Design and Development of a Tele-operated Surgical Simulation Environment

With the introduction of robots into laparoscopic surgery, surgeons have difficulties in selecting the placement of the incisions required to insert the robots instruments into the body and also determine which patients are suitable for robotically assisted surgery. Poor selection of these two items mentioned above can result in a conversion to a more invasive form of surgery during the procedure. This work introduces the design and development of a surgical simulation environment to assist in the research for optimal incision placement and patient selection. The simulator allows importing any serial link robot that was designed in a computer aided modelling package. With minimal added information, the imported robot can be controlled using a multi-degree of freedom user input device. The simulator allows for importing patient geometries along with the robot to allow for the simulation of surgical procedures. A Jacobian transpose algorithm was added onto the simulator in a modular format to control the simulated robots, as well as to allow for other control systems to be created and implemented. Experiments were performed to determine the effects of patient geometry models on rendering speeds. The control system could control the tested robots with a maximum lag time of 15 ms between moving the input device and the simulated robot moving to the correct desired position. The simulator makes importing and controlling robots a simple and intuitive matter, without putting a large restriction on the type of robots to be simulated. The simulator also allows for importing models of a patient, to make real world analysis of a patient possible. Further improvements on the presented simulator include the addition of collision detection and more testing on the control system for stability and response over a larger range of robots

A Novel Haptic Simulator for Evaluating and Training Salient Force-Based Skills for Laparoscopic Surgery

Laparoscopic surgery has evolved from an \u27alternative\u27 surgical technique to currently being considered as a mainstream surgical technique. However, learning this complex technique holds unique challenges to novice surgeons due to their \u27distance\u27 from the surgical site. One of the main challenges in acquiring laparoscopic skills is the acquisition of force-based or haptic skills. The neglect of popular training methods (e.g., the Fundamentals of Laparoscopic Surgery, i.e. FLS, curriculum) in addressing this aspect of skills training has led many medical skills professionals to research new, efficient methods for haptic skills training. The overarching goal of this research was to demonstrate that a set of simple, simulator-based haptic exercises can be developed and used to train users for skilled application of forces with surgical tools. A set of salient or core haptic skills that underlie proficient laparoscopic surgery were identified, based on published time-motion studies. Low-cost, computer-based haptic training simulators were prototyped to simulate each of the identified salient haptic skills. All simulators were tested for construct validity by comparing surgeons\u27 performance on the simulators with the performance of novices with no previous laparoscopic experience. An integrated, \u27core haptic skills\u27 simulator capable of rendering the three validated haptic skills was built. To examine the efficacy of this novel salient haptic skills training simulator, novice participants were tested for training improvements in a detailed study. Results from the study demonstrated that simulator training enabled users to significantly improve force application for all three haptic tasks. Research outcomes from this project could greatly influence surgical skills simulator design, resulting in more efficient training