Soft tissue characterisation using a force feedback-enabled instrument for robotic assisted minimally invasive surgery systems

An automated laparoscopic instrument capable of non-invasive measurement of tip/tissue interaction forces for direct application in robotic assisted minimally invasive surgery systems is introduced in this chapter. It has the capability to measure normal grasping forces as well as lateral interaction forces without any sensor mounted on the tip jaws. Further to non-invasive actuation of the tip, the proposed instrument is also able to change the grasping direction during surgical operation. Modular design of the instrument allows conversion between surgical modalities (e.g., grasping, cutting, and dissecting). The main focus of this paper is on evaluation of the grasping force capability of the proposed instrument. The mathematical formulation of fenestrated insert is presented and its non-linear behaviour is studied. In order to measure the stiffness of soft tissues, a device was developed that is also described in this chapter. Tissue characterisation experiments were conducted and results are presented and analysed here. The experimental results verify the capability of the proposed instrument in accurately measuring grasping forces and in characterising artificial tissue samples of varying stiffness.

[1]  Blake Hannaford,et al.  Generalized approach for modeling minimally invasive surgery as a stochastic process using a discrete Markov model , 2006, IEEE Transactions on Biomedical Engineering.

[2]  N. P. Reddy,et al.  Towards force feedback in laparoscopic surgical tools , 1994, Proceedings of 16th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[3]  Shigeyuki Shimachi,et al.  Measurement of force acting on surgical instrument for force-feedback to master robot console , 2003, CARS.

[4]  S. Payandeh,et al.  A micromachined piezoelectric tactile sensor for an endoscopic grasper-theory, fabrication and experiments , 2000, Journal of Microelectromechanical Systems.

[5]  John Kenneth Salisbury,et al.  The Black Falcon: a teleoperated surgical instrument for minimally invasive surgery , 1998, Proceedings. 1998 IEEE/RSJ International Conference on Intelligent Robots and Systems. Innovations in Theory, Practice and Applications (Cat. No.98CH36190).

[6]  Masakatsu G. Fujie,et al.  Integration of a Miniaturised Triaxial Force Sensor in a Minimally Invasive Surgical Tool , 2006, IEEE Transactions on Biomedical Engineering.

[7]  Bijan Shirinzadeh,et al.  Remote centre-of-motion control algorithms of 6-RRCRR parallel robot assisted surgery system (PRAMiSS) , 2012, 2012 IEEE International Conference on Robotics and Automation.

[8]  B. Hannaford,et al.  Force controlled and teleoperated endoscopic grasper for minimally invasive surgery-experimental performance evaluation , 1999, IEEE Transactions on Biomedical Engineering.

[9]  Pablo Lamata,et al.  Understanding Perceptual Boundaries in Laparoscopic Surgery , 2008, IEEE Transactions on Biomedical Engineering.

[10]  Patrick Dubois,et al.  In vivo measurement of surgical gestures , 2002, IEEE Transactions on Biomedical Engineering.

[11]  Jaydev P. Desai,et al.  Real-Time Haptic Feedback in Laparoscopic Tools for Use in Gastro-Intestinal Surgery , 2002, MICCAI.

[12]  Bernhard Kübler,et al.  Prototype of Instrument for Minimally Invasive Surgery with 6-Axis Force Sensing Capability , 2005, Proceedings of the 2005 IEEE International Conference on Robotics and Automation.

[13]  Yasuo Nasu,et al.  An autonomous trimming system of large glass fiber reinforced plastics parts using an omni-directional mobile robot and its control , 2004 .

[14]  Robert D. Howe,et al.  A Robust Uniaxial Force Sensor for Minimally Invasive Surgery , 2010, IEEE Transactions on Biomedical Engineering.

[15]  Bijan Shirinzadeh,et al.  Motion control analysis of a parallel robot assisted minimally invasive surgery/microsurgery system (PRAMiSS) , 2013 .

[16]  Christopher R. Wagner,et al.  The role of force feedback in surgery: analysis of blunt dissection , 2002, Proceedings 10th Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. HAPTICS 2002.

[17]  Fernando Bello,et al.  A Real-Time Compliance Mapping System Using Standard Endoscopic Surgical Forceps , 2009, IEEE Transactions on Biomedical Engineering.

[18]  Blake Hannaford,et al.  Markov modeling of minimally invasive surgery based on tool/tissue interaction and force/torque signatures for evaluating surgical skills , 2001, IEEE Transactions on Biomedical Engineering.

[19]  Bijan Shirinzadeh,et al.  Forward kinematics analysis of offset 6-RRCRR parallel manipulators , 2011 .

[20]  Robert D. Howe,et al.  Robotic tissue tracking for beating heart mitral valve surgery , 2013, Medical Image Anal..

[21]  Robert D. Howe,et al.  Position Control of Motion Compensation Cardiac Catheters , 2011, IEEE Transactions on Robotics.

[22]  Jaydev P. Desai,et al.  A Modular, Automated Laparoscopic Grasper with Three-Dimensional Force Measurement Capability , 2007, Proceedings 2007 IEEE International Conference on Robotics and Automation.

[23]  Saeid Nahavandi,et al.  Effects of realistic force feedback in a robotic assisted minimally invasive surgery system , 2014, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[24]  D. Yuh,et al.  Effects of visual force feedback on robot-assisted surgical task performance. , 2008, The Journal of thoracic and cardiovascular surgery.

[25]  Allison M. Okamura,et al.  Modeling the Forces of Cutting With Scissors , 2008, IEEE Transactions on Biomedical Engineering.

[26]  A. Lanfranco,et al.  Robotic Surgery: A Current Perspective , 2004, Annals of surgery.

[27]  G Hirzinger,et al.  Development of actuated and sensor integrated forceps for minimally invasive robotic surger , 2005, The international journal of medical robotics + computer assisted surgery : MRCAS.

[28]  Soon-Cheang Quah,et al.  A Current Perspective , 2007 .

[29]  B. Hannaford,et al.  Force-feedback grasper helps restore sense of touch in minimally invasive surgery , 1999, Journal of Gastrointestinal Surgery.