Many existing exoskeletons have followed a similar design approach: a rigid kinematic chain is actuated to mobilize a human wearer. However, in a clinical setting for rehabilitation where one exoskeleton is shared by multiple patients, it will be difficult to guarantee on-site adjustments can make the rigid exoskeleton fit each patient kinematically perfectly. This paper proposed an alternative exoskeleton design that uses compliant continuum mechanisms. Its intrinsic flexibility adapts to different human anatomy automatically. Design concepts and component descriptions were elaborated for this shoulder exoskeleton, including kinematics, construction, actuation, transmission schemes, etc. A series of experiments were conducted to characterize shapes of the flexible members within the continuum structure as well as demonstrate the effectiveness of using such an exoskeleton to assist different patients with their limb motions.

This paper presents the task specifications for designing a novel Insertable Robotic Effectors Platform (IREP) with integrated stereo vision and surgical intervention tools for Single Port Access Surgery (SPAS). This design provides a compact deployable mechanical architecture that may be inserted through a single Ø15 mm access port. Dexterous surgical intervention and stereo vision are achieved via the use of two snake-like continuum robots and two controllable CCD cameras. Simulations and dexterity evaluation of our proposed design are compared to several design alternatives with different kinematic arrangements. Results of these simulations show that dexterity is improved by using an independent revolute joint at the tip of a continuum robot instead of achieving distal rotation by transmission of rotation about the backbone of the continuum robot. Further, it is shown that designs with two robotic continuum robots as surgical arms have diminished dexterity if the bases of these arms are close to each other. This result justifies our design and points to ways of improving the performance of existing designs that use continuum robots as surgical arms.

This paper presents the intrinsic capability of full-wrench estimation of multisegment continuum robots with multiple flexible backbones. Intrinsic-full-wrench estimation refers to the ability of continuum robots to also serve as force and moment sensors by using measurements of axial loads on their backbones. This end-effector-as-sensor approach fulfills the rapidly increasing needs for miniature-robotic-surgical tools with haptic sensing ability subject to various limitations, such as size, magnetic resonance imaging (MRI) compatibility, sterilizability, etc. A performance index for the intrinsic wrench-sensing capability is introduced and evaluated to show how this index can serve as a design guide for continuum robots that provide force sensing.

This paper presents a novel design and preliminary kinematic analysis of an insertable robotic effector platform (IREP) for single port access (SPA) surgery. The IREP robot can be deployed into body cavity through a Ø15 mm skin incision to perform SPA procedures. It consists of two snake-like continuum robots as slave surgical assistants for tissue manipulation, two parallelogram mechanisms for the continuum robots' placement, and one controllable stereo vision module with integrated light source for depth perception and tool tracking. Design considerations and alternatives, calculations and preliminary simulations of this 17-DoF surgical robotic system are presented in this paper. The overall control system hierarchy for tele-manipulation using the IREP robot is also presented.

This paper presents the theoretical analysis and the experimental validation of the force sensing capabilities of continuum robots. These robots employ superelastic NiTi backbones and actuation redundancy. The paper uses screw theory to analyze the limitations and provide geometric interpretation to the sensible wrenches. The analysis is based on the singular value decomposition of the Jacobian mapping between the configuration space and the twist space of the end effector. The results show that the sensible wrenches belong to a 2-D screw system and the insensible wrenches belong to a 4-D screw system. The theory presented in this paper is validated through simulations and experiments. It is shown that the force sensing errors have an average of 0.34 g with a standard deviation of 0.83 g. Another experiment of generating the stiffness map of a silicone strip suggests possible medical application of palpation for tumor detection. The presented study allows force sensing in challenging environments where placing force sensors at the distal end of a robot is not possible due to limitations such as size and MRI compatibility.

This paper presents two actuation compensation methods for a snake-like robot implementing multi flexible backbones and actuation redundancy. This snake-like robot is designed for distal dexterity enhancement in MIS surgery of the throat. Actuation compensation is required to account for the flexibility of the actuation lines that connect this snake-like robot with its remote actuation units. The paper presents both a naive model-based compensation approach and a combined model-based recursive linear-estimation approach that uses data gathered from external measurements of the snake-like unit configuration such as vision. The kinematic and static model of this multi-backbone snake-like unit is reviewed and a simplified redundancy resolution is implemented in the error compensation model. The results show that the performance of the snake-like unit is significantly improved when compensation is implemented. The combined model-based recursive linear estimation method showed 1deg accuracy in path tracking. Finally, an updated Jacobian that accounts for the required compensation is presented. All the work done here strides the crucial step towards a successful clinical task such as suturing in the throat