Minimally Invasive Surgery (MIS) can reduce iatrogenic injury and decrease the possibility of surgical complications. This paper presents a novel flexible and bendable endoscopic device, “Roboscope”, which delivers two instruments, two miniature scanning fiber endoscopes, and a suction/irrigation port to the operation site through a single portal. Compared with existing bendable and steerable robotic surgical systems, Roboscope provides two bending degrees of freedom for its outer sheath and two insertion degrees of freedom, while simultaneously delivering two instruments and two endoscopes to the surgical site. Each bending axis and insertion freedom of Roboscope is independently controllable via an external actuation pack. Surgical tools can be changed without retracting the robot arm. This paper presents the design of the Roboscope mechanical system, electrical system, and control and software systems, design requirements and prototyping validation as well as analysis of Roboscope workspece.

Surgical procedures are traditionally performed by two or more surgeons along with staff nurses. One surgeon serves as the primary surgeon and the other serves as his/her assistant. Surgical robotics have redefined the dynamics in which the two surgeons interact with each other and with the surgical site. Raven IV is a new generation of the surgical robot system having four articulated robotic arms in a spherical configuration, each holding an articulated surgical tool. The system allows two surgeons to teleoperate the Raven IV collaboratively from two remote sites. The current research effort aims to configure the link architecture of each robotic arm, along with the position (port placement) and orientation of the Raven IV with respect to the patient, in order to optimize the common workspace reachable by all four robotic arms. The simulation results indicate that tilting the base of the robotic arms in the range of -20 to 20 deg while moving the ports closer together up to 50 mm apart leads to a preferred circular shape of the common workspace with an isotropy value of 0.5. A carefully configured system with multiple surgical robotic arms will enhance the interactive performance of the two surgeons.

Despite the great diversity of teleoperator designs and applications, their underlying control systems have many similarities. These similarities can be exploited to enable inter-operability between heterogeneous systems. We have developed a network data specification, the Interoperable Telerobotics Protocol, that can be used for Internet based control of a wide range of teleoperators. In this work we test interoperable telerobotics on the global Internet, focusing on the telesurgery application domain. Fourteen globally dispersed telerobotic master and slave systems were connected in thirty trials in one twenty four hour period. Users performed common manipulation tasks to demonstrate effective master-slave operation. With twenty eight (93%) successful, unique connections the results show a high potential for standardizing telerobotic operation. Furthermore, new paradigms for telesurgical operation and training are presented, including a networked surgery trainer and upper-limb exoskeleton control of micro-manipulators.

This paper presents a robotic system for steering under real-time fluoroscopic guidance a flexible needle in soft tissue. Given a target and possible obstacle locations, the computer calculates the flexible needle-tip trajectory that avoids the obstacle and hits the target. Using an inverse kinematics algorithm, the needle base maneuvers required for a tip to follow this trajectory are calculated, enabling a robot to perform controlled needle insertion. Assuming small displacements, the flexible needle is modeled as a linear beam supported by virtual springs, where the stiffness coefficients of the springs can vary along the needle. Using this simplified model, the forward and inverse kinematics of the needle are solved analytically, enabling both path planning and path correction in real time. The needle shape is detected in real time from fluoroscopic images, and the controller commands the needle base motion that minimizes the needle tip error. This approach was verified experimentally using a robot to maneuver the base of a flexible needle inserted into a muscle tissue. Along the 40-mm trajectory that avoids the obstacle and hits the target, the error stayed below the 0.5-mm level. This study demonstrates the ability to perform closed-loop control and steering of a flexible needle by maneuvering the needle base so that its tip achieves a planned trajectory.

This paper describes the structure of three types of parallel robots and compares their performances in the sense of size and static forces. The motivation for this investigation is to construct a robot that best fits a given medical application. The requirements are to cover a given work volume with a given orientation and to maintain the robot within the smallest cube possible. Among the structures examined, three are presented since two are modifications of known structures and the third is a new one.