Feasibility Study of a Wearable Haptic knob System

In this study, we develop an event-based wearable haptic knob system that can be used in three-dimensional space. The first step involves building custom-built brakes and attaching them to a human forearm to achieve a wearable haptic knob. The display is built using a carbon-fiber frame. As our system is experiment-based, target torque curves are collected by a force sensor before using the torque representation. We confirm the effectiveness of our developed display through three operations, namely doorknob rotation, valve closing, and valve opening by the test subject. In the first step, the rotational axis was fixed on a table. These results are then used to develop the perfect wearable haptic system that includes a rotational axis in the display

Control system design for robots used in simulating dynamic force and moment interaction in virtual reality applications

This dissertation presents an approach to simulating the dynamic force and moment interaction between a human and a virtual object using a robotic manipulator as the force transmitter. Accurate control of the linear and angular accelerations of the robot end effector is required in order for the correct forces and moments to be imparted on a human operating in a computer generated virtual environment. A control system has been designed which is robust in terms of stability and performance. This control system is derived from abbreviated linear and nonlinear models of the manipulator dynamics which are efficient enough for real-time implementation yet retain a sufficient level of complexity for accurate calculations. An efficient multiple-input multiple-output (MIMO) pole placement scheme has also been devised which locates the pre-specified system eigenvalues. The controller gains are given as explicit functions of a desired trajectory to be followed and, thus, are time varying such that the overall closed-loop system is rendered time-invariant. Key software elements were automatically derived and output in compiler-ready form demonstrating the feasibility of automatic, computer generated control laws for complex robotic systems. Test results are given for a PUMA 560 used to impart dynamic forces on a user operating in a virtual environment

Investigating the Neuromuscular Response to Sudden Wrist Perturbations

The purpose of this work was to evaluate changes in forearm muscle activity and co-contraction caused by sudden wrist perturbations during a dynamic wrist tracking task using a haptic wrist robot. Surface electromyography was recorded from eight muscles of the upper-limb. Participants were seated with their forearm placed on an armrest, grasping the handle of a haptic wrist robot. Participants performed trials consisting of 17 repetitions of ±40° of wrist flexion/extension. During trials, participants received 3 perturbations. Perturbations varied based on condition: radial or ulnar direction, during flexion or extension, and with known or unknown timing. Co-contraction ratios for all muscle pairs illustrated significantly greater extensor activity across all experimental conditions. Expected (known) perturbations produced greater anticipatory muscle activity as well as greater task performance. While improving performance, this increase in anticipatory muscle activity may leave muscles susceptible to early-onset fatigue and chronic overuse injuries in the workplace

Rehabilitation Engineering

Population ageing has major consequences and implications in all areas of our daily life as well as other important aspects, such as economic growth, savings, investment and consumption, labour markets, pensions, property and care from one generation to another. Additionally, health and related care, family composition and life-style, housing and migration are also affected. Given the rapid increase in the aging of the population and the further increase that is expected in the coming years, an important problem that has to be faced is the corresponding increase in chronic illness, disabilities, and loss of functional independence endemic to the elderly (WHO 2008). For this reason, novel methods of rehabilitation and care management are urgently needed. This book covers many rehabilitation support systems and robots developed for upper limbs, lower limbs as well as visually impaired condition. Other than upper limbs, the lower limb research works are also discussed like motorized foot rest for electric powered wheelchair and standing assistance device

Realization of a demonstrator slave for robotic minimally invasive surgery

Robots for Minimally Invasive Surgery (MIS) can improve the surgeon’s work conditions with respect to conventional MIS and to enable MIS with more complex procedures. This requires to provide the surgeon with tactile feedback to feel forces executed on e.g. tissue and sutures, which is partially lost in conventional MIS. Additionally use of a robot should improve the approach possibilities of a target organ by means of instrument degrees of freedom (DoFs) and of the entry points with a compact set-up. These requirements add to the requirements set by the most common commercially available system, the da Vinci which are: (i) dexterity, (ii) natural hand-eye coordination, (iii) a comfortable body posture, (iv) intuitive utilization, and (v) a stereoscopic ’3D’ view of the operation site. The purpose of Sofie (Surgeon’s operating force-feedback interface Eindhoven) is to evaluate the possible benefit of force-feedback and the approach of both patient and target organ. Sofie integrates master, slave, electronic hardware and control. This thesis focusses on the design and realization of a technology demonstrator of the Slave. To provide good accuracy and valuable force-feedback, good dynamic behavior and limited hysteresis are required. To this end the Slave includes (i) a relatively short force-path between its instrument-tips and between tip and patient, and (ii) a passive instrument-support by means of a remote kinematically fixed point of rotation. The incision tissue does not support the instrument. The Slave is connected directly to the table. It provides a 20 DoF highly adaptable stiff frame (pre-surgical set-up) with a short force-path between the instrumenttips and between instrument-tip and patient. During surgery this frame supports three 4 DoF manipulators, two for exchangeable 4 DoF instruments and one for an endoscope. The pre-surgical set-up of the Slave consists of a 5 DoF platform-adjustment with a platform. This platform can hold three 5 DoF manipulator-adjustments in line-up. The set-up is compact to avoid interference with the team, entirely mechanical and allows fast manual adjustment and fixation of the joints. It provides a stiff frame during surgery. A weight-compensation mechanism for the platformadjustment has been proposed. Measurements indicate all natural frequencies are above 25 Hz. The manipulator moves the instrument in 4 DoFs (??, , ?? and Z). Each manipulator passively supports its instrument with a parallelogram mechanism, providing a kinematically fixed point of rotation. Two manipulators have been designed in consecutive order. The first manipulator drives with a worm-wormwheel, the second design uses a ball-screw drive. This ball-screw drive reduces friction, which is preferred for next generations of the manipulator, since the worm-wormwheel drive shows a relatively low coherence at low frequencies. The compact ??Zmanipulator moves the instrument in ?? by rotating a drum. Friction wheels in the drum provide Z. Eventually, the drum will be removable from the manipulator for sterilization. This layout of the manipulator results in a small motion-envelope and least obstructs the team at the table. Force sensors measuring forces executed with the instrument, are integrated in the manipulator instead of at the instrument tip, to avoid all risks of electrical signals being introduced into the patient. Measurements indicate the separate sensors function properly. Integrated in the manipulator the sensors provide a good indication of the force but do suffer from some hysteresis which might be caused by moving wires. The instrument as realized consists of a drive-box, an instrument-tube and a 4 DoF tip. It provides the surgeon with three DoFs additional to the gripper of conventional MIS instruments. These DoFs include two lateral rotations (pitch and pivot) to improve the approach possibilities and the roll DoF will contribute in stitching. Pitch and roll are driven by means of bevelgears, driven with concentric tubes. Cables drive the pivot and close DoFs of the gripper. The transmissions are backdriveable for safety. Theoretical torques that can be achieved with this instrument approximate the requirements closely. Further research needs to reveal the torques achieved in practice and whether the requirements obtained from literature actually are required for these 4 DoF instruments. Force-sensors are proposed and can be integrated. Sofie currently consists of a master prototype with two 5 DoF haptic interfaces, the Slave and an electronic hardware cabinet. The surgeon uses the haptic interfaces of the Master to manipulate the manipulators and instruments of the Slave, while the actuated DoFs of the Master provide the surgeon with force-feedback. This project resulted in a demonstrator of the slave with force sensors incorporated, compact for easy approach of the patient and additional DoFs to increase approach possibilities of the target organ. This slave and master provide a good starting point to implement haptic controllers. These additional features may ultimately benefit both surgeon and patient

