Anne van Dalen

1 Legal perspectives on black box recording devices in the operating environment I 37 RESULTS The literature search yielded 95 citations from the PubMed database, no review citations from the Cochrane Library and 26 from Embase. After removing duplicates, unrelated fields, abstracts without full text and non-relevant papers, 20 manuscripts were included in the review (Figure 1). In 2016, one MDR was installed in an ENDOALPHA operating suite (Olympus Europa, Hamburg, Germany) in the Amsterdam University Medical Centre. 4,21 It has since been used to record selected laparoscopic abdominal procedures. This recorder is able to capture a multitude of data streams (overview cameras, laparoscopic camera, microphones, anaesthesia monitor). Procedures were recorded between the time-out and sign-out time stamp of the surgical procedure. 22,23 These recordings were analysed by a specialized trained team in Toronto, Canada. 4 The performance report generated was used as a tool for structured postoperative team debriefing. 24,25 Figure 1. Flow chart showing selection of articles for review