Computer Assisted Medical Interventions

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1 Outline Computer Assisted Medical Interventions Force control, collaborative manipulation and telemanipulation Bernard BAYLE Joint course University of Strasbourg, University of Houston, Telecom Paris Tech

2 Outline Outline 1 Autonomous control Position control Contact control 2 Collaborative manipulation Principle Collaborative manipulation in robotics Collaborative manipulation in medicine 3 Telemanipulation Principle Unilateral teleoperation Force feedback teleoperation

3 Outline 1 Autonomous control Position control Contact control 2 Collaborative manipulation Principle Collaborative manipulation in robotics Collaborative manipulation in medicine 3 Telemanipulation Principle Unilateral teleoperation Force feedback teleoperation

4 Problem Principle Whatever the nature of the position sensing the control is achieved from the position error Example : x + - J 1 LCP robot q x MGD

5 Neuromate, TIMC et ISS, Grenoble (1) Neurosurgery Extreme precision Stereotactic surgery and planning Numerous applications : biopsy, radiotherapy, micro-probes

6 Brain Biopsy (1)

7 Brain Biopsy (2)

8 Neuromate, TIMC et ISS, Grenoble (2) Advantages High mechanical precision Registration First clinical case in 1989 Drawbacks Industrial robotic arm Arm positioning

9 Question Characteristics of position servoing? Limitations?

10 Contact control : passive solutions (1) Passive compliance End effector with a compliant structure Limitation of the system rigidity Advantages Simplicity Reliability Low cost Drawbacks Task dependent No force control

11 Contact control : passive solutions (2) Passive constraints Dedicated kinematic chain Passive safety No force control

12 Aesop, Computer Motion (1) Laparoscopy Minimally invasive surgery Numerous applications (digestive surgery, gynecology)

13 Aesop, Computer Motion (2) Laparoscopy Commercial success (5000)?

14 Aesop, Computer Motion (3) Laparoscopy Commercial success (5000)? Advantages Limited staff Intrinsic safety Drawbacks Bulk Cost?

15 Contact control : active solutions Impedance control Impose dynamics of the contact, as an impedance=f(s)/x(s) high/low gain for the position/force controlled directions Simple Gain tuning Hybrid position/force control Decoupling of force/position controlled directions Simultaneous force/position Contact + Perturbations Video Leuven Videos Scalpp

16 Outline 1 Autonomous control Position control Contact control 2 Collaborative manipulation Principle Collaborative manipulation in robotics Collaborative manipulation in medicine 3 Telemanipulation Principle Unilateral teleoperation Force feedback teleoperation

17 Collaborative manipulation Definition Collaborative manipulation : direct use of one or several robots by an operator Robot hold by the user, and controlled to guide the operator gestures Advantages Task constraints or virtual fixtures : forbidden zones, motion filtering, tool gravity compensation Safety

18 History of collaborative manipulation Origins Cobots, Hands-on robot...

19 ...with industrial robots Properties Non backdrivable systems Force sensor Video Austin University Drawback No intrinsic safety

20 ...in medicine : Acrobot, Imperial College (1) Motivation : orthopedic surgery Bone drilling for knee surgery, knee prosthesis

21 ...in medicine : Acrobot, Imperial College (2) Acrobot kinematic architecture 4 DOFs (1 position controlled DOF, 3 force controlled DOFs) Backdrivable actuators

22 Steady-Hand, JHU Motivation : eye microsurgery Positioning precision (tremor, drift), tactile feedback Augmented reality, microscopic vision Video Steady Hand

23 Plan 1 Autonomous control Position control Contact control 2 Collaborative manipulation Principle Collaborative manipulation in robotics Collaborative manipulation in medicine 3 Telemanipulation Principle Unilateral teleoperation Force feedback teleoperation

24 Telemanipulation Definition Telemanipulation : manipulation with a remote robot Basic telemanipulation system Master robot manipulated by an operator and slave robot achieving the task at a distance

25 History of telemanipulation Origins Need to manipulate dangerous material

26 Da Vinci, Intuitive Surgical (1) Background Laparoscopy : several tools, complex medical acts, tiredness

27 Da Vinci, Intuitive Surgical (2) Commercial products Aesop : moves endoscopes with voice-teleoperation da Vinci telemanipulation system for surgery

28 Da Vinci, Intuitive Surgical (3) Principle Trocart constraint achieved by passive joints Numerous tools with extra-dof

29 Da Vinci, Intuitive Surgical (4) Principle Trocart constraint achieved by passive joints Numerous tools with extra-dof

30 Da Vinci, Intuitive Surgical (5) Example Mitral valve repair Video da Vinci

31 Da Vinci, Intuitive Surgical (5) Advantages Ergonomics Augmented reality Tools Clinical practice Drawbacks Investment (davinci 1.3 M$ + maintenance) No force feedback Long term feedback?

32 Force feedback teleoperation History First haptic system in 1967 First commercial system : Phantom (end of the 1990 s)

33 Force feedback teleoperation Research project!

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