566 research outputs found

    NOViSE: a virtual natural orifice transluminal endoscopic surgery simulator

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    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

    Force Measurement Methods in Telerobotic Surgery: Implications for End-Effector Manufacture

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    Haptic feedback in telesurgical applications refers to the relaying of position and force information from a remote surgical site to the surgeon in real-time during a surgical procedure. This feedback, coupled with visual information via microscopic cameras, has the potential to provide the surgeon with additional ‘feel’ for the manipulations being performed at the instrument-biological tissue interface. This increased sensitivity has many associated benefits which include, but are not limited to; minimal tissue damage, reduced recuperation periods, and less patient trauma. The inclusion of haptic feedback leads to reduction in surgeon fatigue which contributes to enhanced performance during operation. Commercially available Minimally Invasive Robotic Surgical (MIRS) systems are being widely used, the best-known examples being from the daVinci® by Intuitive Surgical Inc. However, currently these systems do not possess force feedback capability which therefore restricts their use during many delicate and complex procedures. The ideal system would consist of a multi-degree-of-freedom framework which includes end-effector instruments with embedded force sensing included. A force sensing characterisation platform has been developed by this group which facilitates the evaluation of force sensing technologies. Surgical scissors have been chosen as the instrument and biological tissue phantom specimens have been used during testing. This test-bed provides accurate, repeatable measurements of the forces produced at the interface between the tissue and the scissor blades during cutting using conventional sensing technologies. The primary focus of this paper is to provide a review of the traditional and developing force sensing technologies with a view to establishing the most appropriate solution for this application. The impact that an appropriate sensing technology has on the manufacturability of the instrument end-effector is considered. Particular attention is given to the issues of embedding the force sensing transducer into the instrument tip

    Haptic Experience and the Design of Drawing Interfaces

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    Haptic feedback has the potential to enhance users’ sense of being engaged and creative in their artwork. Current work on providing haptic feedback in computer-based drawing applications has focused mainly on the realism of the haptic sensation rather than the users’ experience of that sensation in the context of their creative work. We present a study that focuses on user experience of three haptic drawing interfaces. These interfaces were based on two different haptic metaphors, one of which mimicked familiar drawing tools (such as pen, pencil or crayon on smooth or rough paper) and the other of which drew on abstract descriptors of haptic experience (roughness, stickiness, scratchiness and smoothness). It was found that users valued having control over the haptic sensation; that each metaphor was preferred by approximately half of the participants; and that the real world metaphor interface was considered more helpful than the abstract one, whereas the abstract interface was considered to better support creativity. This suggests that future interfaces for artistic work should have user-modifiable interaction styles for controlling the haptic sensation

    Force Sensing Surgical Scissor Blades using Fibre Bragg Grating Sensors

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    This thesis considers the development and analysis of unique sensorised surgical scissor blades for application in minimally invasive robotic surgery (MIRS). The lack of haptic (force and tactile) feedback to the user is currently an unresolved issue with modern MIRS systems. This thesis presents details on smart sensing scissor blades which enable the measurement of instrument-tissue interaction forces for the purpose of force reflection and tissue property identification. A review of current literature established that there exists a need for small compact, biocompatible, sterilisable and robust sensors which meet the demands of current MIRS instruments. Therefore, the sensorised blades exploit the strain sensing capabilities of a single fibre Bragg grating (FBG) sensor bonded to their surface. The nature and magnitude of the strain likely to be experienced by the blades, and consequently the FBG sensor, while cutting soft tissue samples were characterised through the use of an application specific test-bed. Using the sensorised blades to estimate fracture properties is proposed, hence two methods of extracting fracture toughness information from the test samples are assessed and compared. Investigations were carried out on the factors affecting the transfer of strain from the blade material to the core of the FBG sensor for surface mounted or partially embedded arrangements. Results show that adhesive bond length, thickness and stiffness need to be carefully specified when bonding FBG sensors to ensure effective strain transfer. Calibration and dynamic cutting experiments were carried out using the characterisation test-bed. The complex nature of the blade interaction forces were modelled, primarily for the purpose of decoupling the direct, lateral, friction and fracture strains experienced by the bonded FBG sensor during cutting. The modelled and experimental results show that the approach taken in sensorising the blade enables detailed cutting force data to be obtained and consequently leads to a unique method in estimating the kinetic friction coefficient for the blades. The forces measured using the FBG are validated against a commercial load cell used in the test-bed. This research work demonstrates that this unique approach of placing a single optical fibre onto the scissor blades can, in an unobtrusive manner, measure interblade friction forces and material fracture properties occurring at the blade-tissue interface

    Micro Motion Amplifiers for Compact Out-of-Plane Actuation

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    Small-scale, out-of-plane actuators can enable tactile interfaces; however, achieving sufficient actuator force and displacement can require larger actuators. In this work, 2-mm2 out-of-plane microactuators were created, and were demonstrated to output up to 6.3 µm of displacement and 16 mN of blocking force at 170 V. The actuators converted in-plane force and displacement from a piezoelectric extensional actuator into out-of-plane force and displacement using robust, microelectromechanical systems (MEMS)-enabled, half-scissor amplifiers. The microscissors employed two layers of lithographically patterned SU-8 epoxy microstructures, laminated with a thin film of structural polyimide and adhesive to form compact flexural hinges that enabled the actuators’ small area. The self-aligned manufacture minimized assembly error and fabrication complexity. The scissor design dominated the actuators’ performance, and the effects of varying scissor angle, flexure thickness, and adhesive type were characterized to optimize the actuators' output. Reducing the microscissor angle yielded the highest actuator performance, as it maximized the amplification of the half-scissor's displacement and minimized scissor deformation under externally applied loads. The actuators' simultaneously large displacements and blocking forces for their size were quantified by a high displacement-blocking force product per unit area of up to 50 mN·µm/mm². For a linear force–displacement relationship, this corresponds to a work done per unit area of 25 mN·µm/mm². Keywords: microactuators; tactile actuators; piezoelectric actuators; scissor mechanism; motion amplifier; out-of-plane actuato

    Variational methods for modeling and simulation of tool-tissue interaction

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    Ph.DDOCTOR OF PHILOSOPH
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