This paper proposes a robotic system to assist and collaborate with surgeons in Single Incision Laparoscopic Surgery (SILS) operations. The system, aim at solving the main drawbacks of this kind of surgery, is composed of a miniature camera robot and a redundant robotic grasper. Positioning of both robots inside the patient’s abdomen is done by means of magnetic control. External magnetic sources are placed at the end effector of two robotic arms, and permanent magnets are integrated in the robots. Camera robot is provided with three permanent magnets, so both position and orientation can be controlled. Sliding control, which is robust against perturbations and parameter uncertainties, is chosen. Robotic grasper’s redundancy makes possible autonomously obstacle avoidance and increases its workspace. The haptic device is designed so as surgeons can handle the grasper as if it were a conventional tool. In order to this aim, augmented reality is used to simulate a traditional tool in the visual feedback system, in substitution of the robotic grasper. Besides the telemanipulation, requirements for autonomously functions to assist surgeons in the specific tasks of suturing are discussed.
IROS 2013 - Force-Position Control for a Miniature Camera Robotic System for ...Robótica Médica UMA
This paper describes the design and implementation of a robotic vision system for single-site surgery. The system is composed of a wireless miniature camera robot with magnetic pan and tilt capabilities, and an external robotic arm to guide the camera along the abdominal wall. The camera robot is provided with a set of magnets, and a magnetic holder is attached at the end effector of the manipulator. This way, the camera robot can be displaced to obtain additional viewpoints of the abdominal cavity by displacing the external manipulator. The first prototype of the
camera robot with an embedded LED lighting system is described. To properly displace the robotic arm over the abdominal wall, a hybrid force-position control has been developed, which includes a torque compensation module in order to obtain an appropriate orientation of the end effector. The contact surface has been assumed to be an elastic model, which stiffness matrix is estimated with a recurrent least squares algorithm. Finally, an in-vitro experiment to validate the control scheme proposed is presented.
MEDICON 2013 - Single Incision Laparoscopic Surgery Using a Miniature Robotic...Robótica Médica UMA
This paper presents a robotic system aimed at solving the main drawbacks of Single Incision Laparoscopic Surgery. The system is composed of a miniature camera robot, a lighting robot to provide efficient illumination to the scene, and a robotic grasper. These devices are introduced into the abdominal cavity through the single port, and are attached to the abdominal wall by magnetic interaction. Two external robotic arms, at which end effector the magnetic holders are attached, are used to guide the internal devices along the abdominal wall. Camera and lighting robots are handled by voice commands, whereas the robotic grasper is teleoperated with a haptic device. An in-vitro experiment to compare the advantages of using this system versus a traditional procedure is developed.
BIOROB 2012 - Maneuvers Recognition in Laparoscopic Surgery: Artificial Neura...Robótica Médica UMA
The work presented in this paper is focused on movement recognition as a first step to achieve the automation of a two-arm-surgical-robotic-system in the laparoscopic surgical environment. In order to accomplish coordination between the surgeon and the robotic assistant, a system able to recognize and differentiate between certain standard surgical maneuvers should be developed. Two different methodologies are proposed to model and identify several surgical maneuvers. The first method is based on Artificial Neural Networks (ANN), by codifying the movements through their Fourier spectra and the second one is based on HMMs which represents the interaction between the surgical tools. The proposed approaches will be tested through a set of experiments that mimic surgical movements as in tissue cutting, suturing and transporting. In this way, the recognition system is able to distinguish between the different maneuvers which have been modeled.
2010-Market Justification Single Port LaparoscopyEdwin Chung
This document provides a competitive analysis justifying expansion into the single-port laparoscopic surgery market with a new single-port access device. Single-incision laparoscopic surgery (SILS) offers an improved cosmetic outcome compared to traditional multiple-port laparoscopy but has disadvantages including reduced instrument movement and limited camera views. Current single-port devices aim to minimize these issues. The document proposes a new innovative device and marketing strategies to establish market share in the growing SILS field.
RAAD 2010 - A Multi-Behavior Algorithm for Auto-Guided Movements in Surgeon A...Robótica Médica UMA
This paper focuses on autonomous movements to aid the surgeon to perform certain tasks. Robotic assistants have solved the drawbacks of Minimally Invasive Surgery (MIS) and provide additional skills to the surgeons. However, some authors argue that these systems could lengthen the operating time. The solution is the automation of certain maneuvers that help the surgeon during a surgical maneuver. This work proposes control architecture for a surgical robot capable of performing autonomous movements. In this way, a trajectory planner based on a behavior concept computes the required velocity vector of the surgical instrument hold by the robot.
IROS 2010 - Auto-Guided Movements on Minimally Invasive Surgery for Surgeon A...Robótica Médica UMA
This paper focuses on autonomous movements to aid the surgeon to perform certain tasks. Robotic assistants have solved the drawbacks of Minimally Invasive Surgery (MIS) and provide additional skills to the surgeons. However, some authors argue that these systems could lengthen the operating time. The solution is the automation of certain maneuvers that help the surgeon during a surgical maneuver. This work proposes control architecture for a surgical robot capable of performing autonomous movements. In this way, a trajectory planner based on a behavior concept computes the required velocity vector of the surgical instrument hold by the robot. This planner has been implemented and tested on the control architecture of the surgical assistant CISOBOT, designed and developed at the University of Malaga.
This document discusses the history and applications of robotic surgery in ENT. It begins with the origins of robotics in the 1920s and the emergence of surgical robotics from advances in other fields. The da Vinci surgical system is currently the most widely used system, allowing 7 degrees of freedom of motion and 3D visualization. Initial ENT applications included transoral surgery and thyroid procedures. Transoral robotic surgery (TORS) allows improved access and resection for tumors of the tonsil, base of tongue, and larynx. Robotic thyroid surgery reduces incision sizes. Future areas may include sinus and skull base procedures as technology advances.
This document discusses various applications of automation in different sectors such as medical, defense, mining, and agriculture. In the medical field, it describes how nanorobots and automated dispensing devices can help with diagnosis and targeted drug delivery. It also discusses robotic surgery tools like AESOP, Zeus, and da Vinci. In defense, it outlines automated systems for missiles, drones, and radar targeting. For mining, it explains technologies like seismic imaging, laser imaging, and automated drilling, hauling, and exploration equipment. Finally, it discusses sensors and automation for site-specific spraying and yield mapping in agriculture.
