The Research on Soft Pneumatic Actuators in Italy: Design Solutions and Applications

Interest in soft actuators has increased enormously in the last 10 years. Thanks to their compliance and flexibility, they are suitable to be employed to actuate devices that must safely interact with humans or delicate objects or to actuate bio-inspired robots able to move in hostile environments. This paper reviews the research on soft pneumatic actuators conducted in Italy, focusing on mechanical design, analytical modeling, and possible application. A classification based on the geometry is proposed, since a wide set of architectures and manufacturing solutions are available. This aspect is confirmed by the extent of scenarios in which researchers take advantage of such systems’ improved flexibility and functionality. Several applications regarding bio-robotics, bioengineering, wearable devices, and more are presented and discussed

Морфо-структурні зміни діафрагми на тлі змодельованого підвищеного інтраабдомінального тиску різної тривалості

The aim of the work: to assess the degree of morpho-structural changes of the muscular-aponeurotic elements of the diaphragm under the action of experimentally simulated increased intra-abdominal pressure of different duration. Materials and Methods. The work was performed on 12 nonlinear, mature white rats, both sexes, weighing 180–200 g. The experimental animals were divided into 4 groups depending on the duration of intense intra-abdominal pressure: group 1 (3 animals) – up to 1 hour, group 2 (3 animals) – up to 3 hours, group 3 (3 animals) – up to 5 hours and group 4 (3 animals) – more than 5 hours. Experimental elevated pressure was simulated using a cuff and tonometer. In order to assess the structural changes in the experimental white rats after their withdrawal from the experiment, the diaphragm was dissected and subjected to macroscopic examination. The next stage was the collection of tissue from different anatomical departments (dome, legs, tendon center) with their subsequent histological examination. Results and Discussion. The results of histological examination indicate that general anesthesia with increased intra-abdominal pressure affects the condition of organs and tissues of white rats and, in particular, the condition of the diaphragm. Morphologically, these changes are characterized by the development of hemodynamic disorders, the phenomena of disorganization of the fibrous structures of connective tissue, dystrophic changes in muscle tissue, the emergence of an inflammatory reaction. Evaluating the intensity of these changes in experimental groups with different duration of general anesthesia, we can trace a direct relationship between the severity of structural changes and the duration of action of the studied factor on the body of experimental animals.Мета роботи: оцінка ступеня морфо-структурних змін м’язово-апоневротичних елементів діафрагми за дії експериментально змодельованого підвищеного інтраабдомінального тиску різної тривалості. Матеріали і методи. Робота виконана на 12 нелінійних статевозрілих білих щурах обох статей масою 180–200 г. Експериментальні тварини були розділені на 4 групи залежно від тривалості напруженого інтраабдомінального тиску: 1 група (3 тварини) – до 1 години, 2 група (3 тварини) – до 3 годин, 3 група (3 тварини) – до 5 годин та 4 група (3 тварини) – більше 5 годин. Експериментальний підвищений тиск моделювали за допомогою манжетки та тонометра. З метою оцінки структурних змін у піддослідних білих щурів після виведення їх з експерименту діафрагму відпрепаровували та здійснювали її макроскопічний огляд. Наступним етапом був забір тканини з різних анатомічних відділів (купол, ніжки, сухожильний центр) з їх подальшим гістологічним дослідженням. Результати досліджень та їх обговорення. Результати гістологічного дослідження свідчать, що загальне знеболення із підвищеним інтраабдомінальним тиском впливає на стан органів і тканин білих щурів і, зокрема, на стан діафрагми. Морфологічно ці зміни характеризуються розвитком гемодинамічних порушень, явищами дезорганізації волокнистих структур сполучної тканини, дистрофічними змінами мʼязової тканини, виникненням запальної реакції. Оцінюючи інтенсивність зазначених змін у експериментальних групах із різною тривалістю загального знеболення, можна простежити пряму залежність між вираженістю структурних змін та тривалістю дії досліджуваного фактора на організм піддослідних тварин

Impact of Ear Occlusion on In-Ear Sounds Generated by Intra-oral Behaviors

We conducted a case study with one volunteer and a recording setup to detect sounds induced by the actions: jaw clenching, tooth grinding, reading, eating, and drinking. The setup consisted of two in-ear microphones, where the left ear was semi-occluded with a commercially available earpiece and the right ear was occluded with a mouldable silicon ear piece. Investigations in the time and frequency domains demonstrated that for behaviors such as eating, tooth grinding, and reading, sounds could be recorded with both sensors. For jaw clenching, however, occluding the ear with a mouldable piece was necessary to enable its detection. This can be attributed to the fact that the mouldable ear piece sealed the ear canal and isolated it from the environment, resulting in a detectable change in pressure. In conclusion, our work suggests that detecting behaviors such as eating, grinding, reading with a semi-occluded ear is possible, whereas, behaviors such as clenching require the complete occlusion of the ear if the activity should be easily detectable. Nevertheless, the latter approach may limit real-world applicability because it hinders the hearing capabilities.</p

