M. Shoham, M. Burman, E. Zehavi, Leo Joskowicz, E. Batkilin, Yigal Kunicher
This paper presents a new approach to robot-assisted spine and trauma surgery in which a miniature robot is directly mounted on the patient's bony structure near the surgical site. The robot is designed to operate in a semiactive mode to precisely position and orient a drill or a needle in various surgical procedures. Since the robot forms a single rigid body with the anatomy, there is no need for immobilization or motion tracking, which greatly enhances and simplifies the robot's registration to the target anatomy. To demonstrate this concept, we developed the MiniAture Robot for Surgical procedures (MARS), a cylindrical 5/spl times/7 cm/sup 3/, 200-g, six-degree-of-freedom parallel manipulator. We are currently developing two clinical applications to demonstrate the concept: 1) surgical tools guiding for spinal pedicle screws placement; and 2) drill guiding for distal locking screws in intramedullary nailing. In both cases, a tool guide attached to the robot is positioned at a planned location with a few intraoperative fluoroscopic X-ray images. Preliminary in-vitro experiments demonstrate the feasibility of this concept.
{"title":"Bone-mounted miniature robot for surgical procedures: Concept and clinical applications","authors":"M. Shoham, M. Burman, E. Zehavi, Leo Joskowicz, E. Batkilin, Yigal Kunicher","doi":"10.1109/TRA.2003.817075","DOIUrl":"https://doi.org/10.1109/TRA.2003.817075","url":null,"abstract":"This paper presents a new approach to robot-assisted spine and trauma surgery in which a miniature robot is directly mounted on the patient's bony structure near the surgical site. The robot is designed to operate in a semiactive mode to precisely position and orient a drill or a needle in various surgical procedures. Since the robot forms a single rigid body with the anatomy, there is no need for immobilization or motion tracking, which greatly enhances and simplifies the robot's registration to the target anatomy. To demonstrate this concept, we developed the MiniAture Robot for Surgical procedures (MARS), a cylindrical 5/spl times/7 cm/sup 3/, 200-g, six-degree-of-freedom parallel manipulator. We are currently developing two clinical applications to demonstrate the concept: 1) surgical tools guiding for spinal pedicle screws placement; and 2) drill guiding for distal locking screws in intramedullary nailing. In both cases, a tool guide attached to the robot is positioned at a planned location with a few intraoperative fluoroscopic X-ray images. Preliminary in-vitro experiments demonstrate the feasibility of this concept.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125744504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Gonzales, J. Troccaz, P. Cinquin, K. Masuda, Franck Pellissier
This paper presents a slave robot carrying an ultrasound probe for remote echographic examination. This robot is integrated in a master-slave system called robotic tele-echography (TER). The system allows an expert operator to perform a remote diagnosis from echographic data he acquires on a patient located in a distant place. The originality of this robot lies in its architecture: the cable-driven robot is lightweight and semirigid, and it is positioned on the patient body. In this paper, we describe the clinical application, the system architecture, the second implementation of the robot, and experiments performed with this prototype.
{"title":"A new robot architecture for tele-echography","authors":"A. Gonzales, J. Troccaz, P. Cinquin, K. Masuda, Franck Pellissier","doi":"10.1109/TRA.2003.817509","DOIUrl":"https://doi.org/10.1109/TRA.2003.817509","url":null,"abstract":"This paper presents a slave robot carrying an ultrasound probe for remote echographic examination. This robot is integrated in a master-slave system called robotic tele-echography (TER). The system allows an expert operator to perform a remote diagnosis from echographic data he acquires on a patient located in a distant place. The originality of this robot lies in its architecture: the cable-driven robot is lightweight and semirigid, and it is positioned on the patient body. In this paper, we describe the clinical application, the system architecture, the second implementation of the robot, and experiments performed with this prototype.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124134942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this survey paper, the authors analyze the general structure of robotic systems for computer-assisted surgery, present a classification of such systems based on the degree of "intelligence" of the tools, and discuss some examples of different classes of devices. Computer-assisted surgery accelerated progress is related, on the one hand, to the improvement of medical imaging techniques and, on the other hand, to the evolution of surgical instrumentation. The integration of these two factors has determined an extraordinary progress that is not just a "linear" temporal development, but it is a "discontinuity" as regards traditional surgical procedures. Specifically, the authors consider the following classes of robotic-derived surgical devices/systems: a) handheld tools augmenting the capabilities of the surgeon; b) teleoperated surgical tools; and c) autonomous surgical robots. The paper will focus essentially on the analysis of systems and components of robots and tools designed for minimally invasive surgery. Although different classification methods exist on the basis of the clinical needs and/or on the design approach, the devices which will be illustrated in this paper are classified on the basis of their scale, degrees of freedom, autonomy, embedded intelligence, and features of the interface between the surgeon and the patient.
