Graphic and haptic simulation for transvaginal cholecystectomy training in NOTES (original) (raw)
Related papers
Graphic and haptic simulation system for virtual laparoscopic rectum surgery
The International Journal of Medical Robotics and Computer Assisted Surgery, 2011
Medical simulators with vision and haptic feedback techniques offer a cost-effective and efficient alternative to the traditional medical trainings. They have been used to train doctors in many specialties of medicine, allowing tasks to be practised in a safe and repetitive manner. This paper describes a virtual-reality (VR) system which will help to influence surgeons' learning curves in the technically challenging field of laparoscopic surgery of the rectum. Data from MRI of the rectum and real operation videos are used to construct the virtual models. A haptic force filter based on radial basis functions is designed to offer realistic and smooth force feedback. To handle collision detection efficiently, a hybrid model is presented to compute the deformation of intestines. Finally, a real-time cutting technique based on mesh is employed to represent the incision operation. Despite numerous research efforts, fast and realistic solutions of soft tissues with large deformation, such as intestines, prove extremely challenging. This paper introduces our latest contribution to this endeavour. With this system, the user can haptically operate with the virtual rectum and simultaneously watch the soft tissue deformation. Our system has been tested by colorectal surgeons who believe that the simulated tactile and visual feedbacks are realistic. It could replace the traditional training process and effectively transfer surgical skills to novices.
Haptic rendering for VR laparoscopic surgery simulation
Australasian physical & engineering sciences in medicine / supported by the Australasian College of Physical Scientists in Medicine and the Australasian Association of Physical Sciences in Medicine, 2006
This project concerns the application of haptic feedback to a VR laparoscopic surgery simulator. Haptic attributes such as mass, friction, elasticity, roughness and viscosity are individually modeled, validated and applied to the existing visual simulation created by researchers at Monash University. Haptic feedback is an essential element in an immersive and realistic virtual reality laparoscopic training simulator. The haptic system must display stable, continuous and realistic multi-dimensional force feedback, and its inclusion should enhance the simulators training capability. Stability is a recurring concern throughout haptic history, and will be tackled with the implementation of a stable control algorithm and a passive environment model. Haptic force feedback modeling, systems implementation and validation studies form the principal areas of new work associated with this project.
—We have developed a computer-based training system to simulate laparoscopic procedures in virtual environments (VEs) for medical training. The major hardware components of our system include a computer monitor to display visual interactions between three–dimensional (3-D) virtual models of organs and instruments together with a pair of force feedback devices interfaced with laparoscopic instruments to simulate haptic interactions. In order to demonstrate the practical utility of the training system, we have chosen to simulate a surgical procedure that involves inserting a catheter into the cystic duct using a pair of laparoscopic forceps. This procedure is performed during laparoscopic cholecystectomy (gallbladder removal) to search for gallstones in the common bile duct. Using the proposed system, the user can be trained to grasp and insert a flexible and freely moving catheter into the deformable cystic duct in virtual environments. As the catheter and the duct are manipulated via simulated laparoscopic forceps, the associated deformations are displayed on the computer screen and the reaction forces are fed back to the user through the force feedback devices. A hybrid modeling approach was developed to simulate the real-time visual and haptic interactions that take place between the forceps and the catheter, as well as the duct; and between the catheter and the duct. This approach combines a finite element model and a particle model to simulate the flexible dynamics of the duct and the catheter, respectively. To simulate the deformable dynamics of the duct in real-time using finite element procedures, a modal analysis approach was implemented such that only the most significant vibration modes of the duct were selected to compute the deformations and the interaction forces. The catheter was modeled using a set of virtual particles that were uniformly distributed along the centerline of catheter and connected to each other via linear and torsional springs and damping elements. In order to convey to the user a sense of touching and manipulating deformable objects through force feedback devices, two haptic interaction techniques that we have developed before were employed. The interactions between the particles of the catheter and the duct were simulated using a point-based haptic interaction technique. The interactions between the forceps and the duct as well as the catheter were simulated using the ray-based haptic interaction technique where the laparoscopic forceps were modeled as connected line segments.
Haptic Rendering for Laparoscopic Surgery Simulation & Related Studies
Encyclopedia of Healthcare Information Systems
This project concerns the application of haptic feedback to a virtual reality laparoscopic surgery simulator. It investigates the hardware required to display haptic forces, and the software required to generate realistic and stable haptic properties. A number of surgery-based studies are undertaken using the developed haptic device. The human sense of touch, or haptic sensory system, is investigated in the context of laparoscopic surgery, where the long laparoscopic instruments reduce haptic sensation. Nonetheless, the sense of touch plays a vital role in navigation, palpation, cutting, tissue manipulation, and pathology detection in surgery. The overall haptic effect has been decomposed into a finite number of haptic attributes. The haptic attributes of mass, friction, stiction, elasticity, and viscosity are individually modeled, validated, and applied to virtual anatomical objects in visual simulations. There are times in surgery when the view from the camera cannot be depended u...
Virtual surgery system with realistic visual effects and haptic interaction
Proceedings of International Conference on Artificial Life and Robotics
Currently, educational processes in medical surgery field involve not only theoretical in-class studies that are immediately followed by practical lessons in mortuaries and hospitals, but also involve simulations of various levels of reality. This paper describes our current progress in Virtual Surgery System development, which is targeted to support educational processes in medical surgery. With this system all surgery operations are performed using a virtual reality headset and haptic manipulators with force feedback. The main feature of our approach is applying a voxel data structure of a human body that provides an opportunity to simulate realistic behavior of the body. Thus, cutting, sewing, and welding of human tissues processes become realistic and, together with providing a realistic surgery scene, these will significantly speed up educational processes.
Graphic and haptic modelling of the oesophagus for VR-based medical simulation
The International Journal of Medical Robotics and Computer Assisted Surgery, 2009
Background Medical simulators with vision and haptic feedback have been applied to many medical procedures in recent years, due to their safe and repetitive nature for training. Among the many technical components of the simulators, realistic and interactive organ modelling stands out as a key issue for judging the fidelity of the simulation. This paper describes the modelling of an oesophagus for a real-time laparoscopic surgical simulator. Methods For realistic simulation, organ deformation and tissue cutting in the oesophagus are implemented with geometric organ models segmented from the Visible Human Dataset. The tissue mechanical parameters were obtained from in vivo animal experiments and integrated with graphic and haptic devices into the laparoscopic surgical simulation system inside an abdominal mannequin. Results This platform can be used to demonstrate deformation and incision of the oesophagus by surgical instruments, where the user can haptically interact with the virtual soft tissues and simultaneously see the corresponding organ deformation on the visual display. Conclusions Current laparoscopic surgical training has been transformed from the traditional apprenticeship model to simulation-based methods. The outcome of the model could replace conventional training systems and could be useful in effectively transferring surgical skills to novice surgeons.
Towards Open-Source, Low-Cost Haptics for Surgery Simulation
Studies in health technology and informatics, 2014
In minimally invasive surgery (MIS), virtual reality (VR) training systems have become a promising education tool. However, the adoption of these systems in research and clinical settings is still limited by the high costs of dedicated haptics hardware for MIS. In this paper, we present ongoing research towards an open-source, low-cost haptic interface for MIS simulation. We demonstrate the basic mechanical design of the device, the sensor setup as well as its software integration.