11,508 research outputs found
Computer- and robot-assisted Medical Intervention
Medical robotics includes assistive devices used by the physician in order to
make his/her diagnostic or therapeutic practices easier and more efficient.
This chapter focuses on such systems. It introduces the general field of
Computer-Assisted Medical Interventions, its aims, its different components and
describes the place of robots in that context. The evolutions in terms of
general design and control paradigms in the development of medical robots are
presented and issues specific to that application domain are discussed. A view
of existing systems, on-going developments and future trends is given. A
case-study is detailed. Other types of robotic help in the medical environment
(such as for assisting a handicapped person, for rehabilitation of a patient or
for replacement of some damaged/suppressed limbs or organs) are out of the
scope of this chapter.Comment: Handbook of Automation, Shimon Nof (Ed.) (2009) 000-00
Medical image computing and computer-aided medical interventions applied to soft tissues. Work in progress in urology
Until recently, Computer-Aided Medical Interventions (CAMI) and Medical
Robotics have focused on rigid and non deformable anatomical structures.
Nowadays, special attention is paid to soft tissues, raising complex issues due
to their mobility and deformation. Mini-invasive digestive surgery was probably
one of the first fields where soft tissues were handled through the development
of simulators, tracking of anatomical structures and specific assistance
robots. However, other clinical domains, for instance urology, are concerned.
Indeed, laparoscopic surgery, new tumour destruction techniques (e.g. HIFU,
radiofrequency, or cryoablation), increasingly early detection of cancer, and
use of interventional and diagnostic imaging modalities, recently opened new
challenges to the urologist and scientists involved in CAMI. This resulted in
the last five years in a very significant increase of research and developments
of computer-aided urology systems. In this paper, we propose a description of
the main problems related to computer-aided diagnostic and therapy of soft
tissues and give a survey of the different types of assistance offered to the
urologist: robotization, image fusion, surgical navigation. Both research
projects and operational industrial systems are discussed
Robot Autonomy for Surgery
Autonomous surgery involves having surgical tasks performed by a robot
operating under its own will, with partial or no human involvement. There are
several important advantages of automation in surgery, which include increasing
precision of care due to sub-millimeter robot control, real-time utilization of
biosignals for interventional care, improvements to surgical efficiency and
execution, and computer-aided guidance under various medical imaging and
sensing modalities. While these methods may displace some tasks of surgical
teams and individual surgeons, they also present new capabilities in
interventions that are too difficult or go beyond the skills of a human. In
this chapter, we provide an overview of robot autonomy in commercial use and in
research, and present some of the challenges faced in developing autonomous
surgical robots
Prevalence of haptic feedback in robot-mediated surgery : a systematic review of literature
© 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
Dynamic Active Constraints for Surgical Robots using Vector Field Inequalities
Robotic assistance allows surgeons to perform dexterous and tremor-free
procedures, but robotic aid is still underrepresented in procedures with
constrained workspaces, such as deep brain neurosurgery and endonasal surgery.
In these procedures, surgeons have restricted vision to areas near the surgical
tooltips, which increases the risk of unexpected collisions between the shafts
of the instruments and their surroundings. In this work, our
vector-field-inequalities method is extended to provide dynamic
active-constraints to any number of robots and moving objects sharing the same
workspace. The method is evaluated with experiments and simulations in which
robot tools have to avoid collisions autonomously and in real-time, in a
constrained endonasal surgical environment. Simulations show that with our
method the combined trajectory error of two robotic systems is optimal.
Experiments using a real robotic system show that the method can autonomously
prevent collisions between the moving robots themselves and between the robots
and the environment. Moreover, the framework is also successfully verified
under teleoperation with tool-tissue interactions.Comment: Accepted on T-RO 2019, 19 Page
Multi-stage Suture Detection for Robot Assisted Anastomosis based on Deep Learning
In robotic surgery, task automation and learning from demonstration combined
with human supervision is an emerging trend for many new surgical robot
platforms. One such task is automated anastomosis, which requires bimanual
needle handling and suture detection. Due to the complexity of the surgical
environment and varying patient anatomies, reliable suture detection is
difficult, which is further complicated by occlusion and thread topologies. In
this paper, we propose a multi-stage framework for suture thread detection
based on deep learning. Fully convolutional neural networks are used to obtain
the initial detection and the overlapping status of suture thread, which are
later fused with the original image to learn a gradient road map of the thread.
Based on the gradient road map, multiple segments of the thread are extracted
and linked to form the whole thread using a curvilinear structure detector.
Experiments on two different types of sutures demonstrate the accuracy of the
proposed framework.Comment: Submitted to ICRA 201
Planning and Real Time Control of a Minimally Invasive Robotic Surgery System
This paper introduces the planning and control software of a teleoperating robotic system for minimally invasive surgery. It addresses the problem of how to organize a complex system with 41 degrees of freedom including robot setup planning, force feedback control and nullspace handling with three robotic arms. The planning software is separated into sequentially executed planning and registration procedures. An optimal setup is first planned in virtual reality and then adapted to variations in the operating room. The real time control system is composed of hierarchical layers. The design is flexible and expandable without losing performance. Structure, functionality and implementation of planning and control are described. The robotic system provides the surgeon with an intuitive hand-eye-coordination and force feedback in teleoperation for both hands
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