A parallel robot to assist vitreoretinal surgery

PurposeThis paper describes the development and evaluation of a parallel prototype robot for vitreoretinal surgery where physiological hand tremor limits performance.MethodsThe manipulator was specifically designed to meet requirements such as size, precision, and sterilization; this has six-degree-of-freedom parallel architecture and provides positioning accuracy with micrometer resolution within the eye. The manipulator is controlled by an operator with a “master manipulator” consisting of multiple joints.ResultsResults of the in vitro experiments revealed that when compared to the manual procedure, a higher stability and accuracy of tool positioning could be achieved using the prototype robot.ConclusionsThis microsurgical system that we have developed has superior operability as compared to traditional manual procedure and has sufficient potential to be used clinically for vitreoretinal surgery.

[1]  Russell H. Taylor,et al.  Steady-Hand Manipulator for Retinal Surgery , 2006 .

[2]  Kenneth R. Boff,et al.  Engineering data compendium : human perception and performance , 1988 .

[3]  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.

[4]  Matthew R. Glucksberg,et al.  In vivo micropuncture of retinal vessels , 2004, Graefe's Archive for Clinical and Experimental Ophthalmology.

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

[6]  Martin Culjat,et al.  FEASIBILITY STUDY OF INTRAOCULAR ROBOTIC SURGERY WITH THE da VINCI SURGICAL SYSTEM , 2008, Retina.

[7]  Kalayaan V. Bilbao,et al.  THE CHICK CHORIOALLANTOIC MEMBRANE AS A MODEL TISSUE FOR SURGICAL RETINAL RESEARCH AND SIMULATION , 2004, Retina.

[8]  Cameron N. Riviere,et al.  Physiological tremor amplitude during retinal microsurgery , 2002, Proceedings of the IEEE 28th Annual Northeast Bioengineering Conference (IEEE Cat. No.02CH37342).

[9]  Mamoru Mitsuishi,et al.  Master manipulator with higher operability designed for micro neuro surgical system , 2008, 2008 IEEE International Conference on Robotics and Automation.

[10]  Cameron N. Riviere,et al.  Design and implementation of active error canceling in hand-held microsurgical instrument , 2001, Proceedings 2001 IEEE/RSJ International Conference on Intelligent Robots and Systems. Expanding the Societal Role of Robotics in the the Next Millennium (Cat. No.01CH37180).

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

[12]  Peter Kazanzides,et al.  Development and Application of a New Steady-Hand Manipulator for Retinal Surgery , 2007, Proceedings 2007 IEEE International Conference on Robotics and Automation.

[13]  Russell H. Taylor,et al.  Cooperative Robot Assistant for Retinal Microsurgery , 2008, MICCAI.

[14]  Cameron N. Riviere,et al.  A study of instrument motion in retinal microsurgery , 2000, Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143).

[15]  C. Pournaras,et al.  New ocular micromanipulator for measurements of retinal and vitreous physiologic parameters in the mammalian eye. , 1991, Experimental eye research.

[16]  Tatsuo Arai,et al.  Parallel mechanisms with adjustable link parameters , 2000, Proceedings. 2000 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS 2000) (Cat. No.00CH37113).

[17]  Cameron N. Riviere,et al.  Robotic Compensation of Biological Motion to Enhance Surgical Accuracy , 2006, Proceedings of the IEEE.

[18]  Jean-Pierre Merlet,et al.  Direct Kinematics and Assembly Modes of Parallel Manipulators , 1992 .

[19]  Dan Zhang,et al.  Optimum design of parallel kinematic toolheads with genetic algorithms , 2004, Robotica.

[20]  Zexiang Li,et al.  Randomized Optimal Design of Parallel Manipulators , 2008, IEEE Transactions on Automation Science and Engineering.

[21]  H. Das,et al.  Dexterity-enhanced telerobotic microsurgery , 1997, 1997 8th International Conference on Advanced Robotics. Proceedings. ICAR'97.