Soft Robot-Assisted Minimally Invasive Surgery and Interventions: Advances and Outlook

Since the emergence of soft robotics around two decades ago, research interest in the field has escalated at a pace. It is fuelled by the industry's appreciation of the wide range of soft materials available that can be used to create highly dexterous robots with adaptability characteristics far beyond that which can be achieved with rigid component devices. The ability, inherent in soft robots, to compliantly adapt to the environment, has significantly sparked interest from the surgical robotics community. This article provides an in-depth overview of recent progress and outlines the remaining challenges in the development of soft robotics for minimally invasive surgery

A robotic system for actively stiffening flexible manipulators

A system for actively changing the stiffness of a long, thin, flexible robotic manipulator has been designed for cardiologists to use in a range of diagnosis and treatment procedures. Low-stiffness manipulators, such as catheters, are ideal for steering through vasculature with low risk of tissue injury. However, such instruments are not well-suited for applying force to tissue. The proposed system solves this problem by using a series of bead-shaped vertebrae containing pull wires to actively change the stiffness of the catheter, similar to gooseneck surgical retractors. Individual wires steer the catheter to a desired location. All wires are then tensioned to create friction between each vertebra and prevent sliding, therefore resisting motion. While this design concept has been implemented manually in various settings for decades, fine robotic control of the friction and stiffness of the system relies on a thorough understanding of the friction properties between vertebral segments. We have developed an analytical model to understand the interactions between vertebrae and determine the relationships between system parameters and the overall stiffness of the catheter. Experiments validated the calculations from the model and the functionality of the system by applying known loads to the tip of the catheter and measuring the catheter displacement. The catheter stiffness was measured to range from 100 N/m to 800 N/m, which is sufficient for performing many surgical tasks on tissue. This system can be useful in minimally invasive procedures involving direct instrument contact with tissue by improving accuracy, safety, and work flow.Engineering and Applied Science

Dynamics of Hybrid-Actuated Soft Robots with Stiffness Adaptation for Robot-Assisted Interventions

The lack of adaptability in surgical instruments has limited the widespread adoption of robot-assisted interventions. The objective of this doctoral research was to address the inherent trade-off between the deformability and force transmission capacity of minimally invasive surgery (MIS) instruments. Current instruments, such as catheters, tend to exhibit either excessive flexibility, rendering them unsuitable for load-bearing tasks, or excessive stiffness, limiting maneuverability in anatomical regions with complex geometry. The hypothesis underlying this research proposed that by controlling the stiffness of a soft robot, which serves as an MIS instrument, it is possible to increase its deformability during the steering phase while increasing stiffness during load-bearing tasks to ensure effective force transmission. The approach put forth in this study utilized a hybrid air-tendon actuation system, which has not yet been explored in existing literature for stiffness adaptation. To justify this hypothesis, a continuum mechanics model based on the nonlinear Cosserat rod method, incorporating hyperelastic material properties and accommodating large deformation kinematics, was developed and experimentally validated. This model demonstrated the feasibility of stiffness control through hybrid actuation. Initially, a static Cosserat rod model was developed and validated in a 2D context. Furthermore, the model was refined to incorporate the hyperelastic properties of the soft material, and its validity was established in 3D scenarios. Next, a dynamic model for the Cosserat rod was developed and validated using experimental data. Lastly, a parametric finite element method was used to optimize the geometry of the soft robot based on a defined goal function to reduce unnecessary radial expansion during inflation and enhance axial force transmission

A Stiffness-Adjustable Hyperredundant Manipulator Using a Variable Neutral-Line Mechanism for Minimally Invasive Surgery

In robotic single-port surgery, it is desirable for a manipulator to exhibit the property of variable stiffness. Small-port incisions may require both high flexibility of the manipulator for safety purposes, as well as high structural stiffness for operational precision and high payload capability. This paper presents a new hyperredundant tubular manipulator with a variable neutral-line mechanisms and adjustable stiffness. A unique asymmetric arrangement of the tendons and the links realizes both articulation of the manipulator and continuous stiffness modulation. This asymmetric motion of the manipulator is compensated by a novel actuation mechanism without affecting its structural stiffness. The paper describes the basic mechanics of the variable neutral-line manipulator, and its stiffness characteristics. Simulation and experimental results verify the performance of the proposed mechanism.Samsung Advanced Institute of Technolog

Design and analysis of a robust, low-cost, highly articulated manipulator enabled by jamming of granular media

Hyper-redundant manipulators can be fragile, expensive, and limited in their flexibility due to the distributed and bulky actuators that are typically used to achieve the precision and degrees of freedom (DOFs) required. Here, a manipulator is proposed that is robust, high-force, low-cost, and highly articulated without employing traditional actuators mounted at the manipulator joints. Rather, local tunable stiffness is coupled with off-board spooler motors and tension cables to achieve complex manipulator configurations. Tunable stiffness is achieved by reversible jamming of granular media, which-by applying a vacuum to enclosed grains-causes the grains to transition between solid-like states and liquid-like ones. Experimental studies were conducted to identify grains with high strength-to-weight performance. A prototype of the manipulator is presented with performance analysis, with emphasis on speed, strength, and articulation. This novel design for a manipulator-and use of jamming for robotic applications in general-could greatly benefit applications such as human-safe robotics and systems in which robots need to exhibit high flexibility to conform to their environments.United States. Defense Advanced Research Projects Agency (Maximum Mobility and Manipulation Program