论文标题

一个三限型远程手工机器人系统,具有脚部控制柔性内窥镜手术的脚部控制

A Three-limb Teleoperated Robotic System with Foot Control for Flexible Endoscopic Surgery

论文作者

Huang, Yanpei, Lai, Wenjie, Cao, Lin, Liu, Jiajun, Li, Xiaoguo, Burdet, Etienne, Phee, Soo Jay

论文摘要

灵活的内窥镜检查需要高技能来操纵内窥镜和相关仪器。在大多数机器人灵活的内窥镜系统中,内窥镜和仪器由两个操作员分别控制,这可能导致通信错误和效率低下的操作。我们提出了一种新型的远程运输机器人内窥镜系统,可以单独由外科医生指挥。这个13度的自由度(DOF)系统集成了脚部控制的机器人柔性内窥镜和两个手工控制的机器人内窥镜仪器(机器人grasper和一个机器人烧烤钩)。脚部控制的人机界面将自然脚手势映射到内窥镜的4-DOF运动,并且两个手控制的接口将两只手的运动映射到两个乐器中。提出的机器人系统在六个受试者进行的一次实验实验中进行了验证,在该实验中,还将脚部控制与基于顺序离合器的手部控制方案进行了比较。参与者可以成功地对内窥镜和两种仪器进行切割,以切割猪胃中散射目标区域的组织。与基于离合器的手控制方案相比,脚部控制的任务完成了43.7%,并且需要更少的精神努力。本文引入的系统对于三个LIMB操作而言,即使对于操作员而言,也没有处理内窥镜和机器人仪器的经验。这个三个限制的遥控机器人系统使一名外科医生能够直观地控制三种内窥镜工具,这些工具通常需要两个操作员,从而导致人力减少,较少的沟通错误和提高的效率。

Flexible endoscopy requires high skills to manipulate both the endoscope and associated instruments. In most robotic flexible endoscopic systems, the endoscope and instruments are controlled separately by two operators, which may result in communication errors and inefficient operation. We present a novel teleoperation robotic endoscopic system that can be commanded by a surgeon alone. This 13 degrees-of-freedom (DoF) system integrates a foot-controlled robotic flexible endoscope and two hand-controlled robotic endoscopic instruments (a robotic grasper and a robotic cauterizing hook). A foot-controlled human-machine interface maps the natural foot gestures to the 4-DoF movements of the endoscope, and two hand-controlled interfaces map the movements of the two hands to the two instruments individually. The proposed robotic system was validated in an ex-vivo experiment carried out by six subjects, where foot control was also compared with a sequential clutch-based hand control scheme. The participants could successfully teleoperate the endoscope and the two instruments to cut the tissues at scattered target areas in a porcine stomach. Foot control yielded 43.7% faster task completion and required less mental effort as compared to the clutch-based hand control scheme. The system introduced in this paper is intuitive for three-limb manipulation even for operators without experience of handling the endoscope and robotic instruments. This three-limb teleoperated robotic system enables one surgeon to intuitively control three endoscopic tools which normally require two operators, leading to reduced manpower, less communication errors, and improved efficiency.

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