Multi-Objective Safety-Enhanced Path Planning for the Anterior Part of a Flexible Ureteroscope in Robot-Assisted Surgery.

Background: In robot-assisted flexible ureteroscopy, planning a safety-enhanced path facilitates ureteroscope reaching the target safely and quickly. However, current methods rarely consider the safety impact caused by body motion of the anterior part, such as impingement on the lumen wall and sweeping motion risk, or the method can only be used in collision-free situations.

Methods: The kinematic model of the anterior part under C-shaped and S-shaped collision bending is first analysed. Considering the newly defined impingement cost and sweeping area, the differential evolution algorithm is adopted to optimise the path in the configuration space. Experiments were performed to verify the effectiveness of the method.

Results: Compared with the competing algorithm, the proposed algorithm reduced impingement cost and sweeping area by an average of 31.0% and 8.64%. Force measurement experiments verified the rationality of the impingement cost expression.

Conclusion: The experimental results proved the feasibility of the proposed path planning algorithm.