ICSAD: Imperial College Surgical Assessment Device

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ICSAD Imperial College Surgical Assessment
Device Objective assessment of surgical
dexterity
Dept of Surgical Oncology and Technology,
Imperial College of Science Technology and
Medicine, London, UK
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Department of Surgical Oncology and Technology
Imperial College, London
ICSAD

• Commercially available motion tracking system
  (Isotrak II, Polhemus, USA)
• Signal generator (A) and two sensors (B) on the
  surgeons hands

A
B

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Department of Surgical Oncology and Technology
Imperial College, London
ICSAD

Bespoke software Track 3D- retrieves Cartesian
positional data-x,y and z co-ordinates Track-
positional data to dexterity measures
Path length- economy of movement
Number of movements
Time taken
Speed


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Department of Surgical Oncology and Technology
Imperial College, London
Validation of ICSAD-Lap suturing
P 0.009 1-experts 2- skilled 3- lap skills,
knowledge 4- no lap skills, knowledge
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Department of Surgical Oncology and Technology
Imperial College, London
Validation of ICSAD
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Department of Surgical Oncology and Technology
Imperial College, London
Correlation of motion analysis with qualitative
assessment- OSATS
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Department of Surgical Oncology and Technology
Imperial College, London
For small bowel anastomosis
Spearman correlation -0.71, plt0.001
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Department of Surgical Oncology and Technology
Imperial College, London
Correlation of motion analysis with qualitative
assessment- Laparoscopic suturing
Spearmans co-efficient - 0.70, plt0.001
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Department of Surgical Oncology and Technology
Imperial College, London
ICSAD- Training
Motion data of experts- standard for
trainees Provide objective feedback
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Department of Surgical Oncology and Technology
Imperial College, London
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Department of Surgical Oncology and Technology
Imperial College, London
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Department of Surgical Oncology and Technology
Imperial College, London
ROVIMAS (Robotic Video Motion Analysis Software)
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Department of Surgical Oncology and Technology
Imperial College, London
ACKNOWLEDGEMENTS

N Taffinder, A Wan, S Smith, J Torkington, T
Brown, V Datta, S Bann, J Shah, S Mackay, Y Munz,
A Dosis, A Chang, C Sutton, Prof Guang Zhong
Yang, Dr. D. Gillies, Dr. F. Bello, Professor A
Darzi