Mechatronic Support System for NOTES and Monoport Surgery - A New Approach.

Area of Science:

• Surgical Robotics
• Minimally Invasive Surgery
• Medical Device Design

Background:

• Current platforms for natural orifice transluminal endoscopic surgery (NOTES) and monoport surgery (MPS) have limitations.
• There is a need for adaptable and patient-specific surgical systems.

Purpose of the Study:

• To develop a novel patient-specific, disposable, surgical soft robotic system.
• To evaluate the adaptability of the system for various surgical applications.
• To assess the utility of preoperative biometric data for instrument design.

Main Methods:

• Development of the Single-Port Overtube (SPOT) system, a soft robotic overtube.
• Adaptation of the platform for transmural (monoport), NOTES, and endoluminal applications.
• 3D printing for overnight, individualized system creation.
• Evaluation of practical considerations, including ideal platform dimensions.

Main Results:

• The SPOT system is designed as an overtube for standard surgical equipment.
• The platform can be quickly adapted for monoport, NOTES, and endoscopic procedures.
• 3D printing enables overnight, individualized system production.
• Preoperative biometric data offer limited support for tailored instrument design.

Conclusions:

• The developed SPOT system provides a versatile and customizable solution for advanced minimally invasive surgery.
• Further research is needed to enhance the use of preoperative data for designing patient-specific surgical instruments.