The lack of haptic feedback in Robot-assisted Minimally Invasive Surgery (RMIS) is a potential barrier to safe tissue handling during surgery. Bayesian modeling theory suggests that surgeons with experience in open or laparoscopic surgery can develop priors of tissue stiffness that translate to better force estimation abilities during RMIS compared to surgeons with no experience. To test if prior haptic experience leads to improved force estimation ability in teleoperation, 33 participants were assigned to one of three training conditions: manual manipulation, teleoperation with force feedback, or teleoperation without force feedback, and learned to tension a silicone sample to a set of force values. They were then asked to perform the tension task, and a previously unencountered palpation task, to a different set of force values under teleoperation without force feedback. Compared to the teleoperation groups, the manual group had higher force error in the tension task outside the range of forces they had trained on, but showed better speed-accuracy functions in the palpation task at low force levels. This suggests that the dynamics of the training modality affect force estimation ability during teleoperation, with the prior haptic experience accessible if formed under the same dynamics as the task.
翻译:机械辅助小型侵入性外科手术(RMIS)缺乏顺畅的反馈是手术期间安全组织处理的潜在障碍。 贝叶斯模型理论表明,在露天或腹腔外科手术中有经验的外科医生可以发展组织僵硬的前科,从而在RMIS期间,与没有经验的外科医生相比,可以形成更好的部队估计能力。 要测试先前的偶然经验是否提高了远程操作中部队估计能力,33名参与者被分配到三个培训条件中的一个:手动操纵、与部队反馈进行远程操作或没有部队反馈的远程操作,以及学会将硅酮样本与一套部队价值相提并论。然后,他们被要求执行紧张任务,以及以前没有被计数的触摸任务,在没有部队反馈的情况下,在远程操作期间,将形成一套不同的部队价值。与远程操作小组相比,手动小组在他们所培训的部队范围外的紧张任务中出现更大的力量错误,但在低部队级别的触动任务中表现出更好的速度准确性功能。 这表明,培训模式的动态会影响在远程操作期间形成可获取的动态时,如果在之前的经验,则会影响在远程操作下形成可获取的动力。