Details
| Original language | English |
|---|---|
| Pages (from-to) | 643-650 |
| Number of pages | 8 |
| Journal | Surgical innovation |
| Volume | 22 |
| Issue number | 6 |
| Publication status | Published - 1 Dec 2015 |
Abstract
Purpose. Though already proclaimed about 7 years ago, natural orifice transluminal endoscopic surgery (NOTES) is still in its early stages. A multidisciplinary working team tried to analyze the technical obstacles and identify potential solutions. Methods. After a comprehensive review of the literature, a group of 3 surgeons, 1 gastroenterologist, 10 engineers, and 1 representative of biomedical industry defined the most important deficiencies within the system and then compiled as well as evaluated innovative technologies that could be used to help overcome these problems. These technologies were classified with regard to the time needed for their implementation and associated hindrances, where priority is based on the level of impact and significance that it would make. Results. Both visualization and actuation require significant improvement. Advanced illumination, mist elimination, image stabilization, view extension, 3-dimensional stereoscopy, and augmented reality are feasible options and could optimize visual information. Advanced mechatronic platforms with miniaturized, powerful actuators, and intuitive human-machine interfaces could optimize dexterity, as long as enabling technologies are used. The latter include depth maps in real time, precise navigation, fast pattern recognition, partial autonomy, and cognition systems. Conclusion. The majority of functional deficiencies that still exist in NOTES platforms could be overcome by a broad range of already existing or emerging enabling technologies. To combine them in an optimal manner, a permanent dialogue between researchers and clinicians is mandatory.
Keywords
- actuation, autonomy, NOTES, platforms, robotics, visualization
ASJC Scopus subject areas
- Medicine(all)
- Surgery
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In: Surgical innovation, Vol. 22, No. 6, 01.12.2015, p. 643-650.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - The "iceberg Phenomenon"
T2 - As soon as one technological problem in NOTES is solved, the Next one appears!
AU - Feussner, Hubertus
AU - Fiolka, Adam
AU - Schneider, Armin
AU - Cuntz, Timo
AU - Coy, Johannes
AU - Von Tiesenhausen, Cyrill
AU - Höller, Kurt
AU - Weede, Oliver
AU - Konietschke, Rainer
AU - Borchard, Jan Hinnerk
AU - Ellrichmann, Mark
AU - Reiser, Silvano
AU - Ortmaier, Tobias
N1 - Funding information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported in part by the Deutsche Forschungsgemeinschaft (DFG) (FOR 1321).
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Purpose. Though already proclaimed about 7 years ago, natural orifice transluminal endoscopic surgery (NOTES) is still in its early stages. A multidisciplinary working team tried to analyze the technical obstacles and identify potential solutions. Methods. After a comprehensive review of the literature, a group of 3 surgeons, 1 gastroenterologist, 10 engineers, and 1 representative of biomedical industry defined the most important deficiencies within the system and then compiled as well as evaluated innovative technologies that could be used to help overcome these problems. These technologies were classified with regard to the time needed for their implementation and associated hindrances, where priority is based on the level of impact and significance that it would make. Results. Both visualization and actuation require significant improvement. Advanced illumination, mist elimination, image stabilization, view extension, 3-dimensional stereoscopy, and augmented reality are feasible options and could optimize visual information. Advanced mechatronic platforms with miniaturized, powerful actuators, and intuitive human-machine interfaces could optimize dexterity, as long as enabling technologies are used. The latter include depth maps in real time, precise navigation, fast pattern recognition, partial autonomy, and cognition systems. Conclusion. The majority of functional deficiencies that still exist in NOTES platforms could be overcome by a broad range of already existing or emerging enabling technologies. To combine them in an optimal manner, a permanent dialogue between researchers and clinicians is mandatory.
AB - Purpose. Though already proclaimed about 7 years ago, natural orifice transluminal endoscopic surgery (NOTES) is still in its early stages. A multidisciplinary working team tried to analyze the technical obstacles and identify potential solutions. Methods. After a comprehensive review of the literature, a group of 3 surgeons, 1 gastroenterologist, 10 engineers, and 1 representative of biomedical industry defined the most important deficiencies within the system and then compiled as well as evaluated innovative technologies that could be used to help overcome these problems. These technologies were classified with regard to the time needed for their implementation and associated hindrances, where priority is based on the level of impact and significance that it would make. Results. Both visualization and actuation require significant improvement. Advanced illumination, mist elimination, image stabilization, view extension, 3-dimensional stereoscopy, and augmented reality are feasible options and could optimize visual information. Advanced mechatronic platforms with miniaturized, powerful actuators, and intuitive human-machine interfaces could optimize dexterity, as long as enabling technologies are used. The latter include depth maps in real time, precise navigation, fast pattern recognition, partial autonomy, and cognition systems. Conclusion. The majority of functional deficiencies that still exist in NOTES platforms could be overcome by a broad range of already existing or emerging enabling technologies. To combine them in an optimal manner, a permanent dialogue between researchers and clinicians is mandatory.
KW - actuation
KW - autonomy
KW - NOTES
KW - platforms
KW - robotics
KW - visualization
UR - http://www.scopus.com/inward/record.url?scp=84947424934&partnerID=8YFLogxK
U2 - 10.1177/1553350615573578
DO - 10.1177/1553350615573578
M3 - Article
C2 - 25733547
AN - SCOPUS:84947424934
VL - 22
SP - 643
EP - 650
JO - Surgical innovation
JF - Surgical innovation
SN - 1553-3506
IS - 6
ER -