Catheter-based cardiac ablation is the preferred method of treating atrial fibrillation. Conventionally, the catheter is navigated in the heart using X-ray fluoroscopy imaging and an electroanatomical map. Although successful, these imaging modalities do not provide real-time feedback on the quality of lesions created, which in turn could lead to recurrence of arrhythmia. Intracardiac echo (ICE) catheter provides real-time imaging within the heart to visualize both the ablation catheter and lesions created. However, manipulating the ablation and ICE catheters simultaneously is tedious and time consuming. As a first step towards developing a robotic ICE catheter that can autonomously follow the ablation catheter and monitor the lesions, we have developed a dynamic model for the ICE catheter. The model is based on the Cosserat theory for flexible rods that relies on strain parametrization. The model also accounts for frictional forces between the catheter sheath and tendons, external loads and fluid forces acting on the catheter. A good nominal model for describing the catheter dynamics is essential to develop a robust control scheme for the robotic ICE catheter. The parameters of the ICE catheter are estimated using weight release, tendon-driven actuation and fluid flow experiments. To the best of our knowledge, this is the first dynamic model for the ICE catheter that accurately reflects the dynamics of the catheter under pulsatile fluid flow within a heart phantom.

In this paper, we present the design of a 7 degrees-of-freedom (DOF) Haptic Interface for applications in Minimally Invasive Surgery (MIS). The design of the interface is based on an existing dual-panthograph Haptic Wand and is capable of position and force reflection in three translational, three rotational DOF and grasping motion. The paper presents the implementation of a novel cable driven differential transmission to include the yaw and grasping force reflection to the interface. The kinematic and dynamic properties of the interface are characterized and presented. Experimental results demonstrate that the device is capable of high-force reflection with good transparency.

An integrated system for minimally invasive robot-assisted image-guided lung brachytherapy has been developed. The system incorporates an experimental setup for accurate radioactive seed placement with commercially available dosimetry planning software. The end result is a complete system that allows planning and executing a brachytherapy procedure with increased accuracy. The results of the in vitro seed placement evaluation show that seed misplacement has a significant effect on the volume receiving more than 200% of the dose (V200), and the minimum dosage received by 90% of the volume (D90).

The prostate is a small exocrine gland in men responsible for production of the liquid component of the seminal fluid. In North America, prostate cancer accounts for over 300,000 new cases and 40,000 deaths each year and it is the second leading cause of cancer death in men. Low-dose Rate (LDR) brachytherapy is gaining interest as a viable treatment option for prostate cancer due to its low side effects and high benefits. The present manual approach for brachytherapy needle insertion and the inherent flexibility of the needles make it extremely difficult to achieve accurate and consistent dosimetry. In this paper, we present a new 5 degrees-of-freedom (DOF) manipulator capable of performing percutaneous needle insertion. The manipulator can perform orientation, insertion and rotation of the needle and linear motion of the plunger to drop radioactive seeds at targeted locations. The manipulator is an integral part of a system utilizing a mechanically rotated side-fire transducer to create 3D ultrasound images of the organ and utilizing 3D SLICER software to visualize those images. Experiments conducted in agar phantoms reveal an average RMS targeting error of 1.45mm at an average insertion depth of 75.78mm proving the feasibility and efficacy of the proposed robotic system for percutaneous needle insertion.

An experimental test-bed for robot-assisted image-guided minimally invasive lung brachytherapy has been developed. The setup includes surgical robots, a device to accurately drop brachytherapy seeds, an ultrasound system, electromagnetic trackers, and navigational software. An evaluation using the test-bed was performed to compare the open procedure and the video-assisted thoracoscopic procedure with the proposed robot-assisted minimally invasive procedure under ultrasound image guidance and electromagnetic tracking. The results show that the use of robotic systems and image guidance can provide improved seed placement accuracy as compared to open surgery, while reducing the invasiveness of the procedure and trauma to the patient's body.