๐Ÿง‘๐Ÿผโ€๐Ÿ’ป Research - February 27, 2025

INVESTIGATION OF HAND TREMOR SUPPRESSION BY A CUSTOMIZED PASSIVE SURGICAL SUPPORT ROBOT DURING INTERNAL LIMITING MEMBRANE PEELING.

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โšก Quick Summary

This study explored the effectiveness of a customized passive surgical support robot in suppressing hand tremors during internal limiting membrane (ILM) peeling. The results indicated a significant reduction in tremors, particularly a 11.9% decrease in the horizontal component when using the robot.

๐Ÿ” Key Details

  • ๐Ÿงช Study Type: Analytical and experimental
  • ๐Ÿ”ฌ Evaluation System: Integrated surgical microscope images, artificial eye module, and microforceps with inertial measurement unit
  • ๐Ÿ‘จโ€โš•๏ธ Participants: Two surgeons
  • ๐Ÿ“Š Measurement: Hand tremor components (horizontal, vertical, combined) during ILM peeling

๐Ÿ”‘ Key Takeaways

  • ๐Ÿค– Customized robot significantly reduces hand tremors during surgery.
  • ๐Ÿ“‰ Horizontal tremor decreased by 11.9% with robot assistance (P = 0.0006).
  • ๐Ÿ“ Tremor metrics were quantitatively evaluated using a novel system.
  • ๐Ÿ” Study findings support the use of robotic assistance in delicate surgical procedures.
  • ๐Ÿ› ๏ธ Technology integration enhances surgical precision and potentially improves patient outcomes.
  • ๐Ÿ“… Published in Retina, 2024.
  • ๐Ÿ‘จโ€๐Ÿ”ฌ Authors: Yamamoto S, Taniguchi Y, Kuroki Y, et al.

๐Ÿ“š Background

Hand tremors during surgical procedures can pose significant challenges, particularly in delicate operations such as ILM peeling. Traditional methods to manage these tremors often fall short, leading to potential complications. The integration of robotic technology into surgical practices offers a promising avenue for enhancing precision and reducing tremors, thereby improving surgical outcomes.

๐Ÿ—’๏ธ Study

The study aimed to develop a comprehensive evaluation system for hand tremors during ILM peeling. By synchronizing surgical microscope images with an artificial eye module and microforceps equipped with a force sensor, the researchers were able to quantitatively assess tremors in real-time. This innovative approach allowed for a direct comparison of tremor levels with and without the assistance of the customized passive surgical support robot.

๐Ÿ“ˆ Results

The results revealed that in the absence of the robot, the horizontal, vertical, and combined tremor components were measured at 8.1 ยฑ 6.1 mG, 1.7 ยฑ 1.8 mG, and 8.5 ยฑ 6.2 mG, respectively. With the robot, these values decreased to 7.2 ยฑ 6.0 mG, 1.5 ยฑ 1.7 mG, and 7.5 ยฑ 6.1 mG. The most notable finding was the significant suppression of the horizontal tremor component, highlighting the robot’s effectiveness in enhancing surgical stability.

๐ŸŒ Impact and Implications

The implications of this study are profound for the field of ophthalmic surgery. By demonstrating that a customized robotic system can effectively reduce hand tremors, this research paves the way for broader applications of robotic assistance in various surgical disciplines. Enhanced precision during delicate procedures not only improves surgical outcomes but also increases surgeon confidence, potentially leading to better patient care and recovery.

๐Ÿ”ฎ Conclusion

This investigation underscores the transformative potential of robotic technology in surgical settings. The ability to quantitatively evaluate and suppress hand tremors during ILM peeling represents a significant advancement in surgical practice. As technology continues to evolve, we can anticipate further innovations that will enhance surgical precision and patient safety. Continued research in this area is essential to fully realize the benefits of robotic assistance in surgery.

๐Ÿ’ฌ Your comments

What are your thoughts on the integration of robotic technology in surgery? Do you believe it will become a standard practice in the future? ๐Ÿ’ฌ Share your insights in the comments below or connect with us on social media:

INVESTIGATION OF HAND TREMOR SUPPRESSION BY A CUSTOMIZED PASSIVE SURGICAL SUPPORT ROBOT DURING INTERNAL LIMITING MEMBRANE PEELING.

Abstract

PURPOSE: To construct a quantitative evaluation system for hand tremor during internal limiting membrane (ILM) peeling and investigate changes in hand tremor attributable to the use of the customized passive surgical support robot.
METHODS: This analytical and experimental study developed a hand tremor evaluation system that synchronizes three elements: surgical microscope images, an artificial eye module with a force sensor to simulate ILM peeling, and microforceps with an inertial measurement unit. Two surgeons used this system to measure hand tremor during ILM peeling with and without the robot.
RESULTS: The horizontal, vertical, and combined vertical and horizontal components of hand tremor were 8.1 ยฑ 6.1, 1.7 ยฑ 1.8, and 8.5 ยฑ 6.2 mG, respectively, in the no-robot group. These components decreased to 7.2 ยฑ 6.0, 1.5 ยฑ 1.7, and 7.5 ยฑ 6.1 mG, respectively, in the robot group. In particular, hand tremor was significantly suppressed by 11.9% for the horizontal component using the robot ( P = 0.0006).
CONCLUSION: The newly constructed system helps to quantitatively evaluate hand tremor during ILM peeling. The customized passive surgical support robot enables to decrease hand tremor during ILM peeling.

Author: [‘Yamamoto S’, ‘Taniguchi Y’, ‘Kuroki Y’, ‘Nagahama H’, ‘Tanaka S’, ‘Kadonosono K’, ‘Arai F’, ‘Enaida H’]

Journal: Retina

Citation: Yamamoto S, et al. INVESTIGATION OF HAND TREMOR SUPPRESSION BY A CUSTOMIZED PASSIVE SURGICAL SUPPORT ROBOT DURING INTERNAL LIMITING MEMBRANE PEELING. INVESTIGATION OF HAND TREMOR SUPPRESSION BY A CUSTOMIZED PASSIVE SURGICAL SUPPORT ROBOT DURING INTERNAL LIMITING MEMBRANE PEELING. 2024; 44:2091-2097. doi: 10.1097/IAE.0000000000004226

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