No abstract

Slip, or accidental loss, of grasped biological tissue can have negative consequences in all types of surgery (open, laparoscopic, robot-assisted). This work focuses on slip in robot-assisted surgery (RAS) with the goal of improving the quality of grasping and tool–tissue interactions. We report on a survey of 112 RAS surgeons, the results of which support the value of detecting and reducing slip in a variety of procedures. We conducted validation tests using a thermal slip sensor in a surgical grasper on tissue in vivo and ex vivo. The results of the survey and validation informed a user study to assess whether tissue slip feedback can improve performance and reduce effort in a phantom tissue manipulation task. With slip feedback, experienced subjects were significantly faster to complete the task, dropped tissue less (3% versus 38%), and experienced decreased mental demands and situational stress. These results provide motivation to further develop the sensor technology and incorporate it in robotic surgical equipment.

A new, compact 2 degree-of-freedom mechanism 4.1 mm in diameter suitable for robotically controlled surgical operations is presented. Current commercially available robotically controlled instruments achieve high dexterity defined by three degrees of freedom and relatively confined swept volume at just under 1 cm in diameter. Current smaller diameter instruments result in high part count and large swept volumes (less dexterity). A meso-scale rolling contact gripping mechanism is proposed as an alternative. The manufacturing of the parts is made feasible by Metal Laser Sintering, which can produce parts that are difficult to replicate with traditional manufacturing methods. The resulting instrument has only 6 parts and a small swept volume. Instrument actuation and control by a surgical robotic system is demonstrated.

This paper describes the mechanical and electrical design of a compact high fidelity desktop haptic interface that provides three-degree-of-freedom point-force interaction through a handheld pen-like stylus. The complete haptic device combines a spatial linkage, actuation, power amplification, and control electronics in a standalone package with a footprint similar to that of a notebook computer (33cm × 25cm × 10cm). The procedure used to design the statically balanced spatial linkage is explained and both an inexpensive lightweight plastic version and a high stiffness, high strength, aluminum and stainless steel version are presented. The theory and implementation of sinusoidal encoder interpolation and sinusoidal servo-motor commutation used to achieve high-fidelity haptic simulation is covered for two versions of electronic control hardware: custom hardware based on a digital signal processor (DSP) and an off-the-shelf design based on an embedded PC.