Bio-Inspired Soft Artificial Muscles for Robotic and Healthcare Applications

Soft robotics and soft artificial muscles have emerged as prolific research areas and have gained substantial traction over the last two decades. There is a large paradigm shift of research interests in soft artificial muscles for robotic and medical applications due to their soft, flexible and compliant characteristics compared to rigid actuators. Soft artificial muscles provide safe human-machine interaction, thus promoting their implementation in medical fields such as wearable assistive devices, haptic devices, soft surgical instruments and cardiac compression devices. Depending on the structure and material composition, soft artificial muscles can be controlled with various excitation sources, including electricity, magnetic fields, temperature and pressure. Pressure-driven artificial muscles are among the most popular soft actuators due to their fast response, high exertion force and energy efficiency. Although significant progress has been made, challenges remain for a new type of artificial muscle that is easy to manufacture, flexible, multifunctional and has a high length-to-diameter ratio. Inspired by human muscles, this thesis proposes a soft, scalable, flexible, multifunctional, responsive, and high aspect ratio hydraulic filament artificial muscle (HFAM) for robotic and medical applications. The HFAM consists of a silicone tube inserted inside a coil spring, which expands longitudinally when receiving positive hydraulic pressure. This simple fabrication method enables low-cost and mass production of a wide range of product sizes and materials. This thesis investigates the characteristics of the proposed HFAM and two implementations, as a wearable soft robotic glove to aid in grasping objects, and as a smart surgical suture for perforation closure. Multiple HFAMs are also combined by twisting and braiding techniques to enhance their performance. In addition, smart textiles are created from HFAMs using traditional knitting and weaving techniques for shape-programmable structures, shape-morphing soft robots and smart compression devices for massage therapy. Finally, a proof-of-concept robotic cardiac compression device is developed by arranging HFAMs in a special configuration to assist in heart failure treatment. Overall this fundamental work contributes to the development of soft artificial muscle technologies and paves the way for future comprehensive studies to develop HFAMs for specific medical and robotic requirements

Scalability study for robotic hand platform

The goal of this thesis project was to determine the lower limit of scale for the RIT robotic grasping hand. This was accomplished using a combination of computer simulation and experimental studies. A force analysis was conducted to determine the size of air muscles required to achieve appropriate contact forces at a smaller scale. Input variables, such as the actuation force and tendon return force, were determined experimentally. A dynamic computer model of the hand system was then created using Recurdyn. This was used to predict the contact (grasping) force of the fingers at full-scale, half-scale, and quarter-scale. Correlation between the computer model and physical testing was achieved for both a life-size and half-scale finger assembly. To further demonstrate the scalability of the hand design, both half and quarter-scale robotic hand rapid prototype assemblies were built using 3D printing techniques. This thesis work identified the point where further miniaturization would require a change in the manufacturing process to micro-fabrication. Several techniques were compared as potential methods for making a production intent quarter-scale robotic hand. Investment casting, Swiss machining, and Selective Laser Sintering were the manufacturing techniques considered. A quarter-scale robotic hand tested the limits of each technology. Below this scale, micro-machining would be required. The break point for the current actuation method, air muscles, was also explored. Below the quarter-scale, an alternative actuation method would also be required. Electroactive Polymers were discussed as an option for the micro-scale. In summary, a dynamic model of the RIT robotic grasping hand was created and validated as scalable at full and half-scales. The model was then used to predict finger contact forces at the quarter-scale. The quarter-scale was identified as the break point in terms of the current RIT robotic grasping hand based on both manufacturing and actuation. A novel, prototype quarter-scale robotic hand assembly was successfully built by an additive manufacturing process, a high resolution 3D printer. However, further miniaturization would require alternate manufacturing techniques and actuation mechanisms

Assistive Care Robots

Assistive care robots have evolved rapidly in the last 25 years, bringing efficiency into the medical field. Purpose: Understand how assistive care robotics are presently helping in surgery, prosthetic and rehabilitation. Additionally, the effects they will have upon medical professionals within the next ten years. Methods: The team will research on past, present and future projects involving assistive care robotics. Posteriorly to the research, interviews were conducted with medical doctors, professors, and PhD researchers. Results: Assistive care robots are currently improving lives, and bringing efficiency to the medical field. Conclusions: Robots are improving lives of medical professionals and patients by serving as tools that enhance the ability of the users