{"title":"Smart surgical tools and augmenting devices","authors":"P. Dario, B. Hannaford, A. Menciassi","doi":"10.1109/TRA.2003.817071","DOIUrl":"https://doi.org/10.1109/TRA.2003.817071","url":null,"abstract":"In this survey paper, the authors analyze the general structure of robotic systems for computer-assisted surgery, present a classification of such systems based on the degree of \"intelligence\" of the tools, and discuss some examples of different classes of devices. Computer-assisted surgery accelerated progress is related, on the one hand, to the improvement of medical imaging techniques and, on the other hand, to the evolution of surgical instrumentation. The integration of these two factors has determined an extraordinary progress that is not just a \"linear\" temporal development, but it is a \"discontinuity\" as regards traditional surgical procedures. Specifically, the authors consider the following classes of robotic-derived surgical devices/systems: a) handheld tools augmenting the capabilities of the surgeon; b) teleoperated surgical tools; and c) autonomous surgical robots. The paper will focus essentially on the analysis of systems and components of robots and tools designed for minimally invasive surgery. Although different classification methods exist on the basis of the clinical needs and/or on the design approach, the devices which will be illustrated in this paper are classified on the basis of their scale, degrees of freedom, autonomy, embedded intelligence, and features of the interface between the surgeon and the patient.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128178953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Nishikawa, Toshinori Hosoi, K. Koara, Daiji Negoro, Ayae Hikita, Shuichi Asano, Haruhiko Kakutani, F. Miyazaki, M. Sekimoto, M. Yasui, Y. Miyake, S. Takiguchi, M. Monden
Robotic laparoscope positioners are now expected as assisting devices for solo surgery among endoscopic surgeons. In such robotic systems, the human-machine (surgeon-robot) interface is of paramount importance because it is the means by which the surgeon communicates with and controls the robotic camera assistant. We have designed a novel human-machine interface, called "FAce MOUSe", for controlling the position of a laparoscope. The proposed human interface is an image-based system which tracks the surgeon's facial motions robustly in real time and does not require the use of any body-contact devices, such as head-mounted sensing devices. The surgeon can easily and precisely control the motion of the laparoscope by simply making the appropriate face gesture, without hand or foot switches or voice input. Based on the FAce MOUSe interface, we have developed a new robotic laparoscope positioning system for solo surgery. Our system allows nonintrusive, nonverbal, hands off and feet off laparoscope operations, which seem more convenient for the surgeon. To evaluate the performance of the proposed system and its applicability in clinical use, we set up an in vivo experiment, in which the surgeon used the system to perform a laparoscopic cholecystectomy on a pig.
{"title":"FAce MOUSe: A novel human-machine interface for controlling the position of a laparoscope","authors":"A. Nishikawa, Toshinori Hosoi, K. Koara, Daiji Negoro, Ayae Hikita, Shuichi Asano, Haruhiko Kakutani, F. Miyazaki, M. Sekimoto, M. Yasui, Y. Miyake, S. Takiguchi, M. Monden","doi":"10.1109/TRA.2003.817093","DOIUrl":"https://doi.org/10.1109/TRA.2003.817093","url":null,"abstract":"Robotic laparoscope positioners are now expected as assisting devices for solo surgery among endoscopic surgeons. In such robotic systems, the human-machine (surgeon-robot) interface is of paramount importance because it is the means by which the surgeon communicates with and controls the robotic camera assistant. We have designed a novel human-machine interface, called \"FAce MOUSe\", for controlling the position of a laparoscope. The proposed human interface is an image-based system which tracks the surgeon's facial motions robustly in real time and does not require the use of any body-contact devices, such as head-mounted sensing devices. The surgeon can easily and precisely control the motion of the laparoscope by simply making the appropriate face gesture, without hand or foot switches or voice input. Based on the FAce MOUSe interface, we have developed a new robotic laparoscope positioning system for solo surgery. Our system allows nonintrusive, nonverbal, hands off and feet off laparoscope operations, which seem more convenient for the surgeon. To evaluate the performance of the proposed system and its applicability in clinical use, we set up an in vivo experiment, in which the surgeon used the system to perform a laparoscopic cholecystectomy on a pig.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123186368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper presents a novel and safe robotic system for skin harvesting, the first one in reconstructive surgery. It is intended to significantly improve the performance of surgeons who do not regularly perform this operation; the tool, called dermatome, is mounted at the tip of a dedicated robot that precisely controls the pressure on the skin and the harvesting velocity. In this paper, the harvesting task is analyzed and the safety constraints are summarized. Then, the mechanical structure and the functions of the control system are described. Finally, in vivo experimental results on pigs are reported and discussed.
