Minimally invasive surgery (MIS) is commonly used in pediatric operations. This method greatly benefits patients because of the reduced surgical trauma. To perform such surgery smoothly, doctors must be highly skilled. To reduce operating difficulties, a great deal of research on surgical systems have been carried out. However, in some cases, smaller workspaces limit the application of MIS. For example, the workspace of infant congenital esophageal atresia (ICEA) surgery is only around 30×30×30 mm. Until now, most ICEA surgeries have been manually performed with traditional instruments. This paper presents a smart surgical robot (SSR) for ICEA surgery. The robot is composed of two slave arms, each consisting of a positioning manipulator and a surgical tool manipulator. The positioning manipulator uses a selective compliance assembly robot arm (SCARA) and a screw-pair mechanism to achieve translational movement in 3D space, and the surgical tool manipulator uses a “double screw drive + universal joint” structure to allow an omni directional bending motion. During surgery, the surgeon first creates the workspace manually to explore the target esophagus. The SSR system is then applied to perform operation. The configuration of the SSR means it can perform tissue manipulation under endoscopic view in a small workspace. Experimental results show that the endoscopic view permits the SSR system to be operated intuitively and accurately in the target workspace.

Mechanical performance of a surgical robot can be evaluated and improved based on a working score; however, intuitive operability cannot be evaluated in this way. We propose a method that measures the user's brain activity for evaluating intuitive operability from the perspective of cognitive science. We hypothesized that hand-eye coordination, such as the slave configuration for the endoscope, has the greatest effect on intuitive operability, because it is the cause of physical differences between a human and a robot. The objective of this paper is to clarify the appropriate slave configuration for the endoscope to study hand-eye coordination using brain activity measurements. In the experiment, we used a brain imaging device, optical topography, to measure the users' brain activity while they controlled the hand-controller to position the tip of the virtual arm on the target. The experiment was carried out a number of times with the virtual arm position configured in a variety of ways. According to the results, some subjects showed peak performance with a specific slave configuration. We conclude that the slave configuration with the highest brain activity depends on the body image, which is a spatial symbol in the human brain from the perspective of cognitive science.

Surgical robots have undergone considerable improvement in recent years, but the intuitive operability, representing user inter-operability, has not been quantitatively evaluated. Thus, we propose a method for measuring brain activity to determine intuitive operability in order to design a robot with intuitive operability. The objective of this paper is to clarify the angle between the endoscope and the manipulator that facilitates users perceiving the manipulator as part of their body. In the experiments, while subjects controlled the hand controller to position the tip of the virtual slave manipulator on the target in the surgical simulator, we measured the brain activity through brain imaging devices. We carried out the experiment a number of times with the virtual slave manipulator configured in a variety of ways. The results show that activation of the brain is significant with the slave manipulator configured such that the angles are slanted with respect to the horizontal. We conclude that the body image affects hand-eye coordination, which is related to visual and somatic sense feedback.

Recently, increased attention has been focused on single port endoscopic surgery (SPS). We have developed a robotic system for SPS with two surgical manipulators: an endoscopic manipulator and a positioning manipulator that moves the endoscope. The robot can manipulate both the position and orientation of the endoscope to achieve the desirable endoscopic field of view. Two methods can be used to operate the endoscopic view: “control corresponding to position” mode and “control corresponding to velocity” mode. Although both are widely used for moving the visual field, the operability of each method has not been examined quantitatively. Thus, we compare the operability of the two methods for adjusting the endoscopic view, and present the results and suitable applications of each method. The results of the quantitative evaluation experiments show that the “control corresponding to position” mode is suitable for short-distance or precise adjustment of the endoscope, whereas the “control corresponding to velocity” mode is better suited to long-distance movement.