IROS 2013 - Force-Position Control for a Miniature Camera Robotic System for ...Robótica Médica UMA
This paper describes the design and implementation of a robotic vision system for single-site surgery. The system is composed of a wireless miniature camera robot with magnetic pan and tilt capabilities, and an external robotic arm to guide the camera along the abdominal wall. The camera robot is provided with a set of magnets, and a magnetic holder is attached at the end effector of the manipulator. This way, the camera robot can be displaced to obtain additional viewpoints of the abdominal cavity by displacing the external manipulator. The first prototype of the
camera robot with an embedded LED lighting system is described. To properly displace the robotic arm over the abdominal wall, a hybrid force-position control has been developed, which includes a torque compensation module in order to obtain an appropriate orientation of the end effector. The contact surface has been assumed to be an elastic model, which stiffness matrix is estimated with a recurrent least squares algorithm. Finally, an in-vitro experiment to validate the control scheme proposed is presented.
MEDICON 2013 - Single Incision Laparoscopic Surgery Using a Miniature Robotic...Robótica Médica UMA
This paper presents a robotic system aimed at solving the main drawbacks of Single Incision Laparoscopic Surgery. The system is composed of a miniature camera robot, a lighting robot to provide efficient illumination to the scene, and a robotic grasper. These devices are introduced into the abdominal cavity through the single port, and are attached to the abdominal wall by magnetic interaction. Two external robotic arms, at which end effector the magnetic holders are attached, are used to guide the internal devices along the abdominal wall. Camera and lighting robots are handled by voice commands, whereas the robotic grasper is teleoperated with a haptic device. An in-vitro experiment to compare the advantages of using this system versus a traditional procedure is developed.
BIOROB 2012 - Maneuvers Recognition in Laparoscopic Surgery: Artificial Neura...Robótica Médica UMA
The work presented in this paper is focused on movement recognition as a first step to achieve the automation of a two-arm-surgical-robotic-system in the laparoscopic surgical environment. In order to accomplish coordination between the surgeon and the robotic assistant, a system able to recognize and differentiate between certain standard surgical maneuvers should be developed. Two different methodologies are proposed to model and identify several surgical maneuvers. The first method is based on Artificial Neural Networks (ANN), by codifying the movements through their Fourier spectra and the second one is based on HMMs which represents the interaction between the surgical tools. The proposed approaches will be tested through a set of experiments that mimic surgical movements as in tissue cutting, suturing and transporting. In this way, the recognition system is able to distinguish between the different maneuvers which have been modeled.
2010-Market Justification Single Port LaparoscopyEdwin Chung
This document provides a competitive analysis justifying expansion into the single-port laparoscopic surgery market with a new single-port access device. Single-incision laparoscopic surgery (SILS) offers an improved cosmetic outcome compared to traditional multiple-port laparoscopy but has disadvantages including reduced instrument movement and limited camera views. Current single-port devices aim to minimize these issues. The document proposes a new innovative device and marketing strategies to establish market share in the growing SILS field.
RAAD 2010 - A Multi-Behavior Algorithm for Auto-Guided Movements in Surgeon A...Robótica Médica UMA
This paper focuses on autonomous movements to aid the surgeon to perform certain tasks. Robotic assistants have solved the drawbacks of Minimally Invasive Surgery (MIS) and provide additional skills to the surgeons. However, some authors argue that these systems could lengthen the operating time. The solution is the automation of certain maneuvers that help the surgeon during a surgical maneuver. This work proposes control architecture for a surgical robot capable of performing autonomous movements. In this way, a trajectory planner based on a behavior concept computes the required velocity vector of the surgical instrument hold by the robot.
IROS 2010 - Auto-Guided Movements on Minimally Invasive Surgery for Surgeon A...Robótica Médica UMA
This paper focuses on autonomous movements to aid the surgeon to perform certain tasks. Robotic assistants have solved the drawbacks of Minimally Invasive Surgery (MIS) and provide additional skills to the surgeons. However, some authors argue that these systems could lengthen the operating time. The solution is the automation of certain maneuvers that help the surgeon during a surgical maneuver. This work proposes control architecture for a surgical robot capable of performing autonomous movements. In this way, a trajectory planner based on a behavior concept computes the required velocity vector of the surgical instrument hold by the robot. This planner has been implemented and tested on the control architecture of the surgical assistant CISOBOT, designed and developed at the University of Malaga.
This document discusses the history and applications of robotic surgery in ENT. It begins with the origins of robotics in the 1920s and the emergence of surgical robotics from advances in other fields. The da Vinci surgical system is currently the most widely used system, allowing 7 degrees of freedom of motion and 3D visualization. Initial ENT applications included transoral surgery and thyroid procedures. Transoral robotic surgery (TORS) allows improved access and resection for tumors of the tonsil, base of tongue, and larynx. Robotic thyroid surgery reduces incision sizes. Future areas may include sinus and skull base procedures as technology advances.
This document discusses various applications of automation in different sectors such as medical, defense, mining, and agriculture. In the medical field, it describes how nanorobots and automated dispensing devices can help with diagnosis and targeted drug delivery. It also discusses robotic surgery tools like AESOP, Zeus, and da Vinci. In defense, it outlines automated systems for missiles, drones, and radar targeting. For mining, it explains technologies like seismic imaging, laser imaging, and automated drilling, hauling, and exploration equipment. Finally, it discusses sensors and automation for site-specific spraying and yield mapping in agriculture.
This technical seminar discusses robotic surgery with machine learning. It introduces the topic by describing how robotic surgery systems work and their history. It then discusses how machine learning can help address issues with doctor and nurse shortages in India by aiding in diagnosis, treatment, and surgical skills assessment. The seminar classifies different types of surgical robot systems and provides examples like the Da Vinci and ZEUS systems. It covers the uses of robotic surgery in various specialties and concludes by discussing the advantages like reduced scarring and recovery time as well as disadvantages such as cost and loss of tactile feedback.
Robotic Surgery In Orthopaedics - orthoapedic seminar-Dr Mukul Jain GMCH, U...MukulJain81
Robotic surgery is gaining popularity in orthopaedics for its ability to perform minimally invasive surgery with improved accuracy of implant placement. There are three main types of robotic systems - autonomous systems which operate independently, passive navigation systems which provide guidance to surgeons, and semi-autonomous systems which combine surgeon control with robotic guidance and restraint of surgical tools. While robotic surgery shows benefits of precision and alignment, it also faces limitations such as financial costs, difficulty with soft tissues, and a need for further validation of long-term clinical outcomes.
