Compliant and Flexible Robotic System with Parallel Continuum Mechanism for Transoral Surgery: A Pilot Cadaveric Study

被引:7
作者
Li, Changsheng [1 ,2 ]
Gu, Xiaoyi [2 ,3 ]
Xiao, Xiao [2 ,4 ]
Lim, Chwee Ming [5 ,6 ]
Ren, Hongliang [2 ,7 ,8 ]
机构
[1] Beijing Inst Technol, Sch Mechatron Engn, Beijing 100081, Peoples R China
[2] Natl Univ Singapore, Dept Biomed Engn, Singapore 129793, Singapore
[3] Suzhou Actors Medtech Co Ltd, Suzhou 215123, Peoples R China
[4] Southern Univ Sci & Technol, Dept Elect & Elect Engn, Shenzhen 518055, Peoples R China
[5] Singapore Gen Hosp, Dept Otolaryngol Head & Neck Surg, Singapore 169608, Singapore
[6] Duke NUS Grad Med Sch, Singapore 169857, Singapore
[7] Chinese Univ Hong Kong, Dept Elect Engn, Hong Kong 999077, Peoples R China
[8] Chinese Univ Hong Kong, Shun Hing Inst Adv Engn, Hong Kong 999077, Peoples R China
基金
中国国家自然科学基金;
关键词
surgical robotics; flexible parallel mechanism; continuum robot; transoral robotic surgery; cadaveric study; DESIGN; OROPHARYNX; OUTCOMES;
D O I
10.3390/robotics11060135
中图分类号
TP24 [机器人技术];
学科分类号
080202 ; 1405 ;
摘要
As one of the minimally invasive surgeries (MIS), transoral robotic surgery (TORS) contributes to excellent oncological and functional outcomes. This paper introduces a compliant and flexible robotic system for transoral surgery, consisting of an execution part with flexible parallel mechanisms and a positioning part with a continuum structure. A pilot cadaveric study that mimics the procedure of the TORS using an intact cadaveric human head was conducted to evaluate the feasibility and efficiency of this robotic system. Both the initial setup time and the time cost by the robot to safely access the deep surgical area in the upper aerodigestive tract are shortened due to the enlarged workspace, compact structure, and increased flexibility. The proposed surgical robotic system is preliminarily demonstrated to be feasible for TORS, especially for the in-depth surgical sites in the upper aerodigestive tract.
引用
收藏
页数:9
相关论文
共 34 条
[1]   The i2Snake Robotic Platform for Endoscopic Surgery [J].
Berthet-Rayne, Pierre ;
Gras, Gauthier ;
Leibrandt, Konrad ;
Wisanuvej, Piyamate ;
Schmitz, Andreas ;
Seneci, Carlo A. ;
Yang, Guang-Zhong .
ANNALS OF BIOMEDICAL ENGINEERING, 2018, 46 (10) :1663-1675
[2]   Parallel Continuum Robots: Modeling, Analysis, and Actuation-Based Force Sensing [J].
Black, Caroline B. ;
Till, John ;
Rucker, Caleb .
IEEE TRANSACTIONS ON ROBOTICS, 2018, 34 (01) :29-47
[3]   Early results of a safety and feasibility clinical trial of a novel single-port flexible robot for transoral robotic surgery [J].
Chan, Jason Y. K. ;
Wong, Eddy W. Y. ;
Tsang, Raymond K. ;
Holsinger, F. Christopher ;
Tong, Michael C. F. ;
Chiu, Philip W. Y. ;
Ng, Simon S. M. .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2017, 274 (11) :3993-3996
[4]   Design and Modeling of a Three-Degree-of-Freedom Articulating Robotic Microsurgical Forceps for Trans-Oral Laser Microsurgery [J].
Chauhan, Manish ;
Deshpande, Nikhil ;
Caldwell, Darwin G. ;
Mattos, Leonardo S. .
JOURNAL OF MEDICAL DEVICES-TRANSACTIONS OF THE ASME, 2019, 13 (02)
[5]  
Chia SH, 2013, OTOLARYNG HEAD NECK, V149, P885, DOI 10.1177/0194599813503446
[6]   Pharyngeal dimensions in healthy men and women [J].
Daniel, Mauro Miguel ;
Lorenzi, Maria Cecilia ;
Leite, Claudia da Costa ;
Lorenzi-Filho, Geraldo .
CLINICS, 2007, 62 (01) :5-10
[7]   A Concentric Tube Robot System for Rigid Bronchoscopy: A Feasibility Study on Central Airway Obstruction Removal [J].
Gafford, Joshua B. ;
Webster, Scott ;
Dillon, Neal ;
Blum, Evan ;
Hendrick, Richard ;
Maldonado, Fabien ;
Gillaspie, Erin A. ;
Rickman, Otis B. ;
Herrell, S. Duke ;
Webster, Robert J., III .
ANNALS OF BIOMEDICAL ENGINEERING, 2020, 48 (01) :181-191
[8]   A Compliant Transoral Surgical Robotic System Based on a Parallel Flexible Mechanism [J].
Gu, Xiaoyi ;
Li, Changsheng ;
Xiao, Xiao ;
Lim, Chwee Ming ;
Ren, Hongliang .
ANNALS OF BIOMEDICAL ENGINEERING, 2019, 47 (06) :1329-1344
[9]   Surgical robotic applications in otolaryngology [J].
Haus, BM ;
Kambham, N ;
Le, D ;
Moll, FM ;
Gourin, C ;
Terris, DJ .
LARYNGOSCOPE, 2003, 113 (07) :1139-1144
[10]   Design of a Novel 4-DOF Wrist-Type Surgical Instrument With Enhanced Rigidity and Dexterity [J].
Hong, Man Bok ;
Jo, Yung-Ho .
IEEE-ASME TRANSACTIONS ON MECHATRONICS, 2014, 19 (02) :500-511