Organ Shape Sensing using Pneumatically Attachable Flexible Rails in Robotic-Assisted Laparoscopic Surgery

In robotic-assisted partial nephrectomy, surgeons remove a part of a kidney often due to the presence of a mass. A drop-in ultrasound probe paired to a surgical robot is deployed to execute multiple swipes over the kidney surface to localise the mass and define the margins of resection. This sub-task is challenging and must be performed by a highly skilled surgeon. Automating this sub-task may reduce cognitive load for the surgeon and improve patient outcomes. The overall goal of this work is to autonomously move the ultrasound probe on the surface of the kidney taking advantage of the use of the Pneumatically Attachable Flexible (PAF) rail system, a soft robotic device used for organ scanning and repositioning. First, we integrate a shape-sensing optical fibre into the PAF rail system to evaluate the curvature of target organs in robotic-assisted laparoscopic surgery. Then, we investigate the impact of the stiffness of the material of the PAF rail on the curvature sensing accuracy, considering that soft targets are present in the surgical field. Finally, we use shape sensing to plan the trajectory of the da Vinci surgical robot paired with a drop-in ultrasound probe and autonomously generate an Ultrasound scan of a kidney phantom.

A Novel Soft Shape-shifting Robot with Track-based Locomotion for In-pipe Inspection

With the advent of soft robotics the research community has been exploring how to exploit the inherent adaptability of soft elastic materials to overcome the limitations of systems based on rigid materials. A proof-of-concept design of a crawling robot for pipe inspection and preliminary analysis of its locomotion capabilities are presented in this work. The novelty of the proposed design is the combination of silicone based elements of different stiffness to enable global shape reconfiguration and whole-body track-based locomotion. The proposed system makes use of a plurality of multi-materials elastic tracks actuated by an on-board motor through a worm gear that pairs with all of them, causing their constant eversion from the inside to the outside of the chassis of the robot. Two toroidal inflatable chambers surround the chassis of the robot while passing through the loops created by the tracks. Upon inflation of the chambers the tracks are deformed, changing the overall diameter of the system. This feature allows the system to adjust to the local diameter of the pipe navigated, enabling also active contact force control between the tracks and the pipe walls. We demonstrate how the proposed system efficiently moves through rigid pipes of different diameters, both straight and curved, incrementing its outer diameter up to 100% of his original size. Maximum navigation speed and stall force applied are evaluated. With two front cameras embedded, the proposed robotic system can represent a cost-effective and easy-to-control solution for inspection applications, when adaptability and compliance are critical requirements.

Accelerating Surgical Robotics Research: Reviewing 10 Years of Research with the dVRK

Robotic-assisted surgery is now well-established in clinical practice and has become the gold standard clinical treatment option for several clinical indications. The field of robotic-assisted surgery is expected to grow substantially in the next decade with a range of new robotic devices emerging to address unmet clinical needs across different specialities. A vibrant surgical robotics research community is pivotal for conceptualizing such new systems as well as for developing and training the engineers and scientists to translate them into practice. The da Vinci Research Kit (dVRK), an academic and industry collaborative effort to re-purpose decommissioned da Vinci surgical systems (Intuitive Surgical Inc, CA, USA) as a research platform for surgical robotics research, has been a key initiative for addressing a barrier to entry for new research groups in surgical robotics. In this paper, we present an extensive review of the publications that have been facilitated by the dVRK over the past decade. We classify research efforts into different categories and outline some of the major challenges and needs for the robotics community to maintain this initiative and build upon it.