IROS 2009 - Minimally Invasive Surgery Maneuver Recognition Based On Surgeon ...Robótica Médica UMA
This paper proposes a new user interface based on a maneuver recognition system, which models the surgeon behavior. This interface includes three different modules: data acquisition and coding, training system and on-line recognition system. The aim is defined as recognizing the surgeon movements while is performing a surgical maneuver, by using a 3D surgical tool tracker. The obtained measurements are converted in to movement symbols by means of a Wavelet transform and a fuzzy clustering. These symbols are used both for training HMM and for recognizing the current maneuver. The system has been tested in some in-vitro experiments performing a fictitious surgical protocol.
This document is a technical seminar on robotic surgery submitted for a bachelor's degree. It discusses the history of robotic surgery beginning in 1985 and highlights several key robotic surgery systems including da Vinci and ZEUS. The document covers classifications of robotic surgery systems as supervisory-controlled, telesurgical, or shared-control. It also discusses applications and advantages of robotic surgery while addressing limitations and the future of the field.
IJERA (International journal of Engineering Research and Applications) is International online, ... peer reviewed journal. For more detail or submit your article, please visit www.ijera.com
This document provides an overview of robotic surgery. It discusses the history of robotic surgery from early systems in the 1980s and 1990s to the current da Vinci Surgical System. The document describes the key components of the da Vinci system, including the surgeon's console, robot arms, and how it allows for minimally invasive surgery. Finally, it lists some common applications and benefits of robotic surgery such as improved precision and flexibility for procedures in abdominal, cardiac, and gynecological areas.
Robotics can be used in medical procedures to increase surgical accuracy and decrease operating times. The first documented use of a robot in surgery was in 1985 using the PUMA 560 robotic arm to assist with a delicate neurosurgery. Since then, robots have been used in minimally invasive laparoscopic surgeries. Medical robotics is important as it can reduce patient discomfort and costs, improve access to care, shorten procedures, and allow non-specialists to perform complex surgeries. Popular medical robot systems include the Da Vinci Surgical System for laparoscopy and Intuitive Surgical's tissue engineering robots. While automation may replace some human roles in the operating room, it also has potential for long-term cost
Introduction_Medical Robotics
Types of medical robots - Navigation - Motion Replication - Imaging - Rehabilitation and Prosthetics - State of art of robotics in the field of healthcare
ROBOTIC SURGERY-CURRENT STATUS IN GYNECOLOGYmegha507384
Robotic surgery provides several advantages over traditional laparoscopic surgery including 3D visualization, improved dexterity, and more precise dissection and suturing abilities. Robotic surgery has been shown to be as safe and effective as laparoscopic surgery for several benign gynecologic procedures such as hysterectomy, myomectomy, and sacrocolpopexy. It also shows benefits over laparoscopy for more complex cases involving large fibroids, endometriosis, or obesity. For early-stage endometrial and cervical cancers, robotic surgery results in less blood loss, fewer complications, and shorter hospital stays compared to laparoscopy.
"Beyond Measure" is more than a tagline. It is at the core of what we do for our customers at SURVICE Metrology. It is the ability to look beyond a customer's request for support and provide further insight to both their requirements and the tools, techniques, and processes available to get the job done right the first time. Our diverse workforce at SURVICE Metrology brings experience and expertise from various industries, trades, and government institutions to our profession - and our reach back to internal resources at SURVICE Engineering's operations across the United States is unparalleled.
SURVICE Metrology provides innovative and integrated dimensional inspection services, 3-D modeling, and metrology application development. From our metrology facilities in Maryland, Florida and Michigan, as well as through our portable field measurement teams, we provide responsive support and quality products to our customers.
SURVICE Metrology is a division of the SURVICE Engineering Company (www.survice.com). SURVICE has been providing the DoD and industry customers with specialized products and services supporting the design, development, testing, and fielding of systems for more than 30 years. SURVICE's corporate headquarters is in Belcamp, MD, and has technical operations in Maryland, Virginia, Ohio, Alabama, Florida, and California.
We Employ:
• A suite of state-of-the-art metrology equipment – laser and structured-light scanning, portable and fixed CMMs, laser trackers, photogrammetry, x-ray computed tomography
• Advanced measurement and modeling tools
• Extensive measurement, modeling, reverse engineering, reality capture experience
• Unique custom application development capability – HawkEye, Enhanced Laser Radar, I-CARS, Structure From Motion
• Additive manufacturing – 3D printing and model prep services
Tesis Irene Rivas - Smart Camera Robotic Assistant for Laparoscopic SurgeryRobótica Médica UMA
In the last decades, laparoscopic surgery has become a daily practice in operating rooms worldwide, which evolution is tending towards less invasive techniques. In this scenario, robotics has found a wide field of application, from slave robotic systems that replicate the movements of the surgeon to autonomous robots able to assist the surgeon in certain maneuvers or to perform autonomous surgical tasks. However, these systems require the direct supervision of the surgeon, and its capacity of making decisions and adapting to dynamic environments is very limited. This PhD dissertation presents the design and implementation of a smart camera robotic assistant to collaborate with the surgeon in a real surgical environment. First, it presents the design of a novel camera robotic assistant able to augment the capacities of current vision systems. This robotic assistant is based on an intra-abdominal camera robot, which is completely inserted into the patient’s abdomen and it can be freely moved along the abdominal cavity by means of magnetic interaction with an external magnet. To provide the camera with the autonomy of motion, the external magnet is coupled to the end effector of a robotic arm, which controls the shift of the camera robot along the abdominal wall. This way, the robotic assistant proposed in this dissertation has six degrees of freedom, which allow providing a wider field of view compared to the traditional vision systems, and also to have different perspectives of the operating area. On the other hand, the intelligence of the system is based on a cognitive architecture specially designed for autonomous collaboration with the surgeon in real surgical environments. The proposed architecture simulates the behavior of a human assistant, with a natural and intuitive human-robot interface for the communication between the robot and the surgeon. The cognitive architecture also includes learning mechanisms to adapt the behavior of the robot to the different ways of working of surgeons, and to improve the robot behavior through experience, in a similar way as a human assistant would do.
