Institute of Forming Technology and Equipment, Shanghai Jiao Tong University, Shanghai, China.
Department of Machine Design, KTH, Stockholm, Sweden.
Proc Inst Mech Eng H. 2021 May;235(5):583-596. doi: 10.1177/0954411921997568. Epub 2021 Mar 1.
The complex anatomical structure, limited field of vision, and easily damaged nerves, blood vessels, and other anatomical structures are the main challenges of a cranio-maxillofacial (CMF) plastic surgical robot. Bearing these characteristics and challenges in mind, this paper presents the design of a master-slave surgical robot system with a force feedback function to improve the accuracy and safety of CMF surgery.
A master-slave CMF surgical robot system based on force feedback is built with the master tactile robot and compact slave robot developed in the laboratory. Model-based master robot gravity compensation and force feedback mechanism is used for the surgical robot. Control strategies based on position increment control and ratio control are adopted. Aiming at the typical mandibular osteotomy in CMF surgery, a scheme suitable for robot-assisted mandibular osteotomy is proposed. The accuracy and force feedback function of the robot system under direct control and master-slave motion modes are verified by experiments.
The drilling experiment of the mandible model in direct control mode shows that the average entrance point error is 1.37 ± 0.30 mm, the average exit point error is 1.30 ± 0.25 mm, and the average posture error is 2.27° ± 0.69°. The trajectory tracking and in vitro experiment in the master-slave motion mode show that the average position following error is 0.68 mm, and the maximum force following error is 0.586 N, achieving a good tracking and force feedback function.
The experimental results show that the designed master-slave CMF robot can assist the surgeon in completing accurate mandibular osteotomy surgery. Through force feedback mechanism, it can improve the interaction between the surgeon and the robot, and complete tactile trajectory movements.
颅颌面(CMF)整形外科机器人面临的主要挑战是复杂的解剖结构、有限的视野以及易受损的神经、血管和其他解剖结构。考虑到这些特点和挑战,本文提出了一种具有力反馈功能的主从式外科机器人系统设计,以提高 CMF 手术的准确性和安全性。
基于力反馈的主从式 CMF 外科机器人系统是利用实验室自主研发的主手机器人和紧凑型从手机器人搭建而成。针对手术机器人,设计了基于模型的主手机器人重力补偿和力反馈机构,采用基于位置增量控制和比例控制的控制策略。针对 CMF 手术中的典型下颌骨截骨术,提出了一种适用于机器人辅助下颌骨截骨的方案。通过实验验证了机器人系统在直接控制和主从运动模式下的精度和力反馈功能。
在直接控制模式下对下颌骨模型进行钻孔实验,入口点平均误差为 1.37±0.30mm,出口点平均误差为 1.30±0.25mm,平均姿态误差为 2.27°±0.69°。在主从运动模式下的轨迹跟踪和体外实验中,平均位置跟踪误差为 0.68mm,最大力跟踪误差为 0.586N,实现了良好的跟踪和力反馈功能。
实验结果表明,设计的主从式 CMF 机器人可以辅助外科医生完成精确的下颌骨截骨手术。通过力反馈机制,可以提高外科医生与机器人之间的交互性,完成触觉轨迹运动。