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A parallel robot to assist vitreoretinal surgery

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

This paper describes the development and evaluation of a parallel prototype robot for vitreoretinal surgery where physiological hand tremor limits performance.

Methods

The manipulator was specifically designed to meet requirements such as size, precision, and sterilization; this has six-degree-of-freedom parallel architecture and provides positioning accuracy with micrometer resolution within the eye. The manipulator is controlled by an operator with a “master manipulator” consisting of multiple joints.

Results

Results of the in vitro experiments revealed that when compared to the manual procedure, a higher stability and accuracy of tool positioning could be achieved using the prototype robot.

Conclusions

This microsurgical system that we have developed has superior operability as compared to traditional manual procedure and has sufficient potential to be used clinically for vitreoretinal surgery.

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References

  1. Riviere CN, Ang WT, Khosla PK (2003) Toward active tremor canceling in handheld microsurgical instruments. IEEE Trans Robot Autom 19(5): 793–800

    Article  Google Scholar 

  2. Singhy S, Riviere C (2002) Physiological tremor amplitude during retinal microsurgery. In: Proceedings of the IEEE 28th annual northeast bioengineering conference, pp 171–172

  3. Boff KR, Lincoln JE (1988) Engineering data compendium: human perception and performance. H.G. Anderson Aerospace Medical Research Laboratory

  4. Leng T, Miller JM, Bilbao KV, Palanker DV, Huie P, Blumenkranz MS (2004) The chick chorioallantoic membrane as a model tissue for surgical retinal research and simulation. Retina 24(3): 427–434

    Article  PubMed  Google Scholar 

  5. Glucksberg M et al (1993) In vivo micropuncture of retinal vessels. Graefe’s Arch Clini Exp Ophthalmol 231: 405–407

    Article  CAS  Google Scholar 

  6. Pournaras C et al (1991) New ocular micromanipulator for measurements of retinal and vitreous physiologic parameters in the mammalian eye. Exp Eye Res 53: 723–727

    Article  CAS  PubMed  Google Scholar 

  7. Mitchell B et al (2007) Development and application of a new steady-hand manipulator for retinal surgery. In: IEEE international conference on robotics and automation, pp 623–629

  8. Fleming I, Balicki M, Koo J, Iordachita I, Mitchell B, Handa J, Hager G, Taylor RH (2008) Cooperative robot assistant for retinal microsurgery. In: International conference on medical image computing and computer-assisted intervention, pp 543–550

  9. Riviere CN, Gangloff J, de Mathelin M (2006) Robotic compensation of biological motion to enhance surgical accuracy. In: Proceedings of the IEEE 94(9), pp 1705–1716

  10. Jensen PS, Grace KW, Attariwala R, Colgate JE, Glucksberg MR (1997) Toward robot-assisted vascular microsurgery in the retina. Graefe’s Arch Clin Exp Ophthalmol 235(11): 696–701

    Article  CAS  Google Scholar 

  11. Das H, Zak H, Johnson J (1999) Evaluation of a telerobotic system to assist surgeons in microsurgery. Comput Aided Surg 4(1): 15–25

    Article  CAS  PubMed  Google Scholar 

  12. Charles S, Das H, Ohm T, Boswell C, Rodriguez G, Steele R (1997) Dexterity-enhanced telerobotic microsurgery. In: Proceedings of 8th international conference on advanced robotics, pp 5–10

  13. Bourla DH, Hubschman JP et al (2008) Feasibility study of intraocular robotic surgery with the da Vinci Surgical System. Retina 28(1): 154–158

    Article  PubMed  Google Scholar 

  14. Takahashi H et al (2008) Master manipulator with higher operability designed for micro neuro surgical system. In: IEEE international conference on robotics and automation, pp 3902–3907

  15. Ang WT et al (2001) Design and implementation of active error canceling in a hand-held microsurgical instrument. In: Proceedings of the IEEE/RSJ international conference on intelligent robots and systems, pp 1106–1111

  16. Riviere CN, Jensen PS (2000) A study of instrument motion in retinal microsurgery. In: Proceedings of the 22nd annual international conference of the IEEE engineering in medicine and biology society, pp 59–60

  17. Iordachita I, Kapoor A, Mitchell B, Kazanzides P, Hager G, Handa J, Taylor R (2006) Steady-hand manipulator for retinal surgery. In: International conference on medical image computing and computer-assisted intervention, pp 66–73

  18. Merlet J-P (1992) Direct kinematics and assembly modes of parallel manipulators. Int J Robot Res 11(2): 150–162

    Article  Google Scholar 

  19. Lou Y, Liu G, Li Z (2008) Randomized optimal design of parallel manipulators. IEEE Trans Autom Sci Eng 5(2): 223–233

    Article  Google Scholar 

  20. Zhang D, Xu Z, Mechefske CM, Xi F (2004) Optimum design of parallel kinematic toolheads with genetic algorithms. Robotica 22: 77–84

    Article  Google Scholar 

  21. Arai T, Takayama K, Inoue K, Mae Y, Koseki Y (2000) Parallel mechanisms with adjustable link parameters. In: Proceedings of IEEE/RSJ international conference on intelligent robots and systems, pp 671–676

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Correspondence to Taiga Nakano.

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Nakano, T., Sugita, N., Ueta, T. et al. A parallel robot to assist vitreoretinal surgery. Int J CARS 4, 517–526 (2009). https://doi.org/10.1007/s11548-009-0374-2

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  • DOI: https://doi.org/10.1007/s11548-009-0374-2

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