Medical Robotics

The first generation of surgical robots are already being installed in a number of operating rooms around the world. Robotics is being introduced to medicine because it allows for unprecedented control and precision of surgical instruments in minimally invasive procedures. So far, robots have been used to position an endoscope, perform gallbladder surgery and correct gastroesophogeal reflux and heartburn. The ultimate goal of the robotic surgery field is to design a robot that can be used to perform closed-chest, beating-heart surgery. The use of robotics in surgery will expand over the next decades without any doubt. Minimally Invasive Surgery (MIS) is a revolutionary approach in surgery. In MIS, the operation is performed with instruments and viewing equipment inserted into the body through small incisions created by the surgeon, in contrast to open surgery with large incisions. This minimizes surgical trauma and damage to healthy tissue, resulting in shorter patient recovery time. The aim of this book is to provide an overview of the state-of-art, to present new ideas, original results and practical experiences in this expanding area. Nevertheless, many chapters in the book concern advanced research on this growing area. The book provides critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies. This book is certainly a small sample of the research activity on Medical Robotics going on around the globe as you read it, but it surely covers a good deal of what has been done in the field recently, and as such it works as a valuable source for researchers interested in the involved subjects, whether they are currently “medical roboticists” or not

Robot Assisted Laser Osteotomy

In the scope of this thesis world\u27s first robot system was developed, which facilitates osteotomy using laser in arbitrary geometries with an overall accuracy below 0.5mm. Methods of computer and robot assisted surgery were reconsidered and composed to a workflow. Adequate calibration and registration methods are proposed. Further a methodology for transferring geometrically defined cutting trajectories into pulse sequences and optimized execution plans is developed

Model-Augmented Haptic Telemanipulation: Concept, Retrospective Overview, and Current Use Cases

Certain telerobotic applications, including telerobotics in space, pose particularly demanding challenges to both technology and humans. Traditional bilateral telemanipulation approaches often cannot be used in such applications due to technical and physical limitations such as long and varying delays, packet loss, and limited bandwidth, as well as high reliability, precision, and task duration requirements. In order to close this gap, we research model-augmented haptic telemanipulation (MATM) that uses two kinds of models: a remote model that enables shared autonomous functionality of the teleoperated robot, and a local model that aims to generate assistive augmented haptic feedback for the human operator. Several technological methods that form the backbone of the MATM approach have already been successfully demonstrated in accomplished telerobotic space missions. On this basis, we have applied our approach in more recent research to applications in the fields of orbital robotics, telesurgery, caregiving, and telenavigation. In the course of this work, we have advanced specific aspects of the approach that were of particular importance for each respective application, especially shared autonomy, and haptic augmentation. This overview paper discusses the MATM approach in detail, presents the latest research results of the various technologies encompassed within this approach, provides a retrospective of DLR's telerobotic space missions, demonstrates the broad application potential of MATM based on the aforementioned use cases, and outlines lessons learned and open challenges

Cable-driven parallel mechanisms for minimally invasive robotic surgery

Minimally invasive surgery (MIS) has revolutionised surgery by providing faster recovery times, less post-operative complications, improved cosmesis and reduced pain for the patient. Surgical robotics are used to further decrease the invasiveness of procedures, by using yet smaller and fewer incisions or using natural orifices as entry point. However, many robotic systems still suffer from technical challenges such as sufficient instrument dexterity and payloads, leading to limited adoption in clinical practice. Cable-driven parallel mechanisms (CDPMs) have unique properties, which can be used to overcome existing challenges in surgical robotics. These beneficial properties include high end-effector payloads, efficient force transmission and a large configurable instrument workspace. However, the use of CDPMs in MIS is largely unexplored. This research presents the first structured exploration of CDPMs for MIS and demonstrates the potential of this type of mechanism through the development of multiple prototypes: the ESD CYCLOPS, CDAQS, SIMPLE, neuroCYCLOPS and microCYCLOPS. One key challenge for MIS is the access method used to introduce CDPMs into the body. Three different access methods are presented by the prototypes. By focusing on the minimally invasive access method in which CDPMs are introduced into the body, the thesis provides a framework, which can be used by researchers, engineers and clinicians to identify future opportunities of CDPMs in MIS. Additionally, through user studies and pre-clinical studies, these prototypes demonstrate that this type of mechanism has several key advantages for surgical applications in which haptic feedback, safe automation or a high payload are required. These advantages, combined with the different access methods, demonstrate that CDPMs can have a key role in the advancement of MIS technology.Open Acces

Workflow-based Context-aware Control of Surgical Robots

Surgical assistance system such as medical robots enhanced the capabilities of medical procedures in the last decades. This work presents a new perspective on the use of workflows with surgical robots in order to improve the technical capabilities and the ease of use of such systems. This is accomplished by a 3D perception system for the supervision of the surgical operating room and a workflow-based controller, that allows to monitor the surgical process using workflow-tracking techniques

