Surgeons performing laparoscopic surgery experience distortion when perceiving the stiffness of a patient's tissues. This is due to the lever effect induced by the introduction of instruments in their patient's body through a fulcrum. To address this problem, we propose to use the comanipulation paradigm. A robotic device is connected to the handle of the instrument while simultaneously being held by the surgeon. This device applies a force on the handle that reflects the force measured at the tool tip, with a gain that depends on the lever ratio. The implementation of this method is presented on an experimental setup and a preliminary assessment experiment is presented.

This paper presents a new actuator designed to produce forces under short stroke displacements. Two variants of the prototype have been manufactured using Multi-Material Additive Manufacturing process, based on a flexible origami-inspired architecture. The structure consists of an airtight chamber constituted by rigid plates combined with flexible hinges and surfaces in order to allow the generation of motion. We propose several insights on integration issues such as limited material resistance and maximum range of motion. Both versions of the prototype are then tested to assess their performances for single strokes and cyclic loading.