Early experience in human-controlled robotic-like cardiovascular surgery utilizing ARTISENTIAL® articulated instruments with tactile feedback
Year: 2026
Type: article
Abstract: Robot-assisted minimally invasive cardiac surgery (MICS) offers high precision but remains costly and technically demanding, posing challenges for surgeons accustomed to median sternotomy. We aimed to explore a transitional approach toward robotic-like, human-controlled minimally invasive cardiovascular surgery (MICVS) using ARTISENTIAL ® articulated instruments, which provide mechanically transmitted tactile sensation. From 2023 to 2025, 10 patients underwent cardiovascular procedures in which ARTISENTIAL ® was employed as an adjunctive tool for selected procedural components, including atriotomy closure, mitral and tricuspid annuloplasty, ventricular tumor resection, and graft anastomosis. ARTISENTIAL ® was used via median sternotomy in nine cases, in which custom-designed “Gride-Spin Holders” were developed to secure the instruments to the retractor bar, and through a totally endoscopic approach in one case. All ARTISENTIAL ® -assisted procedural components were completed without intraoperative complications. The articulated motion and mechanically transmitted tactile sensation allowed surgeons to manipulate the needle with a subjective perception of tissue resistance during suturing. The custom-designed Gride-Spin Holders functioned effectively, providing stable instrument positioning and smooth maneuverability throughout the procedures. This approach appears feasible for selected procedural components and may serve as a practical transitional strategy toward minimally invasive cardiac surgery, requiring less infrastructural investment than fully robotic platforms and allowing a stepwise transition toward MICVS.
Institution: Kyorin University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,890
OpenAlex ID: W7154127110