Design, Fabrication, and Control of an Upper Arm Exoskeleton Assistive Robot

Stroke is the primary cause of permanent impairment and neurological damage in the United States and Europe. Annually, about fifteen million individuals worldwide suffer from stroke, which kills about one third of them. For many years, it was believed that major recovery can be achieved only in the first six months after a stroke. More recent research has demonstrated that even many years after a stroke, significant improvement is not out of reach. However, economic pressures, the aging population, and lack of specialists and available human resources can interrupt therapy, which impedes full recovery of patients after being discharged from hospital following initial rehabilitation. Robotic devices, and in particular portable robots that provide rehabilitation therapy at home and in clinics, are a novel way not only to optimize the cost of therapy but also to let more patients benefit from rehabilitation for a longer time. Robots used for such purposes should be smaller, lighter and more affordable than the robots currently used in clinics and hospitals. The common human-machine interaction design criteria such as work envelopes, safety, comfort, adaptability, space limitations, and weight-to-force ratio must still be taken into consideration.;In this work a light, wearable, affordable assistive robot was designed and a controller to assist with an activity of daily life (ADL) was developed. The mechanical design targeted the most vulnerable group of the society to stroke, based on the average size and age of the patients, with adjustability to accommodate a variety of individuals. The novel mechanical design avoids motion singularities and provides a large workspace for various ADLs. Unlike similar exoskeleton robots, the actuators are placed on the patient\u27s torso and the force is transmitted through a Bowden cable mechanism. Since the actuators\u27 mass does not affect the motion of the upper extremities, the robot can be more agile and more powerful. A compact novel actuation method with high power-to-weight ratio called the twisted string actuation method was used. Part of the research involved selection and testing of several string compositions and configurations to compare their suitability and to characterize their performance. Feedback sensor count and type have been carefully considered to keep the cost of the system as low as possible. A master-slave controller was designed and its performance in tracking the targeted ADL trajectory was evaluated for one degree of freedom (DOF). An outline for proposed future research will be presented

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

Adaptive and reconfigurable robotic gripper hands with a meso-scale gripping range

Grippers and robotic hands are essential and important end-effectors of robotic manipulators. Developing a gripper hand that can grasp a large variety of objects precisely and stably is still an aspiration even though research in this area has been carried out for several decades. This thesis provides a development approach and a series of gripper hands which can bridge the gap between micro-gripper and macro-gripper by extending the gripping range to the mesoscopic scale (meso-scale). Reconfigurable topology and variable mobility of the design offer versatility and adaptability for the changing environment and demands. By investigating human grasping behaviours and the unique structures of human hand, a CFB-based finger joint for anthropomorphic finger is developed to mimic a human finger with a large grasping range. The centrodes of CFB mechanism are explored and a contact-aided CFB mechanism is developed to increase stiffness of finger joints. An integrated gripper structure comprising cross four-bar (CFB) and remote-centre-of-motion (RCM) mechanisms is developed to mimic key functionalities of human hand. Kinematics and kinetostatic analyses of the CFB mechanism for multimode gripping are conducted to achieve passive-adjusting motion. A novel RCM-based finger with angular, parallel and underactuated motion is invented. Kinematics and stable gripping analyses of the RCM-based multi-motion finger are also investigated. The integrated design with CFB and RCM mechanisms provides a novel concept of a multi-mode gripper that aims to tackle the challenge of changing over for various sizes of objects gripping in mesoscopic scale range. Based on the novel designed mechanisms and design philosophy, a class of gripper hands in terms of adaptive meso-grippers, power-precision grippers and reconfigurable hands are developed. The novel features of the gripper hands are one degree of freedom (DoF), self-adaptive, reconfigurable and multi-mode. Prototypes are manufactured by 3D printing and the grasping abilities are tested to verify the design approach.EPSR

A flexible access platform for robot-assisted minimally invasive surgery

Advances in Minimally Invasive Surgery (MIS) are driven by the clinical demand to reduce the invasiveness of surgical procedures so patients undergo less trauma and experience faster recoveries. These well documented benefits of MIS have been achieved through parallel advances in the technology and instrumentation used during procedures. The new and evolving field of Flexible Access Surgery (FAS), where surgeons access the operative site through a single incision or a natural orifice incision, is being promoted as the next potential step in the evolution of surgery. In order to achieve similar levels of success and adoption as MIS, technology again has its role to play in developing new instruments to solve the unmet clinical challenges of FAS. As procedures become less invasive, these instruments should not just address the challenges presented by the complex access routes of FAS, but should also build on the recent advances in pre- and intraoperative imaging techniques to provide surgeons with new diagnostic and interventional decision making capabilities. The main focus of this thesis is the development and applications of a flexible robotic device that is capable of providing controlled flexibility along curved pathways inside the body. The principal component of the device is its modular mechatronic joint design which utilises an embedded micromotor-tendon actuation scheme to provide independently addressable degrees of freedom and three internal working channels. Connecting multiple modules together allows a seven degree-of-freedom (DoF) flexible access platform to be constructed. The platform is intended for use as a research test-bed to explore engineering and surgical challenges of FAS. Navigation of the platform is realised using a handheld controller optimised for functionality and ergonomics, or in a "hands-free" manner via a gaze contingent control framework. Under this framework, the operator's gaze fixation point is used as feedback to close the servo control loop. The feasibility and potential of integrating multi-spectral imaging capabilities into flexible robotic devices is also demonstrated. A force adaptive servoing mechanism is developed to simplify the deployment, and improve the consistency of probe-based optical imaging techniques by automatically controlling the contact force between the probe tip and target tissue. The thesis concludes with the description of two FAS case studies performed with the platform during in-vivo porcine experiments. These studies demonstrate the ability of the platform to perform large area explorations within the peritoneal cavity and to provide a stable base for the deployment of interventional instruments and imaging probes