PD18-04 DEVELOPMENT OF AN ARM SUPPORT SYSTEM TO IMPROVE ERGONOMICS IN LAPAROSCOPIC SURGERY – STUDY DESIGN AND PROVISIONAL RESULTS

Abstract

You have accessJournal of UrologyTechnology & Instruments: Laparoscopy and Robotics: Malignant Disease II1 Apr 2015PD18-04 DEVELOPMENT OF AN ARM SUPPORT SYSTEM TO IMPROVE ERGONOMICS IN LAPAROSCOPIC SURGERY – STUDY DESIGN AND PROVISIONAL RESULTS Benjamin Steinhilber, Sascha Hoffmann, Kristian Karlovic, Stefan Pfeffer, Thomas Maier, Omar Hallasheh, Stefan Kruck, Robert Seibt, Monika Rieger, Michael Heidingsfeld, Ronny Feuer, Oliver Sawodny, Ralf Rothmund, and Karl-Dietrich Sievert Benjamin SteinhilberBenjamin Steinhilber More articles by this author , Sascha HoffmannSascha Hoffmann More articles by this author , Kristian KarlovicKristian Karlovic More articles by this author , Stefan PfefferStefan Pfeffer More articles by this author , Thomas MaierThomas Maier More articles by this author , Omar HallashehOmar Hallasheh More articles by this author , Stefan KruckStefan Kruck More articles by this author , Robert SeibtRobert Seibt More articles by this author , Monika RiegerMonika Rieger More articles by this author , Michael HeidingsfeldMichael Heidingsfeld More articles by this author , Ronny FeuerRonny Feuer More articles by this author , Oliver SawodnyOliver Sawodny More articles by this author , Ralf RothmundRalf Rothmund More articles by this author , and Karl-Dietrich SievertKarl-Dietrich Sievert More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.689AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic surgery (LS) induces physical stress to the surgeon that is associated with an increased prevalence of musculoskeletal pain and injury in the shoulder-neck region. The aim of this research project is to develop an arm support system (ASSyst) that reduces physical stress and is applicable to various laparoscopic interventions and operation room settings. METHODS A systematic approach to develop an ASSyst started in October 2012 consisting of five consecutive steps. In step one, 14 laparoscopic interventions were observed using subjective and objective measures to determine key indicator for the conception of an AAS in LS. In step two, an expert workshop was held to find and evaluate solutions to generate concepts for a support system based on the results of step one and general methods. During the third step, prototypes of ASSysts were tested in an experimental setting. Steps four and five are currently in process and include the final development of the ASSyst with most promising concept and its evaluation during simulated LS. RESULTS Increased levels of physical stress were found in LS. Asymmetric strains were common. Three prototypes of ASSyst emerged from step one and two. These prototypes were a cable construction with a noose for the lower arm, a support from below the elbow, and a pneumatic vest supporting the upper arm. The experimental testing of these prototypes demonstrated reduced physical stress in comparison to the unsupported situation. The support from below the elbow seemed to be more practicable in terms of implementation in various operation room settings and acceptance by surgeons. Step four and five are still in process. CONCLUSIONS Ergonomic problems have been identified in LS that could be addressed by an ASSyst. The concept of supporting the elbow from below has been found to be the most promising approach. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e387-e388 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin Steinhilber More articles by this author Sascha Hoffmann More articles by this author Kristian Karlovic More articles by this author Stefan Pfeffer More articles by this author Thomas Maier More articles by this author Omar Hallasheh More articles by this author Stefan Kruck More articles by this author Robert Seibt More articles by this author Monika Rieger More articles by this author Michael Heidingsfeld More articles by this author Ronny Feuer More articles by this author Oliver Sawodny More articles by this author Ralf Rothmund More articles by this author Karl-Dietrich Sievert More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...