Abstract
Due to the improved treatment outcomes, research on robotic MIS (Minimally Invasive Surgery) thrived in the past decades. A benchmark example is the da Vinci system that dominates robotic laparoscopy via its technology excellence and strong holding of intellectual properties. This study provides an alternative approach to realize robotic laparoscopic surgeries, by presenting the development and experimentation of the SMARLT (Strengthened Modularly Actuated Robotic Laparoscopic Tool) for MIS. A dual continuum mechanism is used in the design to achieve enhanced distal dexterity, improved reliability, increased payload capability, and actuation modularity. With kinematics modelling and actuation compensation, the SMARLT can be manipulated by a generic manipulator to carry out typical laparoscopic MIS tasks, such as tissue peeling, suturing, and knot tying. Payload capability was also experimentally characterized. The SMARLT-manipulator system essentially formed a continuum-rigid hybrid structure that makes full use of the advantages from each component: the continuum mechanism as a wrist for distal dexterity and other rigid parts for position accuracy and payload capability. With the experimental demonstration of the desired functionalities, the SMARLT design can lead to promising opportunities for commercialization.
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Cuschieri A. Laparoscopic surgery: Current status, issues and future developments. Surgeon, 2005, 3: 125–138
Taylor R H. A perspective on medical robotics. Proc IEEE, 2006, 94: 1652–1664
Guthart G. Annual report 2014. 2015, 108
Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy. Br J Surg, 1997, 84: 695
Kalloo A N, Singh V K, Jagannath S B, et al. Flexible transgastric peritoneoscopy: A novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointestinal Endoscopy, 2004, 60: 114–117
Xu K, Zhao J, Fu M. Development of the sjtu unfoldable robotic system (surs) for single port laparoscopy. IEEE/ASME Trans Mechatron, 2015, 20: 2133–2145
Zhao J, Feng B, Zheng M H, et al. Surgical robots for spl and notes: A review. Minimally Invasive Ther Allied Technologies, 2015, 24: 8–17
Yamashita H, Kim D, Hata N, et al. Multi-slider linkage mechanism for endoscopic forceps manipulator. In: 2003 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). IEEE, 2003. 2577–2582
Dombre E, Michelin M, Pierrot F, et al. Marge project: Design, modelling, and control of assistive devices for minimally invasive surgery. In: International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI). DLR, 2004. 1–8
Van Meer F, Giraud A, Esteve D, et al. A disposable plastic compact wrist for smart minimally invasive surgical tools. In: IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). IEEE, 2005. 919–924
Ishii C, Kobayashi K. Development of a new bending mechanism and its application to robotic forceps manipulator. In: IEEE International Conference on Robotics and Automation (ICRA). IEEE, 2007. 238–243
Shin W H, Kwon D S. Surgical robot system for single-port surgery with novel joint mechanism. IEEE Trans Biomed Eng, 2013, 60: 937–944
Leonard S, Wu K L, Kim K L, et al. Smart tissue anastomosis robot (star): A vision-guided robotics system for laparoscopic suturing. IEEE Trans Biomed Eng, 2014, 61: 1305–1317
Hong M B, Jo Y H. Design of a novel 4-dof wrist-type surgical instrument with enhanced rigidity and dexterity. IEEE/ASME Trans Mechatron, 2014, 19: 500–511
Kanno T, Haraguchi D, Yamamoto M, et al. A forceps manipulator with flexible 4-dof mechanism for laparoscopic surgery. IEEE/ASME Trans Mechatron, 2015, 20: 1170–1178
Mitsuishi M, Sugita N, Pitakwatchara P. Force-feedback augmentation modes in the laparoscopic minimally invasive telesurgical system. IEEE/ASME Trans Mechatron, 2007, 12: 447–454
Xu K, Simaan N. An investigation of the intrinsic force sensing capabilities of continuum robots. IEEE Trans Robot, 2008, 24: 576–587
van den Bedem L, Hendrix R, Rosielle N, et al. Design of a minimally invasive surgical teleoperated master-slave system with haptic feedback. In: IEEE International Conference on Mechatronics and Automation (ICMA). IEEE, 2009. 60–65
Xu K, Simaan N. Intrinsic wrench estimation and its performance index for multisegment continuum robots. IEEE Trans Robot, 2010, 26: 555–561
Dalvand M, Shirinzadeh B, Shamdani A H, et al. An actuated force feedback-enabled laparoscopic instrument for robotic-assisted surgery. Int J Med Robotics Comput Assist Surg, 2014, 10: 11–21
