Abstract
Minimally invasive surgery (MIS) bring remarkable benefits such as reduced trauma, shorter hospital stay, less complication, and cosmetic treatment. In order to perform smoothly in MIS, dexterous surgical instruments are in urgent needs. This paper presents a 6-DOF dexterous manipulator for Single Port Access Surgery (SPAS). It is composed of four parts, 1-DOF linear motion joint, two 2-DOF bendable joints (segment1 and segment2), and 1-DOF rotational end effector. The two bendable segments with “Double Screw Drive (DSD) mechanism” structure can be actuated for arbitrary bending motion in any direction. Flexible shaft is used for power transmission. The distribution of the power transmission element in the manipulator was compared by using two different design configurations. In the first prototype, the flexible shaft was directly connected with each actuator in the manipulator. Compared with the first prototype, in the second prototype, flexible shafts are connected to the base of the manipulator. In order to pass the power to the distal of the manipulator, universal joints and slide unit are used for power transmission to pass through the proximal bendable segment. The improvement done with the design of the second prototype decreased the torque necessary to drive the flexible shafts during bending motion in surgical operations. Experiment results show that the second prototype of manipulator has enough range of movement for surgical intervention, the possibility of using the dexterous manipulator in the SPAS was discussed.
This work was supported in part by Global COE (Centers of Excellence) program “Global Robot Academia”, from the Ministry of Education, Culture, Sports, Science and Technology of Japan, in part by Grant Scientific Research (A) (90198664), Japan and in part by a Waseda University Grant for Special Research Project (2009B-207)
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Talor, R., Stoianovici, D.: Medical robotics in computer – integrated surgery. IEEE Trans. Robot. Autom. 19, 765–781 (2003)
Guthart, G., Salisbury, K.: The intuitive Tm telesurgery system: overview and application. In: IEEE international conference on robotics and automation, San Francisco, pp. 618–621 (2000)
Nakamura, R. et al.: Muiti-DOF forceps manipulator system for laparoscopic surgery-mechanism miniaturized & evaluation of new interface. In: Proceeding of 4th international conference on medical image computing and computer-assisted intervention, pp. 606–613 (2000)
Harada, K., Tsubouchi, K., Fujie, M.G., Chiba, T.: Micro manipulators for intrauterine fetal surgery in an open MRI. In: IEEE international conference on robotics and automation. pp. 504–509 (2005)
Ikuta, K., Yamamoto, K., Sasaki, K.: Development of remote microsurgery robot and new surgical procedure for deep and narrow space. IEEE Int. Conf. Robot. Autom. 1, 1103–1108 (2003)
Reynaerts, D., Peirs, J., Van Brussel, H.: Shape memory micro- actuation for a gastro-intesteinal intervention system. Sensors Actuators 77, 157–166 (1999)
Dario, P., Carrozza, M.C., Pietrabissa, A., Surgery, C.A.: Development and in vitro testing of a miniature robotic system for computer-assisted clonoscopy. Comput. Aided Surg. 4, 1–14 (1999)
Xu, K., Simaan, N.: Actuation compensation for flexible surgical snake-like robots with redundant remote actuation. In: Proceedings of 2006 I.E. international conference on robotics and automation, Orlando, pp. 4148–4154, May 2006
Simaan, N., Flint, P.: A dexterous system for laryngeal surgery. In: Proceedings of 2004 I.E. international conference on robotics and automation, New Orleans, pp. 351–357, Apr 2004
Dupont, P., Lock, J., Itknowitz, B., Butler, E.: Design and control of concentric-tube robots. IEEE Trans. Robot. 26(2), 209–225 (2010)
Mahvash, M., Zenati, M.: Toward a hybrid snake robot for single-port surgery. In: 33rd IEEE EMBS, Boston, 8/30–9/3, pp. 5372–5375 (2011)
Schlenker, P.S., Baelow, E.C., Boswell, C.D., Das, H., Lee, S., Ohm, T.R. et al.: Development of a telemanipulator for dexterity enhanced microsurgery. In: 2nd annual international symposium on Medical Robotics and Computer Assisted Surgery (MRCAS), pp. 81–88 (1995)
Piers, J., Reynaerts, D., Brussel, H.V.: Design of miniature parallel manipulators for integration in a self-propelling endoscope. Sensors Actuators 85, 409–417 (2000)
Lee, H., Choi, Y., Yi, B.: Stackable 4-BAR manipulators for single port access surgery. IEEE/ASME Trans. Mechatron. 17(1), 157–166 (2012)
Yamashita, H., Kim, D., Hata, N., Dohi, T.: Multi-slider linkage mechanism for endoscopic forceps manipulator. IEEE/RSJ IROS 3, 2577–2582 (2003)
Yamashita, H., Matsumiya, K., Masamune, K., Liao, H., Chiba, T., Dohi, T.: Two-DOFs bending forceps manipulator of 3.5 mm diameter for intrauterine fetus surgery: feasibility evaluation. Int. J. Comput. Assist. Radiol. Surg. 1, 218–220 (2006)
Shi, Z.Y., Liu, D., Wang, T.M.: A shape memory alloy-actuated surgical instrument with compact volume. Int. J. Med. Robot. Comput. Assist. Surg. 10, 474–481 (2013)
Lanteigne, E., Jnifene, A.: An experimental study on a SMA driven pressurized hyper-redundant manipulator. J. Intell. Mater. Syst. Struct. 19, 1067–1076 (2008)
Giataganas, P., Evangeliou, N., Koveos, Y., Kekasidi, E., Tzes, A.: Design and experimental evaluation of an innovative SMA-based tendon-driven redundant endoscopic robotic surgical tool. In: 19th mediterranean conference on control and automation, pp. 1071–1075 (2011)
Ishii, C., Kobayashi, K.: Development of a new bending mechanism and its application to robotic forceps manipulator. In: 2007 I.E. ICRA, Roma, pp. 238–243, 10–14 Apr 2007
Kobayashi, Y., Tomono, Y., Sekiguchi, Y., Watanabe, H., Toyada, K., Konishi, K., Tomikawa, M., Ieiri, S., Tanoue, K., Hashizume, M., Fujie, M.G.: A surgical robot with vision field control for single port endoscopic surgery. Int. J. Med. Robot. Comput. Assist. Surg. 6, 454–464 (2010)
Sekiguchi, Y., Kobayashi, Y., Tomono, Y., Watanabe, H., Toyada, K., Konishi, K., Tomikawa, M., Ieiri, S., Tanoue, K., Hashizume, M., Fujie, M.G.: Development of a tool manipulator driven by a flexible shaft for single port endoscopic surgery. In: International conference on biomedical robotics and biomechatranics. The University of Tokyo, Tokyo, pp. 120–125, 26–29 Sept 2010
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer Japan
About this paper
Cite this paper
Liu, Q., Kobayashi, Y., Zhang, B., Hashizume, M., Fujie, M.G. (2016). Development of a Dexterous Manipulator for Single Port Access Surgery. In: Fujie, M. (eds) Computer Aided Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55810-1_4
Download citation
DOI: https://doi.org/10.1007/978-4-431-55810-1_4
Published:
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-55808-8
Online ISBN: 978-4-431-55810-1
eBook Packages: EngineeringEngineering (R0)