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迈向机器人辅助玻璃体视网膜手术:集成手持式微操纵器的力传感微型镊子

Towards Robot-Assisted Vitreoretinal Surgery: Force-Sensing Micro-Forceps Integrated with a Handheld Micromanipulator.

作者信息

Gonenc Berk, Feldman Ellen, Gehlbach Peter, Handa James, Taylor Russell H, Iordachita Iulian

机构信息

CISST ERC at Johns Hopkins University, Baltimore, MD 21218 USA.

Viterbi School of Engineering at the University of Southern California, Los Angeles CA, 90089, USA.

出版信息

IEEE Int Conf Robot Autom. 2014 May;2014:1399-1404. doi: 10.1109/ICRA.2014.6907035.

Abstract

In vitreoretinal practice, controlled tremor-free motion and limitation of applied forces to the retina are two highly desired features. This study addresses both requirements with a new integrated system: a force-sensing motorized micro-forceps combined with an active tremor-canceling handheld micromanipulator, known as Micron. The micro-forceps is a 20 Ga instrument that is mechanically decoupled from its handle and senses the transverse forces at its tip with an accuracy of 0.3 mN. Membrane peeling trials on a bandage phantom revealed a 60-95% reduction in the 2-20 Hz band in both the tip force and position spectra, while peeling forces remained below the set safety threshold.

摘要

在玻璃体视网膜手术中,无震颤的可控运动以及对视网膜施加力的限制是两个非常理想的特性。本研究通过一种新的集成系统满足了这两个要求:一种力传感电动微型镊子与一种主动消除震颤的手持式显微操作器相结合,称为Micron。微型镊子是一种20号器械,其与手柄机械解耦,并以0.3 mN的精度感测其尖端的横向力。在绷带模型上进行的膜剥离试验表明,在2 - 20 Hz频段内,尖端力和位置频谱均降低了60 - 95%,同时剥离力仍低于设定的安全阈值。

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本文引用的文献

1
A Comparative Study for Robot Assisted Vitreoretinal Surgery: Micron vs. the Steady-Hand Robot.
IEEE Int Conf Robot Autom. 2013:4832-4837. doi: 10.1109/ICRA.2013.6631266.
2
Design of 3-DOF force sensing micro-forceps for robot assisted vitreoretinal surgery.
Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:5686-9. doi: 10.1109/EMBC.2013.6610841.
3
Evaluation of a Micro-Force Sensing Handheld Robot for Vitreoretinal Surgery.
Rep U S. 2012 Dec 20;2012:4125-4130. doi: 10.1109/IROS.2012.6385715.
4
Force sensing micro-forceps for robot assisted retinal surgery.
Annu Int Conf IEEE Eng Med Biol Soc. 2012;2012:1401-4. doi: 10.1109/EMBC.2012.6346201.
5
Micron: an Actively Stabilized Handheld Tool for Microsurgery.
IEEE Trans Robot. 2012 Feb 1;28(1):195-212. doi: 10.1109/TRO.2011.2169634. Epub 2011 Nov 18.
6
New Steady-Hand Eye Robot with Micro-Force Sensing for Vitreoretinal Surgery.
Proc IEEE RAS EMBS Int Conf Biomed Robot Biomechatron. 2010 Sep 1;2010(26-29):814-819. doi: 10.1109/BIOROB.2010.5625991.
7
Micro-force sensing in robot assisted membrane peeling for vitreoretinal surgery.
Med Image Comput Comput Assist Interv. 2010;13(Pt 3):303-10. doi: 10.1007/978-3-642-15711-0_38.
8
A sub-millimetric, 0.25 mN resolution fully integrated fiber-optic force-sensing tool for retinal microsurgery.
Int J Comput Assist Radiol Surg. 2009 Jun;4(4):383-90. doi: 10.1007/s11548-009-0301-6. Epub 2009 Apr 15.
9
Robot-assisted vitreoretinal surgery: development of a prototype and feasibility studies in an animal model.
Ophthalmology. 2009 Aug;116(8):1538-43, 1543.e1-2. doi: 10.1016/j.ophtha.2009.03.001. Epub 2009 Jul 9.

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