Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy
Journal of Surgery
Volume 1, Issue 2, June 2013, Pages: 28-31
Received: May 10, 2013;
Published: Jun. 30, 2013
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Arturo Minor Martínez, Department of Electrical Engineering, CINVESTAV del IPN, Mexico, DF
Ricardo Ordorica Flores, Department of Pediatrics, Children Hospital Federico Gomez, Mexico, DF
Alfredo Vázquez Huerta, Department of Electrical Engineering, CINVESTAV del IPN, Mexico, DF
José Luis Ortiz Simón, Department of Electrical-Electronics Engineering, Instituto Tecnologico de Nuevo Laredo, Tamaulipas, Mexico
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Background. The laparoscopic surgeon requires very fine motor dexterity to perform complex surgical procedures. This skill can be significantly altered by the motor stress of the surgeon, which mainly results from a lack of ergonomics of the instruments. The objective of this article was to analyse a new ergonomic system that can significantly reduce motor stress. Material and Methods. Two expert surgeons tested the new ergonomic system by performing transfer and suture tasks. The results were compared to those obtained from executing the same tasks using commercial laparoscopic instruments, without any pre-selection being established. Electronic switches were placed on the handles of the instruments to register the time of opening and closure, as well as the time taken to complete the tasks. Results. The comparative data indicate that the new ergonomic system substantially reduces the motor stress of the surgeon by reducing the number of manual operations needed to carry out the routine training tasks of transfer and suture. Conclusions. A new ergonomic system has been developed that reduces the number of manual operations required for carrying out the same task using commercial laparoscopic instruments. The execution time and motor stress is substantially decreased with this new design. We have confidence that these results will be extended to surgical procedures.
Instrumental Ergonomics, Motor Stress, Ergonomic Optimization
To cite this article
Arturo Minor Martínez,
Ricardo Ordorica Flores,
Alfredo Vázquez Huerta,
José Luis Ortiz Simón,
Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy, Journal of Surgery.
Vol. 1, No. 2,
2013, pp. 28-31.
D.C. Van der Zee, and N.M.A. Bax, "Digital nerve compression due to laparoscopic surgery," Surg. Endosc. vol. 9, pp. 740, 1995.
U. Matern, P. Waller, "Instruments for minimally invasive surgery," Surg. Endosc. vol. 13, pp. 174–182, 1999.
U. Matern, M. Eichenlaub, P. Waller, and K.D. Rückauer, "An experimental comparison of various ergonomic handles and their design," Surg. Endosc. vol. 13, pp. 756–762, 1999.
U. Matern, C. Giebmeyer, R. Bergmann, P. Waller, and M. Faist, "Ergonomic aspects of four different types of laparoscopic instrument handle with respect to elbow angle," Surg. Endosc. vol. 16, pp. 1528–1532, 2002.
U. Matern, G. Kuttler, C. Giebmeyer, P. Waller, and M. Faist, "Ergonomic aspects of five different types of laparoscopic instrument handles under dynamic conditions with respect to specific laparoscopic tasks: An electromyographic-based study," Surg. Endosc. vol. 18, pp. 1231–1241, 2004.
U. Matern, S. Koneczny, M. Tedeus, K. Dietz, and G. Bue, "Ergonomic testing of two different types of handles via virtual reality simulation," Surg. Endosc. vol. 19, pp. 1147–1150, 2005.
D. Büchel, R. Marvik, B. Hallabrin, and U. Matern, "Ergonomics of disposable handles for minimally invasive surgery," Surg. Endosc. vol. 24, pp. 992–1004, 2005.