MILiMAC:Flexible Catheter With Miniaturized Electromagnets as a Small-Footprint System for Microrobotic Tasks

Advancements in medical microrobotics have given rise to an abundance of agents capable of localised interaction with human body in small scales. Nevertheless, clinically-relevant applications of this technology are still limited by the auxiliary infrastructure required for actuation of micro-agents. In this letter, we approach this challenge. Using finite-element analysis, we show that miniaturization of electromagnets can be used to create systems capable of providing magnetic forces adequate for micro-agent steering, while retaining small footprint and power consumption. We use these observations to create MILiMAC (Microrobotic Infrastructure Loaded into Magnetically-Actuated Catheter). MILiMAC is a flexible catheter employing three miniaturized electromagnets to provide localized magnetic actuation at the deeply-seated microsurgery site. We test our approach in a proof-of-concept study deploying MILiMAC inside a test platform to deliver and steer a 600 [\boldsymbol{\mu }m] ferromagnetic microbead. The bead is steered along a set of user-defined trajectories using closed-loop position control. Across all trajectories the best performance metrics are the mean error of 0.41 [mm] and the steady-state error of 0.27 [mm]

RobUSt-An Autonomous Robotic Ultrasound System for Medical Imaging

Medical ultrasound (US) systems are widely used for the diagnosis of internal tissues. However, there are challenges associated with acquiring and interpreting US images, such as incorrect US probe placement and limited available spatial information. In this study, we expand the capabilities of medical US imaging using a robotic framework with a high level of autonomy. A 3D camera is used to capture the surface of an anthropomorphic phantom as a point cloud, which is then used for path planning and navigation of the US probe. Robotic positioning of the probe is realised using an impedance controller, which maintains stable contact with the surface during US scanning and compensates for uneven and moving surfaces. Robotic US positioning accuracy is measured to be 1.19 +/- 0.76mm. The mean force along US probe z-direction is measured to be 6.11 +/- 1.18N on static surfaces and 6.63 +/- 2.18N on moving surfaces. Overall lowest measured force of 1.58N demonstrates constant probe-to-surface contact during scanning. Acquired US images are used for the 3D reconstruction and multi-modal visualization of the surface and the inner anatomical structures of the phantom. Finally, K-means clustering is used to segment different tissues. Best segmentation accuracy of the jugular vein according to Jaccard similarity coefficient is measured to be 0.89. With such an accuracy, this system could substantially improve autonomous US acquisition and enhance the diagnostic confidence of clinicians

Field Model Identification and Control of a Mobile Electromagnet for Remote Actuation of Soft Robots

The actuation of miniaturized robots through external magnetic fields has great potential for medical applications. The controllability properties of the miniaturized robots are affected by magnetic field generation modality. In this work, the magnetic field of a mobile electromagnet, notably capable to generate a desired magnetic field in large 3D workspaces, has been identified first. Then, a control model of the field generation system has been developed to produce a desired magnetic field designed to generate a locomotion gait in a legged miniaturized robot. Preliminary experiments prove the viability of the approach.</p

The ARMM System-Autonomous Steering of Magnetically-Actuated Catheters:Towards Endovascular Applications

Positioning conventional endovascular catheters is not without risk, and there is a multitude of complications that are associated with their use in manual surgical interventions. By utilizing surgical manipulators, the efficacy of remote-controlled catheters can be investigated in vivo. However, technical challenges, such as the duration of catheterizations, accurate positioning at target sites, and consistent imaging of these catheters using non-hazardous modalities, still exist. In this paper, we propose the integration of multiple sub-systems in order to extend the clinical feasibility of an autonomous surgical system designed to address these challenges. The system handles the full synchronization of co-operating manipulators that both actuate a clinical tool. The experiments within this study are conducted within a clinically-relevant workspace and inside a gelatinous phantom that represents a life-size human torso. A catheter is positioned using magnetic actuation and proportional-integral (PI) control in conjunction with real-time ultrasound images. Our results indicate an average error between the tracked catheter tip and target positions of 2:09 0:49 mm. The median procedure time to reach targets is 32:6 s. We expect that our system will provide a step towards collaborative manipulators employing mobile electromagnets, and possibly improve autonomous catheterization procedures within endovascular surgeries

CeFlowBot:A Biomimetic Flow-Driven Microrobot that Navigates under Magneto-Acoustic Fields

Aquatic organisms within the Cephalopoda family (e.g., octopuses, squids, cuttlefish) exist that draw the surrounding fluid inside their bodies and expel it in a single jet thrust to swim forward. Like cephalopods, several acoustically powered microsystems share a similar process of fluid expulsion which makes them useful as microfluidic pumps in lab-on-a-chip devices. Herein, an array of acoustically resonant bubbles are employed to mimic this pumping phenomenon inside an untethered microrobot called CeFlowBot. CeFlowBot contains an array of vibrating bubbles that pump fluid through its inner body thereby boosting its propulsion. CeFlowBots are later functionalized with magnetic layers and steered under combined influence of magnetic and acoustic fields. Moreover, acoustic power modulation of CeFlowBots is used to grasp nearby objects and release it in the surrounding workspace. The ability of CeFlowBots to navigate remote environments under magneto-acoustic fields and perform targeted manipulation makes such microrobots useful for clinical applications such as targeted drug delivery. Lastly, an ultrasound imaging system is employed to visualize the motion of CeFlowBots which provides means to deploy such microrobots in hard-to-reach environments inaccessible to optical cameras

