对比手动与遥控操作眼球手术器械,发现结果相同但执行方式差异大。
A Controlled Comparison of Manual and Teleoperated Intraocular Instrument Motion for an Input Device

- 固定器械和环境,仅改变输入方式比较运动特征。
- 遥控操作耗时三倍、速度降为四分之一、动作碎片化增加3.5倍。
- 适合研究人机交互对微创手术操作的影响,尤其关注操作效率。
用于机器人微手术的输入设备常宣称能保留外科医生的熟练操作技术,但这一说法很少被实证检验。本研究在相同的套管约束、器械、眼模及追踪源条件下,对比了手动与遥控操作的内眼器械运动,唯一变量是控制接口。16名参与者通过商用眼科模拟器分别以手控和三自由度输入设备操控五关节机器人完成导航任务。任务结果无差别且达到满分:所有参与者在两种模式下均成功获取全部五个目标,未造成视网膜或晶状体损伤。但执行过程在每项指标上均存在显著差异:遥控操作耗时为三倍,中位速度仅为四分之一,覆盖的角工作范围不足一半,动作片段数增加3.5倍。经过四次练习,完成时间和动作碎片化明显改善,尚未达到平台期;而设定的速度上限和关节限制对性能影响最小。手指活动量翻倍,捏合力变异性增至三倍,表明减少器械自由度并非减轻手动负担,而是重新分配了操作努力。结论:接口保留了任务结果,但重塑了操作执行方式。
原文摘要 · Abstract (English)
Input devices for robotic microsurgery are frequently described as preserving the surgeon's trained technique, but the claim is rarely measured. We compared manual and teleoperated intraocular instrument motion with the trocar constraint, the instrument, the eye model and the tracking source common to both conditions, so that the control interface was the only factor varied. Prior comparisons cannot hold the instrument fixed, because a robotic instrument is not the tool used manually. Sixteen participants performed a navigation task on a commercial ophthalmic simulator by hand and through a three-degree-of-freedom input device commanding a five-joint robot. Task outcome was equal but at ceiling: every participant acquired all five targets under both interfaces with no retinal or lens injury. Execution differed on every measure. Teleoperated trials took three times as long at a quarter of the median speed, covered less than half the angular working range, and were broken into 3.5 times as many separate movements. Completion time and movement fragmentation improved substantially across four trials of practice and had not plateaued; the measures set by the configured rate ceiling and joint limit changed the least. Finger activity doubled and pinch variability tripled, so reducing instrument degrees of freedom redistributed manual effort rather than reducing it. The interface preserves the outcome and reshapes the execution.
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