Haptics-Enabled Teleoperation for Robotics-Assisted Minimally Invasive Surgery

The lack of force feedback (haptics) in robotic surgery can be considered to be a safety risk leading to accidental tissue damage and puncturing of blood vessels due to excessive forces being applied to tissue and vessels or causing inefficient control over the instruments because of insufficient applied force. This project focuses on providing a satisfactory solution for introducing haptic feedback in robotics-assisted minimally invasive surgical (RAMIS) systems. The research addresses several key issues associated with the incorporation of haptics in a master-slave (teleoperated) robotic environment for minimally invasive surgery (MIS). In this project, we designed a haptics-enabled dual-arm (two masters - two slaves) robotic MIS testbed to investigate and validate various single-arm as well as dual-arm teleoperation scenarios. The most important feature of this setup is the capability of providing haptic feedback in all 7 degrees of freedom (DOF) required for RAMIS (3 translations, 3 rotations and pinch motion of the laparoscopic tool). The setup also enables the evaluation of the effect of replacing haptic feedback by other sensory cues such as visual representation of haptic information (sensory substitution) and the hypothesis that surgical outcomes may be improved by substituting or augmenting haptic feedback by such sensory cues

Modeling of Force and Motion Transmission in Tendon-Driven Surgical Robots

Tendon-based transmission is a common approach for transferring motion and forces in surgical robots. In spite of design simplicity and compactness that comes with the tendon drives, there exists a number of issues associated with the tendon-based transmission. In particular, the elasticity of the tendons and the frictional interaction between the tendon and the routing result in substantially nonlinear behavior. Also, in surgical applications, the distal joints of the robot and instruments cannot be sensorized in most cases due to technical limitations. Therefore, direct measurement of forces and use of feedback motion/force control for compensation of uncertainties in tendon-based motion and force transmission are not possible. However, force/motion estimation and control in tendon-based robots are important in view of the need for haptic feedback in robotic surgery and growing interest in automatizing common surgical tasks. One possible solution to the above-described problem is the development of mathematical models for tendon-based force and motion transmission that can be used for estimation and control purposes. This thesis provides analysis of force and motion transmission in tendon-pulley based surgical robots and addresses various aspects of the transmission modeling problem. Due to similarities between the quasi-static hysteretic behavior of a tendon-pulley based da Vinci® instrument and that of a typical tendon-sheath mechanism, a distributed friction approach for modeling the force transmission in the instrument is developed. The approach is extended to derive a formula for the apparent stiffness of the instrument. Consequently, a method is developed that uses the formula for apparent stiffness of the instrument to determine the stiffness distribution of the tissue palpated. The force transmission hysteresis is further investigated from a phenomenological point of view. It is shown that a classic Preisach hysteresis model can accurately describe the quasi-static input-output force transmission behavior of the da Vinci® instrument. Also, in order to describe the distributed friction effect in tendon-pulley mechanisms, the creep theory from belt mechanics is adopted for the robotic applications. As a result, a novel motion transmission model is suggested for tendon-pulley mechanisms. The developed model is of pseudo-kinematic type as it relates the output displacement to both the input displacement and the input force. The model is subsequently used for position control of the tip of the instrument. Furthermore, the proposed pseudo-kinematic model is extended to compensate for the coupled-hysteresis effect in a multi-DOF motion. A dynamic transmission model is also suggested that describes system’s response to high frequency inputs. Finally, the proposed motion transmission model was used for modeling of the backlash-like hysteresis in RAVEN II surgical robot

Advances in Bio-Inspired Robots

This book covers three major topics, specifically Biomimetic Robot Design, Mechanical System Design from Bio-Inspiration, and Bio-Inspired Analysis on A Mechanical System. The Biomimetic Robot Design part introduces research on flexible jumping robots, snake robots, and small flying robots, while the Mechanical System Design from Bio-Inspiration part introduces Bioinspired Divide-and-Conquer Design Methodology, Modular Cable-Driven Human-Like Robotic Arm andWall-Climbing Robot. Finally, in the Bio-Inspired Analysis on A Mechanical System part, research contents on the control strategy of Surgical Assistant Robot, modeling of Underwater Thruster, and optimization of Humanoid Robot are introduced

Ground Robotic Hand Applications for the Space Program study (GRASP)

This document reports on a NASA-STDP effort to address research interests of the NASA Kennedy Space Center (KSC) through a study entitled, Ground Robotic-Hand Applications for the Space Program (GRASP). The primary objective of the GRASP study was to identify beneficial applications of specialized end-effectors and robotic hand devices for automating any ground operations which are performed at the Kennedy Space Center. Thus, operations for expendable vehicles, the Space Shuttle and its components, and all payloads were included in the study. Typical benefits of automating operations, or augmenting human operators performing physical tasks, include: reduced costs; enhanced safety and reliability; and reduced processing turnaround time

