Trial Outcomes & Findings for Assessment of the Transferability of Skills From Robotic to Laparoscopic Simulation Platforms (NCT NCT02370407)

NCT ID: NCT02370407

Last Updated: 2017-08-28

Results Overview

Primary outcome will be time to task completion (seconds) on the robotic task

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

1 day of practice

Results posted on

2017-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
Laparoscopic Simulator
20 study participants will be randomized to perform peg transfer task on a laparoscopic simulator 10 times (Fundamentals of Laparoscopic Surgery (FLS), VT Medical Inc, Waltham, MA). a laparoscopic simulator (Fundamentals of Laparoscopic Surgery (FLS), VT Medical Inc, Waltham, MA): 10 repetitions of practice on laparoscopic simulator.
Mimic da Vinci Robotic Simulator
20 study participants will be randomized to perform peg board 1 exercise 10 times on a Mimic da Vinci robotic simulator (Mimic da Vinci Simulator, Intuitive Surgical, Sunnyvale, CA). Mimic da Vinci robotic simulator: 10 repetitions of practice on Mimic da Vinci robotic simulator.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Assessment of the Transferability of Skills From Robotic to Laparoscopic Simulation Platforms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Laparoscopic Simulator
n=20 Participants
20 study participants will be randomized to perform peg transfer task on a laparoscopic simulator 10 times (Fundamentals of Laparoscopic Surgery (FLS), VT Medical Inc, Waltham, MA). a laparoscopic simulator (Fundamentals of Laparoscopic Surgery (FLS), VT Medical Inc, Waltham, MA): 10 repetitions of practice on laparoscopic simulator.
Mimic da Vinci Robotic Simulator
n=20 Participants
20 study participants will be randomized to perform peg board 1 exercise 10 times on a Mimic da Vinci robotic simulator (Mimic da Vinci Simulator, Intuitive Surgical, Sunnyvale, CA). Mimic da Vinci robotic simulator: 10 repetitions of practice on Mimic da Vinci robotic simulator.
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=99 Participants
20 Participants
n=107 Participants
40 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
12 Participants
n=99 Participants
9 Participants
n=107 Participants
21 Participants
n=206 Participants
Sex: Female, Male
Male
8 Participants
n=99 Participants
11 Participants
n=107 Participants
19 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 1 day of practice

Primary outcome will be time to task completion (seconds) on the robotic task

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Time to Task Completion (Robotic Task)
120 seconds
Standard Deviation 42
71 seconds
Standard Deviation 23

PRIMARY outcome

Timeframe: Study duration

Global rating scale score on the laparoscopic task. A composite score of (1) depth perception, (2) bimanual dexterity, (3) efficiency, (4) tissue handling, (5) time and motion, (6) instrument handling, and (7) flow of operation, each scored 1 through 5 on an anchored Likert scale where higher scores indicated improved proficiency. Point range 7 - 35.

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Global Rating Scale Score on the Laparoscopic Task
22.5 units on a scale
Standard Deviation 3.8
16.3 units on a scale
Standard Deviation 4.1

PRIMARY outcome

Timeframe: Study duration

A composite score of (1) depth perception, (2) bimanual dexterity, (3) efficiency, (4) tissue handling, (5) time and motion, (6) instrument handling, and (7) flow of operation, each scored 1 through 5 on an anchored Likert scale where higher scores indicated improved proficiency. Point range 7 - 35.

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Global Rating Scale Score on the Robotic Task
16.9 units on a scale
Standard Deviation 5.4
23.5 units on a scale
Standard Deviation 6.7

PRIMARY outcome

Timeframe: 1 day of practice

Time to task completion (seconds) on the laparoscopic task

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Time to Task Completion on the Laparoscopic Task
100 seconds
Standard Deviation 29
158 seconds
Standard Deviation 65

SECONDARY outcome

Timeframe: Study duration

(cm, where lower measurements represent improved economy of motion). This measures how many cm the instruments traveled in order to accomplish the task

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Economy of Motion on the Robotic Task
241 cm
Standard Deviation 57
161 cm
Standard Deviation 35

SECONDARY outcome

Timeframe: through study completion

Automatically recorded data on the Mimic DV trainer, (sec). The longer out of view indicates decreased proficiency

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Instrument Out of View
3.06 seconds
Standard Deviation 3.3
0.91 seconds
Standard Deviation 2.3

SECONDARY outcome

Timeframe: study duration

Automatically recorded data on the Mimic DV trainer which records number of collisions

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Instrument Collisions
2.8 number of events
Standard Deviation 4.3
1.1 number of events
Standard Deviation 1.8

SECONDARY outcome

Timeframe: study duration

Automatically recorded data on the Mimic DV trainer (seconds)

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Time Spent Using Excessive Force
0.28 seconds
Standard Deviation 0.58
0.24 seconds
Standard Deviation 1.1

SECONDARY outcome

Timeframe: study duration

Automatically recorded data on the Mimic DV trainer consisting of workspace range (cm, this is the widest range traveled by the 2 instruments, one in each hand), and number of peg drops

Outcome measures

Outcome measures
Measure
Laparoscopic Group
n=20 Participants
Training on laparoscopic platform resulted in improved performance on laparoscopic and robotic task
Robotic Group
n=20 Participants
Training on robotic platform resulted in improved performance on laparoscopic and robotic task
Workspace Range
9.41 cm
Standard Deviation 2.3
9.34 cm
Standard Deviation 2.5

Adverse Events

Laparoscopic Simulator

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Mimic da Vinci Robotic Simulator

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Lauren Thomaier

Johns Hopkins University

Phone: 410-955-6710

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place