Robotic force stabilization for beating heart intracardiac surgery

Med Image Comput Comput Assist Interv. 2009;12(Pt 1):26-33.

Abstract

The manipulation of fast moving, delicate tissues in beating heart procedures presents a considerable challenge to surgeons. We present a new robotic force stabilization system that assists surgeons by maintaining a constant contact force with the beating heart. The system incorporates a novel, miniature uniaxial force sensor that is mounted to surgical instrumentation to measure contact forces during surgical manipulation. Using this sensor in conjunction with real-time tissue motion information derived from 3D ultrasound, we show that a force controller with feed-forward motion terms can provide safe and accurate force stabilization in an in vivo contact task against the beating mitral valve annulus. This confers a 50% reduction in force fluctuations when compared to a standard force controller and a 75% reduction in fluctuations when compared to manual attempts to maintain the same force.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cardiovascular Surgical Procedures / instrumentation*
  • Echocardiography / instrumentation*
  • Equipment Design
  • Equipment Failure Analysis
  • Humans
  • Man-Machine Systems*
  • Robotics / instrumentation*
  • Stress, Mechanical
  • Surgery, Computer-Assisted / instrumentation*
  • Transducers*