蚊子鼻式插管对手术主动针转向控制的改进

Sharada Acharya, Doyoung Kim, P. Hutapea
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引用次数: 0

摘要

在经皮手术中,主动针比被动针获得更显著的针尖偏转和更高的准确性。然而,它们穿越组织到达目标的能力取决于驱动机制、尖端形状和轴的表面几何形状。在这项研究中,我们研究了在a)针尖偏转和b)组织插入过程中轨迹跟踪中改变活动针轴表面几何形状的好处。被动针表面几何形状的改变已被证明可以减少摩擦力、组织位移和组织损伤。这项研究结合了在活性针头中使用蚊子喙设计修改常规光滑套管的效果。在插入过程中,测量了插入力、尖端偏转和轨迹跟踪控制的变化。结果表明,被动斜尖针的插入力降低了10.67%。在活性针中,改良后的导管在150mm处的尖端偏转增加了12.91%。仿生套管将主动针的轨迹跟踪误差提高了39.00%,同时控制占空比降低了17.65%。改善针尖偏转和跟踪控制将导致更好的患者预后,并减少经皮手术并发症的风险。
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Steering Control Improvement of Active Surgical Needle using Mosquito Proboscis-Inspired Cannula
Active needles obtain more significant tip deflection and improved accuracy over passive needles for percutaneous procedures. However, their ability to navigate through tissues to reach targets depends upon the actuation mechanism, the tip shape, and the surface geometry of the shaft. In this study, we investigate the benefits of changing the surface geometry of the active needle shaft in a) needle tip deflection and b) trajectory tracking during tissue insertion. The modifications in passive needle surface geometry have been proven to reduce friction force, tissue displacement, and tissue damage. This study incorporates the effect of modifying the regular smooth cannula with a mosquito proboscis-inspired design in the active needles. The changes in insertion force, tip deflection, and trajectory tracking control during insertion into a prostate-mimicking phantom are measured. Results show that insertion force is reduced by up to 10.67% in passive bevel-tip needles. In active needles, tip deflection increased by 12.91% at 150mm when the cannula is modified. The bioinspired cannula improved trajectory tracking error in the active needle by 39.00% while utilizing up to 17.65% lower control duty cycle. Improving tip deflection and tracking control would lead to better patient outcomes and reduced risk of complications during percutaneous procedures.
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