NOViSE: a virtual natural orifice transluminal endoscopic surgery simulator

Purpose: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a novel technique in minimally invasive surgery whereby a flexible endoscope is inserted via a natural orifice to gain access to the abdominal cavity, leaving no external scars. This innovative use of flexible endoscopy creates many new challenges and is associated with a steep learning curve for clinicians. Methods: We developed NOViSE - the first force-feedback enabled virtual reality simulator for NOTES training supporting a flexible endoscope. The haptic device is custom built and the behaviour of the virtual flexible endoscope is based on an established theoretical framework – the Cosserat Theory of Elastic Rods. Results: We present the application of NOViSE to the simulation of a hybrid trans-gastric cholecystectomy procedure. Preliminary results of face, content and construct validation have previously shown that NOViSE delivers the required level of realism for training of endoscopic manipulation skills specific to NOTES Conclusions: VR simulation of NOTES procedures can contribute to surgical training and improve the educational experience without putting patients at risk, raising ethical issues or requiring expensive animal or cadaver facilities. In the context of an experimental technique, NOViSE could potentially facilitate NOTES development and contribute to its wider use by keeping practitioners up to date with this novel surgical technique. NOViSE is a first prototype and the initial results indicate that it provides promising foundations for further development

Dynamic Simulations of Elastic Rods for Medical Applications

This study deals with a detailed development of a computational model based on the Cosserat rod theory to describe the motion of elastic filaments such as threads and hair. The need for a simulation software for the act of suturing has motivated this study. The dynamic equations governing the motion of elastic rods have been solved using a finite difference scheme. The scheme is central difference in space and forward difference in time and is conditionally stable. The simulations are carried out for a cantilever beam for various force and moment inputs at its free end. The results have been validated using known analytical results. The scheme has proven to be fast enough to be used in real-time simulations

Dynamic Simulations of Elastic Rods for Medical Applications

This study deals with a detailed development of a computational model based on the Cosserat rod theory to describe the motion of elastic filaments such as threads and hair. The need for a simulation software for the act of suturing has motivated this study. The dynamic equations governing the motion of elastic rods have been solved using a finite difference scheme. The scheme is central difference in space and forward difference in time and is conditionally stable. The simulations are carried out for a cantilever beam for various force and moment inputs at its free end. The results have been validated using known analytical results. The scheme has proven to be fast enough to be used in real-time simulations

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

MICADO: Models of Interactive Constraints for the Assembling of 1D Deformable Objects

This paper introduces a set of Lagrangian constraints, allowing most needed interaction and combinations of one-dimensional deformable elements for creating complex structures. The proposed tools can potentially be used with a large set of available 1D-models. All constraints formulation are compatible with linear, displacement-based, integration schemes. The proposed constraints allow for real-time complex structure simulation, and also novel interactions between simulated objects. Various examples are provided, illustrating the benefit of the proposed numerical tools

Computational Modeling and Experimental Characterization of Pneumatically Driven Actuators for the Development of a Soft Robotic Arm

abstract: Soft Poly-Limb (SPL) is a pneumatically driven, wearable, soft continuum robotic arm designed to aid humans with medical conditions, such as cerebral palsy, paraplegia, cervical spondylotic myelopathy, perform activities of daily living. To support user's tasks, the SPL acts as an additional limb extending from the human body which can be controlled to perform safe and compliant mobile manipulation in three-dimensional space. The SPL is inspired by invertebrate limbs, such as the elephant trunk and the arms of the octopus. In this work, various geometrical and physical parameters of the SPL are identified, and behavior of the actuators that comprise it are studied by varying their parameters through novel quasi-static computational models. As a result, this study provides a set of engineering design rules to create soft actuators for continuum soft robotic arms by understanding how varying parameters affect the actuator's motion as a function of the input pressure. A prototype of the SPL is fabricated to analyze the accuracy of these computational models by performing linear expansion, bending and arbitrary pose tests. Furthermore, combinations of the parameters based on the application of the SPL are determined to affect the weight, payload capacity, and stiffness of the arm. Experimental results demonstrate the accuracy of the proposed computational models and help in understanding the behavior of soft compliant actuators. Finally, based on the set functional requirements for the assistance of impaired users, results show the effectiveness of the SPL in performing tasks for activities of daily living.Dissertation/ThesisMasters Thesis Mechanical Engineering 201

Dynamic Neuromechanical Sets for Locomotion

Most biological systems employ multiple redundant actuators, which is a complicated problem of controls and analysis. Unless assumptions about how the brain and body work together, and assumptions about how the body prioritizes tasks are applied, it is not possible to find the actuator controls. The purpose of this research is to develop computational tools for the analysis of arbitrary musculoskeletal models that employ redundant actuators. Instead of relying primarily on optimization frameworks and numerical methods or task prioritization schemes used typically in biomechanics to find a singular solution for actuator controls, tools for feasible sets analysis are instead developed to find the bounds of possible actuator controls. Previously in the literature, feasible sets analysis has been used in order analyze models assuming static poses. Here, tools that explore the feasible sets of actuator controls over the course of a dynamic task are developed. The cost-function agnostic methods of analysis developed in this work run parallel and in concert with other methods of analysis such as principle components analysis, muscle synergies theory and task prioritization. Researchers and healthcare professionals can gain greater insights into decision making during behavioral tasks by layering these other tools on top of feasible sets analysis