The theoretical concepts of this dissertation have been validated both through in-vitro experimentation in the labs of medical robotics of the University of Malaga and through in-vivo experimentation with pigs in the IACE Center (Instituto Andaluz de Cirugía Experimental), performed by expert surgeons.
This document discusses the history and applications of robotics in ENT surgery. It begins with definitions of medical robots and an overview of their history. It then focuses on specific ENT applications including:
1) TORS (Transoral Robotic Surgery) for tumors of the tongue base, tonsils, and throat which offers improved visualization and dexterity.
2) Robotic surgery for obstructive sleep apnea by allowing minimally invasive resection of excess tongue base tissue.
3) Robotic thyroidectomy techniques like RATS (Robotic Assisted Thyroidectomy) and robotic facelift thyroidectomy which allow smaller incisions.
4) Potential future applications in rhin
Robotic surgery uses robotic systems to assist surgeons with complex procedures. Some key points:
- Early systems included ROBODOC in 1985 for hip replacements and AESOP in 1994 for positioning the endoscope. The Da Vinci system, introduced in 2000, is now the most widely used system.
- Systems can be tele-surgical like Da Vinci where the surgeon controls the robot remotely, shared-control where the robot provides feedback, or supervisory where the robot executes pre-planned motions autonomously under surgeon oversight.
- The Da Vinci system allows the surgeon to sit at a console several feet from the patient with magnified 3D HD vision and wristed instruments that mimic hand movements with
The document provides information about robotic surgery systems. It discusses the history of robotic surgery beginning in 1985. It describes three main robotic surgery systems: the da Vinci Surgical System, ZEUS Robotic Surgical System, and AESOP Robotic System. Robotic surgery systems are classified as either supervisory-controlled, telesurgical, or shared-control systems depending on the level of autonomy and human involvement. The da Vinci and ZEUS systems are examples of telesurgical systems where the surgeon controls robotic arms from a console.
ROBOTICS IN ENT AND NEWLY ADAPTED TECHNIQUEspartonkarthi
Robotic surgery uses computer-controlled robotic devices to assist surgeons during complex procedures. The document summarizes the history, types, applications and advantages/disadvantages of medical robots. It describes how the da Vinci surgical system works and its use in otolaryngology procedures like radical tonsillectomy, obstructive sleep apnea surgery, thyroid surgery, and skull base tumor removal. While robotic surgery enables minimally invasive approaches, it also has limitations including expense, loss of haptic feedback, and a long learning curve for surgeons.
The document discusses the history and development of robotic surgery. It describes how the first robotic surgery device, the PUMA 560, was used in 1985 for brain biopsies. Later systems like PROBOT and ROBODOC were developed in the late 1980s and early 1990s. The da Vinci surgical system was approved by the FDA in 2000 and is now commonly used for procedures like prostatectomies and cardiac/gynecological surgeries. The da Vinci allows surgeons to operate remotely through small incisions while magnifying their hand movements. Robotic surgery provides benefits like shorter recovery times but drawbacks include the high costs of equipment and training. New innovations continue to advance the field.
This document discusses robotic surgery and the da Vinci surgical system. It describes how robotic surgery uses miniaturized instruments through small incisions instead of large incisions, reducing tissue trauma. The da Vinci system allows a surgeon to control robotic arms with magnified 3D imaging from a console. Some benefits of robotic surgery include smaller incisions, less blood loss, shorter hospital stays, and quicker returns to work for patients. While robotic surgery may improve outcomes, the increased expense of the technology needs to be justified by its benefits.
Robotic Surgery means computer/ Robotic assisted surgery.
It was developed to overcome the limitations of MAS and to enhance the capabilities of surgeons performing open Surgery History of Robotic surgery
The first robot to assist in surgery was the Arthrobot, which was developed and used for the first time in Vancouver in 1983.[43] Intimately involved were biomedical engineer, Dr. James McEwen, Geof Auchinleck, a UBC engineering physics grad, and Dr. Brian Day as well as a team of engineering students. The robot was used in an orthopaedic surgical procedure on 12 March 1984, at the UBC Hospital in Vancouver.
Over 60 arthroscopic surgical procedures were performed in the first 12 months, and a 1985 National Geographic video on industrial robots, The Robotics Revolution, featured the device. Other related robotic devices developed at the same time included a surgical scrub nurse robot, which handed operative instruments on voice command, and a medical laboratory robotic arm. A YouTube video entitled Arthrobot illustrates some of these in operation .
The document discusses the history and current state of robotics in neurosurgery. Early systems from the 1980s-1990s used robotic arms to guide instruments based on preoperative images but lacked real-time imaging. Systems in the mid-1990s like RAMS and Steady Hand introduced real-time imaging, tremor filtering, and force feedback. Current robotic systems can be classified as supervisory-controlled, telesurgical, or shared-control and provide benefits like improved precision, smaller incisions, and eliminating fatigue. NeuroArm is an example of a telesurgical system that allows the surgeon to directly control robotic arms through a workstation providing 3D views, haptic feedback and real-time imaging integration.
Tesis Belén Estebanez - Diseño e Implantación de un Sistema Multimodal para u...Robótica Médica UMA
Esta tesis trata el problema de la interfaz persona–máquina en la robótica médica, concretamente en el campo de la cirugía laparoscópica en solitario. Para este ámbito de aplicación, resulta necesario evitar al cirujano el manejo de dispositivos complejos que le dificultan y distraen de su tarea quirúrgica habitual. Para conseguir este objetivo, se propone una interfaz
multimodal capaz de interpretar los gestos quirúrgicos y los comandos de voz, imitando la forma en la que un asistente humano se relaciona con el cirujano principal. Los sistemas de reconocimiento de maniobras y de voz que forman parte de la interfaz multimodal propuesta han sido implantados en un asistente quirúrgico de dos brazos, de tal manera que se ha validado el funcionamiento del mismo con la realización de experimentos in-vitro al simular las tareas quirúrgicas que aparecen en el protocolo de colecistectomía, concretamente la
sutura. Para ello, se ha contado con la participación de cirujanos expertos y de personal no especializado con el objeto de realizar el sistema de reconocimiento de gestos quirúrgicos propuesto así como para su validación experimental. De este modo, el sistema multimodal propuesto se muestra adecuado para la identificación de las fases del protocolo laparoscópico.
