702 research outputs found

    Prevalence of haptic feedback in robot-mediated surgery : a systematic review of literature

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    © 2017 Springer-Verlag. This is a post-peer-review, pre-copyedit version of an article published in Journal of Robotic Surgery. The final authenticated version is available online at: https://doi.org/10.1007/s11701-017-0763-4With the successful uptake and inclusion of robotic systems in minimally invasive surgery and with the increasing application of robotic surgery (RS) in numerous surgical specialities worldwide, there is now a need to develop and enhance the technology further. One such improvement is the implementation and amalgamation of haptic feedback technology into RS which will permit the operating surgeon on the console to receive haptic information on the type of tissue being operated on. The main advantage of using this is to allow the operating surgeon to feel and control the amount of force applied to different tissues during surgery thus minimising the risk of tissue damage due to both the direct and indirect effects of excessive tissue force or tension being applied during RS. We performed a two-rater systematic review to identify the latest developments and potential avenues of improving technology in the application and implementation of haptic feedback technology to the operating surgeon on the console during RS. This review provides a summary of technological enhancements in RS, considering different stages of work, from proof of concept to cadaver tissue testing, surgery in animals, and finally real implementation in surgical practice. We identify that at the time of this review, while there is a unanimous agreement regarding need for haptic and tactile feedback, there are no solutions or products available that address this need. There is a scope and need for new developments in haptic augmentation for robot-mediated surgery with the aim of improving patient care and robotic surgical technology further.Peer reviewe

    Analysis and Experimental Study of a 4-DOF Haptic Device

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    Haptics in Robot-Assisted Surgery: Challenges and Benefits

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    Robotic surgery is transforming the current surgical practice, not only by improving the conventional surgical methods but also by introducing innovative robot-enhanced approaches that broaden the capabilities of clinicians. Being mainly of man-machine collaborative type, surgical robots are seen as media that transfer pre- and intra-operative information to the operator and reproduce his/her motion, with appropriate filtering, scaling, or limitation, to physically interact with the patient. The field, however, is far from maturity and, more critically, is still a subject of controversy in medical communities. Limited or absent haptic feedback is reputed to be among reasons that impede further spread of surgical robots. In this paper objectives and challenges of deploying haptic technologies in surgical robotics is discussed and a systematic review is performed on works that have studied the effects of providing haptic information to the users in major branches of robotic surgery. It has been tried to encompass both classical works and the state of the art approaches, aiming at delivering a comprehensive and balanced survey both for researchers starting their work in this field and for the experts

    Master of Science

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    thesisTraditionally, hand rests are used to reduce muscle fatigue and to improve precision in small-workspace dexterous tasks. Dynamic hand rests have been shown to be beneficial for large-workspace planar tasks. However, providing high-bandwidth support in the vertical direction proves to be more challenging than in the horizontal plane. One must decouple the gravitational support of the arm from the intended vertical motion of the user. A vertically moving device, called the Vertical Active Handrest (VAHR), is presented in this thesis. This device dynamically supports the weight of the user's arm over a large workspace to add stability for precision dexterous tasks while providing gravitational support to the arm to reduce fatigue. The goal in developing the VAHR is to integrate its capabilities with the current Active Handrest, which provides dynamic support in the horizontal plane, thus creating a three degree-of-freedom active support device. The VAHR takes control inputs from a force sensor embedded in its armrest and from the tracked position of a tool. Studies were conducted with a variety of controllers and user input strategies to evaluate the VAHR's effectiveness at assisting participants in a single-axis tracking task. An initial pilot test with the VAHR shows no statistical improvements in tracking performance using force input control modes over conditions in which the arm is unsupported, or is supported by a static rest surface. The main experiment presented in this thesis focuses on either pure stylus position input or a combination of position and force inputs. Tracking accuracy significantly improves compared to the unsupported condition while using stylus position input control. Poor performance under pure force control is attributed to the required activation of large muscle groups in the arm to provide force input to the VAHR's instrumented armrest. These large muscle groups are poorly suited for the agile tracking task used for experimentation. It is theorized that the better performance when using the stylus position control modes is because inputs from smaller, more dexterous muscle groups in the hand are utilized, allowing the position of the arm to be controlled by muscles that are already adept at precision control

    Symmetric and asymmetric action integration during cooperative object manipulation in virtual environments

