Mechatronic Support System for NOTES and Monoport Surgery - A New Approach

Surg Technol Int. 2019 May 15:34:23-29.

Abstract

To circumvent the drawbacks of currently available platforms for natural orifice transluminal endoscopic surgery (NOTES) and monoport surgery (MPS), we developed a patient-specific, disposable, surgical soft robotic system. The system (Single-Port Overtube; SPOT) is designed as an overtube for standard surgical equipment. The platform body and the manipulators can be quickly adapted to transmural (monoport), NOTES and endoluminal (endoscopic) applications, and 3D-printed overnight as an individualized system. In addition, practical considerations, such as the predicted "ideal" dimensions of the platform, were evaluated. As a result, we found that preoperatively available biometric data currently provide little support for tailored instrument design. Further work is required to provide engineers / developers with more useful preoperative information.

MeSH terms

  • Humans
  • Natural Orifice Endoscopic Surgery / instrumentation*
  • Natural Orifice Endoscopic Surgery / methods
  • Patient-Specific Modeling
  • Printing, Three-Dimensional
  • Robotic Surgical Procedures / instrumentation*
  • Robotic Surgical Procedures / methods
  • Robotics / instrumentation
  • Surgery, Computer-Assisted / instrumentation
  • Surgery, Computer-Assisted / methods