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A novel device designed to improve the operability of energy devices with foot pedals in endoscopic surgery: the Foot-Site Monitor

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Abstract

Purpose

We developed the “Foot-Site Monitor” (FSM) to permit easy identification of multiple foot pedals of energy devices in endoscopic surgery. The purpose of this study was to evaluate the effectiveness of the use of the FSM.

Methods

Using a training box, 20 surgeons performed a task consisting of pressing foot pedals with and without the FSM. The time from showing a color on a PC monitor to pressing the foot pedal that corresponded to this color (defined as the completion time), and the distance of the movement of the tip of the surgeon’s forceps from the beginning to the end of the task (defined as shaking of the forceps) were measured.

Results

The use of the FSM was associated with significantly reduced shaking of the forceps (1.95 vs. 2.47 mm; p = 0.014), and a tendency toward a shorter completion time (1.39 vs. 1.51 s; p = 0.053).

Conclusions

The use of the FSM in endoscopic surgery contributes to reduced shaking of the forceps and may shorten the operative time.

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Data availability

Raw data were generated at National Cancer Center Hospital East. Derived data supporting the findings of this study are available from the corresponding author (YN) on request.

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Funding

Funding for this study was provided by Hayashi-Repic Co., Ltd. which is developing products related to the research described in this publication.

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Authors and Affiliations

  1. Department of Surgery, KKR Takamatsu Hospital, Federation of National Public Service Personnel Mutual Aid Associations, 4-18 Tenjinmae, Takamatsu, Kagawa, 760-0018, Japan

    Akihiro Kondo

  2. Department of Colorectal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan

    Akihiro Kondo, Yuji Nishizawa, Yuichiro Tsukada, Takeshi Sasaki & Masaaki Ito

  3. Department of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan

    Yasumasa Horikiri

  4. Graduate School of Robotics and Design, Osaka Institute of Technology, 1-45 Chayamachi, Kita-ku, Osaka, Osaka, 530-8568, Japan

    Hiroki Amemori & Toshikazu Kawai

  5. Department of Esophageal Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Hiroyuki Daiko

Authors
  1. Akihiro Kondo
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  2. Yuji Nishizawa
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  3. Yasumasa Horikiri
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  8. Hiroyuki Daiko
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  9. Masaaki Ito
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Contributions

AK, YN, YH and HA collected and interpreted the data. AK and YN interpreted data and wrote the paper, and contributed equally to the manuscript. YH, HA, YT, TS, TK, HD and MI made substantial contributions to the conception and design of the study, and were involved in drafting the manuscript and revising it critically for important intellectual content. All authors declare that they contributed to this article and that they all approve the final submitted version.

Corresponding author

Correspondence to Yuji Nishizawa.

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Conflict of interest

Dr. Nishizawa received Grants from Hayashi-Repic Co., Ltd.

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Kondo, A., Nishizawa, Y., Horikiri, Y. et al. A novel device designed to improve the operability of energy devices with foot pedals in endoscopic surgery: the Foot-Site Monitor. Surg Today 49, 965–970 (2019). https://doi.org/10.1007/s00595-019-01824-7

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  • DOI: https://doi.org/10.1007/s00595-019-01824-7

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