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Dynamic Calibration Method for Instrumented Laparoscopic Surgical Graspers

机译:腹腔镜手术器械的动态标定方法

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The prevalence of minimally invasive surgical (MIS) procedures is on the rise due to the promise of fewer complications; however, these surgeries are more technically difficult and require greater training than their traditional counterparts. To counteract this, surgeons undergo more training and utilize surgical simulators to gain experience without risking patients' health. To increase the accuracy and, therefore, effectiveness of the surgical simulators, tissue property databases have been created, such as the Human Tissue Property Database created by the Center for Research in Education and Simulation Technologies, which test excised tissues postmortem for their mechanical properties [1]. Databases such as this have potential beyond their utilization in simulation and may serve as a platform for automated diagnostic systems capable of characterizing the health of tissues during surgical procedures [2]. Because of the importance to surgical simulation now and in the future of automated diagnostics, tissue property databases must better their accuracy to reflect the complex mechanical behavior of biological samples in vivo [2,3]. This upgrade requires the development of instrumentation capable of collecting data nondestructively in vivo, as well as nonintrusively to a surgical environment. A promising approach to collecting data nondestructively and non-intrusively during surgical procedures is the modification of current MIS tools to contain sensors, and occasionally actuators separate from the operating area [3-6]. Due to the small size of the operating component and the slender connection to the handle, it is not practical to include these additions to the tool anywhere except the handle. Tools, such as the motorized smart endoscopic grasper (MSEG) tool, created by the BioRobotics Lab at the University of Washington, utilize a strain gauge and encoder equipped motor in place of the handle to provide actuation to the jaw and record the stress and strain experienced by the tissue being grasped [6]. Previous efforts to calibrate the MSEG system by the Medical Robotics and Devices Lab at the University of Minnesota have focused on static loading at discrete locations rather than quasi-static loading recorded continuously over a range of the tool's motion [7]. This paper describes the latter method of calibration in order to provide more accurate interpretation of the friction and momentum within the system.
机译:由于有望减少并发症,因此微创外科手术(MIS)的普及率正在上升。但是,这些手术比传统手术在技术上更加困难并且需要更多的培训。为了解决这个问题,外科医生要接受更多的培训,并利用外科手术模拟器来获得经验,而不会危及患者的健康。为了提高手术模拟器的准确性和有效性,已经创建了组织特性数据库,例如由教育与模拟技术研究中心创建的人体组织特性数据库,该工具可以对尸体切除后的机械特性进行测试[ 1]。诸如此类的数据库具有超出其在模拟中的利用潜力,并且可以用作能够在外科手术过程中表征组织健康的自动诊断系统的平台[2]。由于现在和将来的自动诊断对外科手术仿真的重要性,组织特性数据库必须提高其准确性,以反映体内生物样品的复杂机械行为[2,3]。这种升级要求开发一种仪器,该仪器能够在体内以及对外科手术环境进行非破坏性收集数据。一种在外科手术过程中无损且无干扰地收集数据的有前途的方法是修改当前的MIS工具以包含传感器,偶尔将执行器与操作区域分开[3-6]。由于操作部件的尺寸小以及与手柄的细长连接,将这些附加功能添加到除手柄之外的任何位置都是不切实际的。诸如电动智能内窥镜抓紧器(MSEG)工具之类的工具,由华盛顿大学BioRobotics实验室制造,利用应变仪和配备编码器的马达代替手柄,以提供对颚的致动并记录应力和应变被组织抓住[6]。明尼苏达大学的医疗机器人和设备实验室先前对MSEG系统进行校准的工作重点是分散位置的静态载荷,而不是在工具运动范围内连续记录的准静态载荷[7]。本文介绍了后一种校准方法,以便对系统内的摩擦和动量提供更准确的解释。

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