caa a22 4500 475780833 CHVBK 20180406123643.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s004640020066 doi (NATIONALLICENCE)springer-10.1007/s004640020066 A new remote-controlled endoscope positioning system for endoscopic solo surgery [Elektronische Daten] The FIPS Endoarm [G. F. Buess, A. Arezzo, M. O. Schurr, F. Ulmer, H. Fisher, L. Gumb, T. Testa, C. Nobman] Abstract.: In the field of endoscopic solo surgery, the assistance received by the surgeon from ergonomical positioning devices is extremely important. They aid in both the retracting of instruments and the positioning of the endoscope. However, passive systems derived from open surgery have not proved satisfactory. Therefore, we set out to develop a remote-controlled arm capable of moving a rigid endoscope with about four degrees of freedom, while maintaining an invariant point of constraint motion coincident with the trocar puncture site through the abdominal wall. The system is driven by means of speaker-independent voice control or a finger-ring joystick clipped onto the instrument shaft close to the handle. When the joystick is used, the motion of the endoscope is controlled by the fingertip of the operating surgeon, which is inserted into the small ring of the controller in such a way as to make the motion of the fingertip correspond directly to the motion of the tip of the endoscope. A study was performed to compare the two different interfaces available for the system. With both interfaces, the guiding system allows for transparent and intuitive operation. Its set-up is easy; it is safe and reliable to use during the intervention; and it is faster than human assistance. With its improved ergonomy, this new generation of remote-controlled endoscope positioning system represents a further step toward the diffusion of solo surgery techniques in minimally invasive therapy. In our opinion, this prototype creates a valid compromise between human and robotic control of rigid endoscopes. Springer-Verlag New York Inc., 2000 Key words: Endoscopic surgery — Instrumentation — Retractors — Robotics — Solo surgery nationallicence Buess G. F. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut Arezzo A. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut Schurr M. O. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut Ulmer F. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut Fisher H. Department of Technical Engineering, Karlsruhe Research Center, Karlsruhe, Germany, DE aut Gumb L. Department of Technical Engineering, Karlsruhe Research Center, Karlsruhe, Germany, DE aut Testa T. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut Nobman C. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut Surgical Endoscopy Springer-Verlag 14/4(2000-04-01), 395-399 0930-2794 14:4<395 2000 14 464 https://doi.org/10.1007/s004640020066 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020066 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Buess G. F. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Arezzo A. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Schurr M. O. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Ulmer F. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Fisher H. Department of Technical Engineering, Karlsruhe Research Center, Karlsruhe, Germany, DE aut NATIONALLICENCE 700 1- Gumb L. Department of Technical Engineering, Karlsruhe Research Center, Karlsruhe, Germany, DE aut NATIONALLICENCE 700 1- Testa T. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 700 1- Nobman C. Section for Minimally Invasive Surgery, Department of General Surgery, Eberhard Karls University, Waldhörnlestrasse 22, D-72072 Tübingen, Germany, DE aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/4(2000-04-01), 395-399 0930-2794 14:4<395 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer