Flexible Instruments for Endovascular Interventions: Improved Magnetic Steering, Actuation, and Image-Guided Surgical Instruments

Endovascular surgery has gained broad acceptance in the last few years. The current practice of endovascular procedures is limited by factors including patient-specific operation requirements, high-risk surgery procedures, and time-consuming operations. To address this, magnetically actuated surgical catheters have been introduced to the field of surgical robotics. Recently, advances in steerable catheters and developments in magnetic steering have been studied. However, limited research has been conducted to quantify the effectiveness of magnetic actuation for catheterization procedures. Endovascular interventions employing magnetically actuated catheters deliver the promise of higher accuracy and shorter duration when compared to current, manual techniques. Moreover, they allow surgeons access to areas of cardiovascular systems that cannot be reached with standard, minimally invasive techniques.

[1]  Jeffrey A. Stoll,et al.  Real-Time Three-Dimensional Ultrasound for Guiding Surgical Tasks , 2003, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[2]  L. Jordaens,et al.  Remote magnetic navigation for mapping and ablating right ventricular outflow tract tachycardia. , 2006, Heart rhythm.

[3]  B. Lindsay,et al.  Novel, Magnetically Guided Catheter for Endocardial Mapping and Radiofrequency Catheter Ablation , 2002, Circulation.

[4]  Ron Alterovitz,et al.  Experimental evaluation of ultrasound-guided 3D needle steering in biological tissue , 2014, International Journal of Computer Assisted Radiology and Surgery.

[5]  Wolfhard Semmler,et al.  Real-time MR navigation and localization of an intravascular catheter with ferromagnetic components , 2010, Magnetic Resonance Materials in Physics, Biology and Medicine.

[6]  Robert D. Howe,et al.  Compensation for unconstrained catheter shaft motion in cardiac catheters , 2016, 2016 IEEE International Conference on Robotics and Automation (ICRA).

[7]  Alastair J. Martin,et al.  Magnetically assisted remote-controlled endovascular catheter for interventional MR imaging: in vitro navigation at 1.5 T versus X-ray fluoroscopy. , 2014, Radiology.

[8]  S. Ernst,et al.  Initial Experience With Remote Catheter Ablation Using a Novel Magnetic Navigation System: Magnetic Remote Catheter Ablation , 2004, Circulation.

[9]  Hedyeh Rafii-Tari,et al.  Current and Emerging Robot-Assisted Endovascular Catheterization Technologies: A Review , 2013, Annals of Biomedical Engineering.

[10]  Tamas Szili-Torok,et al.  The magnetic navigation system allows safety and high efficacy for ablation of arrhythmias , 2011, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[11]  Hugh Calkins,et al.  First experience with a novel robotic remote catheter system: Amigo™ mapping trial , 2013, Journal of Interventional Cardiac Electrophysiology.

[12]  Eric D. Diller,et al.  Five-degree-of-freedom magnetic control of micro-robots using rotating permanent magnets , 2016, 2016 IEEE International Conference on Robotics and Automation (ICRA).

[13]  Bradley J. Nelson,et al.  Estimation-Based Control of a Magnetic Endoscope without Device Localization , 2017, J. Medical Robotics Res..

[14]  E. Paulson,et al.  CT fluoroscopy--guided interventional procedures: techniques and radiation dose to radiologists. , 2001, Radiology.

[15]  Kanishka Ratnayaka,et al.  Interventional cardiovascular magnetic resonance: still tantalizing , 2008, Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance.

[16]  Alastair J. Martin,et al.  New-Generation Laser-lithographed Dual-Axis Magnetically Assisted Remote-controlled Endovascular Catheter for Interventional MR Imaging: In Vitro Multiplanar Navigation at 1.5 T and 3 T versus X-ray Fluoroscopy. , 2015, Radiology.

[17]  Jonathan M Sorger,et al.  Catheter-Based Endomyocardial Injection With Real-Time Magnetic Resonance Imaging , 2002, Circulation.