Cable-driven parallel robot for transoral laser phonosurgery

Transoral laser phonosurgery (TLP) is a common surgical procedure in otolaryngology. Currently, two techniques are commonly used: free beam and fibre delivery. For free beam delivery, in combination with laser scanning techniques, accurate laser pattern scanning can be achieved. However, a line-of-sight to the target is required. A suspension laryngoscope is adopted to create a straight working channel for the scanning laser beam, which could introduce lesions to the patient, and the manipulability and ergonomics are poor. For the fibre delivery approach, a flexible fibre is used to transmit the laser beam, and the distal tip of the laser fibre can be manipulated by a flexible robotic tool. The issues related to the limitation of the line-of-sight can be avoided. However, the laser scanning function is currently lost in this approach, and the performance is inferior to that of the laser scanning technique in the free beam approach. A novel cable-driven parallel robot (CDPR), LaryngoTORS, has been developed for TLP. By using a curved laryngeal blade, a straight suspension laryngoscope will not be necessary to use, which is expected to be less traumatic to the patient. Semi-autonomous free path scanning can be executed, and high precision and high repeatability of the free path can be achieved. The performance has been verified in various bench and ex vivo tests. The technical feasibility of the LaryngoTORS robot for TLP was considered and evaluated in this thesis. The LaryngoTORS robot has demonstrated the potential to offer an acceptable and feasible solution to be used in real-world clinical applications of TLP. Furthermore, the LaryngoTORS robot can combine with fibre-based optical biopsy techniques. Experiments of probe-based confocal laser endomicroscopy (pCLE) and hyperspectral fibre-optic sensing were performed. The LaryngoTORS robot demonstrates the potential to be utilised to apply the fibre-based optical biopsy of the larynx.Open Acces

Pressure-Constrained, Reduced-DOF, Interconnected Parallel Manipulators with Applications to Space Suit Design

This dissertation presents the concept of a Morphing Upper Torso, an innovative pressure suit design that incorporates robotic elements to enable a resizable, highly mobile and easy to don/doff spacesuit. The torso is modeled as a system of interconnected, pressure-constrained, reduced-DOF, wire-actuated parallel manipulators, that enable the dimensions of the suit to be reconfigured to match the wearer. The kinematics, dynamics and control of wire-actuated manipulators are derived and simulated, along with the Jacobian transforms, which relate the total twist vector of the system to the vector of actuator velocities. Tools are developed that allow calculation of the workspace for both single and interconnected reduced-DOF robots of this type, using knowledge of the link lengths. The forward kinematics and statics equations are combined and solved to produce the pose of the platforms along with the link tensions. These tools allow analysis of the full Morphing Upper Torso design, in which the back hatch of a rear-entry torso is interconnected with the waist ring, helmet ring and two scye bearings. Half-scale and full-scale experimental models are used along with analytical models to examine the feasibility of this novel space suit concept. The analytical and experimental results demonstrate that the torso could be expanded to facilitate donning and doffing, and then contracted to match different wearer's body dimensions. Using the system of interconnected parallel manipulators, suit components can be accurately repositioned to different desired configurations. The demonstrated feasibility of the Morphing Upper Torso concept makes it an exciting candidate for inclusion in a future planetary suit architecture

Modeling, Analysis, Force Sensing and Control of Continuum Robots for Minimally Invasive Surgery

This dissertation describes design, modeling and application of continuum robotics for surgical applications, specifically parallel continuum robots (PCRs) and concentric tube manipulators (CTMs). The introduction of robotics into surgical applications has allowed for a greater degree of precision, less invasive access to more remote surgical sites, and user-intuitive interfaces with enhanced vision systems. The most recent developments have been in the space of continuum robots, whose exible structure create an inherent safety factor when in contact with fragile tissues. The design challenges that exist involve balancing size and strength of the manipulators, controlling the manipulators over long transmission pathways, and incorporating force sensing and feedback from the manipulators to the user. Contributions presented in this work include: (1) prototyping, design, force sensing, and force control investigations of PCRs, and (2) prototyping of a concentric tube manipulator for use in a standard colonoscope. A general kinetostatic model is presented for PCRs along with identification of multiple physical constraints encountered in design and construction. Design considerations and manipulator capabilities are examined in the form of matrix metrics and ellipsoid representations. Finally, force sensing and control are explored and experimental results are provided showing the accuracy of force estimates based on actuation force measurements and control capabilities. An overview of the design requirements, manipulator construction, analysis and experimental results are provided for a CTM used as a tool manipulator in a traditional colonoscope. Currently, tools used in colonoscopic procedures are straight and exit the front of the scope with 1 DOF of operation (jaws of a grasper, tightening of a loop, etc.). This research shows that with a CTM deployed, the dexterity of these tools can be increased dramatically, increasing accuracy of tool operation, ease of use and safety of the overall procedure. The prototype investigated in this work allows for multiple tools to be used during a single procedure. Experimental results show the feasibility and advantages of the newly-designed manipulators

