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MINARO HD:一种手持、高动态手术机器人的控制与评估。

MINARO HD: control and evaluation of a handheld, highly dynamic surgical robot.

机构信息

Chair of Medical Engineering, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, Pauwelsstraße 20, 52074, Aachen, Germany.

出版信息

Int J Comput Assist Radiol Surg. 2021 Mar;16(3):467-474. doi: 10.1007/s11548-020-02306-9. Epub 2021 Jan 23.


DOI:10.1007/s11548-020-02306-9
PMID:33484430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7946686/
Abstract

PURPOSE: Current surgical robotic systems are either large serial arms, resulting in higher risks due to their high inertia and no inherent limitations of the working space, or they are bone-mounted, adding substantial additional task steps to the surgical workflow. The robot presented in this paper has a handy and lightweight design and can be easily held by the surgeon. No rigid fixation to the bone or a cart is necessary. A high-speed tracking camera together with a fast control system ensures the accurate positioning of a burring tool. METHODS: The capabilities of the robotic system to dynamically compensate for unintended motion, either of the robot itself or the patient, was evaluated. Therefore, the step response was analyzed as well as the capability to follow a moving target. RESULTS: The step response show that the robot can compensate for undesired motions up to 12 Hz in any direction. While following a moving target, a maximum positioning error of 0.5 mm can be obtained with a target motion of up to 18 mm/s. CONCLUSION: The requirements regarding dynamic motion compensation, accuracy, and machining speed of unicompartmental knee arthroplasties, for which the robot was optimized, are achieved with the presented robotic system. In particular, the step response results show that the robot is able to compensate for human tremor.

摘要

目的:目前的手术机器人系统要么是大型串联机械臂,由于其高惯量和工作空间没有固有限制,存在更高的风险,要么是骨固定式的,在手术流程中增加了大量额外的任务步骤。本文介绍的机器人具有轻便的设计,便于外科医生握持。无需对骨骼或台车进行刚性固定。高速跟踪摄像机和快速控制系统确保了磨钻工具的精确定位。

方法:评估了机器人系统动态补偿机器人本身或患者的意外运动的能力。因此,分析了阶跃响应以及跟随移动目标的能力。

结果:阶跃响应表明,机器人可以在任何方向上补偿高达 12 Hz 的不期望运动。在跟踪移动目标时,在目标运动速度高达 18 mm/s 的情况下,可获得最大定位误差 0.5mm。

结论:优化后的机器人系统达到了单髁膝关节置换术对动态运动补偿、精度和加工速度的要求。特别是,阶跃响应结果表明机器人能够补偿人体震颤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/9a3180b05e63/11548_2020_2306_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/a6e698c60f05/11548_2020_2306_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/6a3c0fb5f397/11548_2020_2306_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/9a3180b05e63/11548_2020_2306_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/a6e698c60f05/11548_2020_2306_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/6a3c0fb5f397/11548_2020_2306_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022a/7946686/9a3180b05e63/11548_2020_2306_Fig5_HTML.jpg

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[1]
MINARO HD: control and evaluation of a handheld, highly dynamic surgical robot.

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[4]
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[5]
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[7]
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引用本文的文献

[1]
Accuracy of on-site teleoperated milling with haptic assistance.

Int J Comput Assist Radiol Surg. 2023-11

本文引用的文献

[1]
Comparison of robotic-assisted versus conventional unicompartmental knee arthroplasty for the treatment of single compartment knee osteoarthritis: A meta-analysis.

Int J Med Robot. 2021-2

[2]
A systematic review of MAKO-assisted unicompartmental knee arthroplasty.

Int J Med Robot. 2020-10

[3]
Image-Guided Navigation and Robotics in Spine Surgery.

Neurosurgery. 2019-6-1

[4]
Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty.

Knee Surg Sports Traumatol Arthrosc. 2018-7-31

[5]
Technique: open lumbar decompression and fusion with the Excelsius GPS robot.

Neurosurg Focus. 2018-7

[6]
A prospective, randomized, controlled trial of robot-assisted vs freehand pedicle screw fixation in spine surgery.

Int J Med Robot. 2017-9

[7]
Improved Accuracy of Component Positioning with Robotic-Assisted Unicompartmental Knee Arthroplasty: Data from a Prospective, Randomized Controlled Study.

J Bone Joint Surg Am. 2016-4-20

[8]
Robot-assisted primary cementless total hip arthroplasty with a short femoral stem: a prospective randomized short-term outcome study.

Comput Aided Surg. 2015

[9]
Micron: an Actively Stabilized Handheld Tool for Microsurgery.

IEEE Trans Robot. 2012-2-1

[10]
Trackerless ultrasound-integrated bone cement detection using a modular minirobot in revision total hip replacement.

Proc Inst Mech Eng H. 2010

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