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Intelligent Surgeon's Arm Supporting System iArmS in Microscopic Neurosurgery Utilizing Robotic Technology
Tetsuya Goto1, Kazuhiro Hongo1, Toshihiro Ogiwara1
1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
World Neurosurgery
|August 10, 2018
Summary
The robotic intelligent surgeon's arm supporting system (iArmS) reduces surgeon fatigue and hand tremors, enhancing precision in microsurgery. This innovative system supports the surgeon's arm, leading to improved surgical outcomes.
Area of Science:
- Neurosurgery
- Robotics
- Surgical Technology
Background:
- Intraoperative armrests stabilize the surgeon's arm, improving precision in microsurgical and endoscopic procedures.
- The robotic intelligent surgeon's arm supporting system (iArmS) was developed to automatically follow and support the surgeon's arm.
Purpose of the Study:
- To evaluate the effectiveness and surgeon satisfaction of the iArmS in neurosurgical procedures.
- To assess the impact of iArmS on surgeon fatigue, hand tremors, and surgical precision.
Main Methods:
- iArmS features three states: free (following), hold (supporting weight), and wait (allowing movement away).
- The system was utilized in 108 neurosurgeries by 14 neurosurgeons between February 2015 and January 2017.
- Neurosurgeon satisfaction was quantified using a visual analog scale-based evaluation guide.
Main Results:
- iArmS use led to decreased surgeon fatigue and reduced hand tremors.
- Continuous accurate microinstrument manipulations were achieved without difficulty.
- No complications were associated with the use of iArmS.
Conclusions:
- iArmS facilitates continuous precise manipulations, contributing to high-quality neurosurgical results.
- The system serves as a valuable automatic tool for supporting and tracking the surgeon's arm during procedures.