TY - JOUR
T1 - The mechatronic support system "HVSPS" and the way to NOTES
AU - Can, Salman
AU - Fiolka, Adam
AU - Mayer, Hermann
AU - Knoll, Alois
AU - Schneider, Armin
AU - Wilhelm, Dirk
AU - Meining, Alexander
AU - Feussner, Hubertus
PY - 2008
Y1 - 2008
N2 - Since the publication of the first paper on NOTES, a dramatic increase of activities in this new surgical field is to be observed. However, a "pure" NOTES operation does not yet exist. Only NOTES-like operations have been proposed so far. One of the essential barriers is the limited intraoperative performance due to the lack of suitable mechatronic platforms. Some solutions have already been suggested but they are still far from having any practical impact upon the development of more advanced NOTES procedures. The "Highly Versatile Single Port System", a two-armed device with two manipulators and a semi-flexible telescope, was developed to overcome these drawbacks. A transsigmoid cholecystectomy on a NOTES simulator (the ELITE) could be accomplished successfully in 75 minutes. We could therefore show that the HVSPS is in principle applicable for such a NOTES procedure. However, before these mechatronic support systems can be used under clinical conditions, required human machine interface and extended intelligence have to be solved.
AB - Since the publication of the first paper on NOTES, a dramatic increase of activities in this new surgical field is to be observed. However, a "pure" NOTES operation does not yet exist. Only NOTES-like operations have been proposed so far. One of the essential barriers is the limited intraoperative performance due to the lack of suitable mechatronic platforms. Some solutions have already been suggested but they are still far from having any practical impact upon the development of more advanced NOTES procedures. The "Highly Versatile Single Port System", a two-armed device with two manipulators and a semi-flexible telescope, was developed to overcome these drawbacks. A transsigmoid cholecystectomy on a NOTES simulator (the ELITE) could be accomplished successfully in 75 minutes. We could therefore show that the HVSPS is in principle applicable for such a NOTES procedure. However, before these mechatronic support systems can be used under clinical conditions, required human machine interface and extended intelligence have to be solved.
KW - Flexible instruments
KW - NOTES
KW - Natural orifice transluminal endoscopic surgery
KW - Robotic surgery
KW - Single port surgery
KW - Telemanipulator for NOTES
UR - http://www.scopus.com/inward/record.url?scp=57049091800&partnerID=8YFLogxK
U2 - 10.1080/13645700802525039
DO - 10.1080/13645700802525039
M3 - Article
C2 - 18979357
AN - SCOPUS:57049091800
SN - 1364-5706
VL - 17
SP - 341
EP - 345
JO - Minimally Invasive Therapy and Allied Technologies
JF - Minimally Invasive Therapy and Allied Technologies
IS - 6
ER -