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Reiber (Editors)
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1
Abstract
Good performance of a force feedback input device is achieved when the surgeon would
have the feeling in his hands of holding directly the surgical instruments interacting with
the patient. This type of needs for high performance force feedback input device are
similar to the requirement in telerobotics. In nuclear application, due to hazardous
environment, remote operation are necessary. During maintenance phases, the operator
should operate his set of tools remotely through a force feedback master/slave system.
Advanced technics and technology have been developed sofar and many similarities could
be pointed out with the surgical robotics applications. Therefore we aim benefits to apply
this telerobotics background to develop surgical robotics systems. The development of a
new input device calls first for a precise understanding of the application requirements. A
complete bibliographic study as well as specific experiments were therefore undertaken to
understand both the operators manipulative abilities (amplitude of movements, forces,
bandwidth, …) and the requirements of the tasks to be done (workspace, environment’s
behaviour, …). A new methodology was then developed to use these information to
obtain precise design guidelines for the master arm.
1. Introduction
Since 10 years, endoscopic surgery has deeply changed surgical practice. Absence of
direct viewing and direct access to the workspace associated with reduced dexterity and
sensory feedback led surgeons to develop new skills, requiring long experimental
trainings on animals and cadavers. Robotics assisted surgery recently introduced in
surgical blocks constitutes a new revolution in surgical practice and will also need a new
training phase. In fact, surgeons need to become familiar both with robotics systems and
the surgical techniques before moving to clinical applications. Moreover, animal and
cadaver experiments are more and more difficult because of high costs, regulations and
risks of contamination (AIDS, Creutzfeld Jacob). Finally, surgery training requires
changes. Today, mentors have direct access to the field of operation. Tomorrow, when
considering endoscopic surgery, direct action to assist trainee surgeons becomes
hazardous due to lack of space. Training methods must therefore be reconsidered. Virtual
Reality Technology, featuring haptic feedback through proper input devices, offers a
CARS 2002 – H.U. Lemke, M.W. Vannier; K. Inamura, A.G. Farman, K. Doi & J.H.C. Reiber (Editors)
Ó
CARS/Springer. All rights reserved.
abilities and tasks to perform. This is necessary to extract precise specifications for the
master arm which direct influence the master slave system performances. Main Master
arm parameters are the workspace, the position resolution, the maximum force capacity
and force resolution, and finally the electric stiffness, apparent mass and bandwidth.
reachable configuration the minimum force the robot can apply in all directions. It is used
to tune the reduction ratios until it is equal to the specified amount of force feedback.
The third design driver taken into account is the master arm’s electric stiffness. It is
defined as the minimum static gain in any direction deduced in the operational space from
the maximum stable static gain of the motor’s control loops. To study this parameter, we
use the apparent stiffness ellipsoid defined as the operational forces produced by a
normalised displacement (1m). Calling Kmot the motor static gain ( t mot = K mot.dqmot ), this
ellipsoid can be defined by F T .(K.K T )-1.F £1 , with the apparent stiffness matrix
T .K
K =Gmot mot.Gmot . This ellipsoid allows to compute for each reachable configuration the
minimum apparent stiffness in all directions. It is used to tune the reduction ratios until
this stiffness is higher than specified.
Finally, the fourth design driver taken into account is the apparent mass of the robot. It
is defined as the maximum mass experienced in all directions by the operator when
moving the end tip of the robot in free space (the motor torques at zero). This parameter
requires use of apparent mass ellipsoid defined as the operational forces produced by a
normalised acceleration of 1 m/s2 . Calling Amot (q) the kinetic energy matrix of the robot,
this ellipsoid can be defined by F T .(M.M T )-1.F £1 , with the apparent mass matrix
M =Gmot
T .A (q).G
mot mot computed under the following simplification assumptions : the
centrifugal and Coriolis forces are neglected as the end tip of the robot manipulated by the
operator experiences relatively small speeds and the gravity forces are neglected as the
master arm will be statically balanced. This ellipsoid allows to compute for each reachable
configuration the maximum apparent mass in all directions. It is used to optimise the size
of the robot in order to minimise this maximum mass.
