble microlaryngeal phonosurgery. Preliminary technical evaluations of resolution and accuracy are also presented. The results of the evaluations reveal that the system statistically significantly improves surgical precision (p <; 0.01) with only a small increase in operating time. The force data recorded also reveals that operating force can be significantly affected by ergonomic factors, and that warnings for excessive force and workspace limits are needed.

[1]  Gerald B Healy,et al.  Laryngology and phonosurgery. , 2003, The New England journal of medicine.

[2]  Russell H. Taylor,et al.  Evaluation, Optimization, and Verification of the Wrist Mechanism of a New Cooperatively Controlled Bimanual ENT Microsurgery Robot , 2012 .

[3]  Yann Nguyen,et al.  RobOtol: from design to evaluation of a robot for middle ear surgery , 2010, 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[4]  Yair Lotan,et al.  The new economics of radical prostatectomy: cost comparison of open, laparoscopic and robot assisted techniques. , 2004, The Journal of urology.

[5]  Hyo-Jeong Cha,et al.  Compact design of a dual master-slave system for maxillary sinus surgery , 2013, 2013 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[6]  Thomas Maier,et al.  A new Micromanipulator System for middle ear surgery , 2010, 2010 IEEE International Conference on Robotics and Automation.

[7]  Russell H. Taylor,et al.  A new ENT microsurgery robot: Error analysis and implementation , 2013, 2013 IEEE International Conference on Robotics and Automation.

[8]  Giulio Dagnino,et al.  Comparative evaluation of user interfaces for robot-assisted laser phonomicrosurgery , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  Peter K. Allen,et al.  Design and Coordination Kinematics of an Insertable Robotic Effectors Platform for Single-Port Access Surgery , 2013, IEEE/ASME Transactions on Mechatronics.

[10]  G. Caravaglios,et al.  Robotics in general surgery: personal experience in a large community hospital. , 2003, Archives of surgery.

[11]  Harry Quon,et al.  The effect of transoral robotic surgery on short‐term outcomes and cost of care after oropharyngeal cancer surgery , 2014, The Laryngoscope.

[12]  Young-Tae Jeon,et al.  Rupture of endotracheal tube cuff during robot-assisted endoscopic thyroidectomy -A case report- , 2010, Korean journal of anesthesiology.

[13]  Russell H. Taylor,et al.  Cooperative Robot Assistant for Retinal Microsurgery , 2008, MICCAI.

[14]  Russell H. Taylor,et al.  A Steady-Hand Robotic System for Microsurgical Augmentation , 1999 .

[15]  Steven M Zeitels,et al.  Management of common voice problems: Committee report , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[16]  Howie Choset,et al.  A transoral highly flexible robot , 2012, The Laryngoscope.