[18]  Maud Marchal,et al.  Real-time needle detection and tracking using a visually servoed 3D ultrasound probe , 2013, 2013 IEEE International Conference on Robotics and Automation.

[19]  Robert D. Howe,et al.  A robotic system for actively stiffening flexible manipulators , 2015, 2015 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS).

[20]  Neal S Kleiman,et al.  Initial experience with a magnetic navigation system for percutaneous coronary intervention in complex coronary artery lesions. , 2006, Journal of the American College of Cardiology.

[21]  Robert J. Webster,et al.  Guiding Elastic Rods With a Robot-Manipulated Magnet for Medical Applications , 2017, IEEE Transactions on Robotics.

[22]  Min Seok Choi,et al.  Comparison of Magnetic Navigation System and Conventional Method in Catheter Ablation of Atrial Fibrillation: Is Magnetic Navigation System Is More Effective and Safer Than Conventional Method? , 2011, Korean circulation journal.

[23]  Stefano Scheggi,et al.  Closed-loop control of a magnetically-actuated catheter using two-dimensional ultrasound images , 2016, 2016 6th IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[24]  Bradley J. Nelson,et al.  Shared control of a magnetic microcatheter for vitreoretinal targeted drug delivery , 2017, 2017 IEEE International Conference on Robotics and Automation (ICRA).

[25]  Ilker Tunay,et al.  Spatial Continuum Models of Rods Undergoing Large Deformation and Inflation , 2013, IEEE Transactions on Robotics.

[26]  E. Gang,et al.  Remote Navigation for Ablation Procedures - A New Step Forward in the Treatment of Cardiac Arrhythmias , 2010 .

[27]  Sylvain Martel,et al.  Characterization of the deflections of a catheter steered using a magnetic resonance imaging system. , 2011, Medical physics.

[28]  M. Bock,et al.  MR‐guided intravascular interventions: Techniques and applications , 2008, Journal of magnetic resonance imaging : JMRI.

[29]  S. Ernst,et al.  Remote-controlled catheter ablation of accessory pathways: results from the magnetic laboratory. , 2006, European heart journal.

[30]  R. Fairman,et al.  Brachial artery catheterization to facilitate endovascular grafting of abdominal aortic aneurysm: safety and rationale. , 2000, Journal of vascular surgery.

[31]  Islam S. M. Khalil,et al.  The Control of Self-Propelled Microjets Inside a Microchannel With Time-Varying Flow Rates , 2014, IEEE Transactions on Robotics.

[32]  Yi Li,et al.  Design and Fabrication of a Catheter Magnetic Navigation System for Cardiac Arrhythmias , 2016, IEEE Transactions on Applied Superconductivity.

[33]  Robert D. Howe,et al.  Automated pointing of cardiac imaging catheters , 2013, 2013 IEEE International Conference on Robotics and Automation.

[34]  B. Carey,et al.  Imaging for prostate cancer. , 2005, Clinical oncology (Royal College of Radiologists (Great Britain)).

[35]  Jake J. Abbott,et al.  First demonstration of simultaneous localization and propulsion of a magnetic capsule in a lumen using a single rotating magnet , 2017, 2017 IEEE International Conference on Robotics and Automation (ICRA).

[36]  Ozkan Bebek,et al.  Visual tracking of biopsy needles in 2D ultrasound images , 2016, 2016 IEEE International Conference on Robotics and Automation (ICRA).

[37]  Murat Cenk Cavusoglu,et al.  Task-space motion planning of MRI-actuated catheters for catheter ablation of atrial fibrillation , 2014, 2014 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[38]  Dario Floreano,et al.  A variable stiffness catheter controlled with an external magnetic field , 2017, 2017 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS).

[39]  Michael Talcott,et al.  Magnetic guidance system for cardiac electrophysiology: a prospective trial of safety and efficacy in humans. , 2003, Journal of the American College of Cardiology.

