Design of a robotic instrument for minimally invasive waterjet surgery

Using a pressurized waterjet for cutting or abrasing tissue is a well established method in surgery. This paper presents a robotic tool for minimally invasive waterjet surgery with two degrees of freedom, integrated suction and an optional splash protection. The function of the tool and the effect of the splash protection on the suction of the applicated water was successfully evaluated in tests with ballistic gelatine. Based on this evaluated design, a concept for further increasing the oscillation frequency of the instrument tip is introduced and the results of preliminary tests of a simplified mockup are shown.

[1]  S. Corvin,et al.  Use of Water Jet Resection in Renal Surgery: Early Clinical Experiences , 2000, European Urology.

[2]  Yuji Sato,et al.  Liver resection using a water jet , 2004, Cancer Chemotherapy and Pharmacology.

[3]  T. Bahls,et al.  Robotic waterjet wound debridement – Workflow adaption for clinical application and systematic evaluation of a novel technology , 2018, PloS one.

[4]  퀴너 랄프,et al.  Fluid-surgical instrument with variable spray image , 2013 .

[5]  J. Oertel,et al.  Waterjet resection of brain metastases - first clinical results with 10 patients. , 2003, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[6]  F. Schildberg,et al.  Laparoscopic liver resection with the water-jet dissector , 1995, Surgical Endoscopy.

[7]  D. N. Papachristou,et al.  Resection of the liver with a water jet , 1982, The British journal of surgery.

[8]  C. Trial,et al.  Use of High-Pressure Waterjets in Wound Debridement , 2004 .

[9]  H G Rau,et al.  The use of water-jet dissection in open and laparoscopic liver resection. , 2008, HPB : the official journal of the International Hepato Pancreato Biliary Association.

[10]  Jorma Jussila,et al.  Ballistic skin simulant. , 2005, Forensic science international.

[11]  F. Schildberg,et al.  Laparoscopic liver resection compared with conventional partial hepatectomy--a prospective analysis. , 1998, Hepato-gastroenterology.

[12]  M. Kuczyk,et al.  Laparoscopic retroperitoneal lymph-node dissection with the waterjet is technically feasible and safe in testis-cancer patient. , 2005, Journal of endourology.

[13]  Florian A. Fröhlich,et al.  Extending the Capability of Using a Waterjet in Surgical Interventions by the Use of Robotics , 2017, IEEE Transactions on Biomedical Engineering.

[14]  Robert Haslinger,et al.  MICA - A new generation of versatile instruments in robotic surgery , 2010, 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[15]  G. Maddern,et al.  Hepatic Resection Using a Water Jet Dissector , 1993, HPB surgery : a world journal of hepatic, pancreatic and biliary surgery.

[16]  F. Köckerling,et al.  Total mesorectal excision with the water-jet-dissection. Technique and results , 2004, Techniques in Coloproctology.

[17]  Alin Albu-Schäffer,et al.  Towards robot guided waterjet surgery , 2013, CURAC.

[18]  J. Myburgh,et al.  Comparison of standard surgical debridement versus the VERSAJET Plus™ Hydrosurgery system in the treatment of open tibia fractures: a prospective open label randomized controlled trial. , 2012, International journal of burns and trauma.

[19]  H. Schroeder,et al.  Waterjet dissection of gliomas -- experience with 51 procedures. , 2004, Minimally invasive neurosurgery : MIN.

[20]  J. Oertel,et al.  Water Jet Dissection in Neurosurgery: An Update After 208 Procedures With Special Reference to Surgical Technique and Complications , 2010, Neurosurgery.