An endoscope holder with automatic tracking feature for nasal surgery

Endoscopic nasal surgery is with minimal invasiveness for the surgical treatment of chronic sinusitis or other nasal diseases. During the endoscopic surgery, the surgeon uses one hand to hold the endoscope and the other hand to hold the surgical instruments within the nasal cavity. In some cases, the endoscope has to be held by the assistant when the surgeon needs to use both hands to manipulate the surgical instruments. This paper presents a new robotic system to assist the surgeon in holding the endoscope during the nasal surgery. The endoscope can follow the specified tool in an intelligent and autonomous way. The endoscope holder is a robotic arm which has seven degrees of freedom (DOF) to control the position and orientation. A double parallelogram mechanism is used to create the remote center of motion (RCM). Optical positioning device is integrated in this system for position and orientation tracking. With the new robotic system, the surgeon can use both hands to manipulate surgical instruments. The tracking algorithm can guarantee the endoscope to follow the motion of the instrument exactly, safely and real-time.

[1]  K. Tingelhoff,et al.  3D Endoscopic Approach for Endonasal Sinus Surgery , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[2]  Peng Li,et al.  Foot‐controlled robotic‐enabled endoscope holder for endoscopic sinus surgery: A cadaveric feasibility study , 2016, The Laryngoscope.

[3]  Frank Tendick,et al.  Human-machine interfaces for minimally invasive surgery , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[4]  M.C. Carrozza,et al.  A Wearable Biomechatronic Interface for Controlling Robots with Voluntary Foot Movements , 2007, IEEE/ASME Transactions on Mechatronics.

[5]  Zhenglong Sun,et al.  Design of a master and slave transluminal endoscopic robot for natural orifice transluminal endoscopic surgery , 2010 .

[6]  Wan Sing Ng,et al.  An Image-Guided Sinus Surgery System , 2007, 2007 International Conference on Machine Learning and Cybernetics.

[7]  David Navarro-Alarcon,et al.  Stable force/position control of a robotic endoscope holder for constrained tasks in nasal surgery , 2011, 2011 9th World Congress on Intelligent Control and Automation.

[8]  Kai-Tai Song,et al.  Autonomous and stable tracking of endoscope instrument tools with monocular camera , 2012, 2012 IEEE/ASME International Conference on Advanced Intelligent Mechatronics (AIM).

[9]  Won-Ho Shin,et al.  Design of a compact 5-DOF surgical robot of a spherical mechanism: CURES , 2008, 2008 IEEE/ASME International Conference on Advanced Intelligent Mechatronics.

[10]  Ke Liang,et al.  Development of a robotic arm for minimally invasive surgery , 2011, The 2011 IEEE/ICME International Conference on Complex Medical Engineering.

[11]  Julia Kristin,et al.  Development of a new endoscope holder for head and neck surgery—from the technical design concept to implementation , 2015, European Archives of Oto-Rhino-Laryngology.

[12]  David Navarro-Alarcon,et al.  Development of a robotic endoscope holder for nasal surgery , 2013, 2013 IEEE International Conference on Information and Automation (ICIA).

[13]  John J. Craig,et al.  Introduction to Robotics Mechanics and Control , 1986 .

[14]  C. Nathan,et al.  The voice-controlled robotic assist scope holder AESOP for the endoscopic approach to the sella. , 2006, Skull Base.

[15]  Cornelis A. Grimbergen,et al.  Robotics in minimally invasive surgery , 2004, 2004 IEEE International Conference on Systems, Man and Cybernetics (IEEE Cat. No.04CH37583).

[16]  Francis L. Merat,et al.  Introduction to robotics: Mechanics and control , 1987, IEEE J. Robotics Autom..

[17]  Guang-Zhong Yang,et al.  da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety , 2014, Neurosurgical Review.