Evidence map›Paper›PMID 32368760›Full record

Article... International Symposium on Medical Robotics. International Symposium on Medical Robotics2019

Sclera Force Control in Robot-assisted Eye Surgery: Adaptive Force Control vs. Auditory Feedback.

Ali Ebrahimi, Changyan He, Niravkumar Patel, Marin Kobilarov, Peter Gehlbach, Iulian Iordachita

Abstract read
In one paragraph

Article in ... International Symposium on Medical Robotics. International Symposium on Medical Robotics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Controlling of Applied Force and Cornea Displacement Estimation in Robotic Corneal Surgery With a Gripper Surgical Instrument.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Article
  2. Exploring the Needle Tip Interaction Force with Retinal Tissue Deformation in Vitreoretinal Surgery.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation · 2024
    Article
  3. Article
  4. Stochastic Force-based Insertion Depth and Tip Position Estimations of Flexible FBG-Equipped Instruments in Robotic Retinal Surgery.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2021
    Article
  5. Tool-tissue forces in surgery: A systematic review.Annals of medicine and surgery (2012) · 2021
    Review
  6. FBG-based Kalman Filtering and Control of Tool Insertion Depth For Safe Robot-assisted Vitrectomy.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2020
    Article
  7. Robotic Retinal Surgery Impacts on Scleral Forces: In Vivo Study.Translational vision science & technology · 2020
    Article
  8. Toward Improving Patient Safety and Surgeon Comfort in a Synergic Robot-Assisted Eye Surgery: A Comparative Study.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2019
    Article
  9. Towards securing the sclera against patient involuntary head movement in robotic retinal surgery.RO-MAN ... : the ... IEEE International Symposium on Robot and Human Interactive Communication : proceedings. IEEE International Symposium on Robot and Human Interactive Communication · 2019
    Article
  10. Sclera Force Evaluation During Vitreoretinal Surgeries in Ex Vivo Porcine Eye Model.Proceedings of IEEE Sensors. IEEE International Conference on Sensors · 2019
    Article
  11. Artificial intelligence, robotics and eye surgery: are we overfitted?International journal of retina and vitreous · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ali EbrahimiDepartment of Mechanical Engineering and Laboratory for Computational Sensing and Robotics at the Johns Hopkins University, Baltimore, MD 21218 USA.
Changyan HeDepartment of Mechanical Engineering and Laboratory for Computational Sensing and Robotics at the Johns Hopkins University, Baltimore, MD 21218 USA.
Niravkumar PatelDepartment of Mechanical Engineering and Laboratory for Computational Sensing and Robotics at the Johns Hopkins University, Baltimore, MD 21218 USA.
Marin KobilarovDepartment of Mechanical Engineering and Laboratory for Computational Sensing and Robotics at the Johns Hopkins University, Baltimore, MD 21218 USA.
Peter GehlbachWilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD 21287 USA.
Iulian IordachitaDepartment of Mechanical Engineering and Laboratory for Computational Sensing and Robotics at the Johns Hopkins University, Baltimore, MD 21218 USA.

Funding

Enabling Technology for Safe Robot-assisted Surgical MicromanipulationR01EB023943 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI GEHLBACH, PETER LOUIS, IORDACHITA, IULIAN IOAN · 2017 to 2024
$2.3M
NIBIB NIH HHS R01 EB023943
6 · The paper itself

Abstract

Surgeon hand tremor limits human capability during microsurgical procedures such as those that treat the eye. In contrast, elimination of hand tremor through the introduction of microsurgical robots diminishes the surgeons tactile perception of useful and familiar tool-to-sclera forces. While the large mass and inertia of eye surgical robot prevents surgeon microtremor, loss of perception of small scleral forces may put the sclera at risk of injury. In this paper, we have applied and compared two different methods to assure the safety of sclera tissue during robot-assisted eye surgery. In the active control method, an adaptive force control strategy is implemented on the Steady-Hand Eye Robot in order to control the magnitude of scleral forces when they exceed safe boundaries. This autonomous force compensation is then compared to a passive force control method in which the surgeon performs manual adjustments in response to the provided audio feedback proportional to the magnitude of sclera force. A pilot study with three users indicate that the active control method is potentially more efficient.

Identifiers

PMID32368760
PMCPMC7198062

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.