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Detection of Membrane Puncture with Haptic Feedback using a Tip-Force Sensing Needle. 指尖力感应针触觉反馈检测膜穿刺。
Santhi Elayaperumal, Jung Hwa Bae, Bruce L Daniel, Mark R Cutkosky

This paper presents calibration and user test results of a 3-D tip-force sensing needle with haptic feedback. The needle is a modified MRI-compatible biopsy needle with embedded fiber Bragg grating (FBG) sensors for strain detection. After calibration, the needle is interrogated at 2 kHz, and dynamic forces are displayed remotely with a voice coil actuator. The needle is tested in a single-axis master/slave system, with the voice coil haptic display at the master, and the needle at the slave end. Tissue phantoms with embedded membranes were used to determine the ability of the tip-force sensors to provide real-time haptic feedback as compared to external sensors at the needle base during needle insertion via the master/slave system. Subjects were able to determine the position of the embedded membranes with significantly better accuracy using FBG tip feedback than with base feedback using a commercial force/torque sensor (p = 0.045) or with no added haptic feedback (p = 0.0024).

本文介绍了一种具有触觉反馈的三维尖端力传感针的标定和用户测试结果。该针是一种改良的mri兼容活检针,内置光纤布拉格光栅(FBG)传感器,用于应变检测。校准后,以2 kHz询问针,并通过音圈执行器远程显示动态力。针在单轴主从系统中测试,音圈触觉显示在主端,针在从端。采用嵌入膜的组织模型,通过主/从系统确定在针插入过程中,与位于针基的外部传感器相比,尖端力传感器提供实时触觉反馈的能力。与使用商用力/扭矩传感器(p = 0.045)或不添加触觉反馈(p = 0.0024)的基础反馈相比,使用FBG尖端反馈的受试者能够以更好的精度确定嵌入膜的位置。
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引用次数: 29
Toward Automated Intraocular Laser Surgery Using a Handheld Micromanipulator. 使用手持式显微操作器的自动眼内激光手术。
Sungwook Yang, Robert A MacLachlan, Cameron N Riviere

This paper presents a technique for automated intraocular laser surgery using a handheld micromanipulator known as Micron. The novel handheld manipulator enables the automated scanning of a laser probe within a cylinder of 4 mm long and 4 mm in diameter. For the automation, the surface of the retina is reconstructed using a stereomicroscope, and then preplanned targets are placed on the surface. The laser probe is precisely located on the target via visual servoing of the aiming beam, while maintaining a specific distance above the surface. In addition, the system is capable of tracking the surface of the eye in order to compensate for any eye movement introduced during the operation. We compared the performance of the automated scanning using various control thresholds, in order to find the most effective threshold in terms of accuracy and speed. Given the selected threshold, we conducted the handheld operation above a fixed target surface. The average error and execution time are reduced by 63.6% and 28.5%, respectively, compared to the unaided trials. Finally, the automated laser photocoagulation was demonstrated also in an eye phantom, including compensation for the eye movement.

本文介绍了一种使用手持微机械臂进行自动眼内激光手术的技术。这种新型手持式机械手能够自动扫描长4毫米、直径4毫米的圆柱体内的激光探头。为了实现自动化,使用立体显微镜重建视网膜表面,然后将预先计划的目标放置在表面上。激光探头通过瞄准光束的视觉伺服精确地定位在目标上,同时保持在表面以上的特定距离。此外,该系统能够跟踪眼睛的表面,以补偿在手术过程中引入的任何眼球运动。我们比较了使用不同控制阈值的自动扫描的性能,以便在精度和速度方面找到最有效的阈值。给定选择的阈值,我们在固定的目标表面上进行手持操作。与独立试验相比,平均误差和执行时间分别减少了63.6%和28.5%。最后,在眼幻影中也演示了自动激光光凝,包括对眼球运动的补偿。
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引用次数: 10
Space-Time Localization and Registration on the Beating Heart. 心脏跳动的时空定位与配准。
Nathan A Wood, Kevin Waugh, Tian Yu Tommy Liu, Marco A Zenati, Cameron N Riviere

This paper presents a framework for localizing a miniature epicardial crawling robot, HeartLander, on the beating heart using only 6-degree-of-freedom position measurements from an electromagnetic position tracker and a dynamic surface model of the heart. Using only this information, motion and observation models of the system are developed such that a particle filter can accurately estimate not only the location of the robot on the surface of the heart, but also the pose of the heart in the world coordinate frame as well as the current physiological phase of the heart. The presented framework is then demonstrated in simulation on a dynamic 3-D model of the human heart and a robot motion model which accurately mimics the behavior of the HeartLander robot.

本文提出了一种微型心外膜爬行机器人HeartLander的定位框架,该机器人仅使用来自电磁位置跟踪器的6个自由度位置测量和心脏的动态表面模型来定位跳动的心脏。利用这些信息,建立了系统的运动和观察模型,使得粒子滤波器不仅可以准确地估计机器人在心脏表面的位置,还可以准确地估计心脏在世界坐标系中的姿态以及心脏当前的生理阶段。然后在人类心脏的动态三维模型和机器人运动模型上进行了仿真验证,该模型准确地模仿了HeartLander机器人的行为。
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引用次数: 1
Gaze Contingent Cartesian Control of a Robotic Arm for Laparoscopic Surgery. 腹腔镜手术机械臂的注视随机笛卡尔控制。
Kenko Fujii, Antonino Salerno, Kumuthan Sriskandarajah, Ka-Wai Kwok, Kunal Shetty, Guang-Zhong Yang

This paper introduces a gaze contingent controlled robotic arm for laparoscopic surgery, based on gaze gestures. The method offers a natural and seamless communication channel between the surgeon and the robotic laparoscope. It offers several advantages in terms of reducing on-screen clutter and efficiently conveying visual intention. The proposed hands-free system enables the surgeon to be part of the robot control feedback loop, allowing user-friendly camera panning and zooming. The proposed platform avoids the limitations of using dwell-time camera control in previous gaze contingent camera control methods. The system represents a true hands-free setup without the need of obtrusive sensors mounted on the surgeon or the use of a foot pedal. Hidden Markov Models (HMMs) were used for real-time gaze gesture recognition. This method was evaluated with a cohort of 11 subjects by using the proposed system to complete a modified upper gastrointestinal staging laparoscopy and biopsy task on a phantom box trainer, with results demonstrating the potential clinical value of the proposed system.

介绍了一种基于注视手势的腹腔镜手术用注视随机控制机械臂。该方法在外科医生和机器人腹腔镜之间提供了一个自然而无缝的沟通渠道。它在减少屏幕上的杂乱和有效地传达视觉意图方面提供了几个优势。提出的免提系统使外科医生成为机器人控制反馈回路的一部分,允许用户友好的相机平移和缩放。该平台避免了在以往的注视随动相机控制方法中使用驻留时间相机控制的局限性。该系统代表了一个真正的免提设置,不需要在外科医生身上安装突兀的传感器或使用脚踏板。隐马尔可夫模型(hmm)用于实时注视手势识别。通过在幻影盒训练器上使用该系统完成改良的上消化道分期腹腔镜检查和活检任务,对11名受试者的队列方法进行了评估,结果显示了该系统的潜在临床价值。
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引用次数: 32
An Ungrounded Hand-Held Surgical Device Incorporating Active Constraints with Force-Feedback. 一种结合力反馈主动约束的非接地手持式手术装置。
Christopher J Payne, Ka-Wai Kwok, Guang-Zhong Yang

This paper presents an ungrounded, hand-held surgical device that incorporates active constraints and force-feedback. Optical tracking of the device and embedded actuation allow for real-time motion compensation of a surgical tool as an active constraint is encountered. The active constraints can be made soft, so that the surgical tool tip motion is scaled, or rigid, so as to altogether prevent the penetration of the active constraint. Force-feedback is also provided to the operator so as to indicate penetration of the active constraint boundary by the surgical tool. The device has been evaluated in detailed bench tests to quantify its motion scaling and force-feedback capabilities. The combined effects of force-feedback and motion compensation are demonstrated during palpation of an active constraint with rigid and soft boundaries. A user study evaluated the combined effect of motion compensation and force-feedback in preventing penetration of a rigid active constraint. The results have shown the potential of the device operating in an ungrounded setup that incorporates active constraints with force-feedback.

本文介绍了一种不接地的手持式手术装置,该装置结合了主动约束和力反馈。当遇到主动约束时,设备的光学跟踪和嵌入式驱动允许手术工具的实时运动补偿。主动约束可以是软的,这样手术工具尖端的运动就可以缩放,也可以是刚性的,这样就可以完全防止主动约束的渗透。还向操作者提供力反馈,以指示手术工具对活动约束边界的穿透。该装置已经在详细的台架测试中进行了评估,以量化其运动缩放和力反馈能力。在具有刚性和软边界的主动约束的触诊过程中,证明了力反馈和运动补偿的联合效应。一项用户研究评估了运动补偿和力反馈在防止刚性主动约束渗透方面的联合效果。结果表明,该装置在不接地的设置下工作的潜力,该设置结合了主动约束和力反馈。
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引用次数: 0
Generalized Virtual Fixtures for Shared-Control Grasping in Brain-Machine Interfaces. 脑机接口共享控制抓取的广义虚拟夹具。
Samuel T Clanton, Robert G Rasmussen, Zohny Zohny, Meel Velliste
In brain-machine interface (BMI) prosthetic systems, recordings of brain activity are used to control external devices such as computers or robots. BMI systems that have shown the highest fidelity of control use neural signals recorded directly from microelectrodes in the brain to control upper-limb prostheses. These have progressed from allowing control of 2 and 3 dimensional movement of a cursor on a computer screen [1], [2] to control of robot arms in first four [3], [4] and more recently seven degrees-of-freedom (DoF) (Fig. 1) [5], [6]. These types of systems require methods to train users to control large numbers of DoF simultaneously. In this paper we present a new method for shared-control guidance. This method of "Positive-Span" Virtual Fixturing extends the concept of Virtual Fixtures to guide both translational and rotational DoF of a brain-controlled robot hand toward whole sets of robot poses that would allow an object to be grasped. This system was used to successfully train monkeys to operate the 7-DoF BMI [5], leading directly to the simplified system of "ortho-impedance" used to guide human subject BMI control in a similar experiment [6].
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引用次数: 2
Teleoperation System with Hybrid Pneumatic-Piezoelectric Actuation for MRI-Guided Needle Insertion with Haptic Feedback. 基于触觉反馈的核磁共振导针插入气动-压电混合遥控系统。
Weijian Shang, Hao Su, Gang Li, Gregory S Fischer

This paper presents a surgical master-slave tele-operation system for percutaneous interventional procedures under continuous magnetic resonance imaging (MRI) guidance. This system consists of a piezoelectrically actuated slave robot for needle placement with integrated fiber optic force sensor utilizing Fabry-Perot interferometry (FPI) sensing principle. The sensor flexure is optimized and embedded to the slave robot for measuring needle insertion force. A novel, compact opto-mechanical FPI sensor interface is integrated into an MRI robot control system. By leveraging the complementary features of pneumatic and piezoelectric actuation, a pneumatically actuated haptic master robot is also developed to render force associated with needle placement interventions to the clinician. An aluminum load cell is implemented and calibrated to close the impedance control loop of the master robot. A force-position control algorithm is developed to control the hybrid actuated system. Teleoperated needle insertion is demonstrated under live MR imaging, where the slave robot resides in the scanner bore and the user manipulates the master beside the patient outside the bore. Force and position tracking results of the master-slave robot are demonstrated to validate the tracking performance of the integrated system. It has a position tracking error of 0.318mm and sine wave force tracking error of 2.227N.

本文介绍了一种在连续磁共振成像(MRI)引导下进行经皮介入手术的主从远程操作系统。该系统由压电驱动的插针从机器人和集成光纤力传感器组成,采用法布里-珀罗干涉测量(FPI)传感原理。优化传感器挠度并将其嵌入到从机器人中,用于测量针插入力。将一种新型、紧凑的光机械FPI传感器接口集成到MRI机器人控制系统中。通过利用气动和压电驱动的互补特性,气动驱动的触觉主机器人也被开发出来,以向临床医生提供与针头放置干预相关的力。设计并校准了一个铝制称重传感器,以关闭主机器人的阻抗控制回路。提出了一种力-位置控制算法来控制混合驱动系统。在实时磁共振成像下演示了远程操作针头插入,其中从机器人位于扫描仪孔中,用户在孔外操作患者旁边的主机器人。最后给出了主从机器人的力和位置跟踪结果,验证了系统的跟踪性能。其位置跟踪误差为0.318mm,正弦波力跟踪误差为2.227N。
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引用次数: 41
Heart motion measurement with three dimensional sonomicrometry and acceleration sensing. 心脏运动测量与三维声压测量和加速度传感。
Tetsuya Horiuchi, E Erdem Tuna, Ken Masamune, M Cenk Cavuşoğlu

In robotic assisted beating heart surgery, the goal is to develop a robotic system that can actively cancel heart motion by closely following a point of interest (POI) on the heart surface, a process called Active Relative Motion Canceling (ARMC). In order to track and cancel POI motion precisely, control algorithms require good quality heart motion data. In this paper, a novel method is described which uses a particle filter to estimate the three-dimensional location of POI on heart surface by using measurements obtained from sonomicrometry along with an accelerometer. The new method employs a differential probability approach to increase the accuracy of the particle filter. The performance of the proposed method is evaluated by simulations.

在机器人辅助心脏手术中,目标是开发一种机器人系统,可以通过密切关注心脏表面的兴趣点(POI)来主动取消心脏运动,这一过程称为主动相对运动取消(ARMC)。为了精确地跟踪和取消POI运动,控制算法需要高质量的心脏运动数据。本文描述了一种利用粒子滤波方法,利用声压测量和加速度计测量得到的数据来估计心脏表面POI的三维位置的新方法。该方法采用微分概率方法来提高粒子滤波的精度。通过仿真验证了该方法的性能。
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引用次数: 12
Evaluation of a Micro-Force Sensing Handheld Robot for Vitreoretinal Surgery. 用于玻璃体视网膜手术的微力传感手持机器人的评估。
Berk Gonenc, Marcin A Balicki, James Handa, Peter Gehlbach, Cameron N Riviere, Russell H Taylor, Iulian Iordachita

Highly accurate positioning is fundamental to the performance of vitreoretinal microsurgery. Of vitreoretinal procedures, membrane peeling is among the most prone to complications since extremely delicate manipulation of retinal tissue is required. Associated tool-to-tissue interaction forces are usually below the threshold of human perception, and the surgical tools are moved very slowly, within the 0.1-0.5 mm/s range. During the procedure, unintentional tool motion and excessive forces can easily give rise to vision loss or irreversible damage to the retina. A successful surgery includes two key features: controlled tremor-free tool motion and control of applied force. In this study, we present the potential benefits of a micro-force sensing robot in vitreoretinal surgery. Our main contribution is implementing fiber Bragg grating based force sensing in an active tremor canceling handheld micromanipulator, known as Micron, to measure tool-to-tissue interaction forces in real time. Implemented auditory sensory substitution assists in reducing and limiting forces. In order to test the functionality and performance, the force sensing Micron was evaluated in peeling experiments with adhesive bandages and with the inner shell membrane from chicken eggs. Our findings show that the combination of active tremor canceling together with auditory sensory substitution is the most promising aid that keeps peeling forces below 7 mN with a significant reduction in 2-20 Hz oscillations.

高度精确的定位是玻璃体视网膜显微手术的基础。在玻璃体视网膜手术中,由于需要对视网膜组织进行极其精细的操作,膜剥离是最容易发生并发症的手术之一。相关的工具-组织相互作用力通常低于人类感知的阈值,并且手术工具的移动非常缓慢,在0.1-0.5 mm/s的范围内。在手术过程中,无意识的工具运动和过度的力量很容易导致视力下降或对视网膜造成不可逆转的损伤。成功的手术包括两个关键特征:控制无震动的工具运动和控制施加的力。在这项研究中,我们介绍了微力传感机器人在玻璃体视网膜手术中的潜在好处。我们的主要贡献是实现基于光纤布拉格光栅的力传感在一个主动消除震颤的手持式微机械臂,被称为微米,实时测量工具到组织的相互作用力。实施的听觉感官替代有助于减少和限制力量。为了测试Micron力感传感器的功能和性能,我们对Micron力感传感器进行了胶带剥离实验和鸡蛋内壳膜剥离实验。我们的研究结果表明,主动震颤消除与听觉感觉替代相结合是最有希望的辅助手段,可以将剥离力保持在7 mN以下,并显着减少2-20 Hz振荡。
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引用次数: 45
A Hand-held Instrument for in vivo Probe-based Confocal Laser Endomicroscopy during Minimally Invasive Surgery. 微创手术中用于体内探针共聚焦激光内镜的手持式仪器。
Win Tun Latt, Tou Pin Chang, Aimee Di Marco, Philip Pratt, Ka-Wai Kwok, James Clark, Guang-Zhong Yang

Probe-based confocal laser endomicroscopy (pCLE) provides high resolution imaging of tissue in vivo. Maintaining a steady contact between target tissue and pCLE probe tip is important for image consistency. In this paper, a new prototype hand-held instrument for in vivo pCLE during Minimally Invasive Surgery (MIS) is presented. The proposed instrument incorporates adaptive force sensing and actuation, allowing improved image consistency and force control, thus minimizing tissue deformation and induced micro-structural variations. The performance and accuracy of the contact force control are evaluated in detailed laboratory settings and in vivo validation of the device during transanal microsurgery in a live porcine model further demonstrates the potential clinical value of the device.

基于探针的共聚焦激光内镜(pCLE)提供了体内组织的高分辨率成像。保持目标组织和pCLE探针尖端之间的稳定接触对于图像一致性非常重要。本文介绍了一种用于微创手术(MIS)中体内pCLE的新型手持式仪器样机。该仪器结合了自适应力传感和驱动,提高了图像一致性和力控制,从而最大限度地减少了组织变形和引起的微观结构变化。在详细的实验室环境中评估了接触力控制的性能和准确性,并在活体猪模型经肛门显微手术期间对该装置进行了体内验证,进一步证明了该装置的潜在临床价值。
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引用次数: 15
期刊
Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems
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