Development of a twisted-string actuator for a cable-driven haptic interface

Il seguente lavoro di tesi ha avuto lo scopo di analizzare dal punto di vista della progettazione software le procedure ed i protocolli di scambio di informazioni tra i vari componenti di una nuova concezione di Interfaccia Aptica guidata da 4 tendini che muovono un braccialetto centrale collegato al braccio di un operatore così da fornirgli un feedback di forza. In particolare ci si è focalizzati sullo sviluppo di un firmware applicabile ai 4 motori che muovono la struttura centrale della interfaccia. Il firmware deve essere in grado di ricevere da una piattaforma Ros, usata da un operatore, pacchetti di dati contenenti i set point per i vari motori e il tipo di controllo , posizione o forza, che gli attuatori devono effettuare grazie ad uno schema PID. Inoltre l'invio di feedback all'operatore è stato previsto in modo da permettere una maggiore supervisione dell'intero funzionamento. La realizzazione di un Ros Bridge tra l'utente e il sistema da comandare è stato implementato con la formula della programmazione ad oggetti in cui varie classi sono dedicate a compiti differenti come l'impacchettamento di dati da mandare ai motori e la contemporanea ricezione dei feedback. Per completare tutta l'architettura si è anche sviluppato un sistema di trasformazione dei set point provenienti dall'operatore espressi nello spazio di lavoro Cartesiano in riferimenti per i singoli motori e ciò è stato possibile sfruttando la matrice Jacobiana. Una particolare attenzione è stata data all'aspetto di comunicazione dei dati e per fare ciò si è dovuta usare una architettura di codice a multithread e un protocollo UDP

Haptic Device Design and Teleoperation Control Algorithms for Mobile Manipulators

The increasing need of teleoperated robotic systems implies more and more often to use, as slave devices, mobile platforms (terrestrial, aerial or underwater) with integrated manipulation capabilities, provided e.g. by robotic arms with proper grasping/manipulation tools. Despite this, the research activity in teleoperation of robotic systems has mainly focused on the control of either fixed-base manipulators or mobile robots, non considering the integration of these two types of systems in a single device. Such a combined robotic devices are usually referred to as mobile manipulators: systems composed by both a robotic manipulator and a mobile platform (on which the arm is mounted) whose purpose is to enlarge the manipulator’s workspace. The combination of a mobile platform and a serial manipulator creates redundancy: a particular point in the space can be reached by moving the manipulator, by moving the mobile platform, or by a combined motion of both. A synchronized motion of both devices need then to be addressed. Although specific haptic devices explicitly oriented to the control of mobile manipulators need to be designed, there are no commercial solution yet. For this reason it is often necessary to control such as combined systems with traditional haptic devices not specifically oriented to the control of mobile manipulators. The research activity presented in this Ph.D. thesis focuses in the first place on the design of a teleoperation control scheme which allows the simultaneous control of both the manipulator and the mobile platform by means of a single haptic device characterized by fixed base and an open kinematic chain. Secondly the design of a novel cable-drive haptic devices has been faced. Investigating the use of twisted strings actuation in force rendering is the most interesting challenge of the latter activity

An Asynchronous Simulation Framework for Multi-User Interactive Collaboration: Application to Robot-Assisted Surgery

The field of surgery is continually evolving as there is always room for improvement in the post-operative health of the patient as well as the comfort of the Operating Room (OR) team. While the success of surgery is contingent upon the skills of the surgeon and the OR team, the use of specialized robots has shown to improve surgery-related outcomes in some cases. These outcomes are currently measured using a wide variety of metrics that include patient pain and recovery, surgeon’s comfort, duration of the operation and the cost of the procedure. There is a need for additional research to better understand the optimal criteria for benchmarking surgical performance. Presently, surgeons are trained to perform robot-assisted surgeries using interactive simulators. However, in the absence of well-defined performance standards, these simulators focus primarily on the simulation of the operative scene and not the complexities associated with multiple inputs to a real-world surgical procedure. Because interactive simulators are typically designed for specific robots that perform a small number of tasks controlled by a single user, they are inflexible in terms of their portability to different robots and the inclusion of multiple operators (e.g., nurses, medical assistants). Additionally, while most simulators provide high-quality visuals, simplification techniques are often employed to avoid stability issues for physics computation, contact dynamics and multi-manual interaction. This study addresses the limitations of existing simulators by outlining various specifications required to develop techniques that mimic real-world interactions and collaboration. Moreover, this study focuses on the inclusion of distributed control, shared task allocation and assistive feedback -- through machine learning, secondary and tertiary operators -- alongside the primary human operator

Human-Robot Collaborations in Industrial Automation

Technology is changing the manufacturing world. For example, sensors are being used to track inventories from the manufacturing floor up to a retail shelf or a customer’s door. These types of interconnected systems have been called the fourth industrial revolution, also known as Industry 4.0, and are projected to lower manufacturing costs. As industry moves toward these integrated technologies and lower costs, engineers will need to connect these systems via the Internet of Things (IoT). These engineers will also need to design how these connected systems interact with humans. The focus of this Special Issue is the smart sensors used in these human–robot collaborations