论文标题

腕部刺激力反馈提高了机器人手术训练的准确性和速度

Wrist-Squeezing Force Feedback Improves Accuracy and Speed in Robotic Surgery Training

论文作者

Machaca, Sergio, Cao, Eric, Chi, Amy, Adrales, Gina, Kuchenbecker, Katherine J, Brown, Jeremy D

论文摘要

当前的机器人微创手术(RMIS)平台为外科医生提供了机器人物理相互作用的触觉反馈。这种限制迫使外科医生严重依赖视觉反馈,并可能使手术学员轻轻操纵组织具有挑战性。先前的研究表明,触觉反馈可以提高RMIS培训的任务准确性。但是,目前尚不清楚这些改进是否代表了技能的基本进步,还是仅仅源于重新提高任务完成时间的准确性。在这项研究中,我们提供了使用自定义腕部式装置的手术仪器施加的力的触觉反馈。我们假设接受触觉反馈的个人将提高准确性(产生较少的力),同时增加了任务完成时间,与没有触觉反馈的对照组相比。为了检验这一假设,n = 21名新手参与者被要求尽快迅速完成环形过山车手术训练任务。结果表明,接收触觉反馈的参与者比对照组施加的力(0.67 n)要少得多,并且在十二个重复后,他们完成任务的速度(0.67 N)。此外,反馈组的参与者比对照组的参与者(5.26%)降低了任务完成时间(7.68%)。因此,这种形式的触觉反馈有可能帮助受训者提高技术准确性而不会损害速度。

Current robotic minimally invasive surgery (RMIS) platforms provide surgeons with no haptic feedback of the robot's physical interactions. This limitation forces surgeons to rely heavily on visual feedback and can make it challenging for surgical trainees to manipulate tissue gently. Prior research has demonstrated that haptic feedback can increase task accuracy in RMIS training. However, it remains unclear whether these improvements represent a fundamental improvement in skill, or if they simply stem from re-prioritizing accuracy over task completion time. In this study, we provide haptic feedback of the force applied by the surgical instruments using custom wrist-squeezing devices. We hypothesize that individuals receiving haptic feedback will increase accuracy (produce less force) while increasing their task completion time, compared to a control group receiving no haptic feedback. To test this hypothesis, N=21 novice participants were asked to repeatedly complete a ring rollercoaster surgical training task as quickly as possible. Results show that participants receiving haptic feedback apply significantly less force (0.67 N) than the control group, and they complete the task no faster or slower than the control group after twelve repetitions. Furthermore, participants in the feedback group decreased their task completion times significantly faster (7.68%) than participants in the control group (5.26%). This form of haptic feedback, therefore, has the potential to help trainees improve their technical accuracy without compromising speed.

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