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    Cooperation between multiple users in a virtual environment (VE) can take place at one of three levels. These are defined as where users can perceive each other (Level 1), individually change the scene (Level 2), or simultaneously act on and manipulate the same object (Level 3). Despite representing the highest level of cooperation, multi-user object manipulation has rarely been studied. This paper describes a behavioral experiment in which the piano movers' problem (maneuvering a large object through a restricted space) was used to investigate object manipulation by pairs of participants in a VE. Participants' interactions with the object were integrated together either symmetrically or asymmetrically. The former only allowed the common component of participants' actions to take place, but the latter used the mean. Symmetric action integration was superior for sections of the task when both participants had to perform similar actions, but if participants had to move in different ways (e.g., one maneuvering themselves through a narrow opening while the other traveled down a wide corridor) then asymmetric integration was superior. With both forms of integration, the extent to which participants coordinated their actions was poor and this led to a substantial cooperation overhead (the reduction in performance caused by having to cooperate with another person)

    Mathematical Modeling and Empirical Validation of a Conceptual Exoskeleton for Astronaut Glove Augmentation

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    Space presents numerous difficulties for astronauts conducting their work, not the least of which is the spacesuit that is worn to protect them from space. It has long been known that a spacesuit is difficult to work in, especially the rigid and pressurized gloves that put strain on the astronaut\u27s hands, frequently leading to injuries. Astronaut gloves inhibit more than 50% of their strength in some cases [1]. NASA and other space agencies have been working to alleviate these problems by attempting to mechanically augment the gloves to reduce the exertions of the astronaut. To date, no augmentation systems have been implemented into spacesuits and prototypes are actively undergoing design and development [2] [3]. Currently existing prototypes are impractical, unconformable, or not effectively augmenting the astronaut as evidenced by the non-implementation of such systems to date. This work presents a novel conceptual exoskeleton design for astronaut glove augmentation and a mathematical model that is used to predict its performance. In addition, experiments were conducted to validate the math model. The conceptual exoskeleton is designed to overcome the shortcomings of previous attempts to augment astronaut gloves by using rigid linkages actuated by a single tendon routed through them. This system operates exclusively on the dorsal surface of the hand, limiting the restrictions to the palmar surface of the hand. The mathematical model presents a method to equate the tendon tension to the contact force between the linkages and the object that is being grasped. Two representative models of the conceptual exoskeleton were built and tested. The experimental fixture, custom designed and fabricated, used a Pliance Pressure Pad to measure the total forces produced by the system. The measured force values were then compared to predictions made by the system to assess the accuracy of the mathematical model. The experimental configurations of the systems were measured using a machine vision system. The mathematical model was shown to accurately predict the contact forces produced by the representative test rigs. Relationships between the contact forces developed in a grasp and the readings from a Jamar Grip Dynamometer were then used to estimate the magnitude of grip strength that the full exoskeleton could develop [4]. These estimations indicate that the conceptual system would be able to recover up to 124% of the strength that astronauts lose to their gloves

    A New Index for Detecting and Avoiding Type II Singularities for the Control of Non-Redundant Parallel Robots

