Semiautonomous Robotic Manipulator for Minimally Invasive Aortic Valve Replacement

Aortic valve surgery is the preferred procedure for replacing a damaged valve with an artificial one. The ValveTech robotic platform comprises a flexible articulated manipulator and surgical interface supporting the effective delivery of an artificial valve by teleoperation and endoscopic vision. This article presents our recent work on force-perceptive, safe, semiautonomous navigation of the ValveTech platform prior to valve implantation. First, we present a force observer that transfers forces from the manipulator body and tip to a haptic interface. Second, we demonstrate how hybrid forward/inverse mechanics, together with endoscopic visual servoing, lead to autonomous valve positioning. Benchtop experiments and an artificial phantom quantify the performance of the developed robot controller and navigator. Valves can be autonomously delivered with a 2.0±0.5 mm position error and a minimal misalignment of 3.4±0.9°. The hybrid force/shape observer (FSO) algorithm was able to predict distributed external forces on the articulated manipulator body with an average error of 0.09 N. FSO can also estimate loads on the tip with an average accuracy of 3.3%. The presented system can lead to better patient care, delivery outcome, and surgeon comfort during aortic valve surgery, without requiring sensorization of the robot tip, and therefore obviating miniaturization constraints.</p

Nonlinear control strategy for a cost effective myoelectric prosthetic hand

The loss of a limb tremendously impacts the life of the affected individual. In the past decades, researchers have been developing artificial limbs that may return some of the missing functions and cosmetics. However, the development of dexterous mechanisms capable of mimicking the function of the human hand is a complex venture. Even though myoelectric prostheses have advanced, several issues remain to be solved before an artificial limb may be comparable to its human counterpart. Moreover, the high cost of advanced limbs prevents their widespread use among the low-income population. This dissertation presents a strategy for the low-level of control of a cost effective robotic hand for prosthetic applications. The main purpose of this work is to reduce the high cost associated with limb replacement. The presented strategy uses an electromyographic signal classifier, which detects user intent by classifying 4 different wrist movements. This information is supplied as 4 different pre-shapes of the robotic hand to the low-level of control for safely and effectively performing the grasping tasks. Two proof-of-concept prototypes were implemented, consisting on five-finger underactuated hands driven by inexpensive DC motors and equipped with low-cost sensors. To overcome the limitations and nonlinearities of inexpensive components, a multi-stage control methodology was designed for modulating the grasping force based on slippage detection and nonlinear force control. A multi-stage control methodology for modulating the grasping force based on slippage detection and nonlinear force control was designed. The two main stages of the control strategy are the force control stage and the detection stage. The control strategy uses the force control stage to maintain a constant level of force over the object. The results of the experiments performed over this stage showed a rising time of less than 1 second, force overshoot of less than 1 N and steady state error of less than 0.15 N. The detection stage is used to monitor any sliding of the object from the hand. The experiments performed over this stage demonstrated a delay in the slip detection process of less than 200 milliseconds. The initial force, and the amount of force incremented after sliding is detected, were adjusted to reduce object displacement. Experiments were then performed to test the control strategy on situations often encountered in the ADL. The results showed that the control strategy was able to detect the dynamic changes in mass of the object and to successfully adjust the grasping force to prevent the object from dropping. The evaluation of the proposed control strategy suggests that this methodology can overcome the limitation of inexpensive sensors and actuators. Therefore, this control strategy may reduce the cost of current myoelectric prosthesis. We believe that the work presented here is a major step towards the development of a cost effective myoelectric prosthetic hand

On the identification of sensory information from mixed nerves by using single-channel cuff electrodes

