While wearable robots that utilize intrinsically soft materials for actuation offer enhanced safety and biological compatibility, the challenges of sensing and control significantly affect their performance. The control problem in such systems is inherently complex, and the inclusion of 'softness' introduces additional nonlinearities, hysteresis, and uncertainties. Furthermore, the effectiveness of control strategies is highly dependent on sensor selection and integration, which presents its own challenges. Most robotic systems require separate sensors for control purposes. In this study, a new sensing and control scheme are introduced for soft wearable robots, leveraging the intrinsic soft-sensing capability of fluidic filament actuators without adding computational complexity. This method enables simultaneous sensing and actuation with$\mathbf{9 6 \%}$position accuracy, even under physical disturbances. This approach is demonstrated with a soft assistive device for elbow flexion/extension, achieving 70.5% tracking accuracy and a 0.09s response delay to human intention, ensuring the system provides minimal resistance when assistance is not needed, while delivering the required support when necessary.

Aneurysms, balloon-like bulges in blood vessels, present a significant health risk due to their potential to rupture, leading to life-threatening internal bleeding. Current treatments often involve delivering embolic materials or metal coils to fill these bulges, occluding them from the pressure of blood flow. However, clinical micro-catheters that deploy embolic materials used today face limitations, primarily their rigidity and the lack of active control over the bending tip of the catheter. This paper introduces a new soft micro-robotics catheter, with diameter of only 0.8 mm, equipped with a hollow channel. With this new design, the new device can induce bending motions at its tip for active steerability to reach desired aneurysm targets and then perform the delivery of embolic materials and tools. To enhance the control and precise navigation during procedures, a robust mathematical model and image processing techniques are also introduced and validated. Experiments are also performed to characterise and validate the model’s accuracy and the steerability and navigation capabilities of the new micro-catheter.

Following biology's lead, soft robotics has emerged as a perfect candidate for actuation within complex environments. While soft actuation has been developed intensively over the last few decades, soft sensing has so far slowed to catch up. A largely unresearched area is the change of the soft material properties through prestress to achieve a degree of mechanical sensitivity tunability within soft sensors. Here, a new 3D force sensor which employs novel hydraulic filament artificial muscles capable of in-situ sensitivity tunability is introduced. Using a neural network (NN) model, the new soft 3D sensor can precisely detect external forces based on the change of the hydraulic pressures with error of$\sim 1.0, \sim 1.3$, and$\sim 0.94$% in the$\text{x, y}$, and z-axis directions, respectively. The sensor is also able to sense large force ranges, comparable to other similar sensors available in the literature. The sensor is then integrated into a soft robotic surgical arm for monitoring the tool-tissue interaction during an ablation process.

Atrial fibrillation (AF) is mostly treated via robotic catheter-based cardiac ablation procedures. Over the last few decades, cables or tendon mechanisms are at the core of available cardiac catheters. Despite advances, the use of cables often results in considerable force loss, nonlinear hysteresis, and control challenges. Most catheters are not equipped with force sensing, which increases the risk of the ablation process and decreases their efficacy in clinical settings. In addition, current catheters have a poor user interface and therefore the ablation process requires skilled or trained surgeons to steer the complex motion of the catheter tip within the heart chambers. To improve the cardiac ablation procedure, a new robotic catheter that has the ability to extend its working space without moving its flexible body and a real-time force sensor for safe operation is highly desired. In this work, a new handheld and soft robotic catheter for AF ablation is introduced. The new device consists of several improved components such as a soft manipulator for navigation and bending motion, an ergonomic handheld controller, and a soft force sensor for monitoring tool-tissue contact. The design, modeling, and fabrication of the device are presented and followed by experimental characterizations and ex-vivo validation.