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    [ES] Los robots paralelos (PR por sus siglas en inglés) son mecanismos donde el efector final está unido a la base, mediante al menos dos cadenas cinemáticas abiertas. Los PRs ofrecen una gran capacidad de carga y alta precisión, lo que los hace adecuados para diversas aplicaciones, entre ellas la interacción persona-robot. Sin embargo, en las proximidades de una singularidad Tipo II (singularidad dentro del espacio de trabajo), un PR pierde el control sobre los movimientos del efector final. La pérdida de control representa un riesgo importante para los usuarios, especialmente en rehabilitación robótica. En las últimas décadas, los PR se han popularizado en la rehabilitación de miembros inferiores debido al aumento del número de personas que viven con limitaciones físicas. Así, esta tesis trata sobre la detección y evitación de singularidades de Tipo II para asegurar total control de un PR no redundante para la rehabilitación y diagnóstico de rodilla, denominado 3UPS+RPU. En la literatura, existen varios índices para detectar y medir la cercanía a una singularidad basados en métodos analíticos y geométricos. Sin embargo, algunos de estos índices carecen de significado físico y son incapaces de identificar los actuadores responsables de la pérdida de control. Esta tesis aporta dos novedosos índices para detectar y medir la proximidad a una singularidad de Tipo II, capaces de identificar el par de actuadores responsables de la singularidad. Los dos índices son los ángulos entre los componentes lineal (T_i,j) y angular (O_i,j) de dos Twist Screw de Salida (OTS por sus siglas en inglés) normalizados i,j. Una singularidad Tipo II es detectada cuando T_i,j = O_i,j = 0 y su proximidad se mide mediante los mínimos ángulos T_i,j (minT) y O_i,j (minO) para los casos plano y espacial, respectivamente. La eficacia de los índices T_i,j y O_i,j se evalúa de forma teórica y experimental en un robot 3UPS+RPU y un mecanismo de cinco barras. Además, se propone un procedimiento experimental para el adecuado establecimiento del límite de cercanía a una singularidad de Tipo II mediante la aproximación progresiva del PR a una singularidad y la medición de la última posición controlable. Posteriormente, se desarrollan dos nuevos algoritmos deterministas para liberar y evitar una singularidad de Tipo II basados en minT y minO para PR no redundantes. minT y minO se utilizan para identificar los dos actuadores a mover para liberar o evitar el PR de una singularidad. Ambos algoritmos requieren una medición precisa de la pose alcanzada por el efector final. El algoritmo para liberar un PR de una configuración singular se aplica con éxito en un controlador híbrido basado en visión artificial para el PR 3UPS+RPU. El controlador utiliza un sistema de fotogrametría para medir la pose del robot debido a la degeneración del modelo cinemático en las proximidades de una singularidad. El algoritmo de evasión de singularidades Tipo II se aplica a la planificación offline y online de trayectorias no singulares para un mecanismo de cinco barras y el PR 3UPS+RPU. Estas aplicaciones verifican el bajo coste computacional y la mínima desviación introducida en la trayectoria original por los nuevos algoritmos. La implementación directa de un controlador de fuerza/posición en el PR 3UPS+RPU es insegura porque el paciente podría llevar involuntariamente al PR a una singularidad. Por lo tanto, esta tesis concluye presentando un novedoso controlador de fuerza/posición complementado con el algoritmo de evasión de singularidades de Tipo II. El nuevo controlador se evalúa durante rehabilitación activa de una pierna de maniquí y una pierna humana no lesionada. Los resultados muestran que el nuevo controlador combinado mantiene el PR 3UPS+RPU lejos de configuraciones singulares con una desviación mínima de la trayectoria original. Por lo tanto, esta tesis habilita el 3UPS+RPU PR para la rehabilitación segura de miembros inferiores lesionados.[CAT] Els robots paral·lels (PR per les seues sigles en anglés) són mecanismes on l'efector final està unit a la base, mitjançant almenys dues cadenes cinemàtiques obertes. Els PRs ofereixen una gran capacitat de càrrega i alta precisió, la qual cosa els fa adequats per a diverses aplicacions, entre elles la interacció persona-robot. No obstant això, en les proximitats d'una singularitat Tipus II (singularitat dins de l'espai de treball), un PR perd el control sobre els moviments de l'efector final. La pèrdua de control representa un risc important per als usuaris, especialment en rehabilitació robòtica. En les últimes dècades, els PR s'han popularitzat en la rehabilitació de membres inferiors a causa de l'augment del nombre de persones que viuen amb limitacions físiques. Així, aquesta tesi tracta sobre la detecció i evació de singularitats de Tipus II per a assegurar total control d'un PR no redundant per a la rehabilitació i diagnòstic de genoll, denominat 3UPS+RPU. En la literatura, existeixen diversos índexs per a detectar i mesurar la proximitat a una singularitat basats en mètodes analítics i geomètrics. No obstant això, alguns d'aquests índexs manquen de significat físic i són incapaços d'identificar els actuadors responsables de la pèrdua de control. Aquesta tesi aporta dos nous índexs per a detectar i mesurar la proximitat a una singularitat de Tipus II, capaços d'identificar el parell d'actuadors responsables de la singularitat. Els dos índexs són els angles entre els components lineal (T_i,j) i angular (O_i,j) de dues Twist Screw d'Eixida (OTS per les seues sigles en engonals) normalitzats i,j. Una singularitat Tipus II és detectada quan T_i,j = O_i,j = 0 i la seua proximitat es mesura mitjançant els minimos angles T_i,j (minT) i O_i,j (minO) per als casos pla i espacial, respectivament. L'eficàcia dels índexs T_i,j i O_i,j es evalua de manera teòrica i experimental