Purpose: Compare accuracy and precision in XYZ of stationary and dynamic tasks performed by surgeons with and without the use of a tele-operated robotic micromanipulator in a simulated vitreoretinal environment. The tasks were performed using a surgical microscope or while observing a video monitor. Method: Two experienced and two novice surgeons performed tracking and static tasks at a fixed depth with hand-held instruments on a Preceyes Surgical System R0.4. Visualization was through a standard microscope or a video display. The distances between the instrument tip and the targets (in μm) determined tracking errors in accuracy and precision. Results: Using a microscope, dynamic or static accuracy and precision in XY (planar) movements were similar among test subjects. In Z (depth) movements, experience lead to more precision in both dynamic and static tasks (dynamic 35 ± 14 versus 60 ± 37 μm; static 27 ± 8 versus 36 ± 10 μm), and more accuracy in dynamic tasks (58 ± 35 versus 109 ± 79 μm). Robotic assistance improved both precision and accuracy in Z (1–3 ± 1 μm) in both groups. Using a video screen in combination with robotic assistance improved all performance measurements and reduced any differences due to experience. Conclusions: Robotics increases precision and accuracy, with greater benefit observed in less experienced surgeons. However, human control was a limiting factor in the achieved improvement. A major limitation was visualization of the target surface, in particular in depth. To maximize the benefit of robotic assistance, visualization must be optimized.
Human/robotic interaction:vision limits performance in simulated vitreoretinal surgery
2019-11-01
de Smet , M D , de Jonge , N , Iannetta , D , Faridpooya , K , van Oosterhout , E , Naus , G , Meenink , T C M , Mura , M & Beelen , M J 2019 , ' Human/robotic interaction : vision limits performance in simulated vitreoretinal surgery ' , Acta Ophthalmologica , vol. 97 , no. 7 , pp. 672-678 . https://doi.org/10.1111/aos.14003
Article (Journal)
Electronic Resource
English
Video Recording , accuracy , Robotics/education , Clinical Competence , Ophthalmology/education , precision , Humans , Telemedicine/methods , robotics , vitreoretinal surgery , Retinal Diseases/surgery , Education , depth perception , Reproducibility of Results , telemanipulation , Vitreoretinal Surgery/education , simulation , Medical , Graduate/methods
DDC: | 629 |
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