Traditional rigid endoscopes have challenges in flexibly treating tumors located deep in the brain, and low operability and fixed viewing angles limit its development. This study introduces a novel dual-segment flexible robotic endoscope MicroNeuro, designed to perform biopsies with dexterous surgical manipulation deep in the brain. Taking into account the uncertainty of the control model, an image-based visual servoing with online robot Jacobian estimation has been implemented to enhance motion accuracy. Furthermore, the application of model predictive control with constraints significantly bolsters the flexible robot’s ability to adaptively track mobile objects and resist external interference. Experimental results underscore that the proposed control system enhances motion stability and precision. Phantom testing substantiates its considerable potential for deployment in neurosurgery.

Transorbital Neuro Surgery (TNS) offers a novel treatment towards the lesion inside skull pursuing minimal invasiveness. Most conventional TNS tools are rigid and straight, limiting the dexterity and accessibility in passing a small port. Bendable and steerable surgical tools provides an alternative for this issue. In this work, we proposed a dual-segment slender surgical robot arm for TNS, which is a Co-Axial Slender Tubular robot (CAST), and modelled it using novel approaches. Another contribution is tendon-mortise shaped slits along the axial direction, enhancing the overall stiffness. The bending of CAST is actuated by pushing/pulling distance, and the maximum diameter is only 1.7mm with high dexterity after mounting on a rigid robot arm. Experiments demonstrates that the proposed the slit design doubles the stiffness properties compared to traditional rectangle slit designs. The path-following task shows that the position error was maximally 3mm in open-looped control. Test on a skull model demonstrates that the whole system could successfully perform electrocoagulation procedure inside the depth of skull in a robotized manner effectively.

Current imaging of the artery relies primarily on computed tomography angiography (CTA), which requires contrast injections and exposure to radiation. In this paper, we present a method for fully autonomous artery 3D image acquisition using a linear ultrasound (US) probe and a 6 DoFs robot arm with a 3D camera. Robotic vessel acquisition can minimize tissue deformation and permit the reproduction of scans. Additionally, the robotic-based acquisition can provide more precise vessel position data that can be utilized for 3D reconstruction as a preoperative image. The first scanning point is determined by the 3D camera using a neural network for leg area estimation. A visual servo algorithm adjusts the in-plane motions using a cross-sectional vessel segmentation produced by a neural network with a UNet structure, while a US confidence map regulates the in-plane rotation. The robot is equipped with impedance control to maintain a constant and safe scan. Experiments on a leg phantom and a volunteer indicate that the robot can follow the vessel and modify its position to provide a sharper US image. The average error of phantom scanning in y-axis and z-axis are 0.2536mm and 0.2928mm, respectively, while the root means square error (RMSE) of contact force in the volunteer experiment is 0.2664N. In addition, a 3D vessel reconstruction demonstrates the possibility of robotic US acquisition as a preoperative image.