Smart actuation and sensing for meso-scale surgical robotic systems

This dissertation presents the development of meso-scale surgical robotics based on smart actuation and sensing for minimally invasive surgery (MIS). By replacing conventional straight tools by steerable surgical robots, surgical outcomes can potentially be improved due to more precise, stable, and flexible manipulation. Since bending and torsion are the two fundamental motion forms required by surgical tools to complete general surgical procedures, compact torsion and bending modules, both integrated with intrinsic sensors for motion feedback, have been developed based on shape memory alloy (SMA). The developed actuation and sensing techniques have been applied on a robot for neurosurgical intracerebral hemorrhage evacuation (NICHE) and a steerable catheter for atrial fibrillation (AFib) treatment. The NICHE robot consists of a straight stem, an SMA torsion module, and an SMA bending module as a distal bending tip. By synchronizing the motion of the stem, the bending module, and the torsion module, the robot is capable of tip articulation within the brain to remove hemorrhage effectively through suction and electrocauterization. In addition, a skull-mounted robotic headframe has been developed based on a Stewart platform to manipulate the NICHE robot. The robotic catheter is developed by integrating multiple SMA bending modules with flexible braid reinforced tubing. Polymer 3D-printing is used to fabricate all the structural components due to its relatively low cost, short fabrication period, and capability of fabricating complicated structures with high accuracy. The developed surgical robotic systems have been thoroughly evaluated using phantom or cadaver models under computed tomography (CT) and/or magnetic resonance imaging (MRI) guidance. The imaging-guided experimental studies showed that the developed robotic systems consisting of smart actuation and sensing were compatible with CT and MR imaging.Ph.D

Design, Modeling and Control of Micro-scale and Meso-scale Tendon-Driven Surgical Robots

Manual manipulation of passive surgical tools is time consuming with uncertain results in cases of navigating tortuous anatomy, avoiding critical anatomical landmarks, and reaching targets not located in the linear range of these tools. For example, in many cardiovascular procedures, manual navigation of a micro-scale passive guidewire results in increased procedure times and radiation exposure. This thesis introduces the design of two steerable guidewires: 1) A two degree-of-freedom (2-DoF) robotic guidewire with orthogonally oriented joints to access points in a three dimensional workspace, and 2) a micro-scale coaxially aligned steerable (COAST) guidewire robot that demonstrates variable and independently controlled bending length and curvature of the distal end. The 2-DoF guidewire features two micromachined joints from a tube of superelastic nitinol of outer diameter 0.78 mm. Each joint is actuated with two nitinol tendons. The joints that are used in this robot are called bidirectional asymmetric notch (BAN) joints, and the advantages of these joints are explored and analyzed. The design of the COAST robotic guidewire involves three coaxially aligned tubes with a single tendon running centrally through the length of the robot. The outer tubes are made from micromachined nitinol allowing for tendon-driven bending of the robot at variable bending curvatures, while an inner stainless steel tube controls the bending length of the robot. By varying the lengths of the tubes as well as the tendon, and by insertion and retraction of the entire assembly, various joint lengths and curvatures may be achieved. Kinematic and static models, a compact actuation system, and a controller for this robot are presented. The capability of the robot to accurately navigate through phantom anatomical bifurcations and tortuous angles is also demonstrated in three dimensional phantom vasculature. At the meso-scale, manual navigation of passive pediatric neuroendoscopes for endoscopic third ventriculostomy may not reach target locations in the patient's ventricle. This work introduces the design, analysis and control of a meso-scale two degree-of-freedom robotic bipolar electrocautery tool that increases the workspace of the neurosurgeon. A static model is proposed for the robot joints that avoids problems arising from pure kinematic control. Using this model, a control system is developed that comprises of a disturbance observer to provide precise force control and compensate for joint hysteresis. A handheld controller is developed and demonstrated in this thesis. To allow the clinician to estimate the shape of the steerable tools within the anatomy for both micro-scale and meso-scale tools, a miniature tendon force sensor and a high deflection shape sensor are proposed and demonstrated. The force sensor features a compact design consisting of a single LED, dual-phototransistor, and a dual-screen arrangement to increase the linear range of sensor output and compensate for external disturbances, thereby allowing force measurement of up to 21 N with 99.58 % accuracy. The shape sensor uses fiber Bragg grating based optical cable mounted on a micromachined tube and is capable of measuring curvatures as high as 145 /m. These sensors were incorporated and tested in the guidewire and the neuroendoscope tool robots and can provide robust feedback for closed-loop control of these devices in the future.Ph.D

