Magnetic Ball Chain Robots for Cardiac Arrhythmia Treatment

IF 3.4 Q2 ENGINEERING, BIOMEDICAL IEEE transactions on medical robotics and bionics Pub Date : 2024-09-23 DOI:10.1109/TMRB.2024.3465828
Giovanni Pittiglio;Fabio Leuenberger;Margherita Mencattelli;Max McCandless;Edward O’Leary;Pierre E. Dupont
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Abstract

This paper introduces a novel magnetic navigation system for cardiac ablation. The system is formed from two key elements: a magnetic ablation catheter consisting of a chain of spherical permanent magnets; and an actuation system comprised of two cart-mounted permanent magnets undergoing pure rotation. The catheter design enables a large magnetic content with the goal of minimizing the footprint of the actuation system for easier integration with the clinical workflow. We present a quasi-static model of the catheter, the design of the actuation units, and their control modalities. Experimental validation shows that we can use small rotating magnets (119mm diameter) to reach cardiac ablation targets while generating clinically-relevant forces. Catheter control using a joystick is compared with manual catheter control. While total task completion time is similar, smoother navigation is observed using the proposed robotic system. We also demonstrate that the ball chain can ablate heart tissue and generate lesions comparable to the current clinical ablation catheters.
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治疗心律失常的磁性球链机器人
本文介绍了一种用于心脏消融的新型磁导航系统。该系统由两个关键要素组成:一个由球形永久磁铁链组成的磁消融导管;以及一个由两个车载永久磁铁组成的纯旋转驱动系统。导管的设计实现了大磁含量,目的是最大限度地减少驱动系统的占地面积,使其更容易与临床工作流程整合。我们介绍了导管的准静态模型、驱动单元的设计及其控制方式。实验验证表明,我们可以使用小型旋转磁铁(直径 119 毫米)到达心脏消融目标,同时产生与临床相关的力。使用操纵杆进行导管控制与手动导管控制进行了比较。虽然完成任务的总时间相似,但使用拟议的机器人系统可以观察到更流畅的导航。我们还证明,球链可以消融心脏组织并产生与目前临床消融导管相当的病变。
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2024 Index IEEE Transactions on Medical Robotics and Bionics Vol. 6 Table of Contents IEEE Transactions on Medical Robotics and Bionics Society Information Guest Editorial Special section on the Hamlyn Symposium 2023—Immersive Tech: The Future of Medicine IEEE Transactions on Medical Robotics and Bionics Publication Information
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