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Erschienen in: International Journal of Computer Assisted Radiology and Surgery 2/2021

03.01.2021 | Original Article

A cable-driven distal end-effector mechanism for single-port robotic surgery

verfasst von: Yizhao Wang, Qixin Cao, Xiaoxiao Zhu, Pengfei Wang

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 2/2021

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Abstract

Purpose

The development of surgery is to be minimally invasive and collaborative with robot systems, which has caught increasing attention in recent years. However, the narrow access routes and confined working spaces in vivo usually make distal end-effectors of surgical systems not easy to operate. To overcome this problem, a novel cable-driven distal end-effector mechanism designed for single-port robotic surgery was proposed.

Methods

A cable-driven joint structure and the corresponding methods of threading cables were proposed which can maintain the length and even the tension force of cables constant during operation. Based on the proposed joint structure, the cable-driven distal end-effector mechanism consists of a parallelogram mechanism and a snake mechanism. The parallelogram mechanism is used to enlarge its reachable workspace through establishing the triangulation of operation. The snake mechanism is used to achieve the expected pose through providing sufficient bending degrees of freedom. All of the degrees of freedom can be decoupled at the expense of a slightly more tedious process of threading cables.

Results

The primary prototype and its miniature assembled and threaded manually performed as expected regardless of bend, translation and their combination. But the inadequate tension force of cables and assembly errors affect the load capacity and accuracy, which need to be improved by automatic assembly.

Conclusion

A cable-driven distal end-effector mechanism composed of a parallelogram mechanism, and a snake mechanism used for single-port robotic surgery was proposed. The mechanism adopts a novel cable-driven joint structure and corresponding methods of threading cables to keep the length and even the tension force of cables constant during surgery.