{"title":"Dermarob: A safe robot for reconstructive surgery","authors":"E. Dombre, G. Duchemin, P. Poignet, F. Pierrot","doi":"10.1109/TRA.2003.817067","DOIUrl":"https://doi.org/10.1109/TRA.2003.817067","url":null,"abstract":"This paper presents a novel and safe robotic system for skin harvesting, the first one in reconstructive surgery. It is intended to significantly improve the performance of surgeons who do not regularly perform this operation; the tool, called dermatome, is mounted at the tip of a dedicated robot that precisely controls the pressure on the skin and the harvesting velocity. In this paper, the harvesting task is analyzed and the safety constraints are summarized. Then, the mechanical structure and the functions of the control system are described. Finally, in vivo experimental results on pigs are reported and discussed.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123514941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Stoianovici, K. Cleary, A. Patriciu, D. Mazilu, Alexandru Stanimir, N. Craciunoiu, V. Watson, L. Kavoussi
We report the development of a robot for radiological percutaneous interventions using uniplanar fluoroscopy, biplanar fluoroscopy, or computed tomography (CT) for needle biopsy, radio frequency ablation, cryotherapy, and other needle procedures. AcuBot is a compact six-degree-of-freedom robot for manipulating a needle or other slender surgical instrument in the confined space of the imager without inducing image artifacts. Its distinctive characteristic is its decoupled motion capability correlated to the positioning, orientation, and instrument insertion steps of the percutaneous intervention. This approach allows each step of the intervention to be performed using a separate mechanism of the robot. One major advantage of this kinematic approach is patient safety. The first feasibility experiment performed with the robot, a cadaver study of perispinal blocks under biplanar fluoroscopy, is presented. The main expected application of this system is to CT-based procedures. AcuBot has received Food and Drug Administration clearance (IDE G010331/S1), and a clinical trial of using the robot for perispinal nerve and facet blocks is presently underway at Georgetown University, Washington, DC.
{"title":"AcuBot: a robot for radiological interventions","authors":"D. Stoianovici, K. Cleary, A. Patriciu, D. Mazilu, Alexandru Stanimir, N. Craciunoiu, V. Watson, L. Kavoussi","doi":"10.1109/TRA.2003.817072","DOIUrl":"https://doi.org/10.1109/TRA.2003.817072","url":null,"abstract":"We report the development of a robot for radiological percutaneous interventions using uniplanar fluoroscopy, biplanar fluoroscopy, or computed tomography (CT) for needle biopsy, radio frequency ablation, cryotherapy, and other needle procedures. AcuBot is a compact six-degree-of-freedom robot for manipulating a needle or other slender surgical instrument in the confined space of the imager without inducing image artifacts. Its distinctive characteristic is its decoupled motion capability correlated to the positioning, orientation, and instrument insertion steps of the percutaneous intervention. This approach allows each step of the intervention to be performed using a separate mechanism of the robot. One major advantage of this kinematic approach is patient safety. The first feasibility experiment performed with the robot, a cadaver study of perispinal blocks under biplanar fluoroscopy, is presented. The main expected application of this system is to CT-based procedures. AcuBot has received Food and Drug Administration clearance (IDE G010331/S1), and a clinical trial of using the robot for perispinal nerve and facet blocks is presently underway at Georgetown University, Washington, DC.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115763788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Ohashi, N. Hata, T. Matsumura, T. Ogata, N. Yahagi, I. Sakuma, T. Dohi
A novel device is described for efficiently harvesting bone marrow in bone marrow transplantation that uses a newly developed passive flexible drilling unit and suction mechanism. The device reduces the invasiveness of bone marrow harvesting by collecting stem cells from the iliac bone with minimal punctures and by reducing the operation time and the contamination by T-cells. The device is inserted into the medullary space from the iliac crest and aspirates the bone marrow while an end mill on the tip of the drilling unit drills through the cancellous bone to create a curved path. In vitro and in vivo pig studies showed that the device can be inserted into the medullary space of the pig iliac bone, 131 /spl times/ 32.1 mm/min, and used to harvest about six times as much bone marrow per puncture as the conventional aspiration method. They also showed that the device can generate higher and longer negative pressure (-76.9 kPa for 5.96 s) than the aspiration method (-41.8 kPa for 4.97 s). The device, when applied in clinical study, will reduce invasiveness by harvesting denser graft from a wider area of the iliac bone compared to the conventional aspiration method, although minimal puncturing is required.
