Evidence map›Paper›PMID 32789728›Full record

ArticleInternational journal of computer assisted radiology and surgery2020

Evaluation of long-term stability of monolithic 3D-printed robotic manipulator structures for minimally invasive surgery.

Yannick S Krieger, Daniel Ostler, Korbinian Rzepka, Alexander Meining, Hubertus Feussner, Dirk Wilhelm, Tim C Lueth

Open access · hybridAbstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

Yannick S KriegerInstitute of Micro Technology and Medical Device Technology, Technical University of Munich, Munich, Germany. yannick.krieger@tum.de.ORCID http://orcid.org/0000-0002-1670-3654
Daniel OstlerMITI Research Group (Minimally Invasive Interdisciplinary Therapeutical Intervention), Department of General and Visceral Surgery, Technical University of Munich, Munich, Germany.
Korbinian RzepkaInstitute of Micro Technology and Medical Device Technology, Technical University of Munich, Munich, Germany.
Alexander MeiningMedical Clinic and Polyclinic II, University Hospital Würzburg, Würzburg, Germany.
Hubertus FeussnerMITI Research Group (Minimally Invasive Interdisciplinary Therapeutical Intervention), Department of General and Visceral Surgery, Technical University of Munich, Munich, Germany.
Dirk WilhelmMITI Research Group (Minimally Invasive Interdisciplinary Therapeutical Intervention), Department of General and Visceral Surgery, Technical University of Munich, Munich, Germany.
Tim C LuethInstitute of Micro Technology and Medical Device Technology, Technical University of Munich, Munich, Germany.
Technical University of Munich · DEUniversitätsklinikum Würzburg · DE

Funding

Deutsche Forschungsgemeinschaft FOR 1321
6 · The paper itself

Abstract

purposeIn the era of patient-centered medicine, clinical procedures, tools and instruments should be individually adapted to the patient. In this context, the presented 3D-printed Single-Port Overtube Manipulator System follows the aims to provide patient- and task-specific disposable manipulators for minimally invasive surgery. In a first experiment, the robustness of the monolithic flexure hinge structures in use as robotic manipulators will be investigated.

methodsCustomizable monolithic manipulator structures designed by means of an automated design process and manufactured with selective laser sintering were investigated with regard to long-term stability in an endurance test. Therefore, a bare manipulator arm, an arm equipped with a standard instrument and finally loaded with an additional load of 0.5 N were evaluated by continuously following a trajectory within the workspace of the manipulator arms over a period of 90 min.

resultsThe unloaded manipulator as well as the manipulator arm equipped with a standard instrument showed a sufficient reproducibility (deviation of 1.5 mm and 2.5 mm, respectively, on average) with regard to an application as telemanipulated master-slave surgical robotic system. The 3D-printed manipulators showed no damage and maintained integrity after the experiment.

conclusionIt has been shown that 3D-printed manipulators in principle are suitable for use as disposable surgical manipulator systems and offer a long-term stability over at least 90 min. The developed manipulator design shows great potential for the production of patient-, task- and user-specific robot systems. However, the manipulator geometries as well as the control strategies still show room for improvements.

Indexed as

Equipment DesignHumansMinimally Invasive Surgical ProceduresPrinting, Three-DimensionalReproducibility of ResultsRobotic Surgical Procedures3D printingMinimally invasive surgeryPatient-specificSurgical robotics

Identifiers

PMID32789728
PMCPMC7502040
OpenAlexW3049089272

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.