Automation of flexible surgical instruments requires the development of robotic technologies capable of small-scale power transmission. Magnetic actuation has successfully been used for that purpose. Nevertheless, current systems for magnetic actuation suffer from small workspaces or poor bandwidth of magnetic field control. In this work, we design, develop, and test a novel magnetic actuation system called Advanced Robotics for Magnetic Manipulation (ARMM). The ARMM system employs a 6 DoF mobile electromagnetic coil capable of generating prescribed magnetic fields and gradients. The mobile coil approach allows for easy scaling of the actuation workspace, which depends on the range of robotic arm, and in our case spans up to 1.3 m. Due to limited end-effector payload of the robotic arm used in the ARMM system, the mobile coil has been designed using an optimization routine. For a given mass and heat dissipation constraints, this routine provides the coil geometry that maximizes the average magnetic field generated in the target region. Since the Vacoflux core of the fabricated coil saturates within operational conditions, we propose an actuation strategy employing an online-updated iterative map technique. Using this map, the ARMM system allows for precise generation of prescribed magnetic fields and gradients at the point of interest, while taking into account the effects of the non-linearities due to core saturation. The strategy is validated experimentally, showing the average error of 2.34% for magnetic field and 7.20% for the magnetic field gradient.
Positioning conventional endovascular catheters is not without risk, and there is a multitude of complications that are associated with their use in manual surgical interventions. By utilizing surgical manipulators, the efficacy of remote-controlled catheters can be investigated in vivo. However, technical challenges, such as the duration of catheterizations, accurate positioning at target sites, and consistent imaging of these catheters using nonhazardous modalities, still exist. In this paper, we propose the integration of multiple sub-systems in order to extend the clinical feasibility of an autonomous surgical system designed to address these challenges. The system handles the full synchronization of co-operating manipulators that both actuate a clinical tool. The experiments within this study are conducted within a clinicallyrelevant workspace and inside a gelatinous phantom that represents a life-size human torso. A catheter is positioned using magnetic actuation and proportional-integral (PI) control in conjunction with real-time ultrasound images. Our results indicate an average error between the tracked catheter tip and target positions of 2.09 ± 0.49 mm. The median procedure time to reach targets is 32.6 s. We expect that our system will provide a step towards collaborative manipulators employing mobile electromagnets, and possibly improve autonomous catheterization procedures within endovascular surgeries.
Objective: In this study, we introduce a multi-modal sensing and feedback framework aimed at assisting clinicians during endovascular surgeries and catheterization procedures. This framework utilizes state-of-the-art imaging and sensing sub-systems to produce a 3D visualization of an endovascular catheter and surrounding vasculature without the need for intra-operative X-rays. Methods: The catheterization experiments within this study are conducted inside a porcine limb undergoing motions. A hybrid position-force controller of a robotically-actuated ultrasound (US) transducer for uneven porcine tissue surfaces is introduced. The tissue, vasculature, and catheter are visualized by integrated real-time US images, 3D surface imaging, and Fiber Bragg Grating (FBG) sensors. Results: During externally-induced limb motions, the vasculature and catheter can be reliably reconstructed at mean accuracies of 1.9±0.3 mm and 0.82±0.21 mm, respectively. Conclusions: The conventional use of intra-operative X-ray imaging to visualize instruments and vasculature in the human body can be reduced by employing improved diagnostic technologies that do not operate via ionizing radiation or nephrotoxic contrast agents. Significance: The presented multi-modal framework enables the radiation-free and accurate reconstruction of significant tissues and instruments involved in catheterization procedures.
Arterial stenosis is a high-risk disease accompanied by large amounts of calcified deposits and plaques that develop inside the vasculature. These deposits should be reduced to improve blood flow. However, current methods used to reduce stenosis require externally controlled actuation systems resulting in limited workspace or patient risks. This results in an unexplored preference regarding the revascularization strategy for symptomatic artery stenosis. In this article, we propose a novel internally actuated solution: a magnetic spring-loaded rotablation catheter. The catheter is developed to achieve stenosisdebulking capabilities by actuating drill bits using two internal electromagnetic coils and a magnetic reciprocating spring-loaded shaft. The state-space model of the catheter is validated by comparing the simulation results of the magnetic fields of the internal coils with the experimental results of a fabricated prototype. Contact forces of the catheter tip are measured experimentally, resulting in a maximum axial force of 2.63 N and a torque of 5.69 mN-m. Finally, we present interventions in which the catheter is inserted to reach a vascular target site and demonstrate plaque-specific treatment using different detachable actuator bits. Calcified deposits are debulked and visualized via ultrasound imaging. The catheter can reduce a stenosis cross-sectional area by up to 35%, indicating the potential for the treatment of calcified lesions, which could prevent restenosis.
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