Tesis Enrique Bauzano - Robot Asistente Semiautónomo de dos Brazos para Inter...Robótica Médica UMA
Esta tesis trata sobre el desarrollo de un robot laparoscópico capaz de realizar maniobras quirúrgicas de forma semi-autónoma. Para ello, el sistema dispone de dos brazos manipuladores: uno de ellos sostiene la cámara laparoscópica mientras que el otro maneja una herramienta que ofrece asistencia al cirujano. En primer lugar, este trabajo realiza un estudio del control de bajo nivel necesario para garantizar que ambas herramientas alcancen las localizaciones requeridas. Para ello, el brazo de la cámara instala una muñeca pasiva, mientras que el brazo de la herramienta realiza los movimientos mediante una muñeca esférica de actuación directa. A continuación, se expone un método para movimientos auto-guiados que calcula la trayectoria a cualquier objetivo evitando obstáculos en el interior del abdomen del paciente. Este sistema se emplea posteriormente en un diagrama de estados encargado de regular la asistencia al cirujano en un procedimiento de sutura laparoscópica. Dicho esquema se diseña con la finalidad de que exista una interacción continua a lo largo de la maniobra de forma que, según la secuencia de acciones de la sutura, el cirujano realice las acciones de la mano derecha y el robot las de la mano izquierda. Todas estas funcionalidades se implantan en una arquitectura de control para la plataforma CISOBOT, un prototipo de robot asistente con dos brazos manipuladores, al que se le añade un sistema tolerante a fallos que tiene en cuenta posibles colisiones no previstas con el tejido interno del paciente o con las herramientas del cirujano. Finalmente, para validar el funcionamiento del sistema implantado se proponen una serie de experimentos in vitro.
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This technical seminar discusses robotic surgery with machine learning. It introduces the topic by describing how robotic surgery systems work and their history. It then discusses how machine learning can help address issues with doctor and nurse shortages in India by aiding in diagnosis, treatment, and surgical skills assessment. The seminar classifies different types of surgical robot systems and provides examples like the Da Vinci and ZEUS systems. It covers the uses of robotic surgery in various specialties and concludes by discussing the advantages like reduced scarring and recovery time as well as disadvantages such as cost and loss of tactile feedback.
Robotic Surgery In Orthopaedics - orthoapedic seminar-Dr Mukul Jain GMCH, U...MukulJain81
Robotic surgery is gaining popularity in orthopaedics for its ability to perform minimally invasive surgery with improved accuracy of implant placement. There are three main types of robotic systems - autonomous systems which operate independently, passive navigation systems which provide guidance to surgeons, and semi-autonomous systems which combine surgeon control with robotic guidance and restraint of surgical tools. While robotic surgery shows benefits of precision and alignment, it also faces limitations such as financial costs, difficulty with soft tissues, and a need for further validation of long-term clinical outcomes.
IROS 2009 - Minimally Invasive Surgery Maneuver Recognition Based On Surgeon ...Robótica Médica UMA
This paper proposes a new user interface based on a maneuver recognition system, which models the surgeon behavior. This interface includes three different modules: data acquisition and coding, training system and on-line recognition system. The aim is defined as recognizing the surgeon movements while is performing a surgical maneuver, by using a 3D surgical tool tracker. The obtained measurements are converted in to movement symbols by means of a Wavelet transform and a fuzzy clustering. These symbols are used both for training HMM and for recognizing the current maneuver. The system has been tested in some in-vitro experiments performing a fictitious surgical protocol.
This document is a technical seminar on robotic surgery submitted for a bachelor's degree. It discusses the history of robotic surgery beginning in 1985 and highlights several key robotic surgery systems including da Vinci and ZEUS. The document covers classifications of robotic surgery systems as supervisory-controlled, telesurgical, or shared-control. It also discusses applications and advantages of robotic surgery while addressing limitations and the future of the field.
IJERA (International journal of Engineering Research and Applications) is International online, ... peer reviewed journal. For more detail or submit your article, please visit www.ijera.com
This document provides an overview of robotic surgery. It discusses the history of robotic surgery from early systems in the 1980s and 1990s to the current da Vinci Surgical System. The document describes the key components of the da Vinci system, including the surgeon's console, robot arms, and how it allows for minimally invasive surgery. Finally, it lists some common applications and benefits of robotic surgery such as improved precision and flexibility for procedures in abdominal, cardiac, and gynecological areas.
Robotics can be used in medical procedures to increase surgical accuracy and decrease operating times. The first documented use of a robot in surgery was in 1985 using the PUMA 560 robotic arm to assist with a delicate neurosurgery. Since then, robots have been used in minimally invasive laparoscopic surgeries. Medical robotics is important as it can reduce patient discomfort and costs, improve access to care, shorten procedures, and allow non-specialists to perform complex surgeries. Popular medical robot systems include the Da Vinci Surgical System for laparoscopy and Intuitive Surgical's tissue engineering robots. While automation may replace some human roles in the operating room, it also has potential for long-term cost
Introduction_Medical Robotics
Types of medical robots - Navigation - Motion Replication - Imaging - Rehabilitation and Prosthetics - State of art of robotics in the field of healthcare
ROBOTIC SURGERY-CURRENT STATUS IN GYNECOLOGYmegha507384
Robotic surgery provides several advantages over traditional laparoscopic surgery including 3D visualization, improved dexterity, and more precise dissection and suturing abilities. Robotic surgery has been shown to be as safe and effective as laparoscopic surgery for several benign gynecologic procedures such as hysterectomy, myomectomy, and sacrocolpopexy. It also shows benefits over laparoscopy for more complex cases involving large fibroids, endometriosis, or obesity. For early-stage endometrial and cervical cancers, robotic surgery results in less blood loss, fewer complications, and shorter hospital stays compared to laparoscopy.
"Beyond Measure" is more than a tagline. It is at the core of what we do for our customers at SURVICE Metrology. It is the ability to look beyond a customer's request for support and provide further insight to both their requirements and the tools, techniques, and processes available to get the job done right the first time. Our diverse workforce at SURVICE Metrology brings experience and expertise from various industries, trades, and government institutions to our profession - and our reach back to internal resources at SURVICE Engineering's operations across the United States is unparalleled.
SURVICE Metrology provides innovative and integrated dimensional inspection services, 3-D modeling, and metrology application development. From our metrology facilities in Maryland, Florida and Michigan, as well as through our portable field measurement teams, we provide responsive support and quality products to our customers.