Background: Several groups have shown that the performance of motor neuroprostheses can be significantly improved by detecting specific sensory events related to the ongoing motor task (e.g., the slippage of an object during grasping). Algorithms have been developed to achieve this goal by processing electroneurographic (ENG) afferent signals recorded by using single-channel cuff electrodes. However, no efforts have been made so far to understand the number and type of detectable sensory events that can be differentiated from whole nerve recordings using this approach. Methods: To this aim, ENG afferent signals, evoked by different sensory stimuli were recorded using single-channel cuff electrodes placed around the sciatic nerve of anesthetized rats. The ENG signals were digitally processed and several features were extracted and used as inputs for the classification. The work was performed on integral datasets, without eliminating any noisy parts, in order to be as close as possible to real application. Results: The results obtained showed that single-channel cuff electrodes are able to provide information on two to three different afferent (proprioceptive, mechanical and nociceptive) stimuli, with reasonably good discrimination ability. The classification performances are affected by the SNR of the signal, which in turn is related to the diameter of the fibers encoding a particular type of neurophysiological stimulus. Conclusions: Our findings indicate that signals of acceptable SNR and corresponding to different physiological modalities (e.g. mediated by different types of nerve fibers) may be distinguished

ReHand - a portable assistive rehabilitation hand exoskeleton

This dissertation presents a synthesis of a novel underactuated exoskeleton (namely ReHand2) thought and designed for a task-oriented rehabilitation and/or for empower the human hand. The first part of this dissertation shows the current context about the robotic rehabilitation with a focus on hand pathologies, which influence the hand capability. The chapter is concluded with the presentation of ReHand2. The second chapter describes the human hand biomechanics. Starting from the definition of human hand anatomy, passing through anthropometric data, to taxonomy on hand grasps and finger constraints, both from static and dynamic point of view. In addition, some information about the hand capability are given. The third chapter analyze the current state of the art in hand exoskeleton for rehabilitation and empower tasks. In particular, the chapter presents exoskeleton technologies, from mechanisms to sensors, passing though transmission and actuators. Finally, the current state of the art in terms of prototype and commercial products is presented. The fourth chapter introduces the concepts of underactuation with the basic explanation and the classical notation used typically in the prosthetic field. In addition, the chapter describe also the most used differential elements in the prosthetic, follow by a statical analysis. Moreover typical transmission tree at inter-finger level as well as the intra- finger underactuation are explained . The fifth chapter presents the prototype called ReHand summarizing the device description and explanation of the working principle. It describes also the kinetostatic analysis for both, inter- and the intra-finger modules. in the last section preliminary results obtained with the exoskeleton are shown and discussed, attention is pointed out on prototype’s problems that have carry out at the second version of the device. The sixth chapter describes the evolution of ReHand, describing the kinematics and dynamics behaviors. In particular, for the mathematical description is introduced the notation used in order to analyze and optimize the geometry of the entire device. The introduced model is also implemented in Matlab Simulink environment. Finally, the chapter presents the new features. The seventh chapter describes the test bench and the methodologies used to evaluate the device statical, and dynamical performances. The chapter presents and discuss the experimental results and compare them with simulated one. Finally in the last chapter the conclusion about the ReHand project are proposed as well as the future development. In particular, the idea to test de device in relevant environments. In addition some preliminary considerations about the thumb and the wrist are introduced, exploiting the possibility to modify the entire layout of the device, for instance changing the actuator location

Robotic exoskeletons: A perspective for the rehabilitation of arm coordination in stroke patients

Upper-limb impairment after stroke is caused by weakness, loss of individual joint control, spasticity, and abnormal synergies. Upper-limb movement frequently involves abnormal, stereotyped, and fixed synergies, likely related to the increased use of sub-cortical networks following the stroke. The flexible coordination of the shoulder and elbow joints is also disrupted. New methods for motor learning, based on the stimulation of activity- dependent neural plasticity have been developed. These include robots that can adaptively assist active movements and generate many movement repetitions. However, most of these robots only control the movement of the hand in space. The aim of the present text is to analyze the potential of robotic exoskeletons to specifically rehabilitate joint motion and particularly inter-joint coordination. First, a review of studies on upper-limb coordination in stroke patients is presented and the potential for recovery of coordination is examined. Second, issues relating to the mechanical design of exoskeletons and the transmission of constraints between the robotic and human limbs are discussed. The third section considers the development of different methods to control exoskeletons: existing rehabilitation devices and approaches to the control and rehabilitation of joint coordinations are then reviewed, along with preliminary clinical results available. Finally, perspectives and future strategies for the design of control mechanisms for rehabilitation exoskeletons are discussed