CeFlowBot:A Biomimetic Flow-Driven Microrobot that Navigates under Magneto-Acoustic Fields

Aquatic organisms within the Cephalopoda family (e.g., octopuses, squids, cuttlefish) exist that draw the surrounding fluid inside their bodies and expel it in a single jet thrust to swim forward. Like cephalopods, several acoustically powered microsystems share a similar process of fluid expulsion which makes them useful as microfluidic pumps in lab-on-a-chip devices. Herein, an array of acoustically resonant bubbles are employed to mimic this pumping phenomenon inside an untethered microrobot called CeFlowBot. CeFlowBot contains an array of vibrating bubbles that pump fluid through its inner body thereby boosting its propulsion. CeFlowBots are later functionalized with magnetic layers and steered under combined influence of magnetic and acoustic fields. Moreover, acoustic power modulation of CeFlowBots is used to grasp nearby objects and release it in the surrounding workspace. The ability of CeFlowBots to navigate remote environments under magneto-acoustic fields and perform targeted manipulation makes such microrobots useful for clinical applications such as targeted drug delivery. Lastly, an ultrasound imaging system is employed to visualize the motion of CeFlowBots which provides means to deploy such microrobots in hard-to-reach environments inaccessible to optical cameras.</p

Locally Addressable Energy Efficient Actuation of Magnetic Soft Actuator Array Systems

Advances in magnetoresponsive composites and (electro-)magnetic actuators have led to development of magnetic soft machines (MSMs) as building blocks for small-scale robotic devices. Near-field MSMs offer energy efficiency and compactness by bringing the field source and effectors in close proximity. Current challenges of near-field MSM are limited programmability of effector motion, dimensionality, ability to perform collaborative tasks, and structural flexibility. Herein, a new class of near-field MSMs is demonstrated that combines microscale thickness flexible planar coils with magnetoresponsive polymer effectors. Ultrathin manufacturing and magnetic programming of effectors is used to tailor their response to the nonhomogeneous near-field distribution on the coil surface. The MSMs are demonstrated to lift, tilt, pull, or grasp in close proximity to each other. These ultrathin (80 µm) and lightweight (100 gm−2) MSMs can operate at high frequency (25 Hz) and low energy consumption (0.5 W), required for the use of MSMs in portable electronics.</p

Insulin resistance, does it exist? The current state of knowledge

Insulin resistance is a growing concern worldwide, affecting millions of people and increasing the risk of various metabolic disorders, including type 2 diabetes, cardiovascular diseases, and fatty liver disease. This paper aims to display the symptoms of insulin resistance and the importance of early detection through various diagnostic tests such as fasting insulin levels, oral glucose tolerance tests, and HOMA-IR scores. Despite the high prevalence of insulin resistance, there is currently no known cure for this condition as it is not a disease in itself. However, lifestyle modifications, including exercise and dietary changes, can effectively manage and prevent the progression of insulin resistance and its associated complications. This study emphasizes the importance of raising awareness about insulin resistance and its adverse effects on individuals' health and the healthcare system's burden. Early detection and management of insulin resistance can significantly reduce the risk of developing metabolic disorders and prevent serious health complications

MagNeed - Needle-Shaped Electromagnets for Localized Actuation Within Compact Workspaces

Electromagnetic actuation of micro-/milli-sized agents has traditionally relied on large electromagnets positioned at considerable distances from the agents. As a result, the electromagnets consume kilowatts of power to overcome the limited generation of magnetic field gradients. Miniaturized electromagnets offer an alternative approach for reducing power consumption via localized actuation of micro-/milli-sized agents. Typically, the generation of magnetic field gradients in the vicinity of a miniaturized electromagnet is comparable with traditional electromagnetic actuation systems. Miniaturized electromagnets can be positioned near target sites in microfluidic channels or ex vivo vasculatures. Thereby, localized trapping and actuation of magnetic micro-/milli-sized agents are carried out. This study introduces MagNeed - an electromagnetic actuation system composed of three needle-shaped electromagnets (NSEs). MagNeed can determine compact workspaces by positioning the NSEs at different spatial configurations. Each NSE generates magnetic field gradients (up to 3.5 T/m at 5 mm from the NSE tip axis) while keeping a maximum power consumption (0.5 W) and temperature (&lt; 42°C). MagNeed is complemented by a framework that reconstructs the pose of the NSEs. Experiments test MagNeed and framework on a transparent Teflon tube (5 mm inner diameter). MagNeed demonstrates localized trapping and actuation of a 1 mm NdFeB bead against a flow of water and silica gel particles (1-3 mm diameter).</p