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. 2023 Mar 27;37(6):4193–4223. doi: 10.1007/s00464-023-09981-0

Table 4.

Robotic scope holders for rigid scopes, by year

Name DOF Manipulation type Actuation method Control type & level of automation Control interface Development stage Year Clinical application
AESOP (Computer Motion Inc., USA)a [85] 4 Three rotations and insertion depth Motor

Teleoperated

Master–slave

Hand control joystick, voice commands, foot pedal control Commercial (defunct) 1994 (FDA)

Surgery—minimally invasive

Thoracic surgery

FIPS (Karlsruhe Research Center, Germany) [86, 87] 4

3 revolute & 1 prismatic joint

Up/down, left/right, in/out, rotate

Motor

Teleoperated

Master–slave

Finger-ring joystick

Voice control

Research prototype (animal studies) (defunct) 1999

Surgery—minimally invasive

Cholecystectomy

FAce MOUSe (Osaka University, Japan) [22] 3 Up/down, left/right, insertion/retraction Motor

Teleoperated

Master–slave

Facial motion (image-based system), voice commands Research prototype (ex vivo & in vivo trial) 2003

Surgery—minimally invasive

Cholecystectomy

LapMan (Medsys, Belgium) [8890] 3 In/out, right/left, up/down Motor

Teleoperated

Master–slave

Hand control joystick & remote-controlled keypad Commercial 2003 (FDA)

Surgery—minimally invasive

Gynecology surgery

Naviot (Hitachi, Japan) [91] Zoom, vertical and horizontal directions Motor

Teleoperated

Master–slave

Hand controller with two buttons Commercial 2008 (Japan)

Surgery—minimally invasive

Thoracoscopic surgery (anatomical pulmonary resection)

Cholecystectomy

ViKY (EndoControl, France) [9295] 3 Up-down, left–right, forward–backward Motor Teleoperated & cooperative, master–slave & semi-autonomous (detection & tracking of instrument using image analysis) Voice control, instrument tracking Commercial 2008 (FDA)

Surgery—minimally invasive

Radical prostatectomy, gynecology, abdominal, thoracoscopic surgery

FreeHand (FreeHand Surgical, UK)b [86, 96] 3 Pan, tilt, zoom Motor

Teleoperated

Master–slave

Headset with footswitch (to engage movement) Commercial 2009 (FDA)

Surgery—minimally invasive

General, gynecology, urology, thoracic surgeries

EVOLAP (Université catholique de Louvain, Belgium) [97, 98] 2 Motor

Teleoperated

Master–slave

Miniature hand joystick Research prototype (in vivo trial) 2013

Surgery—minimally invasive

Gynecology (salpingectomy)

RoboLens (Sina Robotics & Medical Innovators Co., Ltd., Iran) [20, 99101] 4 Up/down, left/right, in/out, rotation Motor

Teleoperated & Cooperative

Master–slave & Semi-autonomous

(Tracking surgical instruments)

Six-button foot pedal

Touch screen keypad

Voice commands

Surgical instruments tracking (image processing)

Commercial 2015 (Iran)

Surgery—minimally invasive

Cholecystectomy

Ovarian cystectomy

AutoLap (MST Medical Surgery Technologies, Israel)c [8, 86, 102, 103]

Up/down, left/right, zoom in/out

Tracking designated tool

Motor

Teleoperated & Cooperative

Master–slave & Semi-autonomous

(Automatic view centering, zoom adaption, camera horizon correction)

Joystick

(Image analysis and computer-based instrument recognition)

Commercial 2016 (FDA)

Surgery—minimally invasive

General, gynecology, urology procedures

EMARO (Riverfield Inc., Japan) [86, 104106] 4 Pan, tilt, zoom, roll Pneumatically driven

Teleoperated

Master–slave

Head sensor, foot pedal (clutch) Commercial 2015 (Japan)

Surgery—minimally invasive

Inguinal hernia repair

MTG-H100 (HIWIN Technologies Corp., Taiwan) [23, 107, 108] 3 Zoom in/out, upward/downward, right/left Motor

Teleoperated

Master–slave

Controller with foot pedals

Head mounted display & speech controller proposed

Commercial 2017

Surgery—minimally invasive

General, urology, gynecology, colon & rectal surgeries

Cirq (Medineering, Germany)d [109] 7 Forward/backward, left/right, up/down, pivot point rotation Motor

Teleoperated

Master–slave

Foot pedal controller with joystick Commercial 2017 (CE)

Surgery—minimally invasive

Transnasal sinus and skull base surgery

EinsteinVision 3.0 (Aesculap AG, Germany) [110, 111] Motor

Teleoperated

Master–slave

Remote hand control button interface Commercial 2017

Surgery—minimally invasive

Abdominal surgery (upper gastrointestinal procedure)

Gynecology surgery

SOLOASSIST II (AKTORmed GmbH, Germany) [112115] 3

Up/down, left/right

Zoom in/out

Electrical motore

Teleoperated

Master–slave

Voice control, joystick Commercial 2018 (FDA)

Surgery—minimally invasive

General, urology, gynecology, thoracic, cardiac surgeries

Transoral endoscopic thyroid surgery

ROSA ONE Brain (Zimmer Biomet, USA) [116] 6 Cooperative & semi-autonomous (force torque sensor, preoperative or intraoperative planning values)

Touchscreen

Foot pedal (for activation)

Haptic technology

Commercial 2019 (FDA)

Investigational procedure

Ventricular endoscopy

Transnasal endoscopy

Surgery—minimally invasive

Neurosurgery (brain and spine)

De Pauw, Kalmar [117] (Ghent University, Belgium) Zoom in/out Electromotor Master–slave Single-hand control (thumb lever) Research prototype (cadaveric trial) 2020

Surgery—minimally invasive

Colorectal surgery (single-port rectopexy)

Yang, Udatha [17] (Monash University, Australia) 4

Left/right

Forward/backward

Insertion/withdrawal

Rotation

Teleoperated

Master–slave

Foot interface Research prototype (lab studies) 2020

Surgery—minimally invasive

Laparoscopy

FREEDOM (The Chinese University of Hong Kong) [118, 119] 3 Horizontal/vertical, pitch/yaw, translation Motor

Teleoperated

Master–slave

Foot control Research prototype (clinical trials) 2020

Surgery—minimally invasive

Endoscopic sinus surgery

Avellino, Bailly [120] (Sorbonne Université, France) Left/right Cable-driven

Teleoperated & Cooperative

Master–slave & Semi-autonomous

Hand manipulation, joystick, tool tracking, posture/head tracking Research prototype (lab studies) 2020

Surgery—minimally invasive

Urology, gynecology surgery

Bed-side robotic surgery

aAESOP is no longer commercialized. Computer Motion was taken over by Intuitive Surgical

bFreeHand (previously Prosurgics, UK) replaced EndoAssist / EndoSista (Armstrong Healthcare, UK)

cTransEnterix Inc. previously acquired MST Medical Surgery Technologies. AutoLap assets were later sold to Great Belief International Limited (GBIL), China [51]

dMedineering was acquired by Brainlab, Germany

ePrevious generation of the system (SOLOASSIST) was fluid actuated