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Technical Brief

Preliminary Comparison of Laparoendoscopic Single-Site Surgery Instrumentation With Novice Surgical Interns: How Usability Testing Can Reveal Human Factors Issues Prior to Errors in the Operating Room1

[+] Author and Article Information
Bethany Lowndes, Bernadette McCrory

University of Nebraska-Lincoln,
Lincoln, NE 68508

Chad LaGrange

University of Nebraska Medical Center,
Omaha, NE 68198

David Farley, M. Susan Hallbeck

Mayo Clinic,
Rochester, MN 55905

Accepted and presented at the Design of Medical Devices Conference (DMD2014), Minneapolis, MN, April 7–10, 2014.

Manuscript received February 21, 2014; final manuscript received March 3, 2014; published online April 28, 2014. Editor: Arthur G. Erdman.

J. Med. Devices 8(2), 020949 (Apr 28, 2014) (2 pages) Paper No: MED-14-1097; doi: 10.1115/1.4027063 History: Received February 21, 2014; Revised March 03, 2014

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References

Rivas, H., Varela, E., and Scott, D., 2010, “Single-Incision Laparoscopic Cholecystectomy: Initial Evaluation of a Large Series of Patients,” Surg. Endoscopy, 24(6), pp. 1403–1412. [CrossRef]
Saber, A. A., Elgamal, M. H., El-Ghazaly, T. H., Dewoolkar, A. V., and Akl, A., 2010, “Simple Technique for Single Incision Transumbilical Laparoscopic Appendectomy,” Int. J. Surg., 8(2), pp. 128–130. [CrossRef]
Teixeira, J., McGill, K., Koshy, N., McGinty, J., and Todd, G., 2010, “Laparoscopic Single-Site Surgery for Placement of Adjustable Gastric Band—A Series of 22 Cases,” Surg. Obes. Relat. Dis., 6(1), pp. 41–45. [CrossRef]
Brown-Clerk, B., De Laveaga, A. E., LaGrange, C. A., Wirth, L. M., Lowndes, B. R., and Hallbeck, M. S., 2011, “Laparoendoscopic Single-Site (LESS) Surgery Versus Conventional Laparoscopic Surgery: Comparison of Surgical Port Performance in a Surgical Simulator With Novices,” Surg. Endoscopy, 25(7), pp. 2210–2218. [CrossRef]
Li, X., Zhang, J., Sang, L., Zhang, W., Chu, Z., Li, X., and Liu, Y., 2010, “Laparoscopic Versus Conventional Appendectomy—A Meta-Analysis of Randomized Controlled Trials,” BMC Gastroenterol., 10(1), p. 129. [CrossRef]
Lee, J., Baek, J., and Kim, W., 2010, “Laparoscopic Transumbilical Single-Port Appendectomy: Initial Experience and Comparison With Three-Port Appendectomy,” Surg. Laparoscopy Endoscopy Percutaneous Tech., 20(2), pp. 100–103. [CrossRef]
Tsimoyiannis, E. C., Tsimogiannis, K. E., Pappas-Gogos, G., Farantos, C., Benetatos, N., Mavridou, P., and Manataki, A., 2010, “Different Pain Scores in Single Transumbilical Incision Laparoscopic Cholecystectomy Versus Classic Laparoscopic Cholecystectomy: A Randomized Controlled Trial,” Surg. Endoscopy, 24(8), pp. 1842–1848. [CrossRef]
Garg, P., Thakur, J. D., Garg, M., and Menon, G. R., 2012, “Single-Incision Laparoscopic Cholecystectomy vs. Conventional Laparoscopic Cholecystectomy: A Meta-Analysis of Randomized Controlled Trials,” J. Gastrointest. Surg.: Off. J. Soc. Surg. Aliment. Tract, 16(8), pp. 1618–1628. [CrossRef]
Park, A., Lee, G., Seagull, F. J., Meenaghan, N., and Dexter, D., 2010, “Patients Benefit While Surgeons Suffer: An Impending Epidemic,” J. Am. College Surg., 210(3), pp. 306–313. [CrossRef]
AAMI, 2009, “Human Factors Engineering—Design of Medical Devices,” Association for the Advancement of Medical Instrumentation, Arlington, VA, Standard No. ANSI/AAMI HE75:2009.
AAMI, 2007, “Medical Devices—Application of Usability Engineering to Medical Devices,” Association for the Advancement of Medical Instrumentation, Arlington, VA, Standard No. ANSI/AAMI/IEC 62366:2007.
McCrory, B., Lowndes, B. R., Wirth, L. M., de Laveaga, A. E., LaGrange, C. A., and Hallbeck, M. S., 2012, “Ergonomic Evaluation of Laparoendoscopic Single-Site Surgery Ports in a Validated Laparoscopic Training Model,” Work: A J. Prev., Assess. Rehab., 41(S1), pp. 1884–1890. [CrossRef]

Figures

Grahic Jump Location
Fig. 1

CL (left) and LESS (right) simulation test-beds

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Fig. 2

LESS peg transfer task (right-hand participant). Descriptive statistics were completed for task times. The laparoscopic tool was the independent variable in a Kruskal–Wallis ANOVA test on the median time to complete the FLS peg transfer, with α = 0.05.

Grahic Jump Location
Fig. 3

Overall ranking of instruments

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Fig. 4

Comparison of instrument features

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