Parametric Modeling and Experimental Analysis for Interventional Surgery Robots
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ParametricModelingand
ExperimentalAnalysisfor
InterventionalSurgeryRobots
CHAPTER·JANUARY2016
DOI:10.1007/978-3-319-23327-7_71
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5
7AUTHORS,INCLUDING:
BinHe
TongjiUniversity
57PUBLICATIONS69CITATIONS
SEEPROFILE
Availablefrom:BinHeRetrievedon:07March2016ParametricModelingandExperimental
AnalysisforInterventionalSurgery
Robots
BinHe,KeLiu,ShangqingWu,YuanyuanSi,TingtingYuan,
LuxiHeandYanminZhou
AbstractMinimallyinvasivesurgeryisamaintreatmentinvasculardiseases,with
theadvantagesofpainlessandcomplicationreducingforpatients.Inavascular
operation,theguidewireisdriventothelesionwithcatheter.However,thesuccess
ofsurgerieslargelydependonsurgeon’sexperience.Therefore,itisnecessaryto
studytheinteractionbetweentheguidewireandthecathetertosecuretheprecise
andeffectivelocatingoftherobot.Itisrequiredtostudytheintravascular
mechanicsandthedynamicbehaviorsoftheguidewireandcatheter.Thereare
variousdifficultieswhencatheterisusedinbloodvessels,suchasthematerialflexibility,vesselelasticityanditsbifurcation.Experimentsweredesignedto
overcomethesedifficultiesinthispaper.Arelationshipoftherotationangles
betweentheproximalanddistalendoftheguidewirehasbeenfoundthroughthe
curvefitting,whichwouldprovideexperimentalevidenceforsurgeons.
KeywordsMinimallyinvasivesurgeryÁCatheterÁKinematicsmodeling
1Introduction
MinimallyInvasiveSurgery(MIS)appliesminimallyinvasivetreatmentsonvas-
cularlesions,throughtheinteractionofmedicalcatheterandtheguidewireandtheir
navigationandpositioning.Ithasbeenbelievedtobetheorientationofthenext
generationofthevascularsurgery,whichpossessesbroadprospective.Thecurrent
researchhasbeenfocusedontheintelligenceandautomationofthecatheternavi-
gationandtheintelligentmaterials(theshape-memoryalloyandtheelectroactive
B.He(&)ÁK.LiuÁS.WuÁY.SiÁT.YuanÁL.HeÁY.ZhouControlScienceandEngineeringDepartment,TongjiUniversity,Shanghai,Chinae-mail:hebin@tongji.edu.cn
Y.ZhouDepartmentofZoology,CambridgeUniversity,Cambridge,UK
©SpringerInternationalPublishingSwitzerland2016X.Dingetal.(eds.),AdvancesinReconfigurableMechanismsandRobotsII,MechanismsandMachineScience36,DOI10.1007/978-3-319-23327-7_71829polymersofartificialmuscles)fortheaccurateoperationoftheintelligentvascular
surgeryrobots.
Duringtheoperation,acatheterisinsertedintoabloodvesselwiththehelpofa
guidewire,asshowninFig.1.
Thecurrentoperationsarecarriedoutmanuallybydoctorsaidedbyimaging,
whichhavethedisadvantagesthat:
1.SinceXrayisusedfortheimagingduringthec,thesurgeonsaretherefore
exposedtoradiationhazard,whichmayleadtoillnessinlongterm;
2.Withoutanyfeedbackofthethree-dimensionalpositionofthecatheterandthe
force,tentativeoperationsarecarriedoutdependingontheoperators’experi-
encesandknowledgeofanatomy,resultinginlongoperationtime,accumulated
radiationhazardsandprobablymoremisoperations;
3.Duetothelowaccuracyofmanuallyintubation,itisoftendifficultoreven
impossibletolocatethecatheterpreciselyatthefocus,leadingtoincreased
operatingtimeaswellasthemedicalrisk.
Inordertoensuretheoperationsafety,reducemedicalriskandimprovethe
surgeryaccuracyandefficiency,variouscatheterguidingrobotictechnologieshave
beendevelopingquickly,includingmagneticdriven,wiredriven,smartmaterial
drivenandfluiddrivencatheterguidancetechnologies.Inordertomeetthe
requirementsoftheintelligencedrivenoftheguidewireandthecatheter,studieson
theirinteractionmechanismsareinurgentneedtoachievethenonlinearmathe-
maticalmodeloftheirinputsandoutputsunderthecomplexenvironmentsofthe
bloodvascular.
Thefirstmagneticcatheterwaspublishedin1951[1];Seldingerbuiltthe
technologyofvascularintubationthroughpercutaneouspuncture,starting
theFig.1Vascularinterventionalprocedure830B.Heetal.technologyusingsteelwiresasguide[2];in1969,thefirstwiredrivencatheterwas
createdandappliedinnon-invasivesurgeries[1];inthe1980s,theshapememory
alloydrivencathetersappeared[1];intheearly1980s,themagneticdrivenangi-
ographystartedtobeappliedtohumanbeingsandfluiddrivencatheterstartedtobe
available[1];GUOandFukudainJapandevelopedtheICFPdrivencatheter
guidancerobots[3];afterthenewmillennium,theNiobesystemofStereotaxisis
currentlythemostmaturesurgerysystemusingthemagneticcatheterduring
guiding[4];in2007,theSensei®-XroboticcathetersystemdevelopedbyHansen
MedicalusingArtisanTMcatheter,hadbeenusedinclinicalsurgeryofcatheters
imaging,astheworld’sleadingcompliantcatheterroboticplatform[5].TheAmigo
remotecathetersystemdevelopedbyCatheterRobotics,iscompatiblewiththeir
existingcommercialcathetersandintegrateswiththeEnSiteelectrophysiological
measurementsystemoftheSt.JudeMedical’s[6].Suchrobotsassistedintubation