Ma Justin H, Sefati Shahriar, Taylor Russell H, Armand Mehran
Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, MD, USA.
Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA.
IEEE Robot Autom Lett. 2021 Apr;6(2):1622-1629. doi: 10.1109/lra.2021.3059634. Epub 2021 Feb 16.
This paper presents the development and experimental evaluation of an active steering hand-held robotic system for milling and curved drilling in minimally invasive orthopaedic interventions. The system comprises a cable-driven continuum dexterous manipulator (CDM), an actuation unit with a handpiece, and a flexible, rotary cutting tool. Compared to conventional rigid drills, the proposed system enhances dexterity and reach in confined spaces in surgery, while providing direct control to the surgeon with sufficient stability while cutting/milling hard tissue. Of note, for cases that require precise motion, the system is able to be mounted on a positioning robot for additional controllability. A proportional-derivative (PD) controller for regulating drive cable tension is proposed for the stable steering of the CDM during cutting operations. The robotic system is characterized and tested with various tool rotational speeds and cable tensions, demonstrating successful cutting of three-dimensional and curvilinear tool paths in simulated cancellous bone and bone phantom. Material removal rates (MRRs) of up to 571 mm/s are achieved for stable cutting, demonstrating great improvement over previous related works.
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