SURVICE Metrology is a division of the SURVICE Engineering Company (www.survice.com). SURVICE has been providing the DoD and industry customers with specialized products and services supporting the design, development, testing, and fielding of systems for more than 30 years. SURVICE's corporate headquarters is in Belcamp, MD, and has technical operations in Maryland, Virginia, Ohio, Alabama, Florida, and California.
We Employ:
• A suite of state-of-the-art metrology equipment – laser and structured-light scanning, portable and fixed CMMs, laser trackers, photogrammetry, x-ray computed tomography
• Advanced measurement and modeling tools
• Extensive measurement, modeling, reverse engineering, reality capture experience
• Unique custom application development capability – HawkEye, Enhanced Laser Radar, I-CARS, Structure From Motion
• Additive manufacturing – 3D printing and model prep services
Tesis Irene Rivas - Smart Camera Robotic Assistant for Laparoscopic SurgeryRobótica Médica UMA
In the last decades, laparoscopic surgery has become a daily practice in operating rooms worldwide, which evolution is tending towards less invasive techniques. In this scenario, robotics has found a wide field of application, from slave robotic systems that replicate the movements of the surgeon to autonomous robots able to assist the surgeon in certain maneuvers or to perform autonomous surgical tasks. However, these systems require the direct supervision of the surgeon, and its capacity of making decisions and adapting to dynamic environments is very limited. This PhD dissertation presents the design and implementation of a smart camera robotic assistant to collaborate with the surgeon in a real surgical environment. First, it presents the design of a novel camera robotic assistant able to augment the capacities of current vision systems. This robotic assistant is based on an intra-abdominal camera robot, which is completely inserted into the patient’s abdomen and it can be freely moved along the abdominal cavity by means of magnetic interaction with an external magnet. To provide the camera with the autonomy of motion, the external magnet is coupled to the end effector of a robotic arm, which controls the shift of the camera robot along the abdominal wall. This way, the robotic assistant proposed in this dissertation has six degrees of freedom, which allow providing a wider field of view compared to the traditional vision systems, and also to have different perspectives of the operating area. On the other hand, the intelligence of the system is based on a cognitive architecture specially designed for autonomous collaboration with the surgeon in real surgical environments. The proposed architecture simulates the behavior of a human assistant, with a natural and intuitive human-robot interface for the communication between the robot and the surgeon. The cognitive architecture also includes learning mechanisms to adapt the behavior of the robot to the different ways of working of surgeons, and to improve the robot behavior through experience, in a similar way as a human assistant would do.
The theoretical concepts of this dissertation have been validated both through in-vitro experimentation in the labs of medical robotics of the University of Malaga and through in-vivo experimentation with pigs in the IACE Center (Instituto Andaluz de Cirugía Experimental), performed by expert surgeons.
This document discusses the history and applications of robotics in ENT surgery. It begins with definitions of medical robots and an overview of their history. It then focuses on specific ENT applications including:
1) TORS (Transoral Robotic Surgery) for tumors of the tongue base, tonsils, and throat which offers improved visualization and dexterity.
2) Robotic surgery for obstructive sleep apnea by allowing minimally invasive resection of excess tongue base tissue.
3) Robotic thyroidectomy techniques like RATS (Robotic Assisted Thyroidectomy) and robotic facelift thyroidectomy which allow smaller incisions.
4) Potential future applications in rhin
Robotic surgery uses robotic systems to assist surgeons with complex procedures. Some key points:
- Early systems included ROBODOC in 1985 for hip replacements and AESOP in 1994 for positioning the endoscope. The Da Vinci system, introduced in 2000, is now the most widely used system.
- Systems can be tele-surgical like Da Vinci where the surgeon controls the robot remotely, shared-control where the robot provides feedback, or supervisory where the robot executes pre-planned motions autonomously under surgeon oversight.
- The Da Vinci system allows the surgeon to sit at a console several feet from the patient with magnified 3D HD vision and wristed instruments that mimic hand movements with
The document provides information about robotic surgery systems. It discusses the history of robotic surgery beginning in 1985. It describes three main robotic surgery systems: the da Vinci Surgical System, ZEUS Robotic Surgical System, and AESOP Robotic System. Robotic surgery systems are classified as either supervisory-controlled, telesurgical, or shared-control systems depending on the level of autonomy and human involvement. The da Vinci and ZEUS systems are examples of telesurgical systems where the surgeon controls robotic arms from a console.
ROBOTICS IN ENT AND NEWLY ADAPTED TECHNIQUEspartonkarthi
Robotic surgery uses computer-controlled robotic devices to assist surgeons during complex procedures. The document summarizes the history, types, applications and advantages/disadvantages of medical robots. It describes how the da Vinci surgical system works and its use in otolaryngology procedures like radical tonsillectomy, obstructive sleep apnea surgery, thyroid surgery, and skull base tumor removal. While robotic surgery enables minimally invasive approaches, it also has limitations including expense, loss of haptic feedback, and a long learning curve for surgeons.
The document discusses the history and development of robotic surgery. It describes how the first robotic surgery device, the PUMA 560, was used in 1985 for brain biopsies. Later systems like PROBOT and ROBODOC were developed in the late 1980s and early 1990s. The da Vinci surgical system was approved by the FDA in 2000 and is now commonly used for procedures like prostatectomies and cardiac/gynecological surgeries. The da Vinci allows surgeons to operate remotely through small incisions while magnifying their hand movements. Robotic surgery provides benefits like shorter recovery times but drawbacks include the high costs of equipment and training. New innovations continue to advance the field.
This document discusses robotic surgery and the da Vinci surgical system. It describes how robotic surgery uses miniaturized instruments through small incisions instead of large incisions, reducing tissue trauma. The da Vinci system allows a surgeon to control robotic arms with magnified 3D imaging from a console. Some benefits of robotic surgery include smaller incisions, less blood loss, shorter hospital stays, and quicker returns to work for patients. While robotic surgery may improve outcomes, the increased expense of the technology needs to be justified by its benefits.
Robotic Surgery means computer/ Robotic assisted surgery.
It was developed to overcome the limitations of MAS and to enhance the capabilities of surgeons performing open Surgery History of Robotic surgery
The first robot to assist in surgery was the Arthrobot, which was developed and used for the first time in Vancouver in 1983.[43] Intimately involved were biomedical engineer, Dr. James McEwen, Geof Auchinleck, a UBC engineering physics grad, and Dr. Brian Day as well as a team of engineering students. The robot was used in an orthopaedic surgical procedure on 12 March 1984, at the UBC Hospital in Vancouver.
Over 60 arthroscopic surgical procedures were performed in the first 12 months, and a 1985 National Geographic video on industrial robots, The Robotics Revolution, featured the device. Other related robotic devices developed at the same time included a surgical scrub nurse robot, which handed operative instruments on voice command, and a medical laboratory robotic arm. A YouTube video entitled Arthrobot illustrates some of these in operation .
The document discusses the history and current state of robotics in neurosurgery. Early systems from the 1980s-1990s used robotic arms to guide instruments based on preoperative images but lacked real-time imaging. Systems in the mid-1990s like RAMS and Steady Hand introduced real-time imaging, tremor filtering, and force feedback. Current robotic systems can be classified as supervisory-controlled, telesurgical, or shared-control and provide benefits like improved precision, smaller incisions, and eliminating fatigue. NeuroArm is an example of a telesurgical system that allows the surgeon to directly control robotic arms through a workstation providing 3D views, haptic feedback and real-time imaging integration.
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Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
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3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
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6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
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12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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IECON 2012 - Robotic System for Single Incision Laparoscopic Surgery
1. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
Irene Rivas Blanco
P. del Saz-Orozco, I. Garcia-Morales, V. Muñoz
Department of System Engineering and Automation
University of Málaga (Spain)
ROBOTIC SYSTEM FOR SINGLEROBOTIC SYSTEM FOR SINGLE
INCISION LAPAROSCOPIC SURGERYINCISION LAPAROSCOPIC SURGERY
4. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
I. INTRODUCTION
• Single Incision Laparoscopic Surgery (SILS)
Loss of triangulation
between camera and
instruments
Limitation of the range of
motion of instruments
outside the abdomen
7. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
II. CAMERA ROBOT
net
Miniature
robot
Robotic
arm
Patient’s
skin
3cm
• 3V small size batteries
• Xbee module (wireless connectivity)
• Inclinometer
Camera
Magnets
LL1
L2
LED
• Robot design
9. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
II. CAMERA ROBOT
• Single Magnet Control
xd
Sliding mode
control
u
Working point estimation
and linearization
K
State Observer
Hall effect
sensor
i
x, v
Electromagnet
10. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
II. CAMERA ROBOT
• Simulations
‐ First simulation: validate the sliding mode control strategy
Check the robustness of the system against parameter
uncertainties
time (s) time (s)
distance(m)
CHANGE IN MASS CHANGE IN MAGNETIC
CONSTANT
distance(m)
11. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
II. CAMERA ROBOT
• Simulations
‐ Second simulation: validate the global control scheme
Check the system response to an inclination setpoint
time (s)
time (s)
distance(m)
ROBOT INCLINATION MAGNETS DISTANCE
distance(m)
time (s)
angle(grades)
14. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
‐ Robotic grasper does not move as a conventional one
‐ Augmented reality to simulate a conventional surgical tool
Virtual tool
Surgical tool Robotic grasper
• Master Console
III. ROBOTIC REDUNDANT GRASPER
15. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
• Autonomous collaboration
‐ Suture: difficult and time‐consuming task
‐ Rosser method: uses a primary tool (surgeon) and a
visupport tool (robot)
Primary
tool
Support
tool STATE DIAGRAM
III. ROBOTIC REDUNDANT GRASPER
16. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
• Sensory Systems and Interfaces
III. ROBOTIC REDUNDANT GRASPER
Voice recognition systemSurgeon
Maneuver recognition
system
Tracker 3D
Force sensor systemForce
sensor
Camera Vision system
18. DepartmentofSysyem
EngineeeringandAutomation
Víctor F. Muñoz Martínez
Research lines
IV. CONCLUSIONS
‐ Robotic system aimed at solving the main drawbacks of Single
Incision Laparoscopic Surgery:
‐ Loss of triangulation (camera robot)
‐ Reduction of the range of motion (robotic grasper)
‐ Experiments with a first prototype of camera robot
‐ Dynamics analysis of robotic grasper
‐ Development of first prototype of robotic grasper
• Conclusions
• Future Work
Thank you for the presentation. As the chairman said, my name is Irene Rivas and I belong to the engineering group of medical robotics of the university of Málaga. I’m going to present a paper dealing with a robotic system composed of a miniature camera robot and a redundant robotic grasper. The system is aimed at solving the main problems of single incision laparoscopic surgeries.
First of all I’m going to describe the system proposed, which is composed of a camera robot and a robotic grasper. Afterwards, I will describe the camera robot design and its control strategy, (and I will present a set of Matlab simulations to validate the proposal ). After that I will describe the robotic grasper design and I will propose an autonomous control to collaborate with the surgeon in a specific task. I will finish with the conclusions and the future work.
I’m going to start with the system approach.
Unlike open surgery, minimally invasive procedures are performed through small incisions on the abdominal wall, whereby the surgical tools and the laparoscope are introduced. Among these techniques, single incision laparoscopic procedures are aimed at reducing the number of incisions to one, so all surgical instruments and the camera are introduced through the same incision. Despite its many advantages, this method has two main drawbacks. Inside the abdomen, close proximity of the instruments and the laparoscope entails a loss of triangulation, which implies a lack of depth sensation. And outside the abdomen, close proximity of the instruments entails a limitation of their range of motion. The robotic system proposed in this paper is aimed at solving these two problems.
The system proposed is composed of a camera robot and a robotic grasper. Both robots are introduced into the abdomen through the single port and they are attached to the abdominal wall through magnetic interaction. Magnetic sources are placed at the end effector of two external robotic arms, so internal robots can be moved inside the abdomen by moving the external robots. Orientation of the camera is also controlled by magnetic field. This way, the need of motors to orientate the camera is avoided. As communication is done wireless, there is no need of wires for the robotic camera. On the other hand, robotic grasper is controlled by teleoperation through a haptic, which is placed apart from the entry port, so surgeon can operate as if it were a conventional multiport operation. Besides teleoperation, implementation of some autonomous tasks is proposed, so as the robot can collaborate with the surgeon in a specific task. So, what are the advantages of this system? On one hand, loss of triangulation is avoided as we have move the camera apart from the surgical instruments. On the other hand, the problem of the limitation in the range of motion of the instruments is avoided as we have move the haptic that controls the robotic grasper away from the entry port.
