Navigation Links
New training instrument allows surgeon to feel grasp force in keyhole surgery
Date:1/24/2011

The number of complications following keyhole surgery can be reduced by giving the surgeons a better feeling of how hard they are grasping the tissue with their operating instruments. This is made possible by designing the instrument in such a way that it sends tangible feedback signals to the handle held by the surgeon. Delft University of Technology researcher Eleonora Westebring-van der Putten has developed a working prototype for this.

Grasp force

Keyhole surgery has rapidly gained in popularity in hospitals. An exploratory operation known as a laparoscopy when carried out in the abdominal cavity is generally less invasive for the patient. But a laparoscopy calls for different manual skills than 'ordinary' open surgery. Training in these skills is therefore essential for the prevention of complications.

Problems with keyhole surgery partly arise because it is very difficult to gauge the force of the surgeon's grasp. The surgeon is therefore less able to determine whether he or she is grasping the tissue too hard or too gently.

Tangible

Industrial designer and human movement scientist Eleonora Westebring-van der Putten's research is focused on the improvement of grasp control and the learning of the associated skills. The solution is to give the surgeon tangible physical feedback through his or her instrument. "Experiments have shown that augmented feedback on the grasp force is a good way for surgeons of all levels to gain a better command of gauging laparoscopic grasp force."

Cylinder

Westebring has therefore developed a working prototype of a laparoscopic grasp instrument that gives augmented tangible feedback on the amount of grasp force being applied. This prototype therefore gives the surgeon the required tangible feedback. "There are sensors in the tip of the instrument that measure how hard the surgeon is grasping. This information is fed back to the handle, which contains a cylinder that can turn in relation to the hand, as if something is falling out of your hand. In this way the cylinder indicates that the surgeon has too little grip, and is therefore grasping too gently."

Vibrations

"The handle also contains vibrating elements, which start to vibrate if the surgeon is grasping too hard, while also taking account of how hard the surgeon is pulling. The harder he or she pulls on the tissue, the less hard he or she should grasp. We also take the type of tissue into account. After all, it makes quite a difference whether you are grasping an intestine or working with a liver."

Training

In the future an instrument such as Westebring's could be used in training for real operations. "By training with feedback, surgeons learn to control their laparoscopic grasp force more quickly. The forces they apply are lower." What is more, the effect seems to last. "When the feedback signal is removed, the surgeons can still carry out the procedure with reduced force. The feedback therefore helps with the control of the laparoscopic grasp force, even if it is only used in training."


'/>"/>

Contact: Ilona van den Brink
i.vandenbrink@tudelft.nl
31-152-784-259
Delft University of Technology
Source:Eurekalert

Related biology news :

1. Researchers develop new self-training gene prediction program for fungi
2. NC State takes lead in crime scene investigation training
3. National and international doctoral training
4. Virtual reality: Keyhole surgeons training could help meet European working time directives
5. Biophysical sciences program receives $2 million training grant
6. Building strong bones: Running may provide more benefits than resistance training, MU study finds
7. Stimulus-funded university research addressing issues from climate change to cancer, creating jobs and training a new generation of scientists
8. Concordia University to build innovative centre for health research and training
9. Kent State receives $2.7 million NSF training grant for environmental aquatic resource sensing
10. Rockefeller Foundation supports expansion, training of e-health work force in developing world
11. Less is more when restraining calories boosts immunity
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/31/2016)... R.I. , March 31, 2016  Genomics firm ... of founding CEO, Barrett Bready , M.D., who ... members of the original technical leadership team, including Chief ... President of Product Development, Steve Nurnberg and Vice President ... returned to the company. Dr. Bready served ...
(Date:3/23/2016)... March 23, 2016 ... Sicherheit Gesichts- und Stimmerkennung mit Passwörtern ... (NASDAQ: MESG ), ein führender Anbieter ... Unternehmen mit SpeechPro zusammenarbeitet, um erstmals dessen ... wird die Möglichkeit angeboten, im Rahmen mobiler ...
(Date:3/22/2016)... Ontario , PROVO and ... Newborn Screening Ontario (NSO), which operates the ... for molecular testing, and Tute Genomics and UNIConnect, ... management technology respectively, today announced the launch of a ... next-generation sequencing (NGS) testing panel. NSO ...
Breaking Biology News(10 mins):
(Date:6/24/2016)... ... June 24, 2016 , ... While the majority of commercial spectrophotometers and fluorometers ... the 6000i models are higher end machines that use the more unconventional z-dimension of ... beam from the bottom of the cuvette holder. , FireflySci has developed several ...
(Date:6/23/2016)... 2016 /PRNewswire/ - FACIT has announced the creation ... biotechnology company, Propellon Therapeutics Inc. ("Propellon" or "the ... a portfolio of first-in-class WDR5 inhibitors for the ... WDR5 represent an exciting class of therapies, possessing ... for cancer patients. Substantial advances have been achieved ...
(Date:6/23/2016)... 2016  The Biodesign Challenge (BDC), a university competition ... harness living systems and biotechnology, announced its winning teams ... New York City . The ... projects at MoMA,s Celeste Bartos Theater during the daylong ... senior curator of architecture and design, and Suzanne ...
(Date:6/23/2016)... Apellis Pharmaceuticals, Inc. today announced positive ... its complement C3 inhibitor, APL-2. The trials were ... studies designed to assess the safety, tolerability, pharmacokinetics ... healthy adult volunteers. Forty subjects were ... dose (ranging from 45 to 1,440mg) or repeated ...
Breaking Biology Technology: