Systematic Review of Recent Developments Related to Microergonomics of Surgical Instruments

Rana Idan Abed; Sadiq J. Hamandi; Moneer K. Faraj

doi:10.29194/NJES.27010078

Authors

Rana Idan Abed Dept. of Biomedical Engineering, Al-Nahrain University, Baghdad-Iraq.
Sadiq J. Hamandi Dept. of Biomedical Engineering, Al-Nahrain University, Baghdad-Iraq.
Moneer K. Faraj Director Local Committee of Arabian Board of Neurosurgery, College of Medicine, University of Baghdad, Iraq.

DOI:

https://doi.org/10.29194/NJES.27010078

Keywords:

Microergonomics, Redesign, Surgical Instruments

Abstract

Researches are now being conducted on redesign as well as micro ergonomic interventions. Most micro-surgical tool designs concentrate on the manipulation of targeted tissue instead of the surgeon's hand, and this presents a new research opportunity for better fitting the equipment to the surgeon's hand. So the objective is to examine the advancements made in the last few years and provide a framework for ergonomic intervention framework regarding manufacturing systems. With the use of words like ergonomic design, intervention, and evaluation," the titles and abstracts of ergonomics publications were filtered to find relevant research. The paper describes the way that the concept of micro-ergonomics can enhance the design of the micro-instruments. Finally, an application of a new surgical instrument is stated as a pen needle holder designed by SOLIDWORK 22 which creating a wide range of possible uses for futuristic technology. In future, neurosurgical equipment design will incorporate concepts from surgical tool design together with penization, microergonomics, and electronics.

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References

P. Pillastrini et al., "Effectiveness of an ergonomic intervention on work-related posture and low back pain in video display terminal operators: a 3 year cross-over trial," Applied ergonomics, vol. 41, no. 3, pp. 436-443, 2010.

I. Rivilis et al., "Effectiveness of participatory ergonomic interventions on health outcomes: a systematic review," Applied ergonomics, vol. 39, no. 3, pp. 342-358, 2008.

E. Tompa, R. Dolinschi, C. De Oliveira, B. C. Amick, and E. Irvin, "A systematic review of workplace ergonomic interventions with economic analyses," Journal of occupational rehabilitation, vol. 20, pp. 220-234, 2010.

R. Westgaard and J. Winkel, "Ergonomic intervention research for improved musculoskeletal health: a critical review," International journal of industrial ergonomics, vol. 20, no. 6, pp. 463-500, 1997.

G. Di Gironimo, R. Mozzillo, and A. Tarallo, "From virtual reality to web-based multimedia maintenance manuals," International Journal on Interactive Design and Manufacturing (IJIDeM), vol. 7, pp. 183-190, 2013.

W. Neumann and L. Medbo, "Ergonomic and technical aspects in the redesign of material supply systems: Big boxes vs. narrow bins," International Journal of Industrial Ergonomics, vol. 40, no. 5, pp. 541-548, 2010.

J. Santos, J. M. Sarriegi, N. Serrano, and J. M. Torres, "Using ergonomic software in non-repetitive manufacturing processes: A case study," International Journal of Industrial Ergonomics, vol. 37, no. 3, pp. 267-275, 2007..

S. C. Papaspyros, A. Kar, and D. O'Regan, "Surgical ergonomics. Analysis of technical skills, simulation models and assessment methods," International Journal of Surgery, vol. 18, pp. 83-87, 2015.

C.-C. H. Stucky et al., "Surgeon symptoms, strain, and selections: systematic review and meta-analysis of surgical ergonomics," Annals of Medicine and Surgery, vol. 27, pp. 1-8, 2018.

S. Shimizu, H. Kuroda, T. Mochizuki, and T. Kumabe, "Ergonomics-based positioning of the operating handle of surgical microscopes," Neurologia medico-chirurgica, vol. 60, no. 6, pp. 313-316, 2020.

F. J. Seagull, "Disparities between industrial and surgical ergonomics," Work, vol. 41, no. Supplement 1, pp. 4669-4672, 2012.

R. Berguer, "The application of ergonomics in the work environment of general surgeons," Reviews on environmental health, vol. 12, no. 2, pp. 99-106, 1997.

U. Matern, M. Eichenlaub, P. Waller, and K.-D. Rückauer, "MIS instruments: An experimental comparison of various ergonomic handles and their design," Surgical Endoscopy, vol. 13, pp. 756-762, 1999.

M. Van Veelen and D. Meijer, "Ergonomics and design of laparoscopic instruments: results of a survey among laparoscopic surgeons," Journal of laparoendoscopic & advanced surgical techniques, vol. 9, no. 6, pp. 481-489, 1999.

