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JRM Vol.36 No.4 pp. 801-812
doi: 10.20965/jrm.2024.p0801
(2024)

Paper:

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Development of a System for Determining Technique Level of Vascular Anastomosis Using Hand Motion

Xiaoshuai Chen*1 ORCID Icon, Taro Shoji*1, Ryosuke Kowatari*2 ORCID Icon, Koki Ebina*3 ORCID Icon, Yoshifumi Kobayashi*1, Moeki Kato*1, Hinaha Kabasawa*4, Taisei Suzuki*4, Kazuya Sase*5 ORCID Icon, Teppei Tsujita*6 ORCID Icon, Shunsuke Komizunai*7 ORCID Icon, Kazuhiko Oka*1, and Atsushi Konno*3 ORCID Icon

*1Graduate School of Science and Technology, Hirosaki University
3 Bunkyo-cho, Hirosaki, Aomori 036-8561, Japan

*2School of Medicine, Hirosaki University
5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan

*3Graduate School of Information Science and Technology, Hokkaido University
Kita 14 Nishi 9, Kita-ku, Sapporo, Hokkaido 060-0814, Japan

*4Faculty of Science and Technology, Hirosaki University
3 Bunkyo-cho, Hirosaki, Aomori 036-8561, Japan

*5Faculty of Engineering, Tohoku Gakuin University
2-1-1 Tenjinzawa, Izumi-ku, Sendai, Miyagi 981-3193, Japan

*6Department of Mechanical Engineering, National Defense Academy of Japan
1-10-20 Hashirimizu, Yokosuka, Kanagawa 239-8686, Japan

*7Faculty of Engineering and Design, Kagawa University
2217-20 Hayashi-cho, Takamatsu, Kagawa 761-0396, Japan

Received:
January 20, 2024
Accepted:
June 20, 2024
Published:
August 20, 2024
Creative Commons License
Keywords:
surgical technique analysis, hand motion measurement, technique determination, cardiovascular surgery training
Abstract

In off-pump coronary artery bypass grafting (OPCAB), the coronary arteries are joined as the heart beats. This procedure requires high skill and experience to be performed reliably and quickly. Although training kits are commonly used for technical training, the inability of trainees to always be with experienced surgeons for guidance and to receive immediate evaluation remains problematic. To address this problem, a system that allows a single trainee to observe and quantitatively evaluate the procedures performed by an experienced surgeon is being developed. In this study, to analyze the differences between the motions of experienced and novice surgeons, Leap Motion was used to measure the hand motion of the vascular anastomosis performed by both surgeons using a training kit. Using the measured data, the features of the vascular anastomosis surgical techniques performed by experienced and novices were tested using the Mann–Whitney U test. In addition, a binary classification was performed using machine learning with these features. The binary classification results show that trainees can be classified as experts or novices with high accuracy using the developed system.

Measure hand motion during vascular anastomosis

Measure hand motion during vascular anastomosis

Cite this article as:
X. Chen, T. Shoji, R. Kowatari, K. Ebina, Y. Kobayashi, M. Kato, H. Kabasawa, T. Suzuki, K. Sase, T. Tsujita, S. Komizunai, K. Oka, and A. Konno, “Development of a System for Determining Technique Level of Vascular Anastomosis Using Hand Motion,” J. Robot. Mechatron., Vol.36 No.4, pp. 801-812, 2024.
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Last updated on Sep. 09, 2024