Remote-controlled ambidextrous robot hand actuated by pneumatic muscles: from feasibility study to design and control algorithms

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University LondonThis thesis relates to the development of the Ambidextrous Robot Hand engineered in Brunel University. Assigned to a robotic hand, the ambidextrous feature means that two different behaviours are accessible from a single robot hand, because of its fingers architecture which permits them to bend in both ways. On one hand, the robotic device can therefore behave as a right hand whereas, on another hand, it can behave as a left hand. The main contribution of this project is its ambidextrous feature, totally unique in robotics area. Moreover, the Ambidextrous Robot Hand is actuated by pneumatic artificial muscles (PAMs), which are not commonly used to drive robot hands. The type of the actuators consequently adds more originality to the project. The primary challenge is to reach an ambidextrous behaviour using PAMs designed to actuate non-ambidextrous robot hands. Thus, a feasibility study is carried out for this purpose. Investigating a number of mechanical possibilities, an ambidextrous design is reached with features almost identical for its right and left sides. A testbench is thereafter designed to investigate this possibility even further to design ambidextrous fingers using 3D printing and an asymmetrical tendons routing engineered to reduce the number of actuators. The Ambidextrous Robot Hand is connected to a remote control interface accessible from its website, which provides video streaming as feedback, to be eventually used as an online rehabilitation device. The secondary main challenge is to implement control algorithms on a robot hand with a range twice larger than others, with an asymmetrical tendons routing and actuated by nonlinear actuators. A number of control algorithms are therefore investigated to interact with the angular displacement of the fingers and the grasping abilities of the hand. Several solutions are found out, notably the implementations of a phasing plane switch control and a sliding-mode control, both specific to the architecture of the Ambidextrous Robot Hand. The implementation of these two algorithms on a robotic hand actuated by PAMs is almost as innovative as the ambidextrous design of the mechanical structure itself

Biosignal‐based human–machine interfaces for assistance and rehabilitation : a survey

As a definition, Human–Machine Interface (HMI) enables a person to interact with a device. Starting from elementary equipment, the recent development of novel techniques and unobtrusive devices for biosignals monitoring paved the way for a new class of HMIs, which take such biosignals as inputs to control various applications. The current survey aims to review the large literature of the last two decades regarding biosignal‐based HMIs for assistance and rehabilitation to outline state‐of‐the‐art and identify emerging technologies and potential future research trends. PubMed and other databases were surveyed by using specific keywords. The found studies were further screened in three levels (title, abstract, full‐text), and eventually, 144 journal papers and 37 conference papers were included. Four macrocategories were considered to classify the different biosignals used for HMI control: biopotential, muscle mechanical motion, body motion, and their combinations (hybrid systems). The HMIs were also classified according to their target application by considering six categories: prosthetic control, robotic control, virtual reality control, gesture recognition, communication, and smart environment control. An ever‐growing number of publications has been observed over the last years. Most of the studies (about 67%) pertain to the assistive field, while 20% relate to rehabilitation and 13% to assistance and rehabilitation. A moderate increase can be observed in studies focusing on robotic control, prosthetic control, and gesture recognition in the last decade. In contrast, studies on the other targets experienced only a small increase. Biopotentials are no longer the leading control signals, and the use of muscle mechanical motion signals has experienced a considerable rise, especially in prosthetic control. Hybrid technologies are promising, as they could lead to higher performances. However, they also increase HMIs’ complex-ity, so their usefulness should be carefully evaluated for the specific application