Improved human-robot collaborative control of redundant robot for teleoperated minimally invasive surgery

© 2016 IEEE. An improved human-robot collaborative control scheme is proposed in a teleoperated minimally invasive surgery scenario, based on a hierarchical operational space formulation of a seven-degree-of-freedom redundant robot. Redundancy is exploited to guarantee a remote center of motion (RCM) constraint and to provide a compliant behavior for the medical staff. Based on the implemented hierarchical control framework, an RCM constraint and a safe constraint are applied to the null-space motion to achieve the surgical tasks with human-robot interaction. Due to the physical interactions, safety and accuracy of the surgery may be affected. The control framework integrates an adaptive compensator to enhance the accuracy of the surgical tip and to maintain the RCM constraint in a decoupled way avoiding any physical interactions. The system performance is verified on a patient phantom. Compared with the methods proposed in the literature, results show that the accuracy of both the RCM constraint and the surgical tip is improved. The compliant swivel motion of the robot arm is also constrained in a defined area, and the interaction force on the abdominal wall becomes smaller

Neural network enhanced robot tool identification and calibration for bilateral teleoperation

© 2013 IEEE. In teleoperated surgery, the transmission of force feedback from the remote environment to the surgeon at the local site requires the availability of reliable force information in the system. In general, a force sensor is mounted between the slave end-effector and the tool for measuring the interaction forces generated at the remote sites. Such as the acquired force value includes not only the interaction force but also the tool gravity. This paper presents a neural network (NN) enhanced robot tool identification and calibration for bilateral teleoperation. The goal of this experimental study is to implement and validate two different techniques for tool gravity identification using Curve Fitting (CF) and Artificial Neural Networks (ANNs), separately. After tool identification, calibration of multi-axis force sensor based on Singular Value Decomposition (SVD) approach is introduced for alignment of the forces acquired from the force sensor and acquired from the robot. Finally, a bilateral teleoperation experiment is demonstrated using a serial robot (LWR4+, KUKA, Germany) and a haptic manipulator (SIGMA 7, Force Dimension, Switzerland). Results demonstrated that the calibration of the force sensor after identifying tool gravity component by using ANN shows promising performance than using CF. Additionally, the transparency of the system was demonstrated using the force and position tracking between the master and slave manipulators

Soft Robot-Assisted Minimally Invasive Surgery and Interventions: Advances and Outlook

Since the emergence of soft robotics around two decades ago, research interest in the field has escalated at a pace. It is fuelled by the industry's appreciation of the wide range of soft materials available that can be used to create highly dexterous robots with adaptability characteristics far beyond that which can be achieved with rigid component devices. The ability, inherent in soft robots, to compliantly adapt to the environment, has significantly sparked interest from the surgical robotics community. This article provides an in-depth overview of recent progress and outlines the remaining challenges in the development of soft robotics for minimally invasive surgery

Context-aware learning for robot-assisted endovascular catheterization

Endovascular intervention has become a mainstream treatment of cardiovascular diseases. However, multiple challenges remain such as unwanted radiation exposures, limited two-dimensional image guidance, insufficient force perception and haptic cues. Fast evolving robot-assisted platforms improve the stability and accuracy of instrument manipulation. The master-slave system also removes radiation to the operator. However, the integration of robotic systems into the current surgical workflow is still debatable since repetitive, easy tasks have little value to be executed by the robotic teleoperation. Current systems offer very low autonomy, potential autonomous features could bring more benefits such as reduced cognitive workloads and human error, safer and more consistent instrument manipulation, ability to incorporate various medical imaging and sensing modalities. This research proposes frameworks for automated catheterisation with different machine learning-based algorithms, includes Learning-from-Demonstration, Reinforcement Learning, and Imitation Learning. Those frameworks focused on integrating context for tasks in the process of skill learning, hence achieving better adaptation to different situations and safer tool-tissue interactions. Furthermore, the autonomous feature was applied to next-generation, MR-safe robotic catheterisation platform. The results provide important insights into improving catheter navigation in the form of autonomous task planning, self-optimization with clinical relevant factors, and motivate the design of intelligent, intuitive, and collaborative robots under non-ionizing image modalities.Open Acces

Patient Specific Systems for Computer Assisted Robotic Surgery Simulation, Planning, and Navigation

