caa a22 4500 475780779 CHVBK 20180406123643.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s004640020067 doi (NATIONALLICENCE)springer-10.1007/s004640020067 Robotics and telemanipulation technologies for endoscopic surgery [Elektronische Daten] A review of the ARTEMIS project [M. O. Schurr, G. Buess, B. Neisius, U. Voges] Abstract.: In endoscopic surgery, the ability to guide the instrument is significantly decreased compared with open surgery. Rigid laparoscopic instruments offer only four of the six degrees of freedom required for the free handling of objects in space. Robotics technology can be used to restore full mobility of the endoscopic instrument. Therefore, we designed a master-slave manipulator system (ARTEMIS) for laparoscopic surgery as a prototype. The system consists of two robotic arms holding two steerable laparoscopic instruments. These two work units are controlled from a console equipped with two master arms operated by the surgeon. The systems and its components were evaluated experimentally. Laparoscopic manipulations were feasible with the ARTEMIS system. The placement of ligatures and sutures and the handling of catheters were possible in phantom models. The surgical practicability of the system was demonstrated in animal experiments. We conclude that robotic manipulators are feasible for experimental endoscopic surgery. Their clinical application requires further technical development. Springer-Verlag New York Inc., 2000 Key words: Endoscopic surgery — Instrumentation — Robotics — Telemanipulation — Telesurgery nationallicence Schurr M. O. Section for Minimally Invasive Surgery, Eberhard Karls University, Waldhoernlestrasse 22, D-72072 Tübingen, Germany, DE aut Buess G. Section for Minimally Invasive Surgery, Eberhard Karls University, Waldhoernlestrasse 22, D-72072 Tübingen, Germany, DE aut Neisius B. Department of Engineering, Karlsruhe Research Center, Karlsruhe, Germany, DE aut Voges U. Institute of Applied Informatics, Karlsruhe Research Center, Karlsruhe, Germany, DE aut Surgical Endoscopy Springer-Verlag 14/4(2000-04-01), 375-381 0930-2794 14:4<375 2000 14 464 https://doi.org/10.1007/s004640020067 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020067 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schurr M. O. Section for Minimally Invasive Surgery, Eberhard Karls University, Waldhoernlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Buess G. Section for Minimally Invasive Surgery, Eberhard Karls University, Waldhoernlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Neisius B. Department of Engineering, Karlsruhe Research Center, Karlsruhe, Germany, DE aut NATIONALLICENCE 700 1- Voges U. Institute of Applied Informatics, Karlsruhe Research Center, Karlsruhe, Germany, DE aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/4(2000-04-01), 375-381 0930-2794 14:4<375 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer