可编程斜尖针的循环运动控制以减少组织变形

E. Matheson, R. Secoli, Christopher Burrows, A. Leibinger, F. Baena
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引用次数: 5

摘要

机器人辅助导向针旨在精确控制柔性针尖的偏转,实现精确的路径跟踪。在这样做的过程中,他们可以减少对患者的创伤,避免敏感区域,同时提高放置精度。与直针相比,这种类型的针具有更复杂的运动学,可以通过仔细的控制器设计和调谐来产生特定的运动轮廓。运动轮廓可以优化以最小化某些条件,如最大组织变形和目标迁移,这是本工作中提出的可编程斜尖针(PBN)的形式化循环低级控制器的目标。pbn由许多相互连接的片段组成,这些片段能够相对滑动。产生一个可控的,理想的尖端几何偏移导致相应的期望的PBN曲率,因此期望的系统路径轨迹。在这里,我们提出了一种循环驱动策略,其中尖端配置是通过一些反向运动周期来实现的,我们假设这将减少插入过程中的组织变形。为了比较循环控制器与之前使用的直推控制器在瞄准精度和组织变形方面的性能,我们进行了一系列的体外平面插针实验。研究发现,使用循环控制器时,两种控制器的目标跟踪性能没有显著差异,但轴向组织变形明显减小。
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Cyclic Motion Control for Programmable Bevel-Tip Needles to Reduce Tissue Deformation
Robotic-assisted steered needles aim to accurately control the deflection of the flexible needle’s tip to achieve accurate path following. In doing so, they can decrease trauma to the patient, by avoiding sensitive regions while increasing placement accuracy. This class of needle presents more complicated kinematics compared to straight needles, which can be exploited to produce specific motion profiles via careful controller design and tuning. Motion profiles can be optimized to minimize certain conditions such as maximum tissue deformation and target migration, which was the goal of the formalized cyclic, low-level controller for a Programmable Bevel-tip Needle (PBN) presented in this work. PBNs are composed of a number of interlocked segments that are able to slide with respect to one another. Producing a controlled, desired offset of the tip geometry leads to the corresponding desired curvature of the PBN, and hence desired path trajectory of the system. Here, we propose a cyclical actuation strategy, where the tip configuration is achieved over a number of reciprocal motion cycles, which we hypothesize will reduce tissue deformation during the insertion process. A series of in vitro, planar needle insertion experiments are performed in order to compare the cyclic controller performance with the previously used direct push controller, in terms of targeting accuracy and tissue deformation. It is found that there is no significant difference between the target tracking performance of the controllers, but a significant decrease in axial tissue deformation when using the cyclic controller.
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