Puncture robot can improve the accuracy and efficiency of puncture surgery, such as thoracoabdominal and liver puncture. However, as soft tissue is deformed and shifted under respiratory motion and during the puncture process, the needle is pulled, resulting in the needle's bending and deformation, which increases the risks and sufferings of the patient, a robotic puncture system with optical and mechanical feedback is necessary. Therefore, this paper proposes a multi-information sensing 'guide-clamp' end effector for puncture surgery to accurately detect the posture and force on the puncture needle in real time. And gravity bias method with trajectory planning and the compensational controlling model are also proposed to offset the interference of self-weight and achieve zero force following. This system is evaluated by the experiments of robot controlling and human tissue simulation and the results prove the excellent robustness of the system, which meet the clinical requirement.
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http://dx.doi.org/10.1002/rcs.2403 | DOI Listing |
Int J Med Robot
December 2024
School of Automation, Nanjing University of Information Science and Technology, Nanjing, China.
Background: Percutaneous puncture procedures, guided by image-guided robotic-assisted intervention (IGRI) systems, are susceptible to disruptions in patients' respiratory rhythm due to factors such as pain and psychological distress.
Methods: We developed an IGRI system with a coded structured light camera and a binocular camera. Our system incorporates dual-pathway deep learning networks, combining convolutional long short-term memory (ConvLSTM) and point long short-term memory (PointLSTM) modules for real-time respiratory signal monitoring.
Abdom Radiol (NY)
December 2024
Department of Interventional Ultrasound,The Fifth Medical Center, Chinese PLA General Hospital, Beijing, China, 100853.
Background: Teleultrasound has gained significant traction in clinical practice in recent years. However, studies focusing on remote interventional ultrasound remain limited.
Objectives: To evaluate the feasibility and accuracy of percutaneous puncture using a robot-assisted teleultrasound-guided interventional system (RTIS).
Int J Med Robot
December 2024
Department of Mechanical Engineering, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Background: In-bore MRI prostate biopsy offers improved visualisation and detection of significant prostate cancer; however, it is not widely practiced in cancer diagnosis due to its associated costs.
Methods: This work introduces the first prototype towards a 7-degrees-of-freedom (DOF) MRI-conditional piezoelectrically actuated robotic system for transperineal prostate biopsy. The robot enables needle insertions in the desired trajectories.
Int Symp Med Robot
June 2024
Department of Electrical, Computer, and Systems Engineering, Case Western Reserve University, Cleveland, OH.
Pain Physician
November 2024
Department of Orthopedics and Spine Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China.
Background: The distribution of bone cement after percutaneous kyphoplasty (PKP) affects its clinical efficacy in patients with osteoporosis. Robotic and traditional treatment of osteoporotic vertebral compression fractures (OVCFs) have both been established as effective, but no studies have compared these 2 modalities in terms of bone cement distribution and clinical outcomes.
Objective: To compare the bone cement distribution and clinical efficacy of robot-assisted percutaneous kyphoplasty to those of fluoroscopy-assisted percutaneous kyphoplasty for the treatment of OVCFs.
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