en un robot 3UPS+RPU i un mecanisme de cinc barres. A més, es proposa un procediment experimental per a l'adequat establiment del límit de proximitat a una singularitat de Tipus II mitjançant l'aproximació progressiva del PR a una singularitat i el mesurament de l'última posició controlable. Posteriorment, es desenvolupen dos nous algorismes deterministes per a alliberar i evadir una singularitat de Tipus II basats en minT i minO per a PR no redundants. minT i minO s'utilitzen per a identificar els dos actuadors a moure per a alliberar o evadir el PR d'una singularitat. Aquests algorismes requereixen un mesurament precís de la posa aconseguida per l'efector final. L'algorisme per a alliberar un PR d'una configuració singular s'aplica amb èxit en un controlador híbrid basat en visió artificial per al PR 3UPS+RPU. El controlador utilitza un sistema de fotogrametria per a mesurar la posa del robot a causa de la degeneració del model cinemàtic en les proximitats d'una singularitat. L'algorisme d'evació de singularitats Tipus II s'aplica a la planificació offline i en línia de trajectòries no singulars per a un mecanisme de cinc barres i el PR 3UPS+RPU. Aquestes aplicacions verifiquen el baix cost computacional i la mínima desviació introduïda en la trajectòria original pels nous algorismes. La implementació directa d'un controlador de força/posició en el PR 3UPS+RPU és insegura perquè el pacient podria portar involuntàriament al PR a una singularitat. Per tant, aquesta tesi conclou presentant un nou controlador de força/posició complementat amb l'algorisme d'evació de singularitats de Tipus II. El nou controlador s'avalua durant la rehabilitació activa d'una cama de maniquí i una cama humana no lesionada. Els resultats mostren que el nou controlador combinat manté el PR 3UPS+RPU lluny de configuracions singulars amb una desviació mínima de la trajectòria original. Per tant, aquesta tesi habilita el 3UPS+RPU PR per a la rehabilitació segura dels membres inferiors lesionats.[EN] Parallel Robots (PR)s are mechanisms where the end-effector is linked to the base by at least two open kinematics chains. The PRs offer a high payload and high accuracy, making them suitable for various applications, including human robot interaction. However, in proximity to a Type II singularity (singularity within the workspace), a PR loses control over the movements of the end-effector. The loss of control represents a major risk for users, especially in robotic rehabilitation. In the last decades, PRs have become popular in lower limb rehabilitation because of the increment in the number of people living with physical limitations. Thus, this thesis is about the detection and avoidance of Type II singularities to ensure complete control of a non-redundant PR for knee rehabilitation and diagnosis named 3UPS+RPU. In the literature, several indices exist to detect and measure the closeness to a singular configuration based on analytical and geometrical methods. However, some of these indices have no physical meaning, and they are unable to identify the actuators responsible for the loss of control. This thesis contributes two novel indices to detect and measure the proximity to a Type II singularity capable of identifying the pair of actuators responsible for the singularity. The two indices are the angles between the linear (T_i,j) and the angular (O_i,j) components of two i,j normalised Output Twist Screws (OTSs). A Type II singularity is detected when the angles T_i,j = O_i,j = 0 and its closeness is measured by the minimum T_i,j (minT) and minimum O_i,j (minO) for planar and spatial cases, respectively. The effectiveness of the indices T_i,j and O_i,j is evaluated from a theoretical and experimental perspective in a 3UPS+RPU and a five bars mechanism. Moreover, an experimental procedure is proposed for setting a proper limit of closeness to a Type II singularity by the progressive approach of the PR to singular configuration and measuring the last controllable pose. Subsequently, two novel deterministic algorithms for releasing and avoiding Type II singularities based on minT and minO are developed for non-redundant PRs. The minT and minO are used to identify the two actuators to move for release or prevent the PR from the singularity. Both algorithms require an accurate measuring of the pose reached by the end-effector. The algorithm to release a PR from a singular configuration is successfully applied in a vision-based hybrid controller for the 3UPS+RPU PR. The controller uses a photogrammetry system to measure the pose of the robot due to the degeneration of the kinematic model in the vicinity of a singularity. The Type II singularity avoidance algorithm is applied to offline and online free-singularity trajectory planning for a five-bar mechanism and the 3UPS+RPU PR. These applications verify the low computation cost and the minimum deviation introduced in the original trajectory for both novel algorithms. The direct implementation of a force/position controller in the 3UPS+RPU PR is unsafe because the patient could unintentionally drive the PR to a Type II singularity. Therefore, this thesis concludes by presenting a novel force/position controller complemented with the Type II singularity avoidance algorithm. The complemented controller is evaluated during patient-active exercises in a mannequin leg and an uninjured human limb. The results show that the novel combined controller keeps the 3UPS+RPU PR far from singular configurations with a minimum deviation on the original trajectory. Hence, this thesis enables the 3UPS+RPU PR for the safe rehabilitation of injured lower limbs.Pulloquinga Zapata, JL. (2023). A New Index for Detecting and Avoiding Type II Singularities for the Control of Non-Redundant Parallel Robots [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/19427
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