Background: Traditional commercial master devices and specialied serial master devices meet insufficient workspace, low intuitiveness, low stiffness, and poor accuracy during master-slave mapping for robot-assisted flexible ureteroscopy (FURS).Methods: This paper presents a 3-DoF master device for FURS. A 2-DoF parallel mechanism was designed and utilised in the master device for higher stiffness based on requirements analysis. A Back Propagation Neural Network was built for the forward kinematics of the parallel mechanism during master-slave mapping. Analysis of mechanical characteristics was carried out for the usability of the master device. A contrast experiment on the phantom was conducted to evaluate the performance between the proposed master device and a previous one.
Results:The completion time for each trial of the proposed master devices is shorter than that of the previous master serial device. Meanwhile, the proposed device provides a more comfortable operating style than the previous one.
Conclusions:The proposed 3-DoF configuration for the master device is with more intuitive performance. A better comfort level indicates its usability in clinical applications.
K E Y W O R D Sflexible ureteroscopy, master devices, medical robotics, parallel mechanism
| INTRODUCTIONFlexible ureteroscopy (FURS), firstly carried out by V. F. Marshall in 1964, is an examination of the upper urinary tract with a flexible ureteroscope that is passed through the urethra, the bladder, and directly into the ureter, even into the renal pelvis. This procedure has been a routine for renal diseases. [1][2][3] With the development of robotic-assisted surgery, Robot-assisted FURS (RA-FURS) has emerged since 2008, when Desai et al restructured the Sensei robot, which is a system initially designed for vascular intervention, to perform FURS via animal experiments and clinical applications. 4,5 The first robotic system specially designed for FURS was designed by Saglam et al with better ergonomics. 6 A novel FURS robotic system with force feedback and intra-renal pressure detection has been developed by Shu et al. 7 In our previous research, a FURS robotic system with flexible passive adjustment has been proposed and its function has been validated through phantom and animal experiments. 8,9 Compared with manual FURS, RA-FURS improves the surgical effect by providing a more accurate location, more stable vision, and more comfortable operation. 10 All the above-mentioned robotic systems are with a master-slave configuration. The master device is the interface between the operation and the robotic system. An Omega-3 was used as the master device for the Sensei system. 4 Two Falcon manipulators were