A Monolithic Compliant Continuum Manipulator:A Proof-of-Concept Study

Continuum robots have the potential to form an effective interface between the patient and surgeon in minimally invasive procedures. Magnetic actuation has the potential for accurate catheter steering, reducing tissue trauma and decreasing radiation exposure. In this paper, a new design of a monolithic metallic compliant continuum manipulator is presented, with flexures for precise motion. Contactless actuation is achieved using time-varying magnetic fields generated by an array of electromagnetic coils. The motion of the manipulator under magnetic actuation for planar deflection is studied. The mean errors of the theoretical model compared to experiments over three designs are found to be 1.9 mm and 5.1degrees in estimating the in-plane position and orientation of the tip of the manipulator, respectively and 1.2 mm for the whole shape of the manipulator. Maneuverability of the manipulator is demonstrated by steering it along a path of known curvature and also through a gelatin phantom which is visualized in real time using ultrasound imaging, substantiating its application as a steerable surgical manipulator

Surgical Applications of Compliant Mechanisms:A Review

Current surgical devices are mostly rigid and are made of stiff materials, even though their predominant use is on soft and wet tissues. With the emergence of compliant mechanisms (CMs), surgical tools can be designed to be flexible and made using soft materials. CMs offer many advantages such as monolithic fabrication, high precision, no wear, no friction, and no need for lubrication. It is therefore beneficial to consolidate the developments in this field and point to challenges ahead. With this objective, in this article, we review the application of CMs to surgical interventions. The scope of the review covers five aspects that are important in the development of surgical devices: (i) conceptual design and synthesis, (ii) analysis, (iii) materials, (iv) maim facturing, and (v) actuation. Furthermore, the surgical applications of CMs are assessed by classification into five major groups, namely, (i) grasping and cutting, (ii) reachability and steerability, (iii) transmission, (iv) sensing, and (v) implants and deployable devices. The scope and prospects of surgical devices using CMs are also discussed

Surgical Applications of Compliant Mechanisms - A Review

Current surgical devices are mostly rigid and are made of stiff materials, even though their predominant use is on soft and wet tissues. With the emergence of compliant mechanisms (CMs), surgical tools can be designed to be flexible and made using soft materials. CMs offer many advantages like monolithic fabrication, high precision, no wear, no friction and no need for lubrication. It is therefore beneficial to consolidate the developments in this field and point to challenges ahead. With this objective, in this paper, we review the application of CMs to surgical interventions. The scope of the review covers five aspects that are important in the development of surgical devices: (i) conceptual design and synthesis, (ii) analysis, (iii) materials, (iv) manufacturing, and (v) actuation. Furthermore, the surgical applications of CMs are assessed by classification into five major groups, namely, (i) grasping and cutting, (ii) reachability and steerability, (iii) transmission, (iv) sensing, (v) implants and deployable devices. The scope and prospects of surgical devices using CMs are also discussed

Design, Sensing, and Control of a Magnetic Compliant Continuum Manipulator

Continuum manipulators coupled with magnetic actuation have great potential as steerable instruments for diverse surgical applications. They can be maneuvered inside the human body to reach difficult-to-access surgical sites with contactless actuation. This paper presents a new design of a compliant continuum manipulator of diameter 3 mm and length 70 mm, capable of spatial bending under magnetic actuation. A quasi-static model is developed to estimate the 3D motion of the manipulator. Experiments report an overall mean error in whole shape estimation of the manipulator between the model and the ground truth of 1.7 mm and 4.8 mm, when suspended vertically and horizontally from its base, respectively. Furthermore, fiber Bragg grating (FBG) sensors are integrated with the manipulator to enable shape sensing. Closed-loop control is demonstrated to trace different trajectories with the tip of the manipulator. A square trajectory and a straight line trajectory are generated with an average error in tip position of 4.1 mm between the desired and estimated positions. The potential of the manipulator as a steerable instrument is validated by maneuvering it inside phantoms of a bifurcating arterial system and a heart with visual guidance from a miniature camera

A Magnetically Actuated Variable Stiffness Manipulator Based on Deployable Shape Memory Polymer Springs

Continuum manipulators have found several applications in surgical interventions like endoscopy, laparoscopy, and as end-effectors for surgical robots. Continuum manipulators coupled with magnetic actuation can be precisely maneuvered inside the human body. Recently, variable stiffness manipulators (VSMs) have been introduced for enhanced dexterity and safe navigation. This study presents a new design of a magnetically actuated VSM based on shape memory polymer (SMP) springs. The VSM has a silicone backbone enclosed within a spring made of SMP that can change in length with stiffness change that is triggered by Joule heating. The stiffness and thermal characteristics of the VSM are studied using analytical models and experiments. Subsequently, a one-segment VSM and a two-segment VSM having outer diameters of 9 and 10 mm and lengths of 15 and 25 mm, respectively, capable of extending to four times their length are designed. The VSM can be deployed in a compact form and extended to achieve variable bending curvatures in soft and rigid states, which can facilitate instrument insertion and reduce operation invasiveness. Potential clinical applications are demonstrated by incorporating miniature camera, biopsy tool, and laser optical fiber in the working channel of the VSM and coupled with robotic magnetic actuation