A Workcell for the Development of Robot-Assisted Surgical Procedures

This paper describes a robotic workstation for the development of new robot-assisted surgical procedures. This work is motivated by the difficulties and cost associated to the development of surgical robots, often requiring large investments and several re-designs which limit wider use of this technology. The approach presented here consists of using a general purpose robotic workcell to develop the hardware and the surgical aspects of new robot-based surgical systems, before committing to a completely new system design. The workcell is based on a clean room PUMA 260 manipulator, suitably enhanced to expand and improve its capabilities, and on a vision-based operator interface. Two new robot-assisted surgical procedures have been developed and tested using this set-up: percutaneous discectomy and knee osteoctomy. By using the robotic workcell, engineers and surgeons are able to define many aspects of the two procedures, such as surgical gestures, workspace of the robot, and calibration procedures, without incurring a large, up-front investment. First, the article describes the configuration of the workcell, the enhancements to the PUMA manipulator and the surgical procedures developed with this setup. Then the results of the tests and the lessons learned using the workcell are discussed in some detail.

[1]  Paolo Fiorini,et al.  Improving the performance of PC-based controllers for robot-assisted surgery , 1998, Proceedings of the 1998 IEEE International Conference on Control Applications (Cat. No.98CH36104).

[2]  Klaus Radermacher,et al.  A compact robot for image-guided orthopedic surgery: concept and preliminary results , 1997, CVRMed.

[3]  Paolo Fiorini,et al.  A PC based configuration controller for dexterous 7-DOF arms , 1997, IEEE Robotics Autom. Mag..

[4]  S. Delp,et al.  Computer assisted knee replacement. , 1998, Clinical orthopaedics and related research.

[5]  Lerner Ej.  Computer-integrated surgery. , 1997, New Jersey medicine : the journal of the Medical Society of New Jersey.

[6]  Ken Masamune,et al.  A New Laparoscope Manipulator with an Optical Zoom , 1998, MICCAI.

[7]  S. Hayati,et al.  A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery , 1988, IEEE Transactions on Biomedical Engineering.

[8]  Michael A. Peshkin,et al.  The use of localizers, robots and synergistic devices in CAS , 1997, CVRMed.

[9]  Philippe Cinquin,et al.  Computer assisted spine surgery: A first step toward clinical, application in orthopaedics , 1992, 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[10]  D Glauser,et al.  Neurosurgical robot Minerva: first results and current developments. , 1995, Journal of image guided surgery.

[11]  W. Bargar,et al.  Primary and Revision Total Hip Replacement Using the Robodoc® System , 1998, Clinical orthopaedics and related research.

[12]  B.L. Davies,et al.  A surgeon robot for prostatectomies , 1991, Fifth International Conference on Advanced Robotics 'Robots in Unstructured Environments.

[13]  Randy E. Ellis,et al.  A Surgical Planning and Guidance System for High Tibial Osteotomies , 1998, MICCAI.

[14]  B L Davies,et al.  Active compliance in robotic surgery—the use of force control as a dynamic constraint , 1997, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[15]  Michael A. Peshkin,et al.  Total Knee Replacement , 1973, The Lancet.

[16]  Russell H. Taylor,et al.  A Modular Surgical Robotic System for Image Guided Percutaneous Procedures , 1998, MICCAI.

[17]  Jean-Jacques E. Slotine,et al.  Robot analysis and control , 1988, Autom..

[18]  Tsuneo Yoshikawa,et al.  Foundations of Robotics: Analysis and Control , 1990 .

[19]  Ehud Rivlin,et al.  AV-Shell, an Environment for Autonomous Robotic Applications Using Active Vision , 1999, Auton. Robots.

[20]  Paolo Fiorini,et al.  A PC-based workstation for robotic discectomy , 1998, Proceedings. 1998 IEEE International Conference on Robotics and Automation (Cat. No.98CH36146).

[21]  Trevor Jones,et al.  Development of a robot control test platform , 1995, IEEE Robotics Autom. Mag..

[22]  F A Matsen,et al.  Robotic assistance in orthopaedic surgery. A proof of principle using distal femoral arthroplasty. , 1993, Clinical orthopaedics and related research.

[23]  Jean-Claude Latombe,et al.  Image-Guided Robotic Radiosurgery , 1994, Modelling and Planning for Sensor Based Intelligent Robot Systems.