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Not yet recruitingNCT07479121ClinicalTrials.gov record

These Studies Assess Surgeons' Physical and Ergonomic Workloads. Study 1 Compares Laparoscopic vs. Hugo RAS Robotic Approaches for Rectal Resection. Study 2 Compares Hugo RAS vs. Da Vinci Xi for Prostatectomy. Both Track Physiological Stress, Surgical Strain Phases, and Exerted Force.

Ergonomics

THE QUICK READ

What this study involves

The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.

Study type
Interventional
Phase
Not applicable
Age range
40 years - 55 years
Sex eligible
All sexes
Healthy volunteers
Accepted
Participants
10 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

The ERGOROB (ERGOnomics in surgical ROBotics) study is an observational research project focused on the physical well-being of surgeons.Why is this study important?Surgeons perform complex, lengthy procedures that can lead to severe physical strain, awkward postures, and repetitive movements.This physical burden often causes musculoskeletal disorders, which can negatively impact a doctor's health and potentially shorten their career.By objectively measuring these physical demands, researchers aim to improve the design of surgical systems and training protocols.Preserving a surgeon's health and expertise ultimately enhances the quality of care provided to patients.What exactly is being studied?The research is divided into two comparative areas:Study 1: Compares the physical strain on doctors performing bowel surgery (Low Anterior Resection of the Rectum) using standard "keyhole" (laparoscopic) methods versus a robotic-assisted system called the Hugo RAS.Study 2: Compares the physical demands of using two different robotic surgical platforms (the Hugo RAS and the Da Vinci Xi) during prostate surgery (Radical Prostatectomy).What does this mean for patients?In this specific study, the surgeons are the subjects being evaluated, not the patients.Patients receive their standard, planned surgical treatment without any alterations.During the operation, the participating surgeon will wear specialized wireless equipment, including a 3D motion capture suit, muscle activity sensors, and sensorized gloves to measure hand force.The procedure is also video recorded to analyze the surgeon's movements and workflow.All wearable equipment has been thoroughly pre-tested in a simulated environment to guarantee it does not interfere with the surgeon's dexterity or comfort while operating.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion Criteria:

  • Must be an experienced general surgeon specializing in colorectal surgery (Study 1) OR an experienced urological surgeon (Study 2).
  • Age between 40 and 55 years for colorectal surgeons, or between 40 and 50 years for urological surgeons.
  • For Study 1: Proficient in performing Low Anterior Resection of the Rectum using both standard laparoscopic techniques and the Hugo RAS robotic system, with over 30 robotic and laparoscopic procedures completed.
  • For Study 2: Expertise in robotic-assisted Radical Prostatectomy using both the Hugo RAS and Da Vinci Xi systems, with over 20 radical prostatectomies performed on both platforms.
  • Willingness to undergo extensive data collection during surgical procedures.
  • Provide written informed consent.

Exclusion Criteria:

\- None.

Understand screening

Treatment, groups and participation

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Assignment
Not randomized
Masking
No masking
Colorectal Surgeons

5 experienced colorectal surgeons acting as their own controls. Each surgeon will perform 10 procedures: 5 using the standard laparoscopic approach and 5 using the Hugo RAS robotic system.

Other: surgical approach

Urological Surgeons

5 experienced urological surgeons acting as their own controls. Each surgeon will perform 10 procedures: 5 using the Hugo RAS robotic system and 5 using the Da Vinci Xi robotic system.

Other: surgical approach

surgical approach OTHER

This study evaluates the ergonomic impact of different surgical platforms on operating surgeons. The "interventions" are the surgical systems used during standard procedures:Study 1: Compares the standard laparoscopic approach (control) versus the Medtronic Hugo™ RAS robotic system during Low Anterior Resection of the Rectum.Study 2: Directly compares the Medtronic Hugo™ RAS system versus the Intuitive da Vinci® Xi System during Radical Prostatectomy.Distinguishing Feature: Unlike trials focused on patient outcomes, the surgeon is the subject of investigation here. During live surgeries, surgeons are continuously monitored using wearable assessment tools: Xsens 3D Motion Capture suits for posture and kinematics , WaveX wireless sEMG sensors for muscle activity and fatigue , and GRIP VERSATEK sensorized gloves (Study 2 only) for hand force. This enables real-time, objective ergonomic data collection.

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Surgeon Muscle Activity (Root Mean Square)

Time frame: Intraoperatively

Assessment of surgeon muscle workload measured using WaveX wireless surface electromyography (sEMG) sensors placed on the trapezius, erector spinae, biceps brachii, and forearm extensor muscles. The parameter evaluated is the Root Mean Square (RMS) value for muscle activity. Measured continuously during each of the surgical procedures per participating surgeon.

Unit of Measure: Microvolts (or specify your exact electrical potential unit)

Surgeon Posture and Upper Limb Kinematics

Time frame: Continuously during each of the 10 surgical procedures per participating surgeon (real-time acquisition)

Evaluation of the surgeon's physical exertion and ergonomic posture deviations. Measured using the Xsens 3D Motion Capture Suit. Specific parameters include trunk flexion and lateral bending angles, shoulder and elbow range of motion (ROM), and the frequency and amplitude of repetitive movements of the upper limbs

Surgeon Hand and Finger Manipulation Forces

Time frame: Continuously during each of the 10 surgical procedures per participating urological surgeon (real-time acquisition)

Assessment of the physical force exerted by the surgeon's hands when interacting with the robotic consoles (Hugo RAS vs. Da Vinci Xi). Measured using GRIP VERSATEK sensorized gloves. Parameters include peak forces, average forces, and force variability.

Surgeon Muscle Fatigue (Median Frequency)

Time frame: Intraoperatively

Assessment of surgeon muscle fatigue via spectral analysis, measured using WaveX wireless surface electromyography (sEMG) sensors placed on the trapezius, erector spinae, biceps brachii, and forearm extensor muscles. The parameter evaluated is the median frequency of the sEMG signals. Measured continuously during each surgical procedures per participating surgeon.

Unit of Measure: Hertz (Hz)

Surgeon Muscle Strain (Sustained Activation)

Time frame: Intraoperatively

Assessment of surgeon muscle strain, measured using WaveX wireless surface electromyography (sEMG) sensors placed on the trapezius, erector spinae, biceps brachii, and forearm extensor muscles. The parameter evaluated is the duration of periods of sustained muscle activation and high levels of co-contraction. Measured continuously during each surgical procedures per participating surgeon.

Unit of Measure: Seconds (or minutes)

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (0)

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No locations are listed. Use the official study contact.

Study team and timeline

Lead sponsor
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Study start
Dec 1, 2026 Estimated
Primary completion
May 1, 2028 Estimated
Study completion
Jun 1, 2028 Estimated
First posted
Mar 18, 2026 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

Matteo Rottoli, MD, PhDCONTACTmatteo.rottoli@unibo.it+390512144807
Official study title

The ERGOROB Project (ERGOnomics in Surgical ROBotics)

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026