Pittiglio Giovanni, Leuenberger Fabio, Mencattelli Margherita, McCandless Max, O'Leary Edward, Dupont Pierre E
Department of Cardiovascular Surgery, Boston Children's Hospital, Harvard Medical School. He is now with Department of Robotics Engineering, Worcester Polytechnic Institute (WPI), Worcester, MA 01609, USA.
Department of Cardiovascular Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
IEEE Trans Med Robot Bionics. 2024 Nov;6(4):1322-1333. doi: 10.1109/tmrb.2024.3465828. Epub 2024 Sep 23.
This paper introduces a novel magnetic navigation system for cardiac ablation. The system is formed from two key elements: a magnetic ablation catheter consisting of a chain of spherical permanent magnets; and an actuation system comprised of two cart-mounted permanent magnets undergoing pure rotation. The catheter design enables a large magnetic content with the goal of minimizing the footprint of the actuation system for easier integration with the clinical workflow. We present a quasi-static model of the catheter, the design of the actuation units, and their control modalities. Experimental validation shows that we can use small rotating magnets (119mm diameter) to reach cardiac ablation targets while generating clinically-relevant forces. Catheter control using a joystick is compared with manual catheter control. While total task completion time is similar, smoother navigation is observed using the proposed robotic system. We also demonstrate that the ball chain can ablate heart tissue and generate lesions comparable to the current clinical ablation catheters.
本文介绍了一种用于心脏消融的新型磁导航系统。该系统由两个关键元件组成:一个由球形永久磁铁链构成的磁消融导管;以及一个由两个在推车式永久磁铁上进行纯旋转的驱动系统。导管设计允许有大量磁性成分,目的是使驱动系统的占地面积最小化,以便更轻松地与临床工作流程集成。我们提出了导管的准静态模型、驱动单元的设计及其控制方式。实验验证表明,我们可以使用小的旋转磁铁(直径119毫米)来到达心脏消融靶点,同时产生临床相关的力。将使用操纵杆进行导管控制与手动导管控制进行了比较。虽然总任务完成时间相似,但使用所提出的机器人系统观察到导航更平稳。我们还证明了球链可以消融心脏组织并产生与当前临床消融导管相当的损伤。