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

A Novel Haptic Simulator for Evaluating and Training Salient Force-Based Skills for Laparoscopic Surgery

Laparoscopic surgery has evolved from an \u27alternative\u27 surgical technique to currently being considered as a mainstream surgical technique. However, learning this complex technique holds unique challenges to novice surgeons due to their \u27distance\u27 from the surgical site. One of the main challenges in acquiring laparoscopic skills is the acquisition of force-based or haptic skills. The neglect of popular training methods (e.g., the Fundamentals of Laparoscopic Surgery, i.e. FLS, curriculum) in addressing this aspect of skills training has led many medical skills professionals to research new, efficient methods for haptic skills training. The overarching goal of this research was to demonstrate that a set of simple, simulator-based haptic exercises can be developed and used to train users for skilled application of forces with surgical tools. A set of salient or core haptic skills that underlie proficient laparoscopic surgery were identified, based on published time-motion studies. Low-cost, computer-based haptic training simulators were prototyped to simulate each of the identified salient haptic skills. All simulators were tested for construct validity by comparing surgeons\u27 performance on the simulators with the performance of novices with no previous laparoscopic experience. An integrated, \u27core haptic skills\u27 simulator capable of rendering the three validated haptic skills was built. To examine the efficacy of this novel salient haptic skills training simulator, novice participants were tested for training improvements in a detailed study. Results from the study demonstrated that simulator training enabled users to significantly improve force application for all three haptic tasks. Research outcomes from this project could greatly influence surgical skills simulator design, resulting in more efficient training

UPPER LIMB MOVEMENT IN VIRTUAL AND REAL-WORLD ENVIRONMENTS

In recent years, virtual reality (VR) systems have experienced significant technological advancements, resulting in increased accessibility and improved product quality. Early VR systems were limited by low visual quality, large size, and high cost, but advancements in technology have propelled VR into the mainstream. As VR becomes increasingly prevalent, it is vital to understand its effects on the human sensorimotor system, particularly with vulnerable populations. The upper limb is within the field of view of current VR headsets and is the main point of contact between the user and virtual environment. It is therefore an essential component of the relationship between user and system. This dissertation is organized into five sections, each contributing to the overarching objective of understanding upper limb movement in real and virtual environments. Chapter I serves as an introduction, providing essential background information and an overview of subsequent chapters. Chapters II and III are dedicated to validating the HTC VIVE tracker as a tool for collecting both static and dynamic data. This establishes the foundation for subsequent studies, which use the tracker to estimate body segment position and orientation. Chapter IV investigates the impact of visuoproprioceptive congruency on upper limb joint position matching within a VR environment, highlighting the pivotal role of vision in the planning and execution of movements. Continuing the exploration of upper limb movements, Chapter V identifies kinematic and kinetic disparities between visually guided reaching movements conducted in VR and the real world (RW). Building upon the findings from Chapter V, Chapter VI investigates the translation of these differences when individuals switch between VR and RW environments. Collectively, these studies contribute to the broader knowledge base of motor control, informing the design and implementation of effective protocols and applications in both real and virtual settings. This dissertation includes previously published and unpublished co-authored material

Ground Robotic Hand Applications for the Space Program study (GRASP)

This document reports on a NASA-STDP effort to address research interests of the NASA Kennedy Space Center (KSC) through a study entitled, Ground Robotic-Hand Applications for the Space Program (GRASP). The primary objective of the GRASP study was to identify beneficial applications of specialized end-effectors and robotic hand devices for automating any ground operations which are performed at the Kennedy Space Center. Thus, operations for expendable vehicles, the Space Shuttle and its components, and all payloads were included in the study. Typical benefits of automating operations, or augmenting human operators performing physical tasks, include: reduced costs; enhanced safety and reliability; and reduced processing turnaround time