Intraocular snake integrated with the steady-hand eye robot for assisted retinal microsurgery

作者: Jingzhou Song , Berk Gonenc , Jiangzhen Guo , Iulian Iordachita

DOI: 10.1109/ICRA.2017.7989796

关键词: Omnidirectional antennaMicrosurgeryWorkspaceRetinalEngineeringSegment lengthIris (anatomy)RobotSimulation

摘要: Due to the confined intraocular space and physical constraints in tool manipulation, snake-like robots have a significant potential for use retinal microsurgery. By enhancing dexterity at tip, not only operable on retina can be enlarged, but also delicate target tissues reached an optimal angle minimizing damage making operation much easier. In this study, we present improved version of our earlier integrated snake (IRIS) robot, combine it with another robotic assistant: cooperatively controlled Steady-Hand Eye Robot (SHER). SHER is used drive IRIS close precision, while makes omnidirectional bends by combining its yaw pitch motions provides significantly enhanced holding sclerotomy port fixed. For precise control IRIS, tip actuation has been characterized through experiments considering both free external loading tip. The workspace analysis showed ±45° excellent repeatability (±1°) despite highly miniaturized articulated segment length (3 mm) very thin shaft (0 0.9 mm). Our preliminary artificial eye model shown feasibility reaching targets requiring up 55° accurately.

参考文章(27)
Puneet K. Gupta, Pahick S. Jensen, Eugene de Juan, Surgical Forces and Tactile Perception During Retinal Microsurgery medical image computing and computer assisted intervention. pp. 1218- 1225 ,(1999) , 10.1007/10704282_132
Xingchi He, Vincent van Geirt, Peter Gehlbach, Russell Taylor, Iulian Iordachita, IRIS: Integrated Robotic Intraocular Snake international conference on robotics and automation. ,vol. 2015, pp. 1764- 1769 ,(2015) , 10.1109/ICRA.2015.7139426
Shinichi Tanaka, Kanako Harada, Yoshiki Ida, Kyohei Tomita, Ippei Kato, Fumihito Arai, Takashi Ueta, Yasuo Noda, Naohiko Sugita, Mamoru Mitsuishi, Quantitative assessment of manual and robotic microcannulation for eye surgery using new eye model The International Journal of Medical Robotics and Computer Assisted Surgery. ,vol. 11, pp. 210- 217 ,(2015) , 10.1002/RCS.1586
Ioana Fleming, Marcin Balicki, John Koo, Iulian Iordachita, Ben Mitchell, James Handa, Gregory Hager, Russell Taylor, Cooperative Robot Assistant for Retinal Microsurgery medical image computing and computer assisted intervention. ,vol. 11, pp. 543- 550 ,(2008) , 10.1007/978-3-540-85990-1_65
Kazuaki Kadonosono, Akira Arakawa, Shin Yamane, Eiichi Uchio, Yasuo Yanagi, An experimental study of retinal endovascular surgery with a microfabricated needle. Investigative Ophthalmology & Visual Science. ,vol. 52, pp. 5790- 5793 ,(2011) , 10.1167/IOVS.11-7327
Brian C. Becker, Sungwook Yang, Robert A. MacLachlan, Cameron N. Riviere, Towards vision-based control of a handheld micromanipulator for retinal cannulation in an eyeball phantom 2012 4th IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob). ,vol. 2012, pp. 44- 49 ,(2012) , 10.1109/BIOROB.2012.6290813
Shannon E Boye, Sanford L Boye, Alfred S Lewin, William W Hauswirth, A comprehensive review of retinal gene therapy. Molecular Therapy. ,vol. 21, pp. 509- 519 ,(2013) , 10.1038/MT.2012.280
A. Gijbels, N. Wouters, P. Stalmans, H. Van Brussel, D. Reynaerts, E. Vander Poorten, Design and realisation of a novel robotic manipulator for retinal surgery intelligent robots and systems. pp. 3598- 3603 ,(2013) , 10.1109/IROS.2013.6696869
Dongjune Chang, Gwang Min Gu, Jung Kim, Design of a novel tremor suppression device using a linear delta manipulator for micromanipulation intelligent robots and systems. pp. 413- 418 ,(2013) , 10.1109/IROS.2013.6696384
Wei Wei, Nabil Simaan, Modeling, Force Sensing, and Control of Flexible Cannulas for Microstent Delivery Journal of Dynamic Systems Measurement and Control-transactions of The Asme. ,vol. 134, pp. 041004- ,(2012) , 10.1115/1.4006080