A Review of SMA-Based Actuators for Bidirectional Rotational Motion: Application to Origami Robots

Shape memory alloys (SMAs) are a group of metallic alloys capable of sustaining large inelastic strains that can be recovered when subjected to a specific process between two distinct phases. Regarding their unique and outstanding properties, SMAs have drawn considerable attention in various domains and recently became appropriate candidates for origami robots, that require bi-directional rotational motion actuation with limited operational space. However, longitudinal motion-driven actuators are frequently investigated and commonly mentioned, whereas studies in SMA-based rotational motion actuation is still very limited in the literature. This work provides a review of different research efforts related to SMA-based actuators for bi-directional rotational motion (BRM), thus provides a survey and classification of current approaches and design tools that can be applied to origami robots in order to achieve shape-changing. For this purpose, analytical tools for description of actuator behaviour are presented, followed by characterisation and performance prediction. Afterward, the actuators’ design methods, sensing, and controlling strategies are discussed. Finally, open challenges are discussed

Shape Memory Alloy Actuators and Sensors for Applications in Minimally Invasive Interventions

Reduced access size in minimally invasive surgery and therapy (MIST) poses several restriction on the design of the dexterous robotic instruments. The instruments should be developed that are slender enough to pass through the small sized incisions and able to effectively operate in a compact workspace. Most existing robotic instruments are operated by big actuators, located outside the patient’s body, that transfer forces to the end effector via cables or magnetically controlled actuation mechanism. These instruments are certainly far from optimal in terms of their cost and the space they require in operating room. The lack of adequate sensing technologies make it very challenging to measure bending of the flexible instruments, and to measure tool-tissue contact forces of the both flexible and rigid instruments during MIST. Therefore, it requires the development of the cost effective miniature actuators and strain/force sensors. Having several unique features such as bio-compatibility, low cost, light weight, large actuation forces and electrical resistivity variations, the shape memory alloys (SMAs) show promising applications both as the actuators and strain sensors in MIST. However, highly nonlinear hysteretic behavior of the SMAs hinders their use as actuators. To overcome this problem, an adaptive artificial neural network (ANN) based Preisach model and a model predictive controller have been developed in this thesis to precisely control the output of the SMA actuators. A novel ultra thin strain sensor is also designed using a superelastic SMA wire, which can be used to measure strain and forces for many surgical and intervention instruments. A da Vinci surgical instrument is sensorized with these sensors in order to validate their force sensing capability

Surgical Applications of Compliant Mechanisms:A Review

Current surgical devices are mostly rigid and are made of stiff materials, even though their predominant use is on soft and wet tissues. With the emergence of compliant mechanisms (CMs), surgical tools can be designed to be flexible and made using soft materials. CMs offer many advantages such as monolithic fabrication, high precision, no wear, no friction, and no need for lubrication. It is therefore beneficial to consolidate the developments in this field and point to challenges ahead. With this objective, in this article, we review the application of CMs to surgical interventions. The scope of the review covers five aspects that are important in the development of surgical devices: (i) conceptual design and synthesis, (ii) analysis, (iii) materials, (iv) maim facturing, and (v) actuation. Furthermore, the surgical applications of CMs are assessed by classification into five major groups, namely, (i) grasping and cutting, (ii) reachability and steerability, (iii) transmission, (iv) sensing, and (v) implants and deployable devices. The scope and prospects of surgical devices using CMs are also discussed

