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

Solutions to better life

With the increasing number of aged people, especially in developed countries, Wellbeing solutions have became an important subject to be explored and developed. Currently, as specialized Institutions in geriatric care cannot cope with the increasing requests for support of quality of life, patients have to remain at their homes having as caregiver the other member of the couple or a member of close family. A solution for supporting the caregiver, during assisting the bedridden person with some basic tasks as eating, taking a bath and/or hygiene care is of utmost importance. This paper presents an overview for supporting the caregiver on providing the basic needs for bedridden persons. From safety needs to repositioning and hygiene care of bedridden persons are taken into account, by developing specific mechatronic devices for supporting and helping caregivers on those tasks. The proposed mechatronic systems must, ideally, reduce the number of caregivers and the amount of spent and needed effort

Investigation of a mechatronic device for the remedial treatment of brain injured children.

To speed the recovery of brain injured children using the method of patterning; it must be made efficient. Efficiency can be achieved by automating the manual method, which will provide the patients with the necessary stimuli needed to help them enhance/restore their natural mobility. This thesis describes research into a novel moderate-cost single-axis Mechatronics device for the remedial treatment of brain injured patients. The device will enhance and/or improve their natural mobility by stimulating the undamaged brain cells responsible for mobility in the central nervous system through physical activity. A detailed review of rehabilitation robotics was undertaken, covering more than seventy projects relating to disabled people. This review helped to identify the main areas of this research regarding the most suitable structure of the machine and setting up the design specifications for the device. A critical investigation of past and present patterning machines and workstations helped avoid the mistakes made by previous designers in not including brain-injured patients in the initial stages of the design. Use of high technology video equipment has made practicable the development of mathematical expressions based on experimental data for the movements of human arms, feet and head. Measurements taken and ergonomic data used made it possible to implement a realistic practical novel kinematic arrangement for the patterning machine. A thorough review of direct drive electrical actuators, and surveys and measurements of the human body with respect to the kinematic arrangements, resulted in the selection of the most appropriate actuator for each axis. The selection of the motor and gearbox was based on the mass of each part of the human body in the prone position, the criteria of high peak torque to motor ratio, low cost, minimum maintenance, safety and compatibility. A computer model of the kinematic arrangement designed was created including the necessary motion constrains, using ADAMS and 3D Working Model simulation packages to test, verify and analyse the static and dynamic stability of the kinematic arrangements and the force interaction between the system and the patient. The simulation results led to some modification in the design regarding the kinematics and dynamic stability of the system by varying different design variables. A walking model of a human was created to simulate the real patient. The model was placed on two units where the feet were the only contact points with the moving belts; the model torso was supported by a harness to hold it in the upright standing position. The results obtained showed the movements of both feet (knees. hips and ankles) in addition to the right and left elbows. The system hardware was designed and implemented using custom-made safety critical software to control the device to carry out the desired tasks. Safety is considered to be one of the main issues that this research program has developed and implemented. An optimal control strategy was developed to drive the prototype. Smooth movements of the system were achieved through a PD control system enhanced with velocity feed forward gain with position accuracy of ± 0.168 mm. The desired positional accuracy of the Patterner Machine was ± 0.632 mm

Study of a Pendulum in Vivo Electromechanical Generator to be Used in a Knee Prosthesis

International audienceThis paper presents the principle and the energy potential of an original electromechanical generator that uses human body natural motions during walking, in order to create an autonomous generator. This in vivo and noninvasive system is intended to be used in intelligent knee prosthesis. As the combined human, mechanical, and electrical phenomena are very significant, a mechanical and an electrical study are then carried to evaluate the recoverable power

A Review of Lower Limb Exoskeletons

In general, exoskeletons are defined as wearable robotic mechanisms for providing mobility. In the last six decades, many research work have been achieved to enhance the performance of exoskeletons thus developing them to nearly commercialized products. In this paper, a review is made for the lower limb exoskeleton concerning history, classification, selection and development, also a discussion for the most important aspects of comparison between different designs is presented. Further, some concluding remarks are withdrawn which could be useful for future work. Keywords: Exoskeletons, Lower extremity exoskeleton, Wearable robot

A novel target following solution for the electric powered hospital bed

© 2015 IEEE. The paper proposes a novel target following solution for an electric powered hospital bed. First, an improved real-time decoupling multivariable control strategy is introduced to stabilize the overall system during its operation. Environment laser-based data are then collected and pre-processed before engaging a neural network classifier for target detection. Finally, a high-level control algorithm is implemented to guarantee safety condition while the hospital bed tracks its target. The proposed solution is successfully validated through real-time experiments

Preliminary Study of a Pendulum in Vivo Electromechanical Generator for Orthopedic Implants

This paper presents the principle and the energy potential of an original electromechanical generator that uses human body natural motions during walking, in order to create an autonomous generator. This in vivo and noninvasive system is intended to be used in intelligent knee prosthesis. As the combined human, mechanical, and electrical phenomena are very significant, a mechanical and an electrical study are then carried to evaluate the recoverable power

Motion analysis of a robotic assisted surgery and microsurgery system - experimental verification

Motion analysis of a parallel robot assisted minimally invasive surgery/microsurgery system (PRAMiSS) and the control structures enabling it to achieve milli/micromanipulations under the constraint of moving through a fixed penetration point or so-called remote centre-of-motion (RCM) are presented in this article. Two control algorithms are proposed suitable for minimally invasive surgery (MIS) with submillimeter accuracy and for minimally invasive micro-surgery (MIMS) with submicrometer accuracy. The RCM constraint is performed without having any mechanical constraint. Control algorithms also apply orientation constraint preventing the tip to orient relative to the soft tissues due to the robot movements. Experiments were conducted to verify accuracy and effectiveness of the proposed control algorithms for MIS and MIMS operations. The experimental results demonstrate accuracy and performance of the proposed position control algorithms

A novel haptic model and environment for maxillofacial surgical operation planning and manipulation

This paper presents a practical method and a new haptic model to support manipulations of bones and their segments during the planning of a surgical operation in a virtual environment using a haptic interface. To perform an effective dental surgery it is important to have all the operation related information of the patient available beforehand in order to plan the operation and avoid any complications. A haptic interface with a virtual and accurate patient model to support the planning of bone cuts is therefore critical, useful and necessary for the surgeons. The system proposed uses DICOM images taken from a digital tomography scanner and creates a mesh model of the filtered skull, from which the jaw bone can be isolated for further use. A novel solution for cutting the bones has been developed and it uses the haptic tool to determine and define the bone-cutting plane in the bone, and this new approach creates three new meshes of the original model. Using this approach the computational power is optimized and a real time feedback can be achieved during all bone manipulations. During the movement of the mesh cutting, a novel friction profile is predefined in the haptical system to simulate the force feedback feel of different densities in the bone