Evaluation of a Voice-Enabled Autonomous Camera Control System for the da Vinci Surgical Robot

Robotic surgery involves significant task switching between tool control and camera control, which can be a source of distraction and error. This study evaluated the performance of a voice-enabled autonomous camera control system compared to a human-operated camera for the da Vinci surgical robot. Twenty subjects performed a series of tasks that required them to instruct the camera to move to specific locations to complete the tasks. The subjects performed the tasks (1) using an automated camera system that could be tailored based on keywords; and (2) directing a human camera operator using voice commands. The data were analyzed using task completion measures and the NASA Task Load Index (TLX) human performance metrics. The human-operated camera control method was able to outperform an automated algorithm in terms of task completion (6.96 vs. 7.71 correct insertions; p-value = 0.044). However, subjective feedback suggests that a voice-enabled autonomous camera control system is comparable to a human-operated camera control system. Based on the subjects' feedback, thirteen out of the twenty subjects preferred the voice-enabled autonomous camera control system including the surgeon. This study is a step towards a more natural language interface for surgical robotics as these systems become better partners during surgery.