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In open abdominal surgical procedures, many surgical instruments, e.g., knives, cutting shears and clamps, are generally used. Therefore, a haptic interface should display reaction force of a soft biological tissue through such a surgical instrument. Simplest solution for this difficulty is that an actual instrument is mechanically mounted on the traditional haptic interface driven by servomotors...
This paper presents a new hand-held device capable of amplifying delicate micromanipulation forces during minimal invasive surgical tasks. It relays force sensing to the user through a simple sliding feature that is coupled to the surgical tool, which translates relative to the casing of the device held by the operator. This forgoes the need of grounding frames or anchoring mechanisms to the body,...
Current trends in robotic cardiac surgery presage for allowing physiological motion compensation in beating-heart surgery. However, interacting with fast moving soft organs by means of stiff instruments/robots is challenging. This paper concerns comanipulation with a hand-held instrument, the goal being to allow the surgeon to perform low frequency motions that correspond to the surgical task while...
Three dimensional ultrasound is a promising imaging modality for minimally invasive robotic surgery. As the robots are typically metallic, they interact strongly with the sound waves in ways that are not modeled by the ultrasound system's signal processing algorithms. Consequently, they produce substantial imaging artifacts that can make image guidance difficult, even for experienced surgeons. This...
A surgical robotic instrument is introduced, which synergistically supports the surgeon in the application of resternotomy, an important part of many reoperations in heart- and thoracic surgery. A frequent complication occurring during this operation is injury of underlying soft tissue structures, which can even result in death of the patient. To improve safety, the proposed robotic instrument automatically...
A system is developed that can reconstruct the pose of flexible endoscopic instruments that are used in advanced flexible endoscopes using solely the endoscopic images. Four markers are placed on the instrument, whose positions are measured in the image. These measurements are compared to a three-dimensional rendered model of the instrument. The pseudo-inverse of the interaction matrix between the...
In this paper a 6-RRCRR parallel robot assisted minimally invasive surgery/microsurgery system (PRAMiSS) is introduced. Remote centre-of-motion (RCM) control algorithms of PRAMiSS suitable for minimally invasive surgery and microsurgery are also presented. The programmable RCM approach is implemented in order to achieve manipulation under the constraint of moving through the fixed penetration point...
This video shows a system that estimates the pose of a flexible endoscopic instrument, based on the endoscopic images. A three-dimensional rendering of the instrument is matched to the actual instrument that is observed through the endoscopic camera. This system was evaluated in an anatomical model of a colon. The estimated position of the tip of the instrument was compared to measurements performed...
The use of flexible cable-driven systems is common in medicine (endoscope, catheter…). Their flexiblity allows surgeons to reach internal organs through sinuous and constrained ways. Unfortunately these systems are subject to backlash due to their internal mechanism. These non linearities raise many difficulties when robotizing and controlling such systems. In this article we propose an approach to...
To fulfill the needs for accurate trajectory tracking with large displacement in a handheld instrument, a 3-DOF serial compliant mechanism is developed. The mechanism is compact with a total length less than 150 mm and a maximum diameter of 22 mm. Two flexures are developed using different rapid prototyping techniques: one 3-DOF flexural lever made of Vero-Gray by Polyjet and a 1-DOF translational...
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