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Body Wall Force Sensor for Simulated Minimally Invasive Surgery: Application to Fetal Surgery

Javaux, A; Esteveny, L; Bouget, D; Gruijthuijsen, C; Stoyanov, D; Vercauteren, T; Ourselin, S; ... Vander Poorten, E; + view all (2017) Body Wall Force Sensor for Simulated Minimally Invasive Surgery: Application to Fetal Surgery. In: Bicchi, A and Okamura, A, (eds.) 2017 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). (pp. pp. 145-152). IEEE Green open access

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Abstract

Surgical interventions are increasingly executed minimal invasively. Surgeons insert instruments through tiny incisions in the body and pivot slender instruments to treat organs or tissue below the surface. While a blessing for patients, surgeons need to pay extra attention to overcome the fulcrum effect, reduced haptic feedback and deal with lost hand-eye coordination. The mental load makes it difficult to pay sufficient attention to the forces that are exerted on the body wall. In delicate procedures such as fetal surgery, this might be problematic as irreparable damage could cause premature delivery. As a first attempt to quantify the interaction forces applied on the patient's body wall, a novel 6 degrees of freedom force sensor was developed for an ex-vivo set up. The performance of the sensor was characterised. User experiments were conducted by 3 clinicians on a set up simulating a fetal surgical intervention. During these simulated interventions, the interaction forces were recorded and analysed when a normal instrument was employed. These results were compared with a session where a flexible instrument under haptic guidance was used. The conducted experiments resulted in interesting insights in the interaction forces and stresses that develop during such difficult surgical intervention. The results also implicated that haptic guidance schemes and the use of flexible instruments rather than rigid ones could have a significant impact on the stresses that occur at the body wall.

Type: Proceedings paper
Title: Body Wall Force Sensor for Simulated Minimally Invasive Surgery: Application to Fetal Surgery
Event: 2017 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS)
Location: Vancouver, Canada
Dates: 24 September 2017 - 28 September 2017
ISBN: 9781538626825
ISBN-13: 9781538626832
Open access status: An open access version is available from UCL Discovery
DOI: 10.1109/IROS.2017.8202150
Publisher version: http://doi.org/10.1109/IROS.2017.8202150
Language: English
Additional information: © 2017 IEEE. This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Technology, Computer Science, Artificial Intelligence, Computer Science, Information Systems, Robotics, Computer Science
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10047356
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