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Updated: Sep 15, 2025

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SAGES tool for assessing robotic surgery systems (STARSS).

Jackie S Cha1,2, Patrick Fuller1,2, Matthew Ball1,2

  • 1Department of Industrial Engineering, Clemson University, Clemson, SC, USA.

Surgical Endoscopy
|July 17, 2025
PubMed
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This summary is machine-generated.

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) developed a tool to assess robotic surgery systems (STARSS). This framework aids in comparing robotic platforms, guiding adoption and future development.

Area of Science:

  • Surgical Technology
  • Medical Device Evaluation

Background:

  • Robotic-assisted surgery (RAS) offers significant benefits but presents challenges in evaluating new systems.
  • Stakeholders require standardized methods for assessing RAS technology.
  • The SAGES Robotics Committee initiated the development of an evaluation tool.

Purpose of the Study:

  • To develop a comprehensive tool for assessing robotic surgery systems.
  • To create a standardized framework for comparing different RAS platforms.

Main Methods:

  • A literature review and iterative feedback from SAGES committee members were used to define evaluation categories and metrics.
  • The tool was refined based on consensus from over 80% of committee members.
  • The developed tool was applied to evaluate FDA-cleared robotic systems to ensure usability.
Keywords:
Assessment toolRobotic surgeryRobotic system evaluationRobotic-Assisted Surgery (RAS)

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Main Results:

  • The SAGES Tool for Assessing Robotic Surgery Systems (STARSS) was created as a structured evaluation framework.
  • STARSS encompasses seven categories: General Information, Software, Hardware, Usability, Safety, Ergonomics, and Training.
  • The tool's application to FDA-cleared RAS platforms demonstrated its utility.

Conclusions:

  • STARSS facilitates systematic comparison of RAS systems by evaluating technical capabilities, workflow, safety, ergonomics, and training.
  • The tool identifies strengths and weaknesses of current robotic platforms.
  • STARSS can inform clinical adoption, procurement, research, and the development of future RAS technologies.