Introducing some form of autonomy in robotic surgery is being considered by the medical community to better exploit the potential of robots in the operating room. However, significant technological steps have to occur before even the smallest autonomous task is ready to be presented to the regulatory authorities. In this paper, we address the initial steps of this process, in particular the development of control concepts satisfying the basic safety requirements of robotic surgery, i.e., providing the robot with the necessary dexterity and a stable and smooth behavior of the surgical tool. Two specific situations are considered: the automatic adaptation to changing tissue stiffness and the transition from autonomous to teleoperated mode. These situations replicate real-life cases when the surgeon adapts the stiffness of her/his arm to penetrate tissues of different consistency and when, due to an unexpected event, the surgeon has to take over the control of the surgical robot. To address the first case, we propose a passivity-based interactive control architecture that allows us to implement stable time-varying interactive behaviors. For the second case, we present a two-layered bilateral control architecture that ensures a stable behavior during the transition between autonomy and teleoperation and, after the switch, limits the effect of initial mismatch between master and slave poses. The proposed solutions are validated in the realistic surgical scenario developed within the EU-funded I-SUR project, using a surgical robot prototype specifically designed for the autonomous execution of surgical tasks like the insertion of needles into the human body

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The introduction of robotic surgery within the operating rooms has significantly improved the quality of many surgical procedures. Recently, the research on medical robotic systems focused on increasing the level of autonomy in order to give them the possibility to carry out simple surgical actions autonomously. This paper reports on the development of technologies for introducing automation within the surgical workflow. The results have been obtained during the ongoing FP7 European funded project Intelligent Surgical Robotics (I-SUR). The main goal of the project is to demonstrate that autonomous robotic surgical systems can carry out simple surgical tasks effectively and without major intervention by surgeons. To fulfil this goal, we have developed innovative solutions (both in terms of technologies and algorithms) for the following aspects: fabrication of soft organ models starting from CT images, surgical planning and execution of movement of robot arms in contact with a deformable environment, designing a surgical interface minimizing the cognitive load of the surgeon supervising the actions, intra-operative sensing and reasoning to detect normal transitions and unexpected events. All these technologies have been integrated using a component-based software architecture to control a novel robot designed to perform the surgical actions under study. In this work we provide an overview of our system and report on preliminary results of the automatic execution of needle insertion for the cryoablation of kidney tumours.

The paper describes a motion planning and control\ud software architecture developed for the automation of a\ud surgical robot. The considered surgical robot is a dual-arm\ud prototype developed with a redundant and modular mechanical\ud structure, designed to be reconfigured for different surgical\ud tasks, and with a hybrid parallel/serial kinematics. The motion\ud planning solution proposed in the paper includes both an online\ud collision-free path planner, based on the RRT-Connect algorithm,\ud and a generator of predefined motion primitives. This\ud solution allows the multi-arm robot to autonomously execute\ud the complex motion patterns required for a suturing task. Since\ud such motion patterns are specified in the Cartesian space, an\ud efficient and univocal solution of the inverse kinematics of\ud the robot, which is a challenging problem due to its hybrid\ud structure, is another crucial issue addressed in the paper

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