A Master–Slave Integrated Surgical Robot With Active Motion Transformation Using Wrist Axis

In this paper, a master–slave integrated surgical robot system for the laparoscopic surgery is proposed. Instead of commanding the manipulator from the remote master console, the proposed system integrates the master controller into the proximal end of the slave manipulator. The slave has a flexible wrist joint, whose bending angle is operated by a joystick on the master. Focusing on suturing of a curved needle, which is a common task in laparoscopic surgery, we developed an active motion transformation method that allows the surgeon to insert the needle easily. When inserting the needle, the proposed system transforms the surgeon's wrist rotation into the rotation about the bent forceps gripper. Positioning performance of the proposed system is evaluated by an experiment. Furthermore, we compared the suturing task performance between the proposed system and conventional forceps. The experimental results show that the proposed system reduces the contact force against an organ model.

[1]  Jenny Dankelman,et al.  Assessment of joystick and wrist control in hand-held articulated laparoscopic prototypes , 2011, Surgical Endoscopy.

[2]  Guang-Zhong Yang,et al.  Hand-Held Medical Robots , 2014, Annals of Biomedical Engineering.

[3]  Jérôme Szewczyk,et al.  Mechatronic design of a hand-held instrument with active trocar for laparoscopy , 2011, 2011 IEEE International Conference on Robotics and Automation.

[4]  M. Puhan,et al.  Robotic-assisted Versus Laparoscopic Cholecystectomy: Outcome and Cost Analyses of a Case-matched Control Study , 2008, Annals of surgery.

[5]  Warren D. Smith,et al.  An ergonomic comparison of robotic and laparoscopic technique: the influence of surgeon experience and task complexity. , 2003, The Journal of surgical research.

[6]  Kotaro Tadano,et al.  Development of a pneumatically driven forceps manipulator IBIS IV , 2009, 2009 ICCAS-SICE.

[7]  K A Zucker,et al.  Laparoscopic Roux-en-Y choledochojejunostomy. , 1997, American journal of surgery.

[8]  Greg Welch,et al.  An Introduction to Kalman Filter , 1995, SIGGRAPH 2001.

[9]  Makoto Jinno,et al.  Development of a functional model for a master–slave combined manipulator for laparoscopic surgery , 2003, Adv. Robotics.

[10]  Kotaro Tadano,et al.  A Pneumatically Driven Surgical Manipulator With a Flexible Distal Joint Capable of Force Sensing , 2015, IEEE/ASME Transactions on Mechatronics.

[11]  Hirose Kohei,et al.  Hand-held Forceps with Built-in Master Controller and Its Evaluation by Suturing Task , 2016 .

[12]  Paolo Dario,et al.  Lightweight Hand-held Robot for Laparoscopic Surgery , 2007, Proceedings 2007 IEEE International Conference on Robotics and Automation.

[13]  Guillaume Morel,et al.  Evaluation of the effect of a laparoscopic robotized needle holder on ergonomics and skills , 2016, Surgical Endoscopy.

[14]  Kaspar Althoefer,et al.  Implementation of Tactile Sensing for Palpation in Robot-Assisted Minimally Invasive Surgery: A Review , 2014, IEEE Sensors Journal.

[15]  Philip Moore,et al.  A practical control strategy for servo-pneumatic actuator systems , 1999 .

[16]  Robert J. Webster III,et al.  Robot-like dexterity without computers and motors: a review of hand-held laparoscopic instruments with wrist-like tip articulation , 2016, Expert review of medical devices.

[17]  吉川 恒夫,et al.  Foundations of robotics : analysis and control , 1990 .

[18]  Hedyeh Rafii-Tari,et al.  Force-Sensing Enhanced Simulation Environment (ForSense) for laparoscopic surgery training and assessment. , 2015, Surgery.

[19]  Shorya Awtar,et al.  FlexDex™: A Minimally Invasive Surgical Tool With Enhanced Dexterity and Intuitive Control , 2010 .

[20]  Kenji Kawashima,et al.  Pneumatically-Driven Hand-held Forceps with Wrist Joint Operated by Built-in Master Controller , 2016 .

[21]  Gen Endo,et al.  Pneumatically driven handheld forceps with force display operated by motion sensor , 2015, 2015 IEEE International Conference on Robotics and Automation (ICRA).

[22]  John Kenneth Salisbury,et al.  The Intuitive/sup TM/ telesurgery system: overview and application , 2000, Proceedings 2000 ICRA. Millennium Conference. IEEE International Conference on Robotics and Automation. Symposia Proceedings (Cat. No.00CH37065).

[23]  J. L. Roux An Introduction to the Kalman Filter , 2003 .

[24]  M. Gagner,et al.  Comparison of laparoscopic skills performance between standard instruments and two surgical robotic systems , 2003, Surgical Endoscopy And Other Interventional Techniques.

[25]  Jenny Dankelman,et al.  Force measurement platform for training and assessment of laparoscopic skills , 2010, Surgical Endoscopy.

[26]  M. Morino,et al.  Robot-assisted vs laparoscopic adrenalectomy: a prospective randomized controlled trial , 2004, Surgical Endoscopy.

[27]  A. Gallagher,et al.  An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. , 1998, Endoscopy.

[28]  Jenny Dankelman,et al.  Assessment of Laparoscopic Skills Based on Force and Motion Parameters , 2014, IEEE Transactions on Biomedical Engineering.

[29]  Peter Kazanzides,et al.  Design and Integration of a Telerobotic System for Minimally Invasive Surgery of the Throat , 2009, Int. J. Robotics Res..

[30]  J. Fischer,et al.  The Prehensile Movements of the Human Hand , 2014 .

[31]  T. Muthuramalingam,et al.  A review on recent research trends in servo pneumatic positioning systems , 2017 .

[32]  Guillaume Morel,et al.  Toward the Development of a Hand-Held Surgical Robot for Laparoscopy , 2010, IEEE/ASME Transactions on Mechatronics.

[33]  Ryan A. Beasley Medical Robots: Current Systems and Research Directions , 2012, J. Robotics.