Smoljkic Gabrijel, Borghesan Gianni, Devreker Alain, Poorten Emmanuel Vander, Rosa Benoit, De Praetere Herbert, De Schutter Joris, Reynaerts Dominiek, Sloten Jos Vander
Department of Mechanical Engineering, KU Leuven, Celestijnenlaan 300C, 3001, Leuven, Belgium.
Cardiac surgery, UZ Leuven, Herestraat 49, 3000, Leuven, Belgium.
Int J Comput Assist Radiol Surg. 2016 Jul;11(7):1371-83. doi: 10.1007/s11548-015-1333-8. Epub 2015 Dec 11.
Minimally invasive surgery is becoming the standard treatment of care for a variety of procedures. Surgeons need to display a high level of proficiency to overcome the challenges imposed by the minimal access. Especially when operating on a dynamic organ, it becomes very difficult to align instruments reliably and precisely. In this paper, a hybrid rigid/continuum robotic system and a dedicated robotic control approach are proposed to assist the surgeon performing complex surgical gestures in a dynamic environment.
The proposed robotic system consists of a rigid robot arm on top of which a continuum robot is mounted in series. The continuum robot is locally actuated with McKibben muscles. A control scheme based on quadratic programming framework is adopted. It is shown that the framework allows enforcing a set of constraints on the pose of the tip, as well as of the instrument shaft, which is commanded to slide in and out through the entry point.
Through simulation and experiments, it is shown how the robot tool tip is able to follow sinusoidal trajectories of 0.37 and 2 Hz, while maintaining the instrument shaft pivoting along the entry point. The positioning and tracking accuracy of such system are shown to lie below 4.7 mm in position and [Formula: see text] in angle.
The results suggest a good potential for applying the proposed technology to assist the surgeon during complex robot-assisted interventions. It is also illustrated that even when using flexible hence relatively safe end-effectors, it is possible to reach acceptable tracking behaviour at relatively high frequencies.
微创手术正成为各种手术的标准治疗方式。外科医生需要展现出高水平的熟练程度,以克服微创带来的挑战。特别是在对动态器官进行手术时,可靠且精确地对齐器械变得非常困难。本文提出了一种刚性/连续体混合机器人系统及一种专用的机器人控制方法,以协助外科医生在动态环境中执行复杂的手术动作。
所提出的机器人系统由一个刚性机器人手臂组成,在其顶部串联安装了一个连续体机器人。连续体机器人由麦基布恩肌肉进行局部驱动。采用了基于二次规划框架的控制方案。结果表明,该框架允许对尖端以及器械轴的姿态施加一组约束,器械轴被要求通过入口点滑入和滑出。
通过仿真和实验,展示了机器人工具尖端如何能够跟随0.37和2赫兹的正弦轨迹,同时保持器械轴围绕入口点枢转。该系统的定位和跟踪精度在位置上显示低于4.7毫米,在角度上显示为[公式:见原文]。
结果表明,将所提出的技术应用于在复杂的机器人辅助干预中协助外科医生具有很大潜力。还表明,即使使用柔性因而相对安全的末端执行器,在相对较高频率下也有可能实现可接受的跟踪行为。