000170382 001__ 170382
000170382 005__ 20190331084211.0
000170382 02470 $$2ISI
000170382 0247_ $$2doi$$a10.1177/1553350611413611
000170382 02470 $$a000304145800012
000170382 037__ $$aARTICLE
000170382 041__ $$aeng
000170382 245__ $$aSurvey on Surgical Instrument Handle Design: Ergonomics and Acceptance
000170382 269__ $$a2011
000170382 260__ $$c2011
000170382 336__ $$aJournal Articles
000170382 520__ $$aMinimally invasive surgical approaches have revolutionized surgical care and considerably improved surgical outcomes. The instrumentation has changed significantly from open to laparoscopic and robotic surgery with various usability and ergonomics qualities.To establish guidelines for future designing of surgical instruments, this study assesses the effects of current surgical approaches and instruments on the surgeon. Furthermore, an analysis of surgeons’ preferences with respect to instrument handles was performed to identify the main acceptance criteria. In all, 49 surgeons (24 with robotic surgery experience, 25 without) completed the survey about physical discomfort and working conditions. The respondents evaluated comfort, intuitiveness, precision, and stability of 7 instrument handles. Robotic surgery procedures generally take a longer time than conventional procedures but result in less back, shoulder, and wrist pain; 28% of surgeons complained about finger and neck pain during robotic surgery. Three handles (conventional needle holder, da Vinci wrist, and joystick-like handle) received significantly higher scores for most of the proposed criteria.The handle preference is best explained by a regression model related only to comfort and precision (R 2 = 0.91) and is significantly affected by the surgeon’s background (P < .001). Although robotic surgery seems to alleviate physical discomfort during and after surgery, the results of this study show that there is room for improvement in the sitting posture and in the ergonomics of the handles. Comfort and precision have been found to be the most important aspects for the surgeon’s choice of an instrument handle. Furthermore, surgeons’ professional background should be considered when designing novel surgical instruments.
000170382 6531_ $$aErgonomics, robotic surgery
000170382 700__ $$0242146$$g183566$$aSantos-Carreras, Laura
000170382 700__ $$aHagüen, Monika
000170382 700__ $$0240025$$g113795$$aGassert, Roger
000170382 700__ $$aBleuler, Hannes$$g104561$$0240027
000170382 773__ $$j19$$tSurgical Innovation$$k1$$q50-59
000170382 8564_ $$uhttp://sri.sagepub.com/content/early/2011/07/31/1553350611413611.abstract$$zURL
000170382 8564_ $$uhttps://infoscience.epfl.ch/record/170382/files/SRI413611_Rev2%5B1%5D.pdf$$zPreprint$$s1394360$$yPreprint
000170382 909C0 $$0252016$$pLSRO
000170382 909CO $$particle$$ooai:infoscience.tind.io:170382$$qGLOBAL_SET$$pSTI
000170382 917Z8 $$x183566
000170382 937__ $$aEPFL-ARTICLE-170382
000170382 973__ $$rREVIEWED$$sPUBLISHED$$aEPFL
000170382 980__ $$aARTICLE