Abstract

In the operational theater, the surgical team could highly benefit from a robotic supplementary hand under the surgeon’s full control. The surgeon may so become more autonomous; this may reduce communication errors with the assistants and take over difficult tasks such as holding tools without tremor. In this paper, we therefore examine the possibility to control a third robotic hand with one foot’s movements. Three experiments in virtual reality were designed to assess the feasibility of this control strategy, the learning curve of the subjects in different tasks and the coordination of foot movements with the two natural hands. Results show that the limbs are moved simultaneously, in parallel rather than serially. Participants’ performance improved within a few minutes of practice without any specific difficulty to complete the tasks. Subjective assessment by the subjects indicated that controlling a third hand by foot has been easy and required only negligible physical and mental efforts. The sense of ownership was reported to improve through the experiments. The mental burden was not directly related to the level of motion required by a task, but depended on the type of activity and practice. The most difficult task was moving two hands and foot in opposite directions. These results suggest that a combination of practice and appropriate tasks can enhance the learning process for controlling a robotic hand by foot.

Highlights

  • The first laparoscopic surgery was performed in 1910 for diagnostic purposes [1]

  • An experimental study was conducted to evaluate the feasibility of controlling a third virtual hand by foot simultaneously with two virtual hands commanded by the real hands

  • Robotic arms have been commercialized for simple assistive surgical tasks such as holding the endoscope in laparoscopic surgery, they are generally controlled in a few discrete actions

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Summary

Introduction

During the following decades the initial method was improved resulting in a large number of laparoscopic surgeries. This type of surgery uses small incisions for inserting instruments inside the patient’s abdomen. This is beneficial for the patient, but results in confined instrument movements, limited 2D view of the operational site and loss of haptic feedback, making dexterous manipulation more difficult for the surgeon. Working with human assistants may cause complications. Each assistant will have a certain level of proficiency, may be unfamiliar

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