Design and preliminary test results of a novel microsurgical telemanipulator system

In this paper a novel telemanipulator system is proposed, able to assist during reconstructive surgery procedures involving microsurgical techniques. The proposed solution is based on maintaining work methods and infrastructure in the operating room (OR). An extensive analysis of these conventional methodologies, combined with a review of currently available alternative solutions, has led to the design of a new 7DOF master-slave system. The modular design concept is focused on precision, safety, ease-of-use, and cost-efficiency. A proof-of-concept has been tested, whereas preliminary results indicate a bidirectional precision at the slave end effector of 70 μm. Through optimization of the control software, a bidirectional precision down to 30-40 μm can be achieved.

[1]  G. Weinstein,et al.  Transoral Robotic Free Flap Reconstruction of Oropharyngeal Defects: A Preclinical Investigation , 2010, Plastic and reconstructive surgery.

[2]  M. Mitsuishi,et al.  Microsurgical robotic system for the deep surgical field: development of a prototype and feasibility studies in animal and cadaveric models. , 2005, Journal of neurosurgery.

[3]  Peter Kazanzides,et al.  Development and Application of a New Steady-Hand Manipulator for Retinal Surgery , 2007, Proceedings 2007 IEEE International Conference on Robotics and Automation.

[4]  Cameron N. Riviere,et al.  Micron: An Actively Stabilized Handheld Tool for Microsurgery , 2012, IEEE Transactions on Robotics.

[5]  Philippe Liverneaux,et al.  Nerve repair in telemicrosurgery: an experimental study. , 2009, Journal of reconstructive microsurgery.

[6]  Benoit Carignan,et al.  Finger tremor can be voluntarily reduced during a tracking task , 2011, Brain Research.

[7]  Akio Morita,et al.  Master–slave robotic platform and its feasibility study for micro‐neurosurgery , 2013, The international journal of medical robotics + computer assisted surgery : MRCAS.

[8]  P. Liverneaux,et al.  Telemicrosurgery: a feasibility study in a rat model. , 2008, Chirurgie de la main.

[9]  K. Naito,et al.  Robot-Assisted Free Toe Pulp Transfer: Feasibility Study , 2012, Journal of Reconstructive Microsurgery.

[10]  J. Hong The Use of Supermicrosurgery in Lower Extremity Reconstruction: The Next Step in Evolution , 2009, Plastic and reconstructive surgery.

[11]  Raimondo Cau,et al.  Design and realization of a master-slave system for reconstructive microsurgery , 2014 .

[12]  H. Das,et al.  Dexterity-enhanced telerobotic microsurgery , 1997, 1997 8th International Conference on Advanced Robotics. Proceedings. ICAR'97.

[13]  W. T. Ang,et al.  Estimation and filtering of physiological tremor for real‐time compensation in surgical robotics applications , 2010, The international journal of medical robotics + computer assisted surgery : MRCAS.

[14]  S. Matin,et al.  Initial evaluation of robotic technology for microsurgical vasovasostomy. , 2004, The Journal of urology.

[15]  Cameron N. Riviere,et al.  Comparison of Baseline Tremor under Various Microsurgical Conditions , 2013, 2013 IEEE International Conference on Systems, Man, and Cybernetics.

[16]  D. Louw,et al.  Surgical Robotics: A Review and Neurosurgical Prototype Development , 2004, Neurosurgery.

[17]  I. Koshima Atypical arteriole anastomoses for fingertip replantations under digital block. , 2008, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[18]  Philip S Li,et al.  Robotic microsurgical vasovasostomy and vasoepididymostomy: a prospective randomized study in a rat model. , 2004, The Journal of urology.

[19]  N. Singh,et al.  Robotics in plastic and reconstructive surgery: use of a telemanipulator slave robot to perform microvascular anastomoses. , 2006, Journal of reconstructive microsurgery.