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Literatur
1.
Zurück zum Zitat Mullins RJ (2007) Shock, electrolytes and fluid. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL (eds) Sabiston textbook of surgery: the biological basis of modern surgical practice. 18th edn, Saunders Elsevier, Philadelphia, pp 69–112 Mullins RJ (2007) Shock, electrolytes and fluid. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL (eds) Sabiston textbook of surgery: the biological basis of modern surgical practice. 18th edn, Saunders Elsevier, Philadelphia, pp 69–112
2.
Zurück zum Zitat Pędziwiatr M, Małczak P, Pisarska M, Major P, Wysocki M, Stefura T, Budzyński A (2017) Minimally invasive versus open pancreatoduodenectomy—systematic review and meta-analysis. Langenbeck’s Arch Surg 402(5):841–851CrossRef Pędziwiatr M, Małczak P, Pisarska M, Major P, Wysocki M, Stefura T, Budzyński A (2017) Minimally invasive versus open pancreatoduodenectomy—systematic review and meta-analysis. Langenbeck’s Arch Surg 402(5):841–851CrossRef
3.
Zurück zum Zitat Luketich JD, Pennathur A, Awais O, Levy RM, Keeley S, Shende M, Schuchert MJ (2012) Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg 256(1):95CrossRef Luketich JD, Pennathur A, Awais O, Levy RM, Keeley S, Shende M, Schuchert MJ (2012) Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg 256(1):95CrossRef
4.
Zurück zum Zitat Liao CH, Wu YT, Liu YY, Wang SY, Kang SC, Yeh CN, Yeh TS (2016) Systemic review of the feasibility and advantage of minimally invasive pancreaticoduodenectomy. World J Surg 40(5):1218–1225CrossRef Liao CH, Wu YT, Liu YY, Wang SY, Kang SC, Yeh CN, Yeh TS (2016) Systemic review of the feasibility and advantage of minimally invasive pancreaticoduodenectomy. World J Surg 40(5):1218–1225CrossRef
5.
Zurück zum Zitat Parisi A, Reim D, Borghi F, Nguyen NT, Qi F, Coratti A, Gagnière J (2017) Minimally invasive surgery for gastric cancer: a comparison between robotic, laparoscopic and open surgery. World J Gastroenterol 23(13):2376CrossRef Parisi A, Reim D, Borghi F, Nguyen NT, Qi F, Coratti A, Gagnière J (2017) Minimally invasive surgery for gastric cancer: a comparison between robotic, laparoscopic and open surgery. World J Gastroenterol 23(13):2376CrossRef
6.
Zurück zum Zitat Antoniou SA, Antoniou GA, Antoniou AI, Granderath FA (2015) Past, present, and future of minimally invasive abdominal surgery. JSLS: J Soc Laparoendoscopic Surg 19(3) Antoniou SA, Antoniou GA, Antoniou AI, Granderath FA (2015) Past, present, and future of minimally invasive abdominal surgery. JSLS: J Soc Laparoendoscopic Surg 19(3)
7.
Zurück zum Zitat Romanelli JR, Earle DB (2009) Single-port laparoscopic surgery: an overview. Surg Endosc 23(7):1419–1427CrossRef Romanelli JR, Earle DB (2009) Single-port laparoscopic surgery: an overview. Surg Endosc 23(7):1419–1427CrossRef
8.
Zurück zum Zitat Cianci S, Rosati A, Rumolo V, Alletti SG, Gallotta V, Turco LC, Scambia G (2019) Robotic single-port platform in general, urologic, and gynecologic surgeries: a systematic review of the literature and meta-analysis. World J Surg 43(10):2401–2419CrossRef Cianci S, Rosati A, Rumolo V, Alletti SG, Gallotta V, Turco LC, Scambia G (2019) Robotic single-port platform in general, urologic, and gynecologic surgeries: a systematic review of the literature and meta-analysis. World J Surg 43(10):2401–2419CrossRef
9.
Zurück zum Zitat Evers L, Bouvy N, Branje D, Peeters A (2017) Single-incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy: a systematic review and meta-analysis. Surg Endosc 31(9):3437–3448CrossRef Evers L, Bouvy N, Branje D, Peeters A (2017) Single-incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy: a systematic review and meta-analysis. Surg Endosc 31(9):3437–3448CrossRef
10.
Zurück zum Zitat Antoniou SA, Morales-Conde S, Antoniou GA, Granderath FA, Berrevoet F, Muysoms FE (2016) Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy: a meta-analysis of randomized controlled trials. Hernia 20(1):1–10CrossRef Antoniou SA, Morales-Conde S, Antoniou GA, Granderath FA, Berrevoet F, Muysoms FE (2016) Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy: a meta-analysis of randomized controlled trials. Hernia 20(1):1–10CrossRef
11.
Zurück zum Zitat Antoniou SA, García-Alamino JM, Hajibandeh S, Hajibandeh S, Weitzendorfer M, Muysoms FE, Gioumidou M (2018) Single-incision surgery trocar-site hernia: an updated systematic review meta-analysis with trial sequential analysis by the Minimally invasive surgery synthesis of interventions outcomes network (MISSION). Surg Endosc 32(1):14–23CrossRef Antoniou SA, García-Alamino JM, Hajibandeh S, Hajibandeh S, Weitzendorfer M, Muysoms FE, Gioumidou M (2018) Single-incision surgery trocar-site hernia: an updated systematic review meta-analysis with trial sequential analysis by the Minimally invasive surgery synthesis of interventions outcomes network (MISSION). Surg Endosc 32(1):14–23CrossRef
12.
Zurück zum Zitat Samarasekera D, Kaouk JH (2014) Robotic single port surgery: Current status and future considerations. Indian J Urol IJU J Urol Soc India 30(3):326CrossRef Samarasekera D, Kaouk JH (2014) Robotic single port surgery: Current status and future considerations. Indian J Urol IJU J Urol Soc India 30(3):326CrossRef
13.
Zurück zum Zitat Nelson RJ, Chavali JSS, Yerram N, Babbar P, Kaouk JH (2017) Current status of robotic single-port surgery. Urol Ann 9(3):217CrossRef Nelson RJ, Chavali JSS, Yerram N, Babbar P, Kaouk JH (2017) Current status of robotic single-port surgery. Urol Ann 9(3):217CrossRef
14.
Zurück zum Zitat Morelli L, Guadagni S, Di Franco G, Palmeri M, Di Candio G, Mosca F (2016) Da Vinci single site© surgical platform in clinical practice: a systematic review. Int J Med Rob Comp Assist Surg 12(4):724–734CrossRef Morelli L, Guadagni S, Di Franco G, Palmeri M, Di Candio G, Mosca F (2016) Da Vinci single site© surgical platform in clinical practice: a systematic review. Int J Med Rob Comp Assist Surg 12(4):724–734CrossRef
