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A hand-held micro surgical device for contact force regulation against involuntary movements

机译:手持式微手术设备,用于调节抵抗非自愿运动的接触力

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Involuntary movements such as heart beating in surgical environment and surgeon's tremor disturb a micro surgical manipulation and cause a risk of patient wound. Although the delicate operation is performed by a skilled surgeon, the sensitivity of the surgeon is limited to quantify the range of safe contact forces. In this paper, we developed a compact hand-held surgical device to maintain a required contact force to maintain a required contact force using a custom force sensor and a linear delta mechanism. The custom optical force sensor measured the contact force of the device tip and the linear delta mechanism compensated undesired forces to maintain a consistent contact force. The proposed device is consisted of force sensing unit and actuating unit. The device was improved from our previous Linear Delta mechanism based prototype in terms of size, weight, and force sensing capability. The developed device was validated by investigation of contact force accuracy in a fixed condition and a hand-held condition. In hand-held condition, the visual feedback of the current contact force was provided, and the performance of the contact force regulation was investigated by comparing the root mean square (RMS) contact force errors and standard deviation in with and without control cases. The fluctuation (less than 50 mN) of the force regulation control of the device showed the feasibility of the device for the use in delicate operations.
机译:诸如外科手术环境中的心脏跳动和外科医生的震颤之类的非自愿运动会干扰显微外科手术操作,并有造成患者受伤的风险。尽管精致的操作是由熟练的外科医生执行的,但外科医生的灵敏度受到限制,无法量化安全接触力的范围。在本文中,我们开发了一种紧凑的手持式外科手术设备,可使用定制的力传感器和线性增量机构来维持所需的接触力,以维持所需的接触力。定制的光学力传感器测量了设备尖端的接触力,并且线性增量机构补偿了不需要的力,以保持一致的接触力。所提出的装置由力感测单元和致动单元组成。在尺寸,重量和力感测能力方面,该设备相对于我们之前基于线性Delta机构的原型进行了改进。通过研究固定条件和手持条件下的接触力精度来验证所开发的设备。在手持条件下,提供了当前接触力的视觉反馈,并且通过比较在有和没有控制情况下的均方根(RMS)接触力误差和标准偏差,研究了接触力调节的性能。该装置的力调节控制的波动(小于50 mN)表明该装置可用于精细操作。

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