Evidence map›Paper›PMID 30288699›Full record

ArticleInternational journal of computer assisted radiology and surgery2019

Conditions for reliable grip force and jaw angle estimation of da Vinci surgical tools.

Trevor K Stephens, John J O'Neill, Nathan J Kong, Mark V Mazzeo, Jack E Norfleet, Robert M Sweet, Timothy M Kowalewski

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Article in International journal of computer assisted radiology and surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Trevor K StephensDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA. steph594@umn.edu.ORCID http://orcid.org/0000-0001-9974-4090
John J O'NeillDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.
Nathan J KongDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.
Mark V MazzeoSimulation and Training Technology Center, Army Research Laboratory, Orlando, FL, USA.
Jack E NorfleetSimulation and Training Technology Center, Army Research Laboratory, Orlando, FL, USA.
Robert M SweetDepartment of Urology, University of Washington, Seattle, WA, USA.
Timothy M KowalewskiDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.

Funding

National Science Foundation 00039202
6 · The paper itself

Abstract

purposeThis work presents an estimation technique as well as corresponding conditions which are necessary to produce an accurate estimate of grip force and jaw angle on a da Vinci surgical tool using back-end sensors alone.

methodsThis work utilizes an artificial neural network as the regression estimator on a dataset acquired from custom hardware on the proximal and distal ends. Through a series of experiments, we test the effect of estimation accuracy due to change in operating frequency, using the opposite jaw, and using different tools. A case study is then presented comparing our estimation technique with direct measurements of material response curves on two synthetic tissue surrogates.

resultsWe establish the following criteria as necessary to produce an accurate estimate: operate within training frequency bounds, use the same side jaw, and use the same tool. Under these criteria, an average root mean square error of 1.04 mN m in grip force and 0.17 degrees in jaw angle is achieved. Additionally, applying these criteria in the case study resulted in direct measurements which fell within the 95% confidence bands of our estimation technique.

conclusionOur estimation technique, along with important training criteria, is presented herein to further improve the literature pertaining to grip force estimation. We propose the training criteria to begin establishing bounds on the applicability of estimation techniques used for grip force estimation for eventual translation into clinical practice.

Indexed as

Surgical InstrumentsFemaleHand StrengthHumansNeural Networks, ComputerRobotic Surgical ProceduresArtificial neural networkGrip force estimationSurgical robotics

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.