15.
Zurück zum Zitat Kaouk JH, Haber GP, Autorino R, Crouzet S, Ouzzane A, Flamand V, Villers A (2014) A novel robotic system for single-port urologic surgery: first clinical investigation. Eur Urol 66(6):1033–1043CrossRef Kaouk JH, Haber GP, Autorino R, Crouzet S, Ouzzane A, Flamand V, Villers A (2014) A novel robotic system for single-port urologic surgery: first clinical investigation. Eur Urol 66(6):1033–1043CrossRef
16.
Zurück zum Zitat Marks JH, Salem JF, Anderson BK, Josse JM, Schoonyoung HP (2020) Single-port robotic left colectomy: first clinical experience using the SP robot (rSILS). Tech Coloproctol 24(1):57–63CrossRef Marks JH, Salem JF, Anderson BK, Josse JM, Schoonyoung HP (2020) Single-port robotic left colectomy: first clinical experience using the SP robot (rSILS). Tech Coloproctol 24(1):57–63CrossRef
17.
Zurück zum Zitat Piccigallo M, Scarfogliero U, Quaglia C, Petroni G, Valdastri P, Menciassi A, Dario P (2010) Design of a novel bimanual robotic system for single-port laparoscopy. IEEE/ASME Trans Mechatron 15(6):871–878 Piccigallo M, Scarfogliero U, Quaglia C, Petroni G, Valdastri P, Menciassi A, Dario P (2010) Design of a novel bimanual robotic system for single-port laparoscopy. IEEE/ASME Trans Mechatron 15(6):871–878
18.
Zurück zum Zitat Petroni G, Niccolini M, Caccavaro S, Quaglia C, Menciassi A, Schostek S, Dario P (2013) A novel robotic system for single-port laparoscopic surgery: preliminary experience. Surg Endosc 27(6):1932–1937CrossRef Petroni G, Niccolini M, Caccavaro S, Quaglia C, Menciassi A, Schostek S, Dario P (2013) A novel robotic system for single-port laparoscopic surgery: preliminary experience. Surg Endosc 27(6):1932–1937CrossRef
19.
Zurück zum Zitat Shang, J., Noonan, D. P., Payne, C., Clark, J., Sodergren, M. H., Darzi, A., & Yang, G. Z. (2011, May). An articulated universal joint based flexible access robot for minimally invasive surgery. In: 2011 IEEE international conference on robotics and automation (pp. 1147–1152). IEEE. Shang, J., Noonan, D. P., Payne, C., Clark, J., Sodergren, M. H., Darzi, A., & Yang, G. Z. (2011, May). An articulated universal joint based flexible access robot for minimally invasive surgery. In: 2011 IEEE international conference on robotics and automation (pp. 1147–1152). IEEE.
20.
Zurück zum Zitat Xu K, Simaan N (2010) Intrinsic wrench estimation and its performance index for multisegment continuum robots. IEEE Trans Rob 26(3):555–561CrossRef Xu K, Simaan N (2010) Intrinsic wrench estimation and its performance index for multisegment continuum robots. IEEE Trans Rob 26(3):555–561CrossRef
21.
Zurück zum Zitat Ding J, Goldman RE, Xu K, Allen PK, Fowler DL, Simaan N (2012) Design and coordination kinematics of an insertable robotic effectors platform for single-port access surgery. IEEE/ASME Trans Mechatron 18(5):1612–1624CrossRef Ding J, Goldman RE, Xu K, Allen PK, Fowler DL, Simaan N (2012) Design and coordination kinematics of an insertable robotic effectors platform for single-port access surgery. IEEE/ASME Trans Mechatron 18(5):1612–1624CrossRef
22.
Zurück zum Zitat Xu K, Zhao J, Fu M (2014) Development of the SJTU unfoldable robotic system (SURS) for single port laparoscopy. IEEE/ASME Trans Mechatron 20(5):2133–2145CrossRef Xu K, Zhao J, Fu M (2014) Development of the SJTU unfoldable robotic system (SURS) for single port laparoscopy. IEEE/ASME Trans Mechatron 20(5):2133–2145CrossRef
23.
Zurück zum Zitat Xu, K., Dai, Z., Zhao, J., & Mei, W. (2015, July). Dexterity and functionality enhancement of the SJTU Unfoldable Robotic System. In: 2015 IEEE International Conference on Advanced Intelligent Mechatronics (AIM) (pp. 151–157). IEEE. Xu, K., Dai, Z., Zhao, J., & Mei, W. (2015, July). Dexterity and functionality enhancement of the SJTU Unfoldable Robotic System. In: 2015 IEEE International Conference on Advanced Intelligent Mechatronics (AIM) (pp. 151–157). IEEE.
24.
Zurück zum Zitat Webster RJ III, Romano JM, Cowan NJ (2008) Mechanics of precurved-tube continuum robots. IEEE Trans Rob 25(1):67–78CrossRef Webster RJ III, Romano JM, Cowan NJ (2008) Mechanics of precurved-tube continuum robots. IEEE Trans Rob 25(1):67–78CrossRef
25.
Zurück zum Zitat Lock, J., Laing, G., Mahvash, M., & Dupont, P. E. (2010, October). Quasistatic modeling of concentric tube robots with external loads. In: 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems (pp. 2325–2332). IEEE. Lock, J., Laing, G., Mahvash, M., & Dupont, P. E. (2010, October). Quasistatic modeling of concentric tube robots with external loads. In: 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems (pp. 2325–2332). IEEE.
26.
Zurück zum Zitat Shang, J., Payne, C. J., Clark, J., Noonan, D. P., Kwok, K. W., Darzi, A., & Yang, G. Z. (2012, October). Design of a multitasking robotic platform with flexible arms and articulated head for minimally invasive surgery. In: 2012 IEEE/RSJ International Conference on Intelligent Robots and Systems (pp. 1988–1993). IEEE. Shang, J., Payne, C. J., Clark, J., Noonan, D. P., Kwok, K. W., Darzi, A., & Yang, G. Z. (2012, October). Design of a multitasking robotic platform with flexible arms and articulated head for minimally invasive surgery. In: 2012 IEEE/RSJ International Conference on Intelligent Robots and Systems (pp. 1988–1993). IEEE.
Metadaten
Titel
A cable-driven distal end-effector mechanism for single-port robotic surgery
verfasst von
Yizhao Wang
Qixin Cao
Xiaoxiao Zhu
Pengfei Wang
Publikationsdatum
03.01.2021
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 2/2021
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-020-02290-0

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