A Novel Asymmetric Pneumatic Soft-Surgical Endoscope Design with Laminar Jamming

Soft pneumatic endoscopes developed for Minimally Invasive Surgeries (MIS) are designed upright which means that the starting positions straight. As the internal chambers are pressurized the endoscopic module starts bending. The relation between the pneumatic pressure and bending is nonlinear as the air needs first to fill the chamber before bending, and additionally frictional interaction to the sheath adds more to this start-up transient behaviour. This highly nonlinear behaviour severely limits the actuator sensitivity, accuracy, and repeatability near the endoscope’s center of operating range. This paper introduces a novel pre-bent MR-compatible soft-surgical pneumatic endoscope design aimed to improve the bending performance of soft endoscopes by shifting the start-up transient out of the operating range. The pre-bent design of 12 mm diameter consists of an actuation and stiffening chamber, inextensible shell reinforcement with a backbone and rings, and external sheathing. The design parameters that include cross-sectional area, number of rings and backbone width are determined using Finite Element (FE) analysis. The motion profile of the fabricated endoscope, determined via experimentation, shows a successful shift of the start-up transient while the jamming structure increases the stiffness of the endoscope but limits the bending range. Further design developments of the endoscope are required for clinical application.

[1]  B. Yeung,et al.  A technical review of flexible endoscopic multitasking platforms. , 2012, International journal of surgery.

[2]  G. Antoniou,et al.  Past, Present, and Future of Minimally Invasive Abdominal Surgery , 2015, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[3]  George P Mylonas,et al.  Soft Robotics in Minimally Invasive Surgery , 2019, Soft robotics.

[4]  T. Hucl,et al.  Natural orifice transluminal endoscopic surgery , 2011, Endoscopy.

[5]  Momen Abayazid,et al.  Evaluation of design aspects of modular pneumatic soft robotic endoscopes , 2019, 2019 2nd IEEE International Conference on Soft Robotics (RoboSoft).

[6]  Stefano Stramigioli,et al.  A review on recent advances in soft surgical robots for endoscopic applications , 2019, The international journal of medical robotics + computer assisted surgery : MRCAS.

[7]  Arianna Menciassi,et al.  STIFF-FLOP surgical manipulator: Mechanical design and experimental characterization of the single module , 2013, 2013 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[8]  Brian S. Peters,et al.  Review of emerging surgical robotic technology , 2018, Surgical Endoscopy.

[9]  D. Rus,et al.  Design, fabrication and control of soft robots , 2015, Nature.

[10]  Kaspar Althoefer,et al.  Highly dexterous 2‐module soft robot for intra‐organ navigation in minimally invasive surgery , 2018, The international journal of medical robotics + computer assisted surgery : MRCAS.

[11]  Alain Delchambre,et al.  Flexible Medical Devices: Review of Controllable Stiffness Solutions , 2017 .

[12]  Karl Iagnemma,et al.  A Novel Layer Jamming Mechanism With Tunable Stiffness Capability for Minimally Invasive Surgery , 2013, IEEE Transactions on Robotics.

[13]  C. Yeung,et al.  Emerging next‐generation robotic colonoscopy systems towards painless colonoscopy , 2019, Journal of digestive diseases.

[14]  Stefano Stramigioli,et al.  Development of a Multi-level Stiffness Soft Robotic Module with Force Haptic Feedback for Endoscopic Applications* , 2019, 2019 International Conference on Robotics and Automation (ICRA).

[15]  Yashraj S. Narang,et al.  Mechanically Versatile Soft Machines through Laminar Jamming , 2018 .

[16]  Jaydev P. Desai,et al.  Toward the Development of a Flexible Mesoscale MRI-Compatible Neurosurgical Continuum Robot , 2017, IEEE Transactions on Robotics.

[17]  Martin Keuchel,et al.  Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements , 2017, Computational and structural biotechnology journal.

[18]  Stephen A. Morin,et al.  Soft Robotics: Review of Fluid‐Driven Intrinsically Soft Devices; Manufacturing, Sensing, Control, and Applications in Human‐Robot Interaction   , 2017 .

[19]  T. Robinson,et al.  Minimally invasive surgery , 1999, European Surgical Research.

[20]  Jonathan Rossiter,et al.  Soft Robotics: Trends, Applications and Challenges: Proceedings of the Soft Robotics Week, April 25-30, 2016, Livorno, Italy , 2017 .

[21]  P. Saxena,et al.  New platforms and devices in colonoscopy. , 2013, Gastroenterology clinics of North America.

[22]  H. Xina,et al.  Laparoscopic surgery , perceptual limitations and force : A review , 2006 .

[23]  Jamie Paik,et al.  Stretchable Materials for Robust Soft Actuators towards Assistive Wearable Devices , 2016, Scientific Reports.