Development of a decoupling wire driven exoskeletal microarm for endoscopic Submucosal Dissection

Endoscopic Sub-mucosal Dissection (ESD) has the low operability problem during operation by using surgical tools with a simple mechanism. In this paper, newly developed an exoskeletal microarm is proposed. For enabling the surgical operation of cancer tissues during ESD, a gripper is attached to the microarm based on a wire decoupling design. The fabrication methods for the microarm by using an electrical discharge machining and a photolithography are also shown. By using this approach, the developed extra-thin 2-DOF microarm can insert to the endoscope channel with the diameter of 2.7 mm.

[1]  Hisao Tajiri,et al.  A new technique for endoscopic mucosal resection with an insulated-tip electrosurgical knife improves the completeness of resection of intramucosal gastric neoplasms. , 2002, Gastrointestinal endoscopy.

[2]  Fumihito Arai,et al.  Fabrication and feedback control of an articulated microarm , 2009, 2009 IEEE International Conference on Robotics and Automation.

[3]  Naoki Suzuki,et al.  Development of a navigation function for an endosocopic robot surgery system. , 2005, Studies in health technology and informatics.

[4]  Fumihito Arai,et al.  Fabrication of Articulated Microarm for Endoscopy by Stacked Microassembly Process (STAMP) , 2008, 2008 International Symposium on Micro-NanoMechatronics and Human Science.

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

[6]  T. Ohkusa,et al.  The facilitation of a new traction device (S-O clip) assisting endoscopic submucosal dissection for superficial colorectal neoplasms , 2008, Endoscopy.

[7]  Ichiro Oda,et al.  Complete endoscopic closure of gastric perforation induced by endoscopic resection of early gastric cancer using endoclips can prevent surgery (with video). , 2006, Gastrointestinal endoscopy.

[8]  A. Kalloo,et al.  Per-oral transgastric abdominal surgery. , 2006, Chinese journal of digestive diseases.

[9]  Rajnikant V. Patel,et al.  Robot-assisted Active Catheter Insertion: Algorithms and Experiments , 2009, Int. J. Robotics Res..

[10]  Hiroki Ando,et al.  Efficiency of gripping mechanism using buckling phenomenon of long column , 2009, 2008 IEEE International Conference on Robotics and Biomimetics.

[11]  Keiji Sasaki,et al.  Development of remote microsurgery robot and new surgical procedure for deep and narrow space , 2003, 2003 IEEE International Conference on Robotics and Automation (Cat. No.03CH37422).

[12]  Grigore Gogu,et al.  Neurosurgical robot design and interactive motion planning for resection task , 2009, 2009 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[13]  Fumihito Arai,et al.  New catheter driving method using linear stepping mechanism for intravascular neurosurgery , 2002, Proceedings 2002 IEEE International Conference on Robotics and Automation (Cat. No.02CH37292).

[14]  Richard I. Rothstein,et al.  Use of the Direct Drive Endoscopic System (DDES) for In-Vivo Mucosal Resection in a Porcine Model , 2008 .

[15]  Fumihito Arai,et al.  Fabrication of Articulated Microarm for Endoscopy by Stacked Microassembly Process (STAMP) , 2008 .

[16]  Masakatsu G. Fujie,et al.  Micro Manipulators for Intrauterine Fetal Surgery in an Open MRI , 2005, Proceedings of the 2005 IEEE International Conference on Robotics and Automation.

[17]  L. Swanström,et al.  A multitasking platform for natural orifice translumenal endoscopic surgery (NOTES): a benchtop comparison of a new device for flexible endoscopic surgery and a standard dual-channel endoscope , 2009, Surgical Endoscopy.

[18]  Takahiro Kozu,et al.  Percutaneous traction-assisted EMR by using an insulation-tipped electrosurgical knife for early stage gastric cancer. , 2004, Gastrointestinal endoscopy.