Robotic Compensation of Biological Motion to Enhance Surgical Accuracy

Robotic technologies provide new ways to compensate quasi-periodic biological motion, enabling higher surgical accuracy without invasive measures such as cardiopulmonary bypass. This paper describes current research in robotic compensation of hand tremor, respiratory motion, and heartbeat during surgical procedures. An analysis of each physiological motion pattern is provided, as well as a description of novel compensation techniques

[1]  Dan Stoianovici,et al.  AcuBot: a robot for radiological interventions , 2003, IEEE Trans. Robotics Autom..

[2]  Jens Timmer,et al.  Analyzing the dynamics of hand tremor time series , 1992, Biological Cybernetics.

[3]  Yoshihiko Nakamura,et al.  Heartbeat synchronization for robotic cardiac surgery , 2001, Proceedings 2001 ICRA. IEEE International Conference on Robotics and Automation (Cat. No.01CH37164).

[4]  David W. Clarke,et al.  Generalized predictive control - Part I. The basic algorithm , 1987, Autom..

[5]  K. Lam,et al.  Uncertainties in CT-based radiation therapy treatment planning associated with patient breathing. , 1996, International journal of radiation oncology, biology, physics.

[6]  C.N. Riviere,et al.  Static and dynamic accuracy of vitreoretinal surgeons , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[7]  Philippe Cattin,et al.  Trajectory of coronary motion and its significance in robotic motion cancellation. , 2004, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[8]  K. Cleary,et al.  Assessment of hepatic motion secondary to respiration for computer assisted interventions. , 2002, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[9]  Cameron N Riviere,et al.  Prototype epicardial crawling device for intrapericardial intervention on the beating heart. , 2004, The heart surgery forum.

[10]  B Barzilai,et al.  Adverse cerebral outcomes after coronary bypass surgery. , 1997, The New England journal of medicine.

[11]  J. Adler,et al.  Robotic Motion Compensation for Respiratory Movement during Radiosurgery , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[12]  H Das,et al.  Evaluation of a telerobotic system to assist surgeons in microsurgery. , 1999, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[13]  D. Stoianovici,et al.  Robotically driven interventions: a method of using CT fluoroscopy without radiation exposure to the physician. , 2002, Radiology.

[14]  Luc Soler,et al.  Autonomous 3-D positioning of surgical instruments in robotized laparoscopic surgery using visual servoing , 2003, IEEE Trans. Robotics Autom..

[15]  Luc Soler,et al.  Active filtering of physiological motion in robotized surgery using predictive control , 2005, IEEE Transactions on Robotics.

[16]  Jacques Gangloff,et al.  Towards robotized beating heart TECABG: Assessment of the heart dynamics using high-speed vision , 2006, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[17]  M Engelsman,et al.  The effect of breathing and set-up errors on the cumulative dose to a lung tumor. , 2001, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[18]  M. Patkin ERGONOMICS APPLIED TO THE PRACTICE OF MICROSURGERY1 , 1977 .

[19]  J. Noth,et al.  The effect of propranolol versus placebo on resident surgical performance. , 1998, Transactions of the American Ophthalmological Society.

[20]  Russell H. Taylor,et al.  A Steady-Hand Robotic System for Microsurgical Augmentation , 1999, Int. J. Robotics Res..

[21]  Lynette A. Jones,et al.  A Teleoperated Microsurgical Robot and Associated Virtual Environment for Eye Surgery , 1993, Presence: Teleoperators & Virtual Environments.

[22]  T. Seiler,et al.  Improvement in photorefractive corneal laser surgery results using an active eye‐tracking system , 2001, Journal of cataract and refractive surgery.

[23]  N A Patronik,et al.  Preliminary evaluation of a mobile robotic device for navigation and intervention on the beating heart , 2005, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[24]  Jacques Gangloff,et al.  Toward Robotized Beating Heart TECABG: Assessment of the Heart Dynamics Using High-Speed Vision , 2005, MICCAI.

[25]  Matthias Kirsch,et al.  Computer-assisted coronary surgery: lessons from an initial experience. , 2005, Interactive cardiovascular and thoracic surgery.

