Fingertip Proximity Sensor with Realtime Visual-based Calibration

Proximity and distance estimation sensors are broadly used in robotic hands to enhance the quality of grasping during grasp planning, grasp correction and in-hand manipulation. This paper presents a fiber optical proximity sensor that is integrated with a tactile sensing fingertip of a robotic hand of a mobile robot. The distance estimation of proximity sensors are typically influenced by the reflective properties of an object, such as color or surface roughness. With the approach proposed in this paper, the accuracy of the proximity sensor is enhanced using the information collected by the vision system of the robot. A camera is employed to obtain RGB values of the object to be grasped. Further on, the data obtained from the camera is used to obtain the correct calibration for the proximity sensor. Based on the experimental evidence, it is shown that our approach can be effectively used to reduce the distance estimation error

Multi-axis Stiffness Sensing Device for Medical Palpation

This paper presents an innovative hand-held device able to compute stiffness when interacting with a soft object. The device is composed of four linear indenters and a USB camera. The stiffness is computed in real-time, tracking the movements of spherical features in the image of the camera. Those movements relate to the movements of the four indenters when interacting with a soft surface. Since the indenters are connected to springs with different spring constants, the displacement of the indenters varies when interacting with a soft object. The proposed multi-indenting device allows measuring the object's stiffness as well as the pan and tilt angles between the sensor and the surface of the soft object. Tests were performed to evaluate the accuracy of the proposed palpation mechanism against commercial springs of known stiffness. Results show that the accuracy and sensitivity of the proposed device increases with the softness of the examined object. Preliminary tests with silicon show the ability of the sensing mechanism to characterize phantom soft tissue for small indentation. It is noted that the results are not affected by the orientation of the device when probing the surface. The proposed sensing device can be used in different applications, such as external palpation for diagnosis or, if miniaturized, embedded on an endoscopic camera and used in Minimally Invasive Surgery (MIS)

Bio-Inspired Tactile Sensor Sleeve for Surgical Soft Manipulators

Robotic manipulators for Robot-assisted Mini- mally Invasive Surgery (RMIS) pass through small incisions into the patient’s body and interact with soft internal organs. The performance of traditional robotic manipulators such as the da Vinci Robotic System is limited due to insufficient flexibility of the manipulator and lack of haptic feedback. Modern surgical manipulators have taken inspiration from biology e.g. snakes or the octopus. In order for such soft and flexible arms to reconfigure itself and to control its pose with respect to organs as well as to provide haptic feedback to the surgeon, tactile sensors can be integrated with the robot’s flexible structure. The work presented here takes inspiration from another area of biology: cucumber tendrils have shown to be ideal tactile sensors for the plant that they are associated with providing useful environmental information during the plant’s growth. Incorporating the sensing principles of cucumber tendrils, we have created miniature sensing elements that can be distributed across the surface of soft manipulators to form a sensor network capable of acquire tactile information. Each sensing element is a retractable hemispherical tactile measuring applied pressure. The actual sensing principle chosen for each tactile makes use of optic fibres that transfer light signals modulated by the applied pressure from the sensing element to the proximal end of the robot arm. In this paper, we describe the design and structure of the sensor system, the results of an analysis using Finite Element Modeling in ABAQUS as well as sensor calibration and experimental results. Due to the simple structure of the proposed tactile sensor element, it is miniaturisable and suitable for MIS. An important contribution of this work is that the developed sensor system can be ”loosely” integrated with a soft arm effectively operating independently of the arm and without affecting the arm’s motion during bending or elongation

A Three-Axial Body Force Sensor for Flexible Manipulators

This paper introduces an optical based three axis force sensor which can be integrated with the robot arm of the EU project STIFF-FLOP (STIFFness controllable Flexible and Learnable Manipulator for Surgical Operations) in order to measure applied external forces. The structure of the STIFF-FLOP arm is free of metal components and electric circuits and, hence, is inherently safe near patients during surgical operations. In addition, this feature makes the performance of this sensing system immune against strong magnetic fields inside magnetic resonance (MR) imaging scanners. The hollow structure of the sensor allows the implementation of distributed actuation and sensing along the body of the manipulator. In this paper, we describe the design and calibration procedure of the proposed three axis optics-based force sensor. The experimental results confirm the effectiveness of our optical sensing approach and its applicability to determine the force and momentum components during the physical interaction of the robot arm with its environment

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Real-Time Vision-Based Stiffness Mapping

This paper presents new findings concerning a hand-held stiffness probe for the medical diagnosis of abnormalities during palpation of soft-tissue. Palpation is recognized by the medical community as an essential and low-cost method to detect and diagnose disease in soft-tissue. However, differences are often subtle and clinicians need to train for many years before they can conduct a reliable diagnosis. The probe presented here fills this gap providing a means to easily obtain stiffness values of soft tissue during a palpation procedure. Our stiffness sensor is equipped with a multi degree of freedom (DoF) Aurora magnetic tracker, allowing us to track and record the 3D position of the probe whilst examining a tissue area, and generate a 3D stiffness map in real-time. The stiffness probe was integrated in a robotic arm and tested in an artificial environment representing a good model of soft tissue organs; the results show that the sensor can accurately measure and map the stiffness of a silicon phantom embedded with areas of varying stiffness