Abstract
natural orifice translumenal endoscopic surgery (NOTES) requires a powerful
flexible endoscopic multitasking platform.
Medline search was performed to identify literature relating to flexible
endoscopic multitasking platform from year 2004-2011 using keywords: Flexible
endoscopic multitasking platform, NOTES, Instrumentation, Endoscopic robotic
surgery, and specific names of various endoscopic multitasking platforms. Key
articles from articles references were reviewed.
Flexible multitasking platforms can be classified as either mechanical
or robotic. Purely mechanical systems include the dual channel endoscope (DCE)
(Olympus), R-Scope (Olympus), the EndoSamurai (Olympus), the ANUBIScope
(Karl-Storz), Incisionless Operating Platform (IOP) (USGI), and DDES system
(Boston Scientific). Robotic systems include the MASTER system (Nanyang
University, Singapore) and the Viacath (Hansen Medical). The DCE, the R-Scope,
the EndoSamurai and the ANUBIScope have integrated visual function and instrument
manipulation function. The IOP and DDES systems rely on the conventional flexible
endoscope for visualization, and instrument manipulation is integrated through
the use of a flexible, often lockable, multichannel access device. The advantage
of the access device concept is that it allows optics and instrument
dissociation. Due to the anatomical constrains of the pharynx, systems are
designed to have a diameter of less than 20 mm. All systems are controlled by
traction cable system actuated either by hand or by robotic machinery. In a
flexible system, this method of actuation inevitably leads to significant
hysteresis. This problem will be accentuated with a long endoscope such as that
required in performing colonic procedures. Systems often require multiple
operators. To date, the DCE, the R-Scope, the IOP, and the Viacath system have
data published relating to their application in human.
Alternative forms of instrument actuation, camera control and master
console ergonomics should be explored to improve instrument precision, sphere of
action, size and minimize assistance required.
| Original language | English |
|---|---|
| Pages (from-to) | 345-354 |
| Number of pages | 9 |
| Journal | International Journal of Surgery |
| Volume | 10 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - May 2012 |
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Keywords
- robotic surgery
- endoscopy
- control
Cite this
}
A technical review of flexible endoscopic multitasking platforms. / Yeung, Baldwin Po Man; Gourlay, Terry.
In: International Journal of Surgery, Vol. 10, No. 7, 05.2012, p. 345-354.Research output: Contribution to journal › Article
TY - JOUR
T1 - A technical review of flexible endoscopic multitasking platforms
AU - Yeung, Baldwin Po Man
AU - Gourlay, Terry
PY - 2012/5
Y1 - 2012/5
N2 - Further development of advanced therapeutic endoscopic techniques andnatural orifice translumenal endoscopic surgery (NOTES) requires a powerfulflexible endoscopic multitasking platform.Medline search was performed to identify literature relating to flexibleendoscopic multitasking platform from year 2004-2011 using keywords: Flexibleendoscopic multitasking platform, NOTES, Instrumentation, Endoscopic roboticsurgery, and specific names of various endoscopic multitasking platforms. Keyarticles from articles references were reviewed.Flexible multitasking platforms can be classified as either mechanicalor robotic. Purely mechanical systems include the dual channel endoscope (DCE)(Olympus), R-Scope (Olympus), the EndoSamurai (Olympus), the ANUBIScope(Karl-Storz), Incisionless Operating Platform (IOP) (USGI), and DDES system(Boston Scientific). Robotic systems include the MASTER system (NanyangUniversity, Singapore) and the Viacath (Hansen Medical). The DCE, the R-Scope,the EndoSamurai and the ANUBIScope have integrated visual function and instrumentmanipulation function. The IOP and DDES systems rely on the conventional flexibleendoscope for visualization, and instrument manipulation is integrated throughthe use of a flexible, often lockable, multichannel access device. The advantage of the access device concept is that it allows optics and instrumentdissociation. Due to the anatomical constrains of the pharynx, systems aredesigned to have a diameter of less than 20 mm. All systems are controlled bytraction cable system actuated either by hand or by robotic machinery. In aflexible system, this method of actuation inevitably leads to significanthysteresis. This problem will be accentuated with a long endoscope such as thatrequired in performing colonic procedures. Systems often require multipleoperators. To date, the DCE, the R-Scope, the IOP, and the Viacath system havedata published relating to their application in human.Alternative forms of instrument actuation, camera control and master console ergonomics should be explored to improve instrument precision, sphere of action, size and minimize assistance required.
AB - Further development of advanced therapeutic endoscopic techniques andnatural orifice translumenal endoscopic surgery (NOTES) requires a powerfulflexible endoscopic multitasking platform.Medline search was performed to identify literature relating to flexibleendoscopic multitasking platform from year 2004-2011 using keywords: Flexibleendoscopic multitasking platform, NOTES, Instrumentation, Endoscopic roboticsurgery, and specific names of various endoscopic multitasking platforms. Keyarticles from articles references were reviewed.Flexible multitasking platforms can be classified as either mechanicalor robotic. Purely mechanical systems include the dual channel endoscope (DCE)(Olympus), R-Scope (Olympus), the EndoSamurai (Olympus), the ANUBIScope(Karl-Storz), Incisionless Operating Platform (IOP) (USGI), and DDES system(Boston Scientific). Robotic systems include the MASTER system (NanyangUniversity, Singapore) and the Viacath (Hansen Medical). The DCE, the R-Scope,the EndoSamurai and the ANUBIScope have integrated visual function and instrumentmanipulation function. The IOP and DDES systems rely on the conventional flexibleendoscope for visualization, and instrument manipulation is integrated throughthe use of a flexible, often lockable, multichannel access device. The advantage of the access device concept is that it allows optics and instrumentdissociation. Due to the anatomical constrains of the pharynx, systems aredesigned to have a diameter of less than 20 mm. All systems are controlled bytraction cable system actuated either by hand or by robotic machinery. In aflexible system, this method of actuation inevitably leads to significanthysteresis. This problem will be accentuated with a long endoscope such as thatrequired in performing colonic procedures. Systems often require multipleoperators. To date, the DCE, the R-Scope, the IOP, and the Viacath system havedata published relating to their application in human.Alternative forms of instrument actuation, camera control and master console ergonomics should be explored to improve instrument precision, sphere of action, size and minimize assistance required.
KW - robotic surgery
KW - endoscopy
KW - control
UR - http://www.scopus.com/inward/record.url?scp=84864307757&partnerID=8YFLogxK
UR - http://dx.doi.org/10.1016/j.ijsu.2012.05.009
U2 - 10.1016/j.ijsu.2012.05.009
DO - 10.1016/j.ijsu.2012.05.009
M3 - Article
VL - 10
SP - 345
EP - 354
JO - International Journal of Surgery
JF - International Journal of Surgery
SN - 1743-9191
IS - 7
ER -