{"title":"Stem cell harvesting device with passive flexible drilling unit for bone marrow transplantation","authors":"K. Ohashi, N. Hata, T. Matsumura, T. Ogata, N. Yahagi, I. Sakuma, T. Dohi","doi":"10.1109/TRA.2003.817078","DOIUrl":"https://doi.org/10.1109/TRA.2003.817078","url":null,"abstract":"A novel device is described for efficiently harvesting bone marrow in bone marrow transplantation that uses a newly developed passive flexible drilling unit and suction mechanism. The device reduces the invasiveness of bone marrow harvesting by collecting stem cells from the iliac bone with minimal punctures and by reducing the operation time and the contamination by T-cells. The device is inserted into the medullary space from the iliac crest and aspirates the bone marrow while an end mill on the tip of the drilling unit drills through the cancellous bone to create a curved path. In vitro and in vivo pig studies showed that the device can be inserted into the medullary space of the pig iliac bone, 131 /spl times/ 32.1 mm/min, and used to harvest about six times as much bone marrow per puncture as the conventional aspiration method. They also showed that the device can generate higher and longer negative pressure (-76.9 kPa for 5.96 s) than the aspiration method (-41.8 kPa for 4.97 s). The device, when applied in clinical study, will reduce invasiveness by harvesting denser graft from a wider area of the iliac bone compared to the conventional aspiration method, although minimal puncturing is required.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124891565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper describes research in active instruments for enhanced accuracy in microsurgery. The aim is to make accuracy enhancement as transparent to the surgeon as possible. Rather than using a robotic arm, we have taken the novel approach of developing a handheld instrument that senses its own movement, distinguishes between desired and undesired motion, and deflects its tip to perform active compensation of the undesired component. The research has therefore required work in quantification and modeling of instrument motion, filtering algorithms for tremor and other erroneous movements, and development of handheld electromechanical systems to perform active error compensation. The paper introduces the systems developed in this research and presents preliminary results.
{"title":"Toward active tremor canceling in handheld microsurgical instruments","authors":"C. Riviere, W. T. Ang, P. Khosla","doi":"10.1109/TRA.2003.817506","DOIUrl":"https://doi.org/10.1109/TRA.2003.817506","url":null,"abstract":"This paper describes research in active instruments for enhanced accuracy in microsurgery. The aim is to make accuracy enhancement as transparent to the surgeon as possible. Rather than using a robotic arm, we have taken the novel approach of developing a handheld instrument that senses its own movement, distinguishes between desired and undesired motion, and deflects its tip to perform active compensation of the undesired component. The research has therefore required work in quantification and modeling of instrument motion, filtering algorithms for tremor and other erroneous movements, and development of handheld electromechanical systems to perform active error compensation. The paper introduces the systems developed in this research and presents preliminary results.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122246340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
System to program core cells in a memory device without over-programming. The system includes a method for programming a voltage threshold (Vt) level of a core cell in a memory device. The method comprises steps of determining a desired Vt for the core cell, programming a portion of the Vt of the core cell using a selected programming strength, verifying that the portion of the Vt is successfully programmed, adjusting the selected programming strength, and repeating the step of programming, verifying, and adjusting until the Vt of the core cell is substantially equal to the desired Vt.
{"title":"Optimal planning for minimally invasive surgical robots","authors":"L. Adhami, È. Coste-Manière","doi":"10.1109/TRA.2003.817061","DOIUrl":"https://doi.org/10.1109/TRA.2003.817061","url":null,"abstract":"System to program core cells in a memory device without over-programming. The system includes a method for programming a voltage threshold (Vt) level of a core cell in a memory device. The method comprises steps of determining a desired Vt for the core cell, programming a portion of the Vt of the core cell using a selected programming strength, verifying that the portion of the Vt is successfully programmed, adjusting the selected programming strength, and repeating the step of programming, verifying, and adjusting until the Vt of the core cell is substantially equal to the desired Vt.","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129111357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guest editorial and guide to the issue","authors":"R. Taylor, P. Dario, J. Troccaz","doi":"10.1109/TRA.2003.818688","DOIUrl":"https://doi.org/10.1109/TRA.2003.818688","url":null,"abstract":"","PeriodicalId":161449,"journal":{"name":"IEEE Trans. Robotics Autom.","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122205393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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