[26]  J. Edward Colgate,et al.  Toward robot-assisted vascular microsurgery in the retina , 2005, Graefe's Archive for Clinical and Experimental Ophthalmology.

[27]  Cameron N. Riviere,et al.  Design of all-accelerometer inertial measurement unit for tremor sensing in hand-held microsurgical instrument , 2003, 2003 IEEE International Conference on Robotics and Automation (Cat. No.03CH37422).

[28]  S. Riederer,et al.  Respiratory Motion of the Heart: Kinematics and the Implications for the Spatial Resolution in Coronary Imaging , 1995, Magnetic resonance in medicine.

[29]  Kevin Cleary,et al.  Skin respiratory motion tracking for stereotactic radiosurgery using the CyberKnife , 2003, CARS.

[30]  Nitish V. Thakor,et al.  Surgical Motion Adaptive Robotic Technology (S.M.A.R.T): Taking the Motion out of Physiological Motion , 2001, MICCAI.

[31]  Cameron N. Riviere,et al.  Predicting respiratory motion for active canceling during percutaneous needle insertion , 2001, 2001 Conference Proceedings of the 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[32]  Marc Bodson,et al.  Adaptive Algorithms for the Rejection of Sinusoidal Disturbances with Unknown Frequency , 1996 .

[33]  Russell H. Taylor,et al.  A Steady-Hand Robotic System for Microsurgical Augmentation , 1999 .

[34]  N.V. Thakor,et al.  Adaptive cancelling of physiological tremor for improved precision in microsurgery , 1998, IEEE Transactions on Biomedical Engineering.

[35]  M. Hallett Tremor , 1991, Neurology.

[36]  F Wellens,et al.  Video-assisted Port-Access mitral valve surgery: from debut to routine surgery. Will Trocar-Port-Access cardiac surgery ultimately lead to robotic cardiac surgery? , 1999, Seminars in thoracic and cardiovascular surgery.

[37]  David W. Clarke,et al.  Generalized Predictive Control - Part II Extensions and interpretations , 1987, Autom..

[38]  R. C. Harwell,et al.  Physiologic tremor and microsurgery , 1983, Microsurgery.

[39]  Scott C. Douglas,et al.  Adaptive algorithms for the rejection of sinusoidal disturbances with unknown frequency , 1996, Autom..

[40]  Mark F. Newman,et al.  Adverse Cerebral Outcomes after Coronary Bypass Surgery , 1996 .

[41]  Cornelius Borst,et al.  Endoscopic Exposure and Stabilization of Posterior and Inferior Branches Using the Endo-Starfish Cardiac Positioner and the Endo-Octopus Stabilizer for Closed-Chest Beating Heart Multivessel CABG: Hemodynamic Changes in the Pig , 2003, Circulation.

[42]  Tobias Ortmaier,et al.  Motion Compensation in Minimally Invasive Robotic Surgery , 2003 .

[43]  M. Patkin Ergonomics applied to the practice of microsurgery. , 1977, The Australian and New Zealand journal of surgery.

[44]  Kevin R. Cleary,et al.  Respiratory motion tracking of skin and liver in swine for Cyberknife motion compensation , 2004, Medical Imaging: Image-Guided Procedures.

[45]  Cameron N. Riviere,et al.  Toward active tremor canceling in handheld microsurgical instruments , 2003, IEEE Trans. Robotics Autom..

[46]  D.Y. Choi,et al.  Flexure-based Manipulator for Active Handheld Microsurgical Instrument , 2005, 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference.

[47]  Jacques Gangloff,et al.  CTBot: A stereotactic-guided robotic assistant for percutaneous procedures of the abdomen , 2005, SPIE Medical Imaging.

[48]  I G Pallikaris,et al.  Photorefractive keratectomy in eyes with congenital nystagmus. , 1998, Journal of refractive surgery.

[49]  Cameron N. Riviere,et al.  Adaptive human-machine interface for persons with tremor , 1995, Proceedings of 17th International Conference of the Engineering in Medicine and Biology Society.