Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-17T22:49:03.178Z Has data issue: false hasContentIssue false

A remote center of motion robotic arm for computer assisted surgery

Published online by Cambridge University Press:  09 March 2009

B. Eldridge
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
K. Gruben
Affiliation:
t Johns Hopkins University Hospital, Baltimore MD (USA)
D. LaRose
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
J. Funda
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
S. Gomory
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
J. Karidis
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
G. McVicker
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
R. Taylor
Affiliation:
IBM T.J. Watson Research Center, Yorktown Heights NY 10598 (USA)
J. Anderson
Affiliation:
t Johns Hopkins University Hospital, Baltimore MD (USA)

Summary

We have designed a robotic arm based on a double parallel four bar linkage to act as an assistant in minimally invasive surgical procedures. The remote center of motion (RCM) geometry of the robot arm kinematically constraints the robot motion such that minimal translation of an instrument held by the robot takes place at the entry portal into the patientApos;s body. In addition to the two rotational degrees of freedom comprising the RCM arm, distal translation and rotation are provided to manoeuver the instrument within the patient's body about an axis coincident with the RCM. An XYZ translation stage located proximal to the RCM arm provides positioning capability to establish the RCM location relative to the patients anatomy. An electronics set capable of controlling the system, as well as performing a series of safety checks to verify correct system operation, has also been designed and constructed. The robot is capable of precise positional motion. Repeatability in the ±10 micron range is demonstrated. The complete robotic system consists of the robot hardware and an IBM PC-AT based servo controller connected via a custom shared memory link to a host IBM PS/2. For laparoscopic applications, the PS/2 includes an image capture board to capture and process video camera images. A camera rotation stage has also been designed for this application. We have successfully demonstrated this system as an assistant in a laparoscopic cholecystectomy. Further applications for this system involving active tissue manipulation are under development.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.McEwen, J.A., “Solo Surgery With Automated Positioning Platforms” Report on NSF Workshop on Computer Assisted Surgery (Feb 28-Mar 2, 1993) pp. D–8998.Google Scholar
2.Pramberger, J.T. (Ed.), “Mission Accomplished” NASA Tech Briefs 1617 (Jan, 1994).Google Scholar
3.Taylor, R.H., Mittelstadt, B.D., Paul, H.A., Hanson, W., Kazanzides, P., Zuhars, J.F., Williamson, B., Musits, B.L., Glassman, E. and Bargar, W.L., “An Image-Directed Robotic System for Precise Orthopaedic SurgeryIEEE Trans, on Robotics and Automat. 10(3), 115 (06, 1994).CrossRefGoogle Scholar
4.Mittelstadt, B.D., Kazanzides, P., Zuhars, J., Williamson, B., Cain, P., Smith, F. and Barger, W., “The Evolution of A Surgical Robot From Prototype to Human Clinical Use” In: Computer Integrated Surgery (Taylor, R., Lavallee, S., Burdea, G. and Moesges, R., Eds.) (MIT Press, Cambridge, MA. in press)Google Scholar
5.Cain, P., Kazanzides, P., Zuhars, J., Mittelstadt, B. and Paul, H., “Safety Considerations in a Surgical Robot” Biomedical Sciences Instrumentation (ISA Services Inc, Research Triangle Park NC USA, 1993) pp. 291294.Google Scholar
6.Kazanzides, P.. Mittelstadt, B.D., Zuhars, J.F., Cain, P.W. and Paul, H.A., “Surgical and Industrial Robots: Comparison and Case Study” Proceedings of the International Robots and Vision Automation. Conference(1993) pp. 10/19–26.Google Scholar
7.Taylor, R., Funda, J., Eldridge, B., Gruben, K., LaRose, D., Gomory, S. and Talamini, M., “A Telerobotic Assistant for Laparoscopic Surgery” In: “Computer Integrated Surgery” (Taylor, R., Lavallee, S., Burdea, G. and Moesgess, R., eds) (MIT Press, Cambridge MA, 1995. in press).Google Scholar
8.Funda, J., Taylor, R., Gomory, S.. Eldridge, B.. Gruben, K. and Talamini, M., “An experimental user interface for an interactive surgical robot” Proc. of First International Symposium on Medical Robotics and Computer Assisted Surgery.Pittsburgh PA(1994) pp. 196203.Google Scholar
9.Leveson, N.G. and Turner, C.S., “An Investigation of the THERAC 25 Accidents”. Comptuer, 26(7), pp. 1841, 07 1993.Google Scholar