[40]  E. Gang,et al.  Dynamically Shaped Magnetic Fields: Initial Animal Validation of a New Remote Electrophysiology Catheter Guidance and Control System , 2011, Circulation. Arrhythmia and electrophysiology.

[41]  I. Tunay,et al.  Modeling magnetic catheters in external fields , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[42]  I. Tunay Position control of catheters using magnetic fields , 2004, Proceedings of the IEEE International Conference on Mechatronics, 2004. ICM '04..

[43]  W. Nitz,et al.  On the heating of linear conductive structures as guide wires and catheters in interventional MRI , 2001, Journal of magnetic resonance imaging : JMRI.

[44]  Padraig Cantillon-Murphy,et al.  Catheter Position Tracking System Using Planar Magnetics and Closed Loop Current Control , 2014, IEEE Transactions on Magnetics.

[45]  Deniz Bilecen,et al.  MR-guided endovascular interventions: a comprehensive review on techniques and applications , 2008, European Radiology.

[46]  Sarthak Misra,et al.  Introducing BigMag — A novel system for 3D magnetic actuation of flexible surgical manipulators , 2017, 2017 IEEE International Conference on Robotics and Automation (ICRA).

[47]  P R Mueller,et al.  Interventional radiology in the chest and abdomen. , 1990, The New England journal of medicine.

[48]  Robert D. Howe,et al.  Real-Time Visual Servoing of a Robot Using Three-Dimensional Ultrasound , 2007, Proceedings 2007 IEEE International Conference on Robotics and Automation.

[49]  David O. Martin,et al.  Remote magnetic navigation: human experience in pulmonary vein ablation. , 2007, Journal of the American College of Cardiology.

[50]  Sarthak Misra,et al.  Force sensing in continuum manipulators using fiber Bragg grating sensors , 2017, 2017 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS).

[51]  K. Katada,et al.  Guidance with real-time CT fluoroscopy: early clinical experience. , 1996, Radiology.

[52]  N Vanello,et al.  Systematic Review of fMRI Compatible Devices: Design and Testing Criteria , 2017, Annals of Biomedical Engineering.

[53]  Medical Advisory Secretariat Coil embolization for intracranial aneurysms: an evidence-based analysis. , 2006, Ontario health technology assessment series.

[54]  Kanishka Ratnayaka,et al.  A deflectable guiding catheter for real‐time MRI‐guided interventions , 2012, Journal of magnetic resonance imaging : JMRI.

[55]  Leah Muller,et al.  Remote control catheter navigation: options for guidance under MRI , 2012, Journal of Cardiovascular Magnetic Resonance.

[56]  Bradley J. Nelson,et al.  The tethered magnet: Force and 5-DOF pose control for cardiac ablation , 2017, 2017 IEEE International Conference on Robotics and Automation (ICRA).

[57]  Mark Wilson,et al.  Magnetically-assisted remote control (MARC) steering of endovascular catheters for interventional MRI: a model for deflection and design implications. , 2007, Medical physics.

[58]  Jinwoo Jung,et al.  Towards closed loop control of a continuum robotic manipulator for medical applications , 2011, 2011 IEEE International Conference on Robotics and Automation.

[59]  Keiichi Fukuda,et al.  Operator-blinded contact force monitoring during pulmonary vein isolation using conventional and steerable sheaths. , 2014, International journal of cardiology.

[60]  Stefano Scheggi,et al.  Autonomous planning and control of soft untethered grippers in unstructured environments , 2016, Journal of Micro-Bio Robotics.

[61]  Kaspar Althoefer,et al.  A Novel Continuum Manipulator Design Using Serially Connected Double-Layer Planar Springs , 2016, IEEE/ASME Transactions on Mechatronics.

[62]  Murat Cenk Cavusoglu,et al.  Pseudo-rigid-body model and kinematic analysis of MRI-actuated catheters , 2015, 2015 IEEE International Conference on Robotics and Automation (ICRA).

