Magnetic compression anastomosis (MCA) offers a promising solution for minimally invasive anastomosis surgery. However, current MCA schemes lack safe, real-time localization and guidance for compression magnets, hindering surgeons' ability to control the compression magnets effectively in complex, unstructured endoluminal environments. To address these limitations, this paper introduces the MagsL-HUD endoscopic system, a novel solution that enables multi-magnetic six-degree-of-freedom (six-DoF) localization and head-up display (HUD) guidance within the endoscopic view (EV). Specifically, the system integrates a developed Endo-MagCap device with an orthogonal magnet configuration, along with a magnetic sensor array, to achieve real-time full-pose localization. An endoscopic camera model is incorporated for HUD visualization, enhancing intuitive interaction for surgeons' better-informed decisions. Eventually, the effectiveness of the MagsL-HUD endoscopic system is validated through laboratory experiments andex vivoanimal trials. The system demonstrates six-DoF tracking accuracy with average errors of 0.0070 m and 0.1437 rad, and 0.0071 m and 0.1721 rad in the designed trajectory cases for two compression magnets, respectively. Additionally,ex vivoporcine tests confirm the system's feasibility and applicability, successfully performing a stomach-colon MCA surgery with a final compression gap of approximately 0.00247 m. Further comparative studies demonstrate that the MagsL-HUD method has a compression success rate of 71.4$\%$versus 42.9$\%$of the non-HUD approaches in the designed tests. This work represents a significant step toward the clinical adoption of magnetic-assisted endoscopy for minimally invasive anastomosis surgeries, holding substantial practical significance for improving the safety and efficacy of MCA procedures in complex, unstructured endoluminal environments.

Endoscopic submucosal dissection (ESD) is a procedure targeted for early gastrointestinal cancer. Traction plays a crucial role in enhancing the efficiency of cutting lesions, thereby reducing procedural complexity and duration. From the perspective of traction devices, current non-magnetic ones hold shortcomings in complicating the workspace in directional tissue manipulation; Current magnetic traction devices cannot be prepared before the procedure, and require the withdrawal of endoscope in the midway to re-introduce the magnetic retractor to the lesion site. Towards these plights, this paper introduces a robotic flexible magnetic retractor designed for tissue manipulation during ESD. Precisely, the flexible prototype can be seamlessly inserted through the instrument channel of an endoscope to the lesion site without the need for endoscope withdrawal. Moreover, the introduction of robotic magnetic actuation enhances the agile control of magnetic retractors while alleviating the surgeon's workload in magnetic-retractor-assisted ESD. The experimental results validate the functionality and efficacy of the prototype magnetic retractor in magnetic traction-assisted ESD procedures. The retractor demonstrated its ability to provide adequate traction and accomplish clinical tasks. This innovative approach holds promise for enhancing the efficiency and outcomes of ESD procedures, offering a compelling alternative to traditional traction methods.

In response to torso-oriented magnetic localization tasks that require the system to have interactivity and flexibility with guaranteed accuracy, a novel bio-inspired magnetic sensor array configuration is proposed in this paper. Precisely, the ideas of the natural characteristics of octopus flexible tentacles and the "wrap" morphology are integrated into the design of the magnetic localization system based on the sensor array method. It is worth mentioning that such a design enhances the interactivity and flexibility of the localization system compared to the general planar sensor array strategy. Apart from the concept introduction, the geometry analysis of the proposed configuration is presented based on the constant curvature model. Besides, the magnetic localization algorithm for the system is presented by constructing a magnetic tracking optimization function. Eventually, the proposed concept and developed algorithm are examined in the sensor-array-simulation environment to manifest their effectiveness and applicability. The experimental results indicate that the octopus-inspired-configuration sensor array achieves a mean accuracy at a centimeter-level in our cases, and has better accuracy with a mean value of ē as 0.0178 m and ${\overline {SQR} _{ave{\text{ }}}}$ as 0.0883 for the center interest space compared to general planar configuration one. Moreover, the effect of the configuration error is analyzed. These results verify the feasibility and superiority of the proposed concept and hold significant practical significance in addressing the challenge associated with magnetic localization tasks toward the clinical application scenarios.