Wireless capsule endoscope for targeted drug delivery

The diagnosis and treatment of pathologies of the gastrointestinal (GI) tract are performed routinely by gastroenterologists using endoscopes and colonoscopes, however the small intestinal tract is beyond the reach of these conventional systems. Attempts have been made to access the small intestines with wireless capsule endoscopes (WCE). These pill-sized cameras take pictures of the intestinal wall and then relay them back for evaluation. This practice enables the detection and diagnosis of pathologies of the GI tract such as Crohn's disease, small intestinal tumours such as lymphoma and small intestinal cancer. The problems with these systems are that they have limited diagnostic capabilities and they do not offer the ability to perform therapy to the affected areas leaving only the options of administering large quantities of drugs or surgical intervention. To address the issue of administering therapy in the small intestinal tract this thesis presents an active swallowable microrobotic platform which has novel functionality enabling the microrobot to treat pathologies through a targeted drug delivery system. This thesis first reviews the state-of-the-art in WCE through the evaluation of current and past literature. A review of current practises such as flexible sigmoidoscopy, virtual colonoscopy and wireless capsule endoscopy are presented. The following sections review the state-of-the-art in methods of resisting peristalsis, drug targeting systems and drug delivery. A review of actuators is presented, in the context of WCE, with a view to evaluate their acceptability in adding functionality to current WCEs. The thesis presents a novel biologically-inspired holding mechanism which overcomes the issue of resisting natural peristalsis in the GI tract. An analysis of the two components of peristaltic force, circumferential and longitudinal peristaltic contractions, are presented to ensure correct functionality of the holding mechanism. A detailed analysis of the motorised method employed to deploy the expanding mechanism is described and a 5:1 scale prototype is presented which characterises the gearbox and validates the holding mechanism. The functionality of WCE is further extended by the inclusion of a novel targeting mechanism capable of delivering a metered dose of medication to a target site of interest in the GI tract. A solution to the problem of positioning a needle within a 360 degree envelope, operating the needle and safely retracting the needle in the GI tract is discussed. A comprehensive analysis of the mechanism to manoeuvre the needle is presented and validation of the mechanism is demonstrated through the evaluation of scale prototypes. Finally a drug delivery system is presented which can expel a 1 ml dose of medication, stored onboard the capsule, into the subcutaneous tissue of the GI tract wall. An analysis of the force required to expel the medication in a set period of time is presented and the design and analysis of a variable pitch conical compression spring which will be used to deliver the medication is discussed. A thermo mechanical trigger mechanism is presented which will be employed to release the compressed conical spring. Experimental results using 1:1 scale prototype parts validate the performance of the mechanisms.Open Acces

An overview of novel actuators for soft robotics

In this systematic survey, an overview of non-conventional actuators particularly used in soft-robotics is presented. The review is performed by using well-defined performance criteria with a direction to identify the exemplary and potential applications. In addition to this, initial guidelines to compare the performance and applicability of these novel actuators are provided. The meta-analysis is restricted to five main types of actuators: shape memory alloys (SMAs), fluidic elastomer actuators (FEAs), shape morphing polymers (SMPs), dielectric electro-activated polymers (DEAPs), and magnetic/electro-magnetic actuators (E/MAs). In exploring and comparing the capabilities of these actuators, the focus was on eight different aspects: compliance, topology-geometry, scalability-complexity, energy efficiency, operation range, modality, controllability, and technological readiness level (TRL). The overview presented here provides a state-of-the-art summary of the advancements and can help researchers to select the most convenient soft actuators using the comprehensive comparison of the suggested quantitative and qualitative criteria