[63]  Kamal Alameh,et al.  Accurate modeling and positioning of a magnetically controlled catheter tip. , 2016, Medical physics.

[64]  R L Arenson,et al.  Remote control of catheter tip deflection: An opportunity for interventional MRI , 2002, Magnetic resonance in medicine.

[65]  Maythem Saeed,et al.  Endovascular interventional MRI , 2005, Journal of magnetic resonance imaging : JMRI.

[66]  Hongliang Ren,et al.  Passive Markers for Tracking Surgical Instruments in Real-Time 3-D Ultrasound Imaging , 2012, IEEE Transactions on Medical Imaging.

[67]  Mark A. Griswold,et al.  Modeling and Validation of the Three-Dimensional Deflection of an MRI-Compatible Magnetically Actuated Steerable Catheter , 2016, IEEE Transactions on Biomedical Engineering.

[68]  Sarthak Misra,et al.  Real-time three-dimensional flexible needle tracking using two-dimensional ultrasound , 2013, 2013 IEEE International Conference on Robotics and Automation.

[69]  Nobuhiko Hata,et al.  A Motion Adaptable Needle Placement Instrument Based on Tumor Specific Ultrasonic Image Segmentation , 2002, MICCAI.

[70]  Eli Gang,et al.  Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures , 2013, Journal of visualized experiments : JoVE.

[71]  R. Lederman Cardiovascular Interventional Magnetic Resonance Imaging , 2005, Circulation.

[72]  Gabor Fichtinger,et al.  Robotic system for MRI-guided prostate biopsy: feasibility of teleoperated needle insertion and ex vivo phantom study , 2012, International Journal of Computer Assisted Radiology and Surgery.

[73]  J L Duerk,et al.  Control of intravascular catheters using an array of active steering coils. , 2011, Medical physics.

[74]  E. Marcelli,et al.  A novel telerobotic system to remotely navigate standard electrophysiology catheters , 2008, 2008 Computers in Cardiology.

[75]  Jake J. Abbott,et al.  OctoMag: An Electromagnetic System for 5-DOF Wireless Micromanipulation , 2010, IEEE Transactions on Robotics.

[76]  E. Gang,et al.  Non-Fluoroscopic Transseptal Catheterization During Electrophysiology Procedures using a Remote Magnetic Navigation System. , 2013, Journal of atrial fibrillation.

[77]  Bradley J. Nelson,et al.  Magnetic control of continuum devices , 2017, Int. J. Robotics Res..

[78]  V. Santinelli,et al.  Robotic magnetic navigation for atrial fibrillation ablation. , 2006, Journal of the American College of Cardiology.

[79]  Mark A. Griswold,et al.  Iterative Jacobian-Based Inverse Kinematics and Open-Loop Control of an MRI-Guided Magnetically Actuated Steerable Catheter System , 2017, IEEE/ASME Transactions on Mechatronics.

[80]  Sarthak Misra,et al.  Steering of Multisegment Continuum Manipulators Using Rigid-Link Modeling and FBG-Based Shape Sensing , 2016, IEEE Transactions on Robotics.

[81]  C J Bakker,et al.  Heating Around Intravascular Guidewires by Resonating RF Waves , 2000, Journal of magnetic resonance imaging : JMRI.

[82]  John A. Kaufman Endovascular intervention: basic concepts and techniques , 2001 .

[83]  A. Martin,et al.  Endovascular Catheter for Magnetic Navigation under MR Imaging Guidance: Evaluation of Safety In Vivo at 1.5T , 2013, American Journal of Neuroradiology.

[84]  Yanyan Cao,et al.  Catalytic nanomotors: autonomous movement of striped nanorods. , 2004, Journal of the American Chemical Society.

[85]  Robert D. Howe,et al.  Robotic catheter cardiac ablation combining ultrasound guidance and force control , 2014, Int. J. Robotics Res..