Exploiting the instability of eccentric tube robots for distal force control in minimally invasive cardiac ablation

Abstract

While the dilemma of motion tracking and force control in beating-heart surgery is previously addressed using active control architectures and rigid robotic actuators, this work leverages the highly controllable mechanical properties of concentric tube robots for intelligent, design-based force control in minimally invasive cardiac ablation. Briefly, cardiac ablation is the conventional procedure for treating arrhythmia patients, by which exposing the diseased cardiac tissue to Radio-Frequency (RF) energy restores the normal heart rhythm. Yet, the procedure suffers low success rate due to the inability of existing flexible catheters to maintain a consistent, optimal contact force between the tip electrode and the tissue, imposing the need for future repeat surgeries upon disease recurrence. The novelty of our work lies in the development of a statically-balanced compliant mechanism composed of (1) distal bi-stable concentric tubes and (2) a compliant, torsional spring mechanism that provides torque at tubes proximal extremity, resulting in an energy-free catheter with a zero-stiffness tip. This catheter is expected to maintain surgical efficacy and safety despite the chaotic displacement of the heart, by naturally keeping the tip force at an optimal level, not less and not more than the surgical requirement. The presented experimental results of the physical prototype, reflect the feasibility of the proposed design, as well as the robustness of the formulated catheter mathematical models which were uniquely deployed in the selection of the optimal design parameters.

Design and Fabrication of Concentric Tube Robots: A Survey

“…However, the drawbacks of electric heating are: (1) the requirement for a specific setup, which has some hardware limitations (2) tuning and calibrating the system to match the tube-specific transition temperature is challenging, and (3) the uneven thermal gradient/expansion along the tube can result in undesirable distorted shapes near the clamped ends [114]. Despite the high cost and inefficiency, the most commonly used approach is still the furnace heating technique, as recorded in 24 papers [35], [46], [62], [70], [81]- [83], [90], [120]- [135], as compared to the electric heating with only 6 papers [11], [114], [136]- [139], while both approaches are recorded in [80], [119], [140].…”