title: The mechatronic support system "HVSPS" and the way to NOTES.
abstract: Since the publication of the first paper on NOTES, a dramatic increase of activities in this new surgical field is to be observed. However, a "pure" NOTES operation does not yet exist. Only NOTES-like operations have been proposed so far. One of the essential barriers is the limited intraoperative performance due to the lack of suitable mechatronic platforms. Some solutions have already been suggested but they are still far from having any practical impact upon the development of more advanced NOTES procedures. The "Highly Versatile Single Port System", a two-armed device with two manipulators and a semi-flexible telescope, was developed to overcome these drawbacks. A transsigmoid cholecystectomy on a NOTES simulator (the ELITE) could be accomplished successfully in 75 minutes. We could therefore show that the HVSPS is in principle applicable for such a NOTES procedure. However, before these mechatronic support systems can be used under clinical conditions, required human machine interface and extended intelligence have to be solved.
authors.affiliation: Research Group MITI, Klinikum rechts der Isar, Technische Universitat, Munich, Germany.
authors.forename: Salman
authors.initials: S
authors.lastname: Can
authors.forename: Adam
authors.initials: A
authors.lastname: Fiolka
authors.forename: Hermann
authors.initials: H
authors.lastname: Mayer
authors.forename: Alois
authors.initials: A
authors.lastname: Knoll
authors.forename: Armin
authors.initials: A
authors.lastname: Schneider
authors.forename: Dirk
authors.initials: D
authors.lastname: Wilhelm
authors.forename: Alexander
authors.initials: A
authors.lastname: Meining
authors.forename: Hubertus
authors.initials: H
authors.lastname: Feussner
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation / Q000379:methods*; D012809:Colon, Sigmoid / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D012371:Robotics / Q000295:instrumentation*; D013997:Time Factors