ArticleJournal of robotic surgery2025
Zero-touch laryngoscopy: a six-DOF robotic platform for remote ENT examination.
Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
This study aims to design and evaluate a six-degree-of-freedom (6-DOF) master-slave robotic system for remote, contact-free ENT examination, focusing on safety, efficiency, and user workload. A three-axis Cartesian stage with a three-axis spherical wrist was designed for precise, non-contact laryngoscopy. Six participants (3 experts, 3 novices) performed eight phantom and eight in-vivo trials each. Primary outcomes included task-completion time and subjective workload (NASA-TLX), analysed using mixed-effects ANOVA (α = 0.05). In vivo, experts completed tasks in 300 ± 12 s, compared to 481 ± 18 s for novices (p < 0.001); phantom trials showed similar trends (experts = 125 ± 9 s; novices = 212 ± 15 s, p < 0.001). Experts reported lower NASA-TLX scores (34 ± 7) than novices (47 ± 6, p = 0.02). Learning-curve analysis showed a per-trial time improvement of 2.24 s for experts and 1.13 s for novices. This novel 6-DOF robotic platform enables safe, efficient, and contact-free ENT inspection while reducing the skill barrier for novice users. Its ergonomic master interface and stable spherical-link architecture make it suitable for both clinical deployment and training. Ongoing work includes integration of haptic feedback and multi-centre clinical validation.
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