M. Veelen, D. Meijer, R. Goossens, C. Snijders, and J. Jakimowicz, "Improved usability of a new handle design for laparoscopic dissection forceps," Surgical Endoscopy and Other Interventional Techniques, vol. 16, pp. 201-207, 2002.

F. J. Pérez-Duarte, F. M. Sánchez-Margallo, I. D.-G. Martín-Portugués, M. Á. Sánchez-Hurtado, M. Lucas-Hernández, and J. U. Gargallo, "Ergonomía en cirugía laparoscópica y su importancia en la formación quirúrgica," Cirugía Española, vol. 90, no. 5, pp. 284-291, 2012.

C. Stamp, W. McGregor, G. Rodeheaver, J. Thacker, M. Towler, and R. Edlich, "Surgical needle holder damage to sutures," The American surgeon, vol. 54, no. 5, pp. 300-306, 1988.

M. R. Abidin, M. A. Towler, J. G. Thacker, G. D. Nochimson, W. McGregor, and R. F. Edlich, "New atraumatic rounded-edge surgical needle holder jaws," The American journal of surgery, vol. 157, no. 2, pp. 241-242, 1989.

T. Armstrong et al., "Hand Tool Ergonomics–past and Present," in Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 2010, vol. 54, no. 15: SAGE Publications Sage CA: Los Angeles, CA, pp. 1145-1148..‏

T. Menovsky and D. De Ridder, "A new flexible and 360° rotating shaft needle-holder for microneurosurgery," min-Minimally Invasive Neurosurgery, vol. 54, no. 05/06, pp. 274-275, 2011..‏

C.-F. Frimand Rönnow, B. Jeppsson, and H. Thorlacius, "A new needle holder facilitating palm grip suturing," European Surgical Research, vol. 54, no. 1-2, pp. 55-63, 2014.

J. Li, "Design and development of biomedical and surgical instruments in biomedical applications," in Biomedical Engineering-Technical Applications in Medicine: InTech, 2012..‏

M. Lucas-Hernández, J. B. Pagador, F. J. Pérez-Duarte, P. Castelló, and F. M. Sánchez-Margallo, "Ergonomics problems due to the use and design of dissector and needle holder: a survey in minimally invasive surgery," Surgical Laparoscopy Endoscopy & Percutaneous Techniques, vol. 24, no. 5, pp. e170-e177, 2014.

L. Santos-Carreras, M. Hagen, R. Gassert, and H. Bleuler, "Survey on surgical instrument handle design: ergonomics and acceptance," Surgical innovation, vol. 19, no. 1, pp. 50-59, 2012.

M. K. Faraj, "What Are “Microergonomics,”“Penization,” and “Electronics Integrated with Surgical Instruments”?," World Neurosurgery, vol. 152, pp. 144-151, 2021.

J. J. Gibson, The ecological approach to visual perception: classic edition. Psychology press, 2014.

U. Matern, "Principles of ergonomic instrument handles," Minimally Invasive Therapy & Allied Technologies, vol. 10, no. 3, pp. 169-173, 2001.

A. R. Tilley, The measure of man and woman: human factors in design. John Wiley & Sons, 2001..‏

M. Patkin, "What surgeons want in operating rooms," Minimally invasive therapy & allied technologies, vol. 12, no. 6, pp. 256-262, 2003.

M. Patkin, "Ergonomics applied to the practice OF MICROSURGERY1," Australian and New Zealand Journal of Surgery, vol. 47, no. 3, pp. 320-329, 1977.

M. Lucas-Hernández, J. B. Pagador, F. J. Pérez-Duarte, P. Castelló, and F. M. Sánchez-Margallo, "Ergonomics problems due to the use and design of dissector and needle holder: a survey in minimally invasive surgery," Surgical Laparoscopy Endoscopy & Percutaneous Techniques, vol. 24, no. 5, pp. e170-e177, 2014.

A. González, J. G. Sanz-Calcedo, O. López, D. Salgado, I. Cambero, and J. Herrera, "Guide design of precision tool handle based on ergonomics criteria using parametric CAD software," Procedia engineering, vol. 132, pp. 1014-1020, 2015.

T. Bensignor, G. Morel, D. Reversat, D. Fuks, and B. Gayet, "Evaluation of the effect of a laparoscopic robotized needle holder on ergonomics and skills," Surgical endoscopy, vol. 30, pp. 446-454, 2016..‏

G. Börner and A. Montgomery, "Suture-Tool: A Mechanical Needle Driver for Standardized Wound Closure," World Journal of Surgery, vol. 44, pp. 95-99, 2020.

CFR - Code of Federal Regulations Title 21. (n.d.). https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=878.4820.