CARS 2002 – H.U. Lemke, M.W. Vannier; K. Inamura, A.G. Farman, K. Doi & J.H.C. Reiber (Editors)
Ó
CARS/Springer. All rights reserved.
4. Conclusion
Robotics employed in the industrial field since many years is beginning to be used in
the medical field. Existing robotic systems requires however improvements to be adapted
to mini-invasive surgical procedures in order to increase the patient benefits. This
evolution towards MIS procedures calls for telesurgery systems whose performance
depends on the quality of the input device allowing the surgeon to control the system.
CARS 2002 – H.U. Lemke, M.W. Vannier; K. Inamura, A.G. Farman, K. Doi & J.H.C. Reiber (Editors)
Ó
CARS/Springer. All rights reserved.
This evolution will also introduce a new and different way of surgery practice, which
will probably require changes in methods of work and health organisations. In order to
train and familiarize the medical staff (surgeons and operating room staff) to these new
technologies, surgical simulators with realistic virtual models will be an efficient training
tool.
The advances in VR technologies (real time simulation, complex numeric models,
haptic interfaces...) will contribute to develop more and more realistic surgical simulators
and optimize the training costs. Surgical simulators have a double benefit. Firstly, it will
permit to minimize animal and cadaver experiments, and to provide nearly realistic
training environment (virtual human anatomy, 3D models, force feedback, life
simulation…). Secondly, the simulators will allow to search and develop new surgical
techniques via pre-operative preparation. It will also allow to update surgeon skills
(training, valuation) via scenarios simulation of special cases and emergency situations in
operating room environment (patient, medical staff, nurses, materials…).
Performances of such simulators as well as performances of new telesurgery systems
will however depend on input devices performances and adaptation to the tasks
performed. We therefore developed new generic methodologies to design performant
master arms. These tools were used to design a new input device for telerobotics and
virtual reality (now available on the market). Based on the success of these methods, and
due to the similarities between telerobotics and telesurgery requirements, we are now
using these tools to design a new input device for telesurgery.
References
[1] T.H. Massie, J.K. Salisbury, ’The PHANToM haptic interface : a device for probing virtual
objects’, Proceedings of the ASME Winter Annual Meeting, Symposium on Haptic Interfaces for
Virtual Environment and Teleoperator Systems, Chicago, November 1994
[2] K. Young Woo, B.D. Jin, D.S. Kwon, ‘A 6-DOF force reflecting hand controller using the
fivebar parallel mechanism’, Proceedings of the 1998 IEEE International Conference on
Robotics and Automation, Louvain, Belgium, pp1597-1602, May 1998
[3] R. Baumann, R. Clavel, ‘Haptic interface for virtual reality based minimally invasive surgery
simulation’, Proceedings of the 1998 IEEE International Conference on Robotics and
Automation, Louvain, Belgium, pp381-386, May 1998
[4] D.A. McAffee et P. Fiorini, ’Hand Controller Design Requirements and Performance Issues
inTelerobotics’, ICAR 91, Robots in Unstructured Environments, Pisa, Italy, pp186-192 ,June
1991
[5] G. Burdea, P. Coiffet, ‘La réalité virtuelle’, Hermès Publishing, Paris, 1993
[6] F. Gosselin, ‘Développement d’outils d’aide à la conception d’organes de commande pour la
téléopération à retour d’effort’, Ph.D. diss. (in French), University of Poitiers, June 2000
[7] L. Toledo, ‘Analyse des Actions Elémentaires en chirurgie Endoscopique: Applications au
Développement d’un Instrument Basé sur le Concept du Poignet Articulé’, DEA diss. (in
French), University Paris 5, 1995