Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, 200011, China.
Hamlyn Centre for Robotic Surgery, Institute of Global Health Innovation, Imperial College London, London, UK.
Int J Comput Assist Radiol Surg. 2024 Sep;19(9):1797-1808. doi: 10.1007/s11548-024-03161-8. Epub 2024 Jun 1.
Surgical robots effectively improve the accuracy and safety of surgical procedures. Current optical-navigated oral surgical robots are typically developed based on binocular vision positioning systems, which are susceptible to factors including obscured visibility, limited workplace, and ambient light interference. Hence, the purpose of this study was to develop a lightweight robotic platform based on monocular vision for oral surgery that enhances the precision and efficiency of surgical procedures.
A monocular optical positioning system (MOPS) was applied to oral surgical robots, and a semi-autonomous robotic platform was developed utilizing monocular vision. A series of vitro experiments were designed to simulate dental implant procedures to evaluate the performance of optical positioning systems and assess the robotic system accuracy. The singular configuration detection and avoidance test, the collision detection and processing test, and the drilling test under slight movement were conducted to validate the safety of the robotic system.
The position error and rotation error of MOPS were 0.0906 ± 0.0762 mm and 0.0158 ± 0.0069 degrees, respectively. The attitude angle of robotic arms calculated by the forward and inverse solutions was accurate. Additionally, the robot's surgical calibration point exhibited an average error of 0.42 mm, with a maximum error of 0.57 mm. Meanwhile, the robot system was capable of effectively avoiding singularities and demonstrating robust safety measures in the presence of minor patient movements and collisions during vitro experiment procedures.
The results of this in vitro study demonstrate that the accuracy of MOPS meets clinical requirements, making it a promising alternative in the field of oral surgical robots. Further studies will be planned to make the monocular vision oral robot suitable for clinical application.
手术机器人可有效提高手术过程的准确性和安全性。目前基于双目视觉定位系统的光学导航口腔手术机器人,易受遮挡物、有限工作空间和环境光干扰等因素影响。因此,本研究旨在开发一种基于单目视觉的口腔手术轻量级机器人平台,以提高手术过程的精度和效率。
将单目光学定位系统(MOPS)应用于口腔手术机器人,利用单目视觉开发半自主机器人平台。设计了一系列体外实验来模拟牙种植手术,以评估光学定位系统的性能并评估机器人系统的准确性。进行奇异配置检测和规避测试、碰撞检测和处理测试以及轻微运动下的钻孔测试,以验证机器人系统的安全性。
MOPS 的位置误差和旋转误差分别为 0.0906 ± 0.0762 mm 和 0.0158 ± 0.0069 度。正向和逆解计算的机械臂姿态角是准确的。此外,机器人的手术校准点的平均误差为 0.42mm,最大误差为 0.57mm。同时,机器人系统能够有效地避免奇异点,并在体外实验过程中患者轻微运动和碰撞的情况下表现出稳健的安全措施。
本体外研究的结果表明,MOPS 的精度符合临床要求,有望成为口腔手术机器人领域的一种有前途的替代方案。计划进一步研究使单目视觉口腔机器人适合临床应用。