Can the Shape of a Planar Pathway Be Estimated Using Proximal Forces of Inserting a Flexible Shaft?

The shape information of flexible endoscopes or other continuum structures, e.g., intro-vascular catheters, is needed for accurate navigation, motion compensation, and haptic feedback in robotic surgical systems. Existing methods rely on optical fiber sensors, electromagnetic sensors, or expensive medical imaging modalities such as X-ray fluoroscopy, magnetic resonance imaging, and ultrasound to obtain the shape information of these flexible medical devices. Here, we propose to estimate the shape/curvature of a continuum structure by measuring the force required to insert a flexible shaft into the internal channel/pathway of the continuum. We found that there is a consistent correlation between the measured insertion force and curvature of the planar continuum pathway. A testbed was built to insert a flexible shaft into a planar continuum pathway with adjustable shapes. The insertion forces, insertion displacement, and the shapes of the pathway were recorded. A neural network model was developed to model this correlation based on the training data collected on the testbed. The trained model, tested on the testing data, can accurately estimate the curvature magnitudes and the accumulated bending angles of the pathway simply based on the measured insertion force at the proximal end of the shaft. The approach may be used to estimate the curvature magnitudes and accumulated bending angles of flexible endoscopic surgical robots or catheters for accurate motion compensation, haptic force feedback, localization, or navigation. The advantage of this approach is that the employed proximal force can be easily obtained outside the pathway or continuum structure without any embedded sensor in the continuum structure. Future work is needed to further investigate the correlation between insertion forces and the pathway and enhance the capability of the model in estimating more complex shapes, e.g., spatial shapes with multiple bends.

Robot Operations for Pine Tree Resin Collection

A robotic technology consisting of an industrial robot mounted on an autonomous rover used to tap slash pine trees and collect their oleoresin for processing is introduced, and the technological challenges related to the robotic operations are discussed in detail. Unlike the case of industrial automated manufacturing systems where the relative position between the tool and workpiece can be controlled within a few hundredths of a millimeter accuracy, when used in highly unstructured environments characteristic to forestry or agriculture, the positioning accuracy between the industrial robot and the target on which it operates can be much lower than the accuracy required for the operation of the industrial robot. The paper focuses on presenting the robotic operations necessary for drilling three converging boreholes in the pine tree, spraying the boreholes with chemicals, inserting a plastic tube with pre-attached collection bag in one borehole and inserting two plugs in other two boreholes. The challenges related to performing these robotic operations in conditions of large variations in the actual shape of the pine tree trunk and variations in the relative position between the robot and the pine tree after the autonomous vehicle positions itself in front of the tree are presented. The technical solutions used to address these challenges are also described. The strategies used to programmatically adjust the robot toolpath based on detection of the borehole entry points and on the measurement of the insertion force are presented.

Preliminary Study of End-Effector Compliance for Reducing Insertion Force in Automated Fluid Coupling for Trains

Robotic assembly of mating parts (peg-in-hole (PiH)) inevitably encounters misalignments. Although passive end-effector compliance is key to successful alignment during the assembly, the literature does not propose many solutions for large misalignments, which is relevant to applications such as compliance of a robot end-effector for train fluid servicing. The results from physical experiments indicate insertion forces that are too large for practical applications, even with small misalignments. This preliminary study applies a hybrid approach combining physical experiments and simulation modelling for large motion PiH coupling with end-effector compliance. This provides a platform for investigating insertion force during misaligned coupling. The simulation model contains configurable parameters for robot compliance and PiH friction which are informed by the physical experiment results. The many robot compliances are lumped as two torsional springs on the pitch and yaw motion axis of the robot arm model. The simulation model is then calibrated using the physical results without having to conduct further intensive physical experiments. The calibrated model represents the physical measurements to a satisfactory degree, however its performance can still be improved.

Photo-Responsive Hydrogel Mns with Interlocking Control for Easy Extraction in Sustained Ocular Drug Delivery

Microneedle arrays provide a minimally invasive platform for ocular drug delivery. Self-adhesive microneedle arrays, which incorporate barb-like locking features, have been developed secure the array in place without using any adhesive. However, these locking features present a challenge on removing the microneedle array when the drug delivery is completed. In this study, we demonstrated a photo-responsive hydrogel microneedle array that can self-adhere to the application site upon swelling and can deswell for easy removal when illuminated with light. The photo-responsive hydrogel microneedle arrays were made by a mixture of polyvinyl alcohol and spiropyran-conjugated N-isopropylacrylamide (NIPPAM). Experimental results show a significant decrease in extraction force after the microneedle of 20% spiropyran-conjugated NIPPAM was illuminated with light for 15 minutes. At the same time, the width of the interlocking feature also deswelled by 20% due to the photo-responsive behavior. However, the addition of the spiropyran-conjugated NIPPAM also weakens the mechanical properties of the microneedle and thus an increase in insertion force.

