Task name Triangle pick up and pass Task objectives Performance measures Work problems Lack of depth perception Ergonomic problems Neck held in sustained flexion Improvements Shoulders abducted and flexed up to approximately 60 degrees Elbows flexed to approximately 90 degrees Forearms moderately to fully pronated Wrists in moderate to full flexion Train surgeon to maintain shoulders as close to neutral as possible Contact stress between fingers and instrument handles Long finger reach to operate thumb wheels on instruments Apply (cushioning) coating to instrument handles Constant standing on hard surface Provide shock absorbent mat for surgeon to stand on Camera protruding into work space Bean pick up Lack of Elevate and tilt patient towards surgeon Train surgeon to maintain wrists as close to neutral as possible Provide instruments of various size to fit different anthropometry Make thumb wheels larger and closer to fingers Design shorter camera Neck held in Elevate and tilt depth perception Camera placement Camera viewing angle Fine motor skills required for task sustained flexion patient towards surgeon Shoulders abducted and flexed up to approximately 60 degrees Elbows flexed to approximately 90 degrees Forearms moderately to fully pronated Wrists in moderate to full flexion Train surgeon to maintain shoulders as close to neutral as possible Contact stress between fingers and instrument handles Long finger reach to operate thumb wheels on instruments Apply (cushioning) coating to instrument handles Constant standing on hard surface Provide shock absorbent mat for surgeon to stand on Train surgeon to maintain wrists as close to neutral as possible Provide instruments of various size to fit different anthropometry Make thumb wheels larger and closer to fingers Design shorter camera Triangle pick up Lack of depth perception Camera placement Neck held in sustained flexion Provide wider angle lens on ‘scope Elevate and tilt patient towards surgeon Shoulders abducted and flexed up to approximately 60 degrees Elbows flexed to approximately 90 degrees Forearms moderately to fully pronated Wrists in moderate to full flexion Train surgeon to maintain shoulders as close to neutral as possible Contact stress between fingers and instrument handles Long finger reach to operate thumb wheels on instruments Apply (cushioning) coating to instrument handles Constant standing on hard surface Provide shock absorbent mat for surgeon to stand on Train surgeon to maintain wrists as close to neutral as possible Provide instruments of various size to fit different anthropometry Make thumb wheels larger and closer to fingers Design shorter camera Checkerboard Lack of Neck held in Elevate and tilt depth perception Camera placement sustained flexion patient towards surgeon Shoulders abducted and flexed up to approximately 60 degrees Elbows flexed to approximately 90 degrees Forearms moderately to fully pronated Wrists in moderate to full flexion Train surgeon to maintain shoulders as close to neutral as possible Contact stress between fingers and instrument handles Long finger reach to operate thumb wheels on instruments Apply (cushioning) coating to instrument handles Constant standing on hard surface Provide shock absorbent mat for surgeon to stand on Train surgeon to maintain wrists as close to neutral as possible Provide instruments of various size to fit different anthropometry Make thumb wheels larger and closer to fingers Design shorter camera Running string Lack of depth perception Camera Neck held in sustained flexion Elevate and tilt patient towards surgeon placement Shoulders abducted and flexed up to approximately 60 degrees Elbows flexed to approximately 90 degrees Forearms moderately to fully pronated Wrists in moderate to full flexion Train surgeon to maintain shoulders as close to neutral as possible Contact stress between fingers and instrument handles Long finger reach to operate thumb wheels on instruments Apply (cushioning) coating to instrument handles Constant standing on hard surface Provide shock absorbent mat for surgeon to stand on Train surgeon to maintain wrists as close to neutral as possible Provide instruments of various size to fit different anthropometry Make thumb wheels larger and closer to fingers Design shorter camera Lap Sim Lack of depth perception Camera placement Neck held in sustained flexion Elevate and tilt patient towards surgeon Shoulders abducted and flexed up to Train surgeon to maintain shoulders as close to neutral approximately 60 degrees Elbows flexed to approximately 90 degrees Forearms moderately to fully pronated Wrists in moderate to full flexion as possible Contact stress between fingers and instrument handles Long finger reach to operate thumb wheels on instruments Apply (cushioning) coating to instrument handles Constant standing on hard surface Provide shock absorbent mat for surgeon to stand on Train surgeon to maintain wrists as close to neutral as possible Provide instruments of various size to fit different anthropometry Make thumb wheels larger and closer to fingers Design shorter camera