Bao Xianqiang, Guo Shuxiang, Xiao Nan, Li Youxiang, Yang Cheng, Jiang Yuhua
Key Laboratory of Convergence Medical Engineering System and Healthcare Technology, Ministry of Industry and Information Technology, Beijing Institute of Technology, Beijing, 100081, China.
Intelligent Mechanical Systems Engineering Department, Kagawa University, Takamatsu, 761-0396, Japan.
Biomed Microdevices. 2018 Feb 19;20(1):20. doi: 10.1007/s10544-018-0261-0.
Remote-controlled vascular interventional robots (RVIRs) are being developed to increase the overall accuracy of surgical operations and reduce the occupational risks of intervening physicians, such as radiation exposure and chronic neck/back pain. Several RVIRs have been used to operate catheters or guidewires accurately. However, a lack of cooperation between the catheters and guidewires results in the surgeon being unable to complete complex surgery by propelling the catheter/guidewire to the target position. Furthermore, it is a significant challenge to operate the catheter/guidewire accurately and detect their proximal force without damaging their surfaces. In this study, we introduce a novel method that allows catheters and guidewires to be operated simultaneously in complex surgery. Our method accurately captures force measurements and enables precisely controlled catheter and guidewire operation. A prototype is validated through various experiments. The results demonstrate the feasibility of the proposed RVIR to operate a catheter and guidewire accurately, detect the resistance forces, and complete complex surgical operations in a cooperative manner.
远程控制血管介入机器人(RVIRs)正在研发中,以提高外科手术的整体准确性,并降低介入医生的职业风险,如辐射暴露和慢性颈部/背部疼痛。已有几款RVIRs被用于精确操作导管或导丝。然而,导管和导丝之间缺乏协同会导致外科医生无法通过将导管/导丝推进到目标位置来完成复杂手术。此外,在不损坏导管/导丝表面的情况下精确操作导管/导丝并检测其近端力是一项重大挑战。在本研究中,我们介绍了一种新颖的方法,该方法可使导管和导丝在复杂手术中同时操作。我们的方法能准确获取力的测量值,并实现对导管和导丝的精确控制操作。通过各种实验对一个原型进行了验证。结果证明了所提出的RVIR精确操作导管和导丝、检测阻力并以协同方式完成复杂外科手术的可行性。