Développement et validation d’un système de monitoring de l’ergonomie pour la formation en chirurgie robotique

Abstract : This thesis is logically split into three chapters, concluding with a discussion on future applications. The first part makes an inventory of the difficulties in learning the basic skills in robotic surgery, especially in the aspects of exploiting the ergonomic benefits. It relies in particular on the master degrees of Drs N. Hubert and C.Perrenot to which the author participated. It is concluded that there is a need to develop a more efficient monitoring tool for ergonomics than the existing software on the dV-Trainer® simulator. The second part describes the design and validation of a system of forearms pressure sensors attached on the robot’s console and/or simulator’s armrests (SSP- Pressure Surveillance System). The concept of Armrest Load is created, a more effective formula for evaluating the trainees’ performance in ergonomics than the automatic evaluation provided by the simulator. The third part describes the improvement of the SSP system by adding additional functions and their evaluation: -An alarm informing the student of bad positions. This system creates a conditioned reflex, speeds up the ergonomic use of armrests on the simulator, and also improves the overall performance. -Cameras and a "Controller of Event in Robotic Simulation " (CESIR) interface, allowing the participant to view at will the reference video, the one with mistakes to avoid and the video of their own performances. This video technique is widely used in sports but is applied for the first time in surgery and proves its effectiveness. The conclusion part summarizes the results of the whole thesis and outlines the possibilities for CESIR’s improvement and its development in the French-Chinese collaboration in robotic training.
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Kun Yang. Développement et validation d’un système de monitoring de l’ergonomie pour la formation en chirurgie robotique. Médecine humaine et pathologie. Université de Lorraine, 2016. Français. ⟨NNT : 2016LORR0033⟩. ⟨tel-01752231⟩

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