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Table 4 Survey questions

From: Ergonomics of laparoscopic graspers and the importance of haptic feedback: the surgeons’ perspective

Demographics

 What is your age?

N

 What is your gender?

S

 In which country do you work?

S

 In what department do you work?

S

 What is your dominant hand?

S

 What is your surgical glove size?

N

 For how many years are you in practice?

N

 For how many years do you perform laparoscopic surgery?

N

 How many laparoscopic procedures do you perform per month?

N

Physical symptoms

 Have you ever experienced physical complaints or discomfort that you would attribute to the use of laparoscopic instruments?

S

 If applicable, in which parts of the upper extremities have you experienced these physical complaints or discomforts?

M

 If applicable, where do you experience discomfort from pressure caused by instruments? (includes the hand map as illustrated in Fig. 2)

M

Handgrip assessment

 In what percentage of laparoscopic procedures do you use these handle types?

N

 Which handle type is your favorite for grasping?

S

 How do you rate the functionality of each handle type for grasping tasks?

L

 How do you rate the comfort of each handle type for grasping tasks?

L

 How do you rate the freedom of movement of each handle type for grasping tasks?

L

 Which handle type would be your favorite for grasping with an instrument that provides enhanced haptic feedback?

S

User features

 When holding a laparoscopic grasper with rotating function for the instrument tip, what percentage of time do you keep your index finger pointed forward?

N

 Do you sometimes “palm” your grip when operating with a scissors handle?

S

 If so, in what situations do you do this?

D

Clinical relevance

 If you had a laparoscopic tool with haptic feedback, for what specific scenarios would you consider it useful?

L

 - Feeling differences in tissue consistencies

 

 - Locating a tumor or enlarged lymph node

 

 - Feeling arterial pulse

 

 - Feeling how much pressure is being applied

 

 - Limiting the force on the surgeons’ hand

 

 - Lowering the time to complete surgery

 

 - Reducing complications

 

 - Reduction of conversions to open surgery

 

 - Performing laparoscopy instead of open surgery

 
  1. Body parts involved the following: wrists, fingers, thumbs, elbows, and shoulders. Handgrip assessments concerned the evaluation of the following designs: back-hinged scissors handle, front-hinged scissors handle, in-line handle, long-lever pistol grip, and short-lever pistol grip
  2. D descriptive, L Likert scale, M multiple answers, N numeric response, S single answer