scholarly journals A possible revival of population-representing digital human manikins in static work situations –exemplified through an evaluation of a prototype console for robotic surgery

Work ◽  
2021 ◽  
pp. 1-19
Author(s):  
Ida-Märta Rhén ◽  
Xuelong Fan ◽  
Magnus Kjellman ◽  
Mikael Forsman

BACKGROUND: In the 90s, digital human manikins (DHMs) were introduced in planning of workstations, by static or semi-static simulations. Modern DHMs can simulate dynamic work and offer a rapid way for a virtual pre-production ergonomic evaluation. Work-related musculoskeletal disorders may affect surgical performance and patient safety. A prototype of an open console, which is contrary to the conventional closed consoles and may be seen as a representative for a new generation, has been designed to reduce workload for robotic surgery surgeons. OBJECTIVE: The aim of this project was to test a new DHM tool with improved usability to evaluate the ergonomics of console of a robotic surgical system in a pre-production stage. METHODS: The DHM tool IMMA was used together with a 3D model of the prototype console. Twelve manikins who represented females and males from two national populations were introduced. Manikin-console distances, after console adjustments per manikin, were compared with a US checklist and Swedish standards for VDU work. RESULTS: The DHM tool was useful for this case, but the distances of the checklist and the standards were needed to be obtained “manually”. The automatic functions of the DHM worked smoothly but were not optimized for VDU work. The prototype fulfilled most, but not all, of the ergonomic criteria of the checklist and the standards. CONCLUSIONS: There is room for improvements of the adjustable ranges of the console prototype. DHMs may facilitate rapid pre-production evaluation of workstations for static work; if ergonomic assessment models for VDU work are built-in, there may be a revival of DHMs in static work situations.

2021 ◽  
Vol 8 ◽  
Author(s):  
Andrea S. Ciullo ◽  
Manuel G. Catalano ◽  
Antonio Bicchi ◽  
Arash Ajoudani

The most common causes of the risk of work-related musculoskeletal disorders (WMSD) have been identified as joint overloading, bad postures, and vibrations. In the last two decades, various solutions ranging from human-robot collaborative systems to robotic exoskeletons have been proposed to mitigate them. More recently, a new approach has been proposed with a high potential in this direction: the supernumerary robotic limbs SRLs are additional robotic body parts (e.g., fingers, legs, and arms) that can be worn by the workers, augmenting their natural ability and reducing the risks of injuries. These systems are generally proposed in the literature for their potentiality of augmenting the user’s ability, but here we would like to explore this kind of technology as a new generation of (personal) protective equipment. A supernumerary robotic upper limb, for example, allows for indirectly interacting with hazardous objects like chemical products or vibrating tools. In particular, in this work, we present a supernumerary robotic limbs system to reduce the vibration transmitted along the arms and minimize the load on the upper limb joints. For this purpose, an off-the-shelf wearable gravity compensation system is integrated with a soft robotic hand and a custom damping wrist, designed starting from theoretical considerations on a mass-spring-damper model. The real efficacy of the system was experimentally tested within a simulated industrial work environment, where seven subjects performed a drilling task on two different materials. Experimental analysis was conducted according to the ISO-5349. Results showed a reduction from 40 to 60% of vibration transmission with respect to the traditional hand drilling using the presented SRL system without compromising the time performance.


Author(s):  
Jerzy Grobelny ◽  
Rafał Michalski

This research concerns the workplace design methodology, involving digital human models, that prevents work-related musculoskeletal disorders (WMSDs). We propose an approach that, in conjunction with one of the classic WMSD risk assessment methods, allows one to simplify simulations in a three-dimensional digital environment. Two real-life workstations from a manufacturing industry were modelled in a 3D Studio Max environment by means of an Anthropos ErgoMax system. A number of simulations show that, for the examined cases, classic boundary mannequins’ approaches can be replaced by using 50th percentile of a population individual, with a minimal impact on the WMSD risk. Although, the finding might not be suitable in all situations, it should be considered, especially where compromise solutions are being sought due to other criteria.


Author(s):  
Eugene A. Grossi ◽  
Stacey Chen ◽  
Didier F. Loulmet

This is a response to the papers in the May/June issue of Innovations focused on robotic techniques in cardiac and thoracic surgery. Successful robotic surgery relies on a high level of preparation and communication from each member of the operating room. The lack of a team approach can result in not only failure to establish and/or sustain a robotic program, but more importantly, in serious consequences at the detriment to patient care and safety. While these are salient points, the authors of this commentary wish to highlight that the first robot-assisted mitral valve surgery in North America was performed at NYU Langone Health using the Zeus robotic surgical system. Although that robotic platform had several disadvantages that limited its clinical advancement, an appreciation for this history in robotic cardiac surgery is important if we as cardiothoracic surgeons seek to move toward a future of expanding robotic surgery within the ever-changing landscape of cardiac surgery.


2019 ◽  
Vol 145 (11) ◽  
pp. 1027 ◽  
Author(s):  
F. Christopher Holsinger ◽  
J. Scott Magnuson ◽  
Gregory S. Weinstein ◽  
Jason Y. K. Chan ◽  
Heather M. Starmer ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 603
Author(s):  
Giovanni Parente ◽  
Eduje Thomas ◽  
Sara Cravano ◽  
Marco Di Mitri ◽  
Marzia Vastano ◽  
...  

Background: Robotic surgery is currently a reality in surgical practice, and many endeavors have been made to extend its application also in pediatric surgery. In the absence of easy access to a robotic surgical system, new devices have been developed to offer a valid alternative such as wristed instruments. These differ from conventional laparoscopic instruments owing to a wrist-like mechanism at the tip, which faithfully reproduces the movements of the surgeon’s hands, regaining more movement’s degrees; Methods: We present two case reports in which the patients were subjected to minimally invasive procedures with aid of wristed instruments, followed by a review of the literature regarding the devices commonly marketed; Results: Articulated or wristed instruments render the same features seen in robotic surgery, such as major dexterity in smaller spaces, restitution of more natural movements and the ability to get over obstacles in a direct visual line. Our center recently equipped with ArtiSential® articulated instruments and so far, they have proven to be of great value; Conclusions: wristed instruments could represent a standpoint for surgeons wanting to benefit from the advantages of robotic surgery with a cost-sensitive perspective.


2006 ◽  
Vol 175 (4S) ◽  
pp. 332-333
Author(s):  
Jacques Hubert ◽  
Maṅo Chammas ◽  
Benoit Feillu ◽  
Eric Mourey ◽  
Usha Seshadri-Kreaden

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