微创手术中的人工触觉传感——一种新的技术方法。
Artificial tactile sensing in minimally invasive surgery - a new technical approach.
作者信息
Schostek Sebastian, Ho Chi-Nghia, Kalanovic Daniel, Schurr Marc O
机构信息
IHCI - Institute of Healthcare Industries, Steinbeis University Berlin, Germany.
出版信息
Minim Invasive Ther Allied Technol. 2006;15(5):296-304. doi: 10.1080/13645700600836299.
The loss of tactile sensation is a commonly known drawback of minimally invasive surgery (MIS). Since the advent of MIS, research activities in providing tactile information to the surgeon are still ongoing, in order to improve patient safety and to extend the indications for MIS. We have designed a tactile sensor system comprising a tactile laparoscopic grasper for surgical palpation. For this purpose, we developed a novel tactile sensor technology which allows the manufacturing of an integrated sensor array within an acceptable price range. The array was integrated into the jaws of a 10mm laparoscopic grasper. The tactile data are transferred wirelessly via Bluetooth and are presented visually to the surgeon. The goal was to be able to obtain information about the shape and consistency of tissue structures by gently compressing the tissue between the jaws of the tactile instrument and thus to be able to recognize and assess anatomical or pathological structures, even if they are hidden in the tissue. With a prototype of the tactile sensor system we have conducted bench-tests as well as in-vitro and in-vivo experiments. The system proved feasibility in an experimental environment, it was easy to use, and the novel tactile sensor array was applicable for both palpation and grasping manoeuvres with forces of up to 60N. The tactile data turned out to be a useful supplement to the minimal amount of haptic feedback that is provided by current endoscopic instruments and the endoscopic image under certain conditions.
触觉丧失是微创手术(MIS)众所周知的一个缺点。自微创手术出现以来,为外科医生提供触觉信息的研究活动仍在进行中,目的是提高患者安全性并扩大微创手术的适应症。我们设计了一种触觉传感器系统,该系统包括用于手术触诊的触觉腹腔镜抓钳。为此,我们开发了一种新颖的触觉传感器技术,该技术能够在可接受的价格范围内制造集成传感器阵列。该阵列被集成到一个10毫米腹腔镜抓钳的钳口中。触觉数据通过蓝牙无线传输,并以可视化方式呈现给外科医生。目标是通过在触觉器械的钳口之间轻轻挤压组织来获取有关组织结构形状和质地的信息,从而能够识别和评估解剖或病理结构,即使它们隐藏在组织中。我们使用触觉传感器系统的原型进行了台架试验以及体外和体内实验。该系统在实验环境中证明了其可行性,易于使用,并且新型触觉传感器阵列适用于高达60N力的触诊和抓握操作。事实证明,在某些情况下,触觉数据是对当前内窥镜器械提供的最少触觉反馈和内窥镜图像的有益补充。