Contribution au micro-actionnement multi-stable piloté par radiations optiques

In this work, a bistable mechanism based on antagonistic pre-shaped double beams was proposed. Employing the proposed bistable mechanism, a quadristable micro-actuator was designed. ln order to validate the quadristability of the device, a meso-scaled prototype was fabricated from MDF by laser cutting. After the quadristability was experimentally confirmed, a quadristable micro-actuator was realized on SOl wafer using DRIE technique. Strokes for inner row and outer row were reduced to 300 µm and 200 µm respectively. For the actuation of the quadristable micro-actuator,laser heated SMA elements with deposited Si02 layer were used to realize the optical wireless actuation. With the help of a laser beam steering micro-mirror, both inner row and outer row were successfully actuated. ln order to further reduce the stroke, a bistable actuator with stroke reducing structure was designed and a prototype eut from MDF was tested. Bistability was validated and a stroke of 1µm was experimentally achieved. Based on this bistable module, a multistable nano-actuator, which contains four parallel coupled bistable modules,was designed and simulated. The simulated result have indicated that it was capable of outputs 16 discrete stable positions available from 0 nm to 150 nm with a step of 10 nm between two stable positions.Cette thèse traite le sujet du micro-actionnement multistable employant des radiations optiques pour atteindre les différentes positions offertes par le micro-actionneur. Dans le cadre des travaux réalisés, un mécanisme bistable reposant sur un principe de doubles poutres préformées situées en position antagoniste est proposé, et, sur cette brique élémentaire, un micro-actionneur quadristable a été conçu. Afin de valider le principe de fonctionnement de micro-actionneur, des procédés de fabrication Laser (sur le matériau « médium - MDF») puis DRIE (sur un wafer SOI de silicium) ont été utilisés. Sur le prototype en silicium, permettant une réduction des courses du rang interne et du rang externe du micro-actionneur, celles-ci ont été fixées à 300 µm et 200 µm respectivement. L’actionnement à distance de ce micro-actionneur a été prouvé en utilisant le chauffage laser d’un élément actif en Nitinol structuré par un dépôt de SiO2, ceci générant un effet « deux sens » de l’élément actif permettant d’annuler la charge sur les poutres du micro-actionneur une fois celui-ci déclenché puis en position stable. L’utilisation d’un banc expérimental incluant une membrane MEMS de balayage laser a permis de démontrer la quadristabilité du micro-actionneur sur 90 000 cycles. Afin de réduire davantage la course de ce micro-actionneur, des concepts de dispositifs de réduction de course ont été développés pour démontrer, à partir de prototypes fabriqué en MDF par usinage laser, la capacité à atteindre une course de 1 µm. Enfin, à la suite de ces travaux de réduction de course, un concept de nano-actionneur multistable a été proposé. Ce nano-actionneur est composé de quatre modules bistables liés et disposés en parallèle pour offrir 16 positions discrètes sur une course rectiligne. Les simulations de cet actionneur montrent la possibilité d’atteindre les 15 positions espacées de 10 nm sur une course de 150 nm

Modular MRI Guided Device Development System: Development, Validation and Applications

Since the first robotic surgical intervention was performed in 1985 using a PUMA industrial manipulator, development in the field of surgical robotics has been relatively fast paced, despite the tremendous costs involved in developing new robotic interventional devices. This is due to the clear advantages to augmented a clinicians skill and dexterity with the precision and reliability of computer controlled motion. A natural extension of robotic surgical intervention is the integration of image guided interventions, which give the promise of reduced trauma, procedure time and inaccuracies. Despite magnetic resonance imaging (MRI) being one of the most effective imaging modalities for visualizing soft tissue structures within the body, MRI guided surgical robotics has been frustrated by the high magnetic field in the MRI image space and the extreme sensitivity to electromagnetic interference. The primary contributions of this dissertation relate to enabling the use of direct, live MR imaging to guide and assist interventional procedures. These are the two focus areas: creation both of an integrated MRI-guided development platform and of a stereotactic neural intervention system. The integrated series of modules of the development platform represent a significant advancement in the practice of creating MRI guided mechatronic devices, as well as an understanding of design requirements for creating actuated devices to operate within a diagnostic MRI. This knowledge was gained through a systematic approach to understanding, isolating, characterizing, and circumventing difficulties associated with developing MRI-guided interventional systems. These contributions have been validated on the levels of the individual modules, the total development system, and several deployed interventional devices. An overview of this work is presented with a summary of contributions and lessons learned along the way