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用于机器人微创手术中自动缝合任务的最佳持针选择

Optimal Needle Grasp Selection for Automatic Execution of Suturing Tasks in Robotic Minimally Invasive Surgery.

作者信息

Liu Taoming, Çavuşoğlu M Cenk

机构信息

Department of Electrical Engineering and Computer Science (EECS), Case Western Reserve University, Cleveland, OH, 44106 USA.

出版信息

IEEE Int Conf Robot Autom. 2015 May;2015:2894-2900. doi: 10.1109/ICRA.2015.7139594.

DOI:10.1109/ICRA.2015.7139594
PMID:26413382
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4578316/
Abstract

This paper presents algorithms for optimal selection of needle grasp, for autonomous robotic execution of the minimally invasive surgical suturing task. In order to minimize the tissue trauma during the suturing motion, the best practices of needle path planning that are used by surgeons are applied for autonomous robotic surgical suturing tasks. Once an optimal needle trajectory in a well-defined suturing scenario is chosen, another critical issue for suturing is the choice of needle grasp for the robotic system. Inappropriate needle grasp increases operating time requiring multiple re-grasps to complete the desired task. The proposed methods use manipulability, dexterity and torque metrics for needle grasp selection. A simulation demonstrates the proposed methods and recommends a variety of grasps. Then a realistic demonstration compares the performances of the manipulator using different grasps.

摘要

本文提出了用于最佳选择持针方式的算法,以实现微创手术缝合任务的自主机器人执行。为了在缝合动作过程中使组织创伤最小化,外科医生所采用的最佳针路径规划方法被应用于自主机器人手术缝合任务。一旦在明确的缝合场景中选择了最佳针轨迹,缝合的另一个关键问题就是机器人系统的持针选择。不合适的持针方式会增加操作时间,需要多次重新持针才能完成所需任务。所提出的方法使用可操作性、灵巧性和扭矩指标来选择持针方式。一项模拟演示了所提出的方法并推荐了多种持针方式。然后一个实际演示比较了使用不同持针方式的操纵器的性能。

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本文引用的文献

1
Needle Path Planning for Autonomous Robotic Surgical Suturing.自主机器人手术缝合的针路径规划
IEEE Int Conf Robot Autom. 2013 Dec 31;2013:1669-1675. doi: 10.1109/ICRA.2013.6630794.
2
Modeling of Needle-Tissue Interaction Forces During Surgical Suturing.手术缝合过程中针-组织相互作用力的建模
IEEE Int Conf Robot Autom. 2012 Dec 31;2012:4675-4680. doi: 10.1109/ICRA.2012.6224756.
3
Estimation of Soft Tissue Mechanical Parameters from Robotic Manipulation Data.从机器人操作数据估计软组织力学参数。
IEEE ASME Trans Mechatron. 2013 Oct 1;18(5):1602-1611. doi: 10.1109/TMECH.2012.2209673.
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Selective automation and skill transfer in medical robotics: a demonstration on surgical knot-tying.医疗机器人的选择性自动化和技能转移:在外科打结中的演示。
Int J Med Robot. 2012 Dec;8(4):384-97. doi: 10.1002/rcs.1419. Epub 2012 May 18.
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Int J Med Robot. 2011 Dec;7(4):375-92. doi: 10.1002/rcs.408. Epub 2011 Aug 3.
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Presence (Camb). 2008 Oct 1;17(5):463. doi: 10.1162/pres.17.5.463.
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Minimally invasive abdominal surgery: lux et veritas past, present, and future.微创腹部手术:光明与真理的过去、现在与未来。
Am J Surg. 2005 Aug;190(2):239-43. doi: 10.1016/j.amjsurg.2005.05.019.
8
Minimally invasive (laparoscopic) surgery.微创(腹腔镜)手术。
Surg Endosc. 2002 Dec;16(12):1647-52. doi: 10.1007/s00464-001-8275-7. Epub 2002 Jul 8.
9
Measuring in vivo animal soft tissue properties for haptic modeling in surgical simulation.测量用于手术模拟中触觉建模的活体动物软组织特性。
Stud Health Technol Inform. 2001;81:69-74.