Kim U, Lee D H, Yoon W J, et al. Force sensor integrated surgical forceps for minimally invasive robotic surgery. IEEE Trans Robot, 2015, 31: 1214–1224
Hagn U, Nickl M, Jörg S, et al. The dlr miro: A versatile lightweight robot for surgical applications. Industrial Robot, 2008, 35: 34–336
Berkelman P, Ma J. A compact modular teleoperated robotic system for laparoscopic surgery. Int J Robotics Res, 2009, 28: 1198–1215
Hannaford B, Rosen J, Friedman D W, et al. Raven-ii: An open platform for surgical robotics research. IEEE Trans Biomed Eng, 2013, 60: 954–959
Simaan N, Xu K, Kapoor A, et al. Design and integration of a telerobotic system for minimally invasive surgery of the throat. Int J Robot Res, 2009, 28: 1134–1153
Ding J, Goldman R E, Xu K, et al. Design and coordination kinematics of an insertable robotic effectors platform for single-port access surgery. IEEE/ASME Trans Mechatron, 2013, 18: 1612–1624
Simaan N, Bajo A, Reiter A, et al. Lessons learned using the insertable robotic effector platform (irep) for single port access surgery. J Robotic Surg, 2013, 7: 235–240
Taylor R H, Stoianovici D. Medical robotics in computer-integrated surgery. IEEE Trans Robot Automat, 2003, 19: 765–781
Kuo C H, Dai J S. Kinematics of a fully-decoupled remote center-ofmotion parallel manipulator for minimally invasive surgery. J Med Devices, 2012, 6: 021008
Hadavand M, Mirbagheri A, Behzadipour S, et al. A novel remote center of motion mechanism for the force-reflective master robot of haptic tele-surgery systems. Int J Med Robot Comp Assisted Surg, 2014, 10: 129–139
Azimian H, Patel R V, Naish M D. On constrained manipulation in robotics-assisted minimally invasive surgery. In: IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics (BIOROB). IEEE, 2010. 650–655
Lopez E, Kwok K W, Payne C J, et al. Implicit active constraints for robot-assisted arthroscopy. In: 2013 IEEE International Conference on Robotics and Automation (ICRA). IEEE, 2013. 5390–5395
Nasseri M A, Gschirr P, Eder M, et al. Virtual fixture control of a hybrid parallel-serial robot for assisting ophthalmic surgery: An experimental study. In: IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics (BIOROB). IEEE, 2014. 732–738
Xu K, Zhang H, Zhao J, et al. Design of a robotic laparoscopic tool with modular actuation. In: International Conference on Intelligent Robotics and Applications (ICIRA). 2017. 298–310
Okamura A M. Methods for haptic feedback in teleoperated robotassisted surgery. Industrial Robot, 2004, 31: 499–508
Dubrowski A, Sidhu R, Park J, et al. Quantification of motion characteristics and forces applied to tissues during suturing. Am J Surgery, 2005, 190: 131–136
Berg D R, Kinney T P, Li P Y, et al. Determination of surgical robot tool force requirements through tissue manipulation and suture force measurement. In: Design of Medical Devices Conference. ASME, 2011. 1–4
Xu K, Fu M, Zhao J. An experimental kinestatic comparison between continuum manipulators with structural variations. In: IEEE International Conference on Robotics and Automation (ICRA). IEEE, 2014. 3258–3264
Zhao J, Zheng X, Zheng M, et al. An endoscopic continuum testbed for finalizing system characteristics of a surgical robot for notes procedures. In: IEEE/ASME International Conference on Advanced Intelligent Mechatronics (AIM). IEEE, 2013. 63–70
Xu K, Simaan N. Analytic formulation for the kinematics, statics and shape restoration of multibackbone continuum robots via elliptic integrals. J Mech Robot, 2010, 2: 1–13
Webster R J, Jones B A. Design and kinematic modeling of constant curvature continuum robots: A review. Int J Robotics Res, 2010, 29: 1661–1683
Siciliano B, Khatib O. Handbook of Robotics. Springer, 2008
Bettini A, Marayong P, Lang S, et al. Vision-assisted control for manipulation using virtual fixtures. IEEE Trans Robot, 2004, 20: 953–966
Nenchev D N. Restricted jacobian matrices of redundant manipulators in constrained motion tasks. Int J Robotics Res, 1992, 11: 584–597
Xu K, Simaan N. Actuation compensation for flexible surgical snakelike robots with redundant remote actuation. In: IEEE International Conference on Robotics and Automation (ICRA). IEEE, 2006. 4148–4154
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Dai, Z., Wu, Z., Zhao, J. et al. A robotic laparoscopic tool with enhanced capabilities and modular actuation. Sci. China Technol. Sci. 62, 47–59 (2019). https://doi.org/10.1007/s11431-018-9348-9
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DOI: https://doi.org/10.1007/s11431-018-9348-9