Cochlear Size Assessment Predicts Scala Tympani Volume and Electrode Insertion Force- Implications in Robotic Assisted Cochlear Implant Surgery

Objectives: The primary aim was to measure the volume of the scala tympani (ST) and the length of the straight portion of the cochlear basal turn from micro-computed tomography (μCT) images. The secondary aim was to estimate the electrode insertion force based on cochlear size and insertion speed. Both of these objectives have a direct clinical relevance in robotic assisted cochlear implant (CI) surgery.Methods: The ST was segmented in thirty μCT datasets to create a three-dimensional (3D) model and calculate the ST volume. The diameter (A-value), the width (B-value), and the straight portion of the cochlear basal turn (S-value) were measured from the oblique coronal plane. Electrode insertion force was measured in ST models of two different sizes, by inserting FLEX24 (24 mm) and FLEX28 (28 mm) electrode arrays at five different speeds (0.1, 0.5, 1, 2, and 4 mm/s).Results: The mean A-, B-, and S-values measured from the 30 μCT datasets were 9.0 ± 0.5, 6.7 ± 0.4, and 6.9 mm ± 0.5, respectively. The mean ST volume was 34.2 μl ± 7 (range 23–50 μl). The ST volume increased linearly with an increase in A- and B-values (Pearson's coefficient r = 0.55 and 0.56, respectively). The A-value exhibited linear positive correlation with the B-value and S-value (Pearson's coefficient r = 0.64 and r = 0.66, respectively). In the smaller of the two ST models, insertion forces were higher across the range of insertion speeds during both array insertions, when compared to the upscaled model. Before the maximum electrode insertion depths, a trend toward lower insertion force for lower insertion speed and vice-versa was observed.Conclusion: It is important to determine pre-operative cochlear size as this seems to have an effect upon electrode insertion forces. Higher insertion forces were seen in a smaller sized ST model across two electrode array lengths, as compared to an upscaled larger model. The ST volume, which cannot be visualized on clinical CT, correlates with clinical cochlear parameters. This enabled the creation of an equation capable of predicting ST volume utilizing A- and B-values, thus enabling pre-operative prediction of ST volume.

Portable Abdominal Insufflation Device for Stopping Uncontrolled Abdominal Bleeding in Trauma Cases

Needle insertion in biological tissue has attracted considerable attention due to its application in minimally invasive procedures such as laparoscopy or transcutaneous biopsy. In this paper the force of the Veress needle insertion into the abdominal wall and the von Mises stress were studied, demonstrating the ability of finite element models to provide additional understanding of the processes taking place. Veress needle insertion force may cause complications during surgery, the most common being vascular lesions, thus affecting the precision and duration of surgery assisted by a portable abdominal insufflation device. This study was the first step in developing a force feedback for needle insertion into the abdominal wall assisted by a portable abdominal insufflation device. The CAD model of the prototype of a portable abdominal insufflation device was made. Then the prototype of a portable abdominal insufflation device was developed. For testing purposes an artificial silicone model was made. The paper also includes the experimental results obtained by measuring the maximum pressure inside the artificial silicone model after the penetration of the wall.

Real-time measurement of intraocular pressure variation during automatic intravitreal injections: An ex-vivo experimental study using porcine eyes

Purpose To measure needle insertion force and change in intraocular pressure (IOP) in real-time during intravitreal injection (IVI). The effects of needle size, insertion speed, and injection rate to IOP change were investigated. Methods Needle insertion and fluid injection were performed on 90 porcine eyeballs using an automatic IVI device. The IVI conditions were divided according to needle sizes of 27-gauge (G), 30G, and 33G; insertion speeds of 1, 2, and 5 mm/s; and injection rates of 0.01, 0.02, and 0.05 mL/s. Insertion force and IOP were measured in real-time using a force sensor and a pressure transducer. Results The peak IOP was observed when the needle penetrated the sclera; the average IOP elevation was 96.3, 67.1, and 59.4 mmHg for 27G, 30G, and 33G needles, respectively. An increase in insertion speed caused IOP elevation at the moment of penetration, but this effect was reduced as needle size decreased: 109.8–85.9 mmHg in 27G for 5–1 mm/s (p = 0.0149) and 61.8–60.7 mmHg in 33G for 5–1 mm/s (p = 0.8979). Injection speed was also related to IOP elevation during the stage of drug injection: 16.65 and 11.78 mmHg for injection rates of 0.05 and 0.01 mL/s (p < 0.001). Conclusion The presented data offers an understanding of IOP changes during each step of IVI. Slow needle insertion can reduce IOP elevation when using a 27G needle. Further, the injection rate must be kept low to avoid IOP elevations during the injection stage.

A Capacitive Cochlear Implant Electrode Array Sensing System to Discriminate Fold-Over Pattern

Purpose During insertion of the cochlear implant electrode array, the tip of the array may fold back on itself and can cause serious complications to patients. This article presents a sensing system for cochlear implantation in a cochlear model. The electrode array fold-over behaviors can be detected by analyzing capacitive information from the array tip. Method Depending on the angle of the array tip against the cochlear inner wall when it enters the cochlear model, different insertion patterns of the electrode array could occur, including smooth insertion, buckling, and fold-over. The insertion force simulating the haptic feedback for surgeons and bipolar capacitance signals during the insertion progress were collected and compared. The Pearson correlation coefficient (PCC) was applied to the collected capacitive signals to discriminate the fold-over pattern. Results Forty-six electrode array insertions were conducted and the deviation of the measured insertion force varies between a range of 20% and 30%. The capacitance values from electrode pair (1, 2) were recorded for analyzing. A threshold for the PCC is set to be 0.94 that can successfully discriminate the fold over insertions from the other two types of insertions, with a success rate of 97.83%. Conclusions Capacitive measurement is an effective method for the detection of faulty insertions and the maximization of the outcome of cochlear implantation. The proposed capacitive sensing system can be used in other tissue implants in vessels, spinal cord, or heart.