The evolving scenario of surgery: starting from modern surgery, to the birth of medical imaging and the introduction of minimally invasive techniques, has seen in these last years the advent of surgical robotics. These systems, making possible to get through the difficulties of endoscopic surgery, allow an improved surgical performance and a better quality of the intervention. Information technology contributed to this evolution since the beginning of the digital revolution: providing innovative medical imaging devices and computer assisted surgical systems. Afterwards, the progresses in computer graphics brought innovative visualization modalities for medical datasets, and later the birth virtual reality has paved the way for virtual surgery. Although many surgical simulators already exist, there are no patient specific solutions. This thesis presents the development of patient specific software systems for preoperative planning, simulation and intraoperative assistance, designed for robotic surgery: in particular for bimanual robots that are becoming the future of single port interventions. The first software application is a virtual reality simulator for this kind of surgical robots. The system has been designed to validate the initial port placement and the operative workspace for the potential application of this surgical device. Given a bimanual robot with its own geometry and kinematics, and a patient specific 3D virtual anatomy, the surgical simulator allows the surgeon to choose the optimal positioning of the robot and the access port in the abdominal wall. Additionally, it makes possible to evaluate in a virtual environment if a dexterous movability of the robot is achievable, avoiding unwanted collisions with the surrounding anatomy to prevent potential damages in the real surgical procedure. Even if the software has been designed for a specific bimanual surgical robot, it supports any open kinematic chain structure: as far as it can be described in our custom format. The robot capabilities to accomplish specific tasks can be virtually tested using the deformable models: interacting directly with the target virtual organs, trying to avoid unwanted collisions with the surrounding anatomy not involved in the intervention. Moreover, the surgical simulator has been enhanced with algorithms and data structures to integrate biomechanical parameters into virtual deformable models (based on mass-spring-damper network) of target solid organs, in order to properly reproduce the physical behaviour of the patient anatomy during the interactions. The main biomechanical parameters (Young's modulus and density) have been integrated, allowing the automatic tuning of some model network elements, such as: the node mass and the spring stiffness. The spring damping coefficient has been modeled using the Rayleigh approach. Furthermore, the developed method automatically detect the external layer, allowing the usage of both the surface and internal Young's moduli, in order to model the main parts of dense organs: the stroma and the parenchyma. Finally the model can be manually tuned to represent lesion with specific biomechanical properties. Additionally, some software modules of the simulator have been properly extended to be integrated in a patient specific computer guidance system for intraoperative navigation and assistance in robotic single port interventions. This application provides guidance functionalities working in three different modalities: passive as a surgical navigator, assistive as a guide for the single port placement and active as a tutor preventing unwanted collision during the intervention. The simulation system has beed tested by five surgeons: simulating the robot access port placemen, and evaluating the robot movability and workspace inside the patient abdomen. The tested functionalities, rated by expert surgeons, have shown good quality and performance of the simulation. Moreover, the integration of biomechanical parameters into deformable models has beed tested with various material samples. The results have shown a good visual realism ensuring the performance required by an interactive simulation. Finally, the intraoperative navigator has been tested performing a cholecystectomy on a synthetic patient mannequin, in order to evaluate: the intraoperative navigation accuracy, the network communications latency and the overall usability of the system. The tests performed demonstrated the effectiveness and the usability of the software systems developed: encouraging the introduction of the proposed solution in the clinical practice, and the implementation of further improvements. Surgical robotics will be enhanced by an advanced integration of medical images into software systems: allowing the detailed planning of surgical interventions by means of virtual surgery simulation based on patient specific biomechanical parameters. Furthermore, the advanced functionalities offered by these systems, enable surgical robots to improve the intraoperative surgical assistance: benefitting of the knowledge of the virtual patient anatomy

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

Adaptive physical human-robot interaction (PHRI) with a robotic nursing assistant.

Recently, more and more robots are being investigated for future applications in health-care. For instance, in nursing assistance, seamless Human-Robot Interaction (HRI) is very important for sharing workspaces and workloads between medical staff, patients, and robots. In this thesis we introduce a novel robot - the Adaptive Robot Nursing Assistant (ARNA) and its underlying components. ARNA has been designed specifically to assist nurses with day-to-day tasks such as walking patients, pick-and-place item retrieval, and routine patient health monitoring. An adaptive HRI in nursing applications creates a positive user experience, increase nurse productivity and task completion rates, as reported by experimentation with human subjects. ARNA has been designed to include interface devices such as tablets, force sensors, pressure-sensitive robot skins, LIDAR and RGBD camera. These interfaces are combined with adaptive controllers and estimators within a proposed framework that contains multiple innovations. A research study was conducted on methods of deploying an ideal HumanMachine Interface (HMI), in this case a tablet-based interface. Initial study points to the fact that a traded control level of autonomy is ideal for tele-operating ARNA by a patient. The proposed method of using the HMI devices makes the performance of a robot similar for both skilled and un-skilled workers. A neuro-adaptive controller (NAC), which contains several neural-networks to estimate and compensate for system non-linearities, was implemented on the ARNA robot. By linearizing the system, a cross-over usability condition is met through which humans find it more intuitive to learn to use the robot in any location of its workspace, A novel Base-Sensor Assisted Physical Interaction (BAPI) controller is introduced in this thesis, which utilizes a force-torque sensor at the base of the ARNA robot manipulator to detect full body collisions, and make interaction safer. Finally, a human-intent estimator (HIE) is proposed to estimate human intent while the robot and user are physically collaborating during certain tasks such as adaptive walking. A NAC with HIE module was validated on a PR2 robot through user studies. Its implementation on the ARNA robot platform can be easily accomplished as the controller is model-free and can learn robot dynamics online. A new framework, Directive Observer and Lead Assistant (DOLA), is proposed for ARNA which enables the user to interact with the robot in two modes: physically, by direct push-guiding, and remotely, through a tablet interface. In both cases, the human is being “observed” by the robot, then guided and/or advised during interaction. If the user has trouble completing the given tasks, the robot adapts their repertoire to lead users toward completing goals. The proposed framework incorporates interface devices as well as adaptive control systems in order to facilitate a higher performance interaction between the user and the robot than was previously possible. The ARNA robot was deployed and tested in a hospital environment at the School of Nursing of the University of Louisville. The user-experience tests were conducted with the help of healthcare professionals where several metrics including completion time, rate and level of user satisfaction were collected to shed light on the performance of various components of the proposed framework. The results indicate an overall positive response towards the use of such assistive robot in the healthcare environment. The analysis of these gathered data is included in this document. To summarize, this research study makes the following contributions: Conducting user experience studies with the ARNA robot in patient sitter and walker scenarios to evaluate both physical and non-physical human-machine interfaces. Evaluation and Validation of Human Intent Estimator (HIE) and Neuro-Adaptive Controller (NAC). Proposing the novel Base-Sensor Assisted Physical Interaction (BAPI) controller. Building simulation models for packaged tactile sensors and validating the models with experimental data. Description of Directive Observer and Lead Assistance (DOLA) framework for ARNA using adaptive interfaces