Orientation module for surgical instruments—a systematical approach

The design and analysis of a new module for the orientation of the instrument tip in minimally invasive surgery are presented in the paper. The aspects related to its design and modularity point out the advantages of the proposed solution: increased ergonomics and dexterity, wider workspace, reduced number of incisions. The solution is analysed with respect to the main drawbacks which are currently reported regarding the use of flexible instruments in minimally invasive procedures. A comparative study is performed analysing the workspace of classical instruments and the ones that use the orientation module in order to assess the possible benefits of the proposed solution. The same approach evaluates the behaviour and possible advantages of robotic surgical instruments equipped with such an orientation module.

[1]  Dong-Soo Kwon,et al.  Compact laparoscopic assistant robot using a bending mechanism , 2007, Adv. Robotics.

[2]  M. Fabrizio,et al.  A non isothermal Ginzburg-Landau model for phase transitions in shape memory alloys , 2010 .

[3]  Helmut F. Schlaak,et al.  A parallel kinematic mechanism for highly flexible laparoscopic instruments , 2009 .

[4]  Tobias Ortmaier,et al.  Telemanipulator for remote minimally invasive surgery , 2008, IEEE Robotics & Automation Magazine.

[5]  B. Gherman,et al.  Singularities and workspace analysis for a parallel robot for minimally invasive surgery , 2010, 2010 IEEE International Conference on Automation, Quality and Testing, Robotics (AQTR).

[6]  Ara Darzi,et al.  The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review , 2011, Surgical Endoscopy.

[7]  C. Gosselin,et al.  On the determination of the force distribution in overconstrained cable-driven parallel mechanisms , 2011 .

[8]  Z. Nawrat,et al.  Polish cardio‐robot ‘Robin Heart’. System description and technical evaluation , 2006, The international journal of medical robotics + computer assisted surgery : MRCAS.

[9]  Peter K. Allen,et al.  System design of an Insertable Robotic Effector Platform for Single Port Access (SPA) Surgery , 2009, 2009 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[10]  Domenico Mundo,et al.  Robotic Control of the Traditional Endoscopic Instrumentation Motion , 2010 .

[11]  Rajni V. Patel,et al.  Optimizing port placement for robot‐assisted minimally invasive cardiac surgery , 2007, The international journal of medical robotics + computer assisted surgery : MRCAS.

[12]  Marc Bessler,et al.  Pure natural orifice transluminal endoscopic surgery (NOTES) cholecystectomy , 2010, Surgical Endoscopy.

[13]  Roland Werthschützky,et al.  A Novel Laparoscopic Instrument with Multiple Degrees of Freedom and Intuitive Control , 2009 .

[14]  Eigil Samset,et al.  Collision detection and untangling for surgical robotic manipulators , 2009, The international journal of medical robotics + computer assisted surgery : MRCAS.

[15]  K. Fareed,et al.  Single-port transvesical simple prostatectomy: initial clinical report. , 2008, Urology.

[16]  Alin Albu-Schäffer,et al.  DLR MiroSurge: a versatile system for research in endoscopic telesurgery , 2010, International Journal of Computer Assisted Radiology and Surgery.

[17]  Kenjiro Takemura,et al.  Study on Multi-DOF Ultrasonic Actuator for Laparoscopic Instrument , 2004 .

[18]  Christopher J. James,et al.  Semi-blind source separation and extraction techniques applied to multi-channel electroencephalogram and magnetoencephalogram signals , 2009 .

[19]  Jean-Pierre Merlet,et al.  Micro parallel robot MIPS for medical applications , 2001, ETFA 2001. 8th International Conference on Emerging Technologies and Factory Automation. Proceedings (Cat. No.01TH8597).

[20]  Russell H. Taylor,et al.  A dexterous system for laryngeal surgery , 2004, IEEE International Conference on Robotics and Automation, 2004. Proceedings. ICRA '04. 2004.

[21]  Ève Coste-Manière,et al.  Optimal planning for minimally invasive surgical robots , 2003, IEEE Trans. Robotics Autom..

[22]  Doina Pisla,et al.  Kinematics and Design of a 5-DOF Parallel Robot Used in Minimally Invasive Surgery , 2010 .

[23]  S. Brink-Danan,et al.  Robotic assisted spinal surgery–from concept to clinical practice , 2007, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[24]  J. Clarke.  Designing safety into the minimally invasive surgical revolution , 2008, Surgical Endoscopy.