Next I’m going to describe the camera robot
Camera robot design is depicted in this picture. The robot is composed of three magnets to control its orientation, an illumination system, and a camera. Three small 3 volts batteries are used as power supply, and communication is done with an xbee wireless module. An inclinometer is used to measure the actual inclination of the robot. The picture in the right shows how the orientation of the robot is controlled. The magnetic source is composed of three electromagnets. Maintaining fixed the distance between the central magnet and the magnetic source, orientation is varied by varying the distance of the distal magnets. So, varying the current of the distal electromagnets, we can vary the values of the distances L1 and L2, and therefore the inclination of the robot.
This picture shows the global scheme of the system, where theta represents the inclination of the robot. This inclination is transformed into the corresponding distances between the magnets inside the robot and the magnetic source through a geometric model, which is depicted below. The controller of both right and left magnet controls the current needed in the electromagets to obtain the desired distance. The feedback of the system is done with an inclinometer, which provides the actual orientation of the robot. The work presented in this paper is focused on the control of a single magnet
The control scheme of a single magnet is shown in this picture. The aim of this control is to apply the necessary voltage to the electromagnet to obtained the desired distance xd. Sliding mode has been chosen as the control strategy because the electromagnet dynamics is a non-linear system, and it has parameter uncertainties. The feedback is done with a state observer due to the fact that not all variables of the electromagnet dynamics are measureable. Current can be measure with a hall effect sensor, but distance and velocity will be observed. As we are working with a non–linear system, it has to be linearized to be able to use the state observer. So the system will be linearized by online estimation of the working point. Once we have linearized the system, the parameters of the observer are calculated. The outputs of the state observer are the distance between the electromagnet and the magnet inside the robot, and the velocity.
Two simulations have been carried out to validate the proposal. The first one is done to validate the control of a single magnet, and the second one to validate the global control scheme. So, the aim of this first simulation is to validate the sliding mode control strategy by checking the robustness of the system against parameter uncertainties. The figure in the left shows the system response against a change in mass. When all electromagnets are working properly each one has to support a third part of the total mass, that is, 50 grams. But in case of a magnet failure, each electromagnet will have to control the half of the mass. The figure in the right shows the system response against a change in the magnetic constant value. Magnetic constant can vary up to a 30% due to the variability of each patient characteristic, as the patient abdomen is between the magnetic source and the robot. As we can see the control proposed make the system robust against changes in both values
The second experiment is aimed at validating the global control scheme. To this purpose, a 15 degrees inclination setpoint has been established. The figure in the left shows how the system reaches the desired inclination, and the figure in the right shows the corresponding right and left magnets distance to reach the desired inclination.
Next I’m going to describe the redundant robotic grasper.
Robotic grasper has been designed with a redundant structure of 7 degrees of freedom to both increase its workspace and to have the possibility of avoiding obstacles inside the abdomen, as other surgical tools or patient’s organs. The total length of the grasper is 5 cm so as the exterior workspace covers the whole abdominal cavity, simulated as a parallelepiped. With respect to the internal workspace, challenging locations to reach are those that are close to the robot’s base, which are not reachable with a non-redundant structure. As it can be seen in the below figure, the grasper is capable to reach any location around the first link. One of the main challenges in developing such a grasper robot is the election of the actuators, which have to be small enough to not increase the grasper size, and must withstand high enough torques to be able to develop surgical tasks. So a tradeoff solution between actuators volume and output torque must be achieved.
Robotic grasper is handled by teleoperation. Master console is design so as surgeons can handle the haptic as if it were a conventional tool, and the master structure will transform these movements into an appropriate configuration of the grasper. This way, a training phase to get skilled with this grasper is avoided. Moreover, as I said before, the grasper haptic is moved apart from the entry port and so from others surgical tools, making the operation as similar as possible to a conventional multiport one. On the other hand, images provided by the camera are essential for surgeons to operate in a laparoscopic procedure, as they are the only visual feedback they have. In this sense, the presence of the robotic grasper in the scene may disturb surgeons as they are not used to it. The use of augmented reality to substitute the robotic grasper by a virtual conventional tool can avoid this problem.
As I said before, besides the teleoperation control, a set of autonomous tasks will be implemented so as the grasper can collaborate with the surgeon during a specific surgical task. Suturing is one of the most challenging surgical tasks and takes a significant percentage of the operating time. So automating suture procedure would reduce the surgery durations and decrease the demand on surgeons during this task. Among the different suturing methods, Rosser method has been chosen as actions are clearly differentiate between a primary tool, which will be the one handled by the surgeon, and a support tool, which will be the robotic grasper. As it can be seen in the state diagram of suturing, the overall task can be divided into 5 subtasks: stitching, first knotting, second knotting, third knotting, and finally thread cutting. Each subtask can also be divided into a set of basic actions. The analysis of transitions between tasks and subtasks reveals the need of four sensory system to be able to develop an autonomous suturing.
So, to automate suturing these four sensory systems are needed. A voice recognition system enables the surgeon to interact with the system at any moment by means of voice commands. A manuevuer recognition system makes the system capable to recognizes the specific maneuver the surgeon is performing, and so identify in which state the procedure is. A force sensory system will be integrated at the tip of the robotic grasper to detect pressure on the tissue. And finally, images transmitted by the camera will be analyzed in the vision system by means of appropriate vision algorithms capable of identifying the different elements of the scene.
I’m going to finish the presentation with the conclusions and the future work.
Summarizing, a robotic system aimed at solving the main drawbacks of single incision laparoscopic surgery has been presented. On one hand, the loss of triangulation is avoided thanks to a camera robot which is inserted into the abdomen and move apart from the surgical tools. Moreover, this solution reduces the number of instruments sharing the entry port, letting more space for an additional tool. On the other hand, the use of a robotic grasper avoids the problem of the limitation in the range of motion, as it is teleoperated with a haptic which is moved away from the other instruments. Moreover, an autonomous collaboration in the task of suturing has been proposed. As future work, experiments with a first prototype of the camera robot will be developed, which is actually under development. Related to the grasper, in this work both the kinematics and the actuators election has been analyzed, so the next step will be a dynamics analysis to determine the maximum force the grasper is able to develop. Afterwards, a first prototype will be develop.