Non-linear actuators and simulation tools for rehabilitation devices

Mención Internacional en el título de doctorRehabilitation robotics is a field of research that investigates the applications of robotics in motor function therapy for recovering the motor control and motor capability. In general, this type of rehabilitation has been found effective in therapy for persons suffering motor disorders, especially due to stroke or spinal cord injuries. This type of devices generally are well tolerated by the patients also being a motivation in rehabilitation therapy. In the last years the rehabilitation robotics has become more popular, capturing the attention at various research centers. They focused on the development more effective devices in rehabilitation therapy, with a higher acceptance factor of patients tacking into account: the financial cost, weight and comfort of the device. Among the rehabilitation devices, an important category is represented by the rehabilitation exoskeletons, which in addition to the human skeletons help to protect and support the external human body. This became more popular between the rehabilitation devices due to the easily adapting with the dynamics of human body, possibility to use them such as wearable devices and low weight and dimensions which permit easy transportation. Nowadays, in the development of any robotic device the simulation tools play an important role due to their capacity to analyse the expected performance of the system designed prior to manufacture. In the development of the rehabilitation devices, the biomechanical software which is capable to simulate the behaviour interaction between the human body and the robotics devices, play an important role. This helps to choose suitable actuators for the rehabilitation device, to evaluate possible mechanical designs, and to analyse the necessary controls algorithms before being tested in real systems. This thesis presents a research proposing an alternative solution for the current systems of actuation on the exoskeletons for robotic rehabilitation. The proposed solution, has a direct impact, improving issues like device weight, noise, fabrication costs, size an patient comfort. In order to reach the desired results, a biomechanical software based on Biomechanics of Bodies (BoB) simulator where the behaviour of the human body and the rehabilitation device with his actuators can be analysed, was developed. In the context of the main objective of this research, a series of actuators have been analysed, including solutions between the non-linear actuation systems. Between these systems, two solutions have been analysed in detail: ultrasonic motors and Shape Memory Alloy material. Due to the force - weight characteristics of each device (in simulation with the human body), the Shape Memory Alloy material was chosen as principal actuator candidate for rehabilitation devices. The proposed control algorithm for the actuators based on Shape Memory Alloy, was tested over various configurations of actuators design and analysed in terms of energy eficiency, cooling deformation and movement. For the bioinspirated movements, such as the muscular group's biceps-triceps, a control algorithm capable to control two Shape Memory Alloy based actuators in antagonistic movement, has been developed. A segmented exoskeleton based on Shape Memory Alloy actuators for the upper limb evaluation and rehabilitation therapy was proposed to demosntrate the eligibility of the actuation system. This is divided in individual rehabilitation devices for the shoulder, elbow and wrist. The results of this research was tested and validated in the real elbow exoskeleton with two degrees of freedom developed during this thesis.Programa Oficial de Doctorado en Ingeniería Eléctrica, Electrónica y AutomáticaPresidente: Eduardo Rocón de Lima.- Secretario: Concepción Alicia Monje Micharet.- Vocal: Martin Stoele

Sensing and Control for Robust Grasping with Simple Hardware

Robots can move, see, and navigate in the real world outside carefully structured factories, but they cannot yet grasp and manipulate objects without human intervention. Two key barriers are the complexity of current approaches, which require complicated hardware or precise perception to function effectively, and the challenge of understanding system performance in a tractable manner given the wide range of factors that impact successful grasping. This thesis presents sensors and simple control algorithms that relax the requirements on robot hardware, and a framework to understand the capabilities and limitations of grasping systems.Engineering and Applied Science

Multi-probe robotic positioner for cryoablation in MRI

Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering, 2012.Cataloged from PDF version of thesis.Includes bibliographical references (p. 116-118).This thesis describes the design of a guidance device for faster and more accurate targeting of multiple probes during cryoablation and other percutaneous interventions performed in closed bore magnetic resonance (MR) imaging systems. The device is intended to be mounted onto a Siemens 110 mm MR loop coil that rests on the patient and contains a cable driven two-degree-of- freedom spherical mechanism that orientates the intervention probes about a remote center of motion located 15 mm above the skin entry point. A carriage, pulled by strong and low stretch cables, can position up to three intervention probes as it travels on a rotating hoop. Its motion is constrained by a custom designed roller bearing to minimize friction. A thumbscrew fastened latch allows a probe to be engaged in a guide that constrains the probe along a specific trajectory. The probe can also be disengaged from its track, freeing it to move with respiration and enabling the guide to be repositioned for another probe to be inserted. Compact MR compatible piezoelectric motors are used to actuate the system. A prototype was built from 3D printed ABS plastic as a proof of concept. Bench level evaluation demonstrated that each component of the device performs according to the design specifications. The device performance was characterized by analyzing still images taken before and after movement, which yielded sub-degree accuracy, sub-degree repeatability near vertical position, and an incremental step resolution of at least 0.5 degree. Upon further developments of the registration and calibration modules in 3D slicer to interface the robot with image data, evaluation of the device in MRI will be performed.by Faye Y. Wu.S.M