A framework for the evaluation of Human Machine Interfaces of robot-assisted colonoscopy
Por:
Finocchiaro M., Banfi T., Donaire S., Arezzo A., Guarner-Argente C., Menciassi A., Casals A., Ciuti G., Hernansanz A.
Publicada:
12 feb 2024
Ahead of Print:
1 ene 2023
Resumen:
The Human Machine Interface (HMI) of intraluminal robots has a crucial impact on the clinician's performance. It increases or decreases the difficulty of the tasks, and is connected to the users' physical and mental stress. Objective: This article presents a framework to compare and evaluate different HMIs for robotic colonoscopy, with the objective of identifying the optimal HMI that minimises the clinician's effort and maximises the clinical outcomes. Methods: The framework comprises a 1) a virtual simulator (clinically validated), 2) wearable sensors measuring the cognitive load, 3) a data collection unit of metrics correlated to the clinical performance, and 4) questionnaires exploring the users' impressions and perceived stress. The framework was tested with 42 clinicians investigating the optimal device for tele-operated control of robotic colonoscopes. Two control devices were selected and compared: a haptic serial-kinematic device and a standard videogame joypad. Results: The haptic device was preferred by the endoscopists, but the joypad enabled better clinical performance and reduced cognitive and physical load. Conclusion: The framework can be used to evaluate different aspects of a HMI, both hardware and software, and determine the optimal HMI that can reduce the burden on clinicians while improving the clinical outcome. Significance: The findings of this study, and of future studies performed with this framework, can inform the design and development of HMIs for intraluminal robots, leading to improved clinical performance, reduced physical and mental stress for clinicians, and ultimately better patient outcomes.
Filiaciones:
Finocchiaro M.:
Center of Research on Biomedical Engineering, Universitat Polité
Banfi T.:
The BioRobotics Institute, Italy
Donaire S.:
Center of Research on Biomedical Engineering, Universitat Polité
Arezzo A.:
Center of Research on Biomedical Engineering, Universitat Polité
Guarner-Argente C.:
Unidad de Endoscopia, Servicio de Gastroenterologí
Menciassi A.:
The BioRobotics Institute, Italy
Casals A.:
Department of Surgical Sciences, University of Torino, Italy
Ciuti G.:
The BioRobotics Institute, Italy
Hernansanz A.:
Center of Research on Biomedical Engineering, Universitat Polité
hybrid, All Open Access; Hybrid Gold
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