Evaluation of Different Modes of Haptic Guidance for Robotic Surgery

Abstract

Abstract The evolution of surgery has resulted in a plethora of systems varying in their application field, size, as well as degree of autonomy. Especially systems which combine principles of so-called synergistic robotic systems and master-slave-telemanipulators are interesting concerning cooperative aspects of surgeon and robotic system. While the former provide haptic guidance information (“virtual fixtures”), the latter provide haptic feedback from position or force sensor information of the slave device. During the design of these combined systems particular attention has to be paid during the allocation of information to the haptic information channel as superimposing of haptic guidance information and haptic sensor feedback can lead to concealment of essential feedback information. This paper reports on an experimental usability evaluation of different haptic guidance modes varying in their degree of autonomy as well as degree of freedom (DOF) with respect to three surgical scenarios, namely reaching a predefined position and orientation, tracking a predefined 3D trajectory, and applying a defined force (such as during e.g. a 3D-bone milling task). The goal was to evaluate whether some DOF of haptic guidance information can be left free for force sensor information feedback. General findings indicate that haptic guidance does not have to be augmented on three DOF to improve usability. Therefore, a combination of haptic sensor information feedback and haptic guidance information divided between individual DOF seems to be a potential solution.