Aiming at developing a safe, intuitive, and collaborative steerable drilling robotic system for pedicle screw fixation procedures, in this paper, we leverage our recently developed steerable drilling robotic framework, and developed a collaborative drilling mode to control this system. In this control mode, first a user positions a concentric tube steerable drilling robot (CT-SDR) in the workspace and aligns it based on a preplanned trajectory. Next, the CT-SDR is directly controlled by the user through an admittance mode to perform a drilling procedure and creating a J-shape tunnel. To evaluate the user comfort and intuitiveness of the drilling procedure using this system and the proposed control interface, we performed a user study with 11 subjects, who had no prior experience in using this system. The results of this study were analyzed using various qualitative and quantitative metrics.

Communication latency in any delicate telerobotic operation (such as remote surgery over distance) would impose a significant challenge due to the temporal degradation of visual perception and can substantially affect the outcomes. Less is known, however, about the neurophysiological basis of how operators adapt/react to delayed visual feedback. Identification of such neural markers might provide novel ways for future applications to monitor the mental workload (MW). In this study, we recorded electroencephalography (EEG) data from nine users while performing a peg transfer task using the da Vinci Research Kit with three levels of induced visual delay in the video feedback. Our results suggest that spectral EEG-based features can provide markers of the operator's MW modulated by arbitrary visual delay. We also show that the exposure to different visual delays could be successfully classified/detected solely from EEG data, using a Riemannian geometry-based classifier, which highlights the utility of EEG signals for detecting the effect of visual delay on brain activity.

Two distinct technologies have gained attention lately due to their prospects for motor rehabilitation: robotics and brain-machine interfaces (BMIs). Harnessing their combined efforts is a largely uncharted and promising direction that has immense clinical potential. However, a significant challenge is whether motor intentions from the user can be accurately detected using non-invasive BMIs in the presence of instrumental noise and passive movements induced by the rehabilitation exoskeleton. As an alternative to the straight-forward continuous control approach, this study instead aims to characterize the onset and offset of motor imagery during passive arm movements induced by an upper-body exoskeleton to allow for the natural control (initiation and termination) of functional movements. Ten participants were recruited to perform kinesthetic motor imagery (MI) of the right arm while attached to the robot, simultaneously cued with LEDs indicating the initiation and termination of a goal-oriented reaching task. Using electroencephalogram signals, we built a decoder to detect the transition between i) rest and beginning MI and ii) maintaining and ending MI. Offline decoder evaluation achieved group average onset accuracy of 60.7% and 66.6% for offset accuracy, revealing that the start and stop of MI could be identified while attached to the robot. Furthermore, pseudo-online evaluation could replicate this performance, forecasting reliable online exoskeleton control in the future. Our approach showed that participants could produce quality and reliable sensorimotor rhythms regardless of noise or passive arm movements induced by wearing the exoskeleton, which opens new possibilities for BMI control of assistive devices.