Abstract
Vitreoretinal surgeons use 0.5mm diameter instruments to manipulate delicate tissue inside the eye while applying imperceptible forces that can cause damage to the retina. We present a system which robotically regulates user-applied forces to the tissue, to minimize the risk of retinal hemorrhage or tear during membrane peeling, a common task in vitreoretinal surgery. Our research platform is based on a cooperatively controlled microsurgery robot. It integrates a custom micro-force sensing surgical pick, which provides conventional surgical function and real time force information. We report the development of a new phantom, which is used to assess robot control, force feedback methods, and our newly implemented auditory sensory substitution to specifically assist membrane peeling. Our findings show that auditory sensory substitution decreased peeling forces in all tests, and that robotic force scaling with audio feedback is the most promising aid in reducing peeling forces and task completion time.
Additional material can be found at https://ciis.lcsr.jhu.edu/Audio_Sensory_Substitution .
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Gupta, P.K., Jensen, P.S., de Juan, E.: Surgical forces and tactile perception during retinal microsurgery. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 1218–1225. Springer, Heidelberg (1999)
Riviere, C., Ang, W.T., Khosla, P.: Toward active tremor canceling in handheld microsurgical instruments. IEEE Tr. Rob. & Aut. 19(5), 793–800 (2003)
Nakano, T., Sugita, N., Ueta, T., Tamaki, Y., Mitsuishi, M.: A parallel robot to assist vitreoretinal surgery. JCARS (2009)
Mitchell, B., Koo, J., Iordachita, M., Kazanzides, P., Kapoor, A., Handa, J., Hager, G., Taylor, R.: Development and application of a new steady-hand manipulator for retinal surgery. IEEE ICRA, 623–629 (2007)
Berkelman, P., Whitcomb, L., Taylor, R., Jensen, P.: A miniature microsurgical instrument tip force sensor for enhanced force feedback during robot-assisted manipulation. IEEE TRA 19(5), 917–921 (2003)
Iordachita, I., Sun, Z., Balicki, M., Kang, J., Phee, S., Handa, J., Gehlbach, P., Taylor, R.: A sub-millimetric, 0.25 mN resolution fully integrated fiber-optic force-sensing tool for retinal microsurgery. JCARS 4(4), 383–390 (2009)
Kumar, R., Berkelman, P., Gupta, P., Barnes, A., Jensen, P.S., Whitcomb, L.L., Taylor, R.H.: Preliminary Experiments in Cooperative Human/Robert Force Control for Robot Assisted Microsurgical Manipulation. IEEE ICRA 1, 610–617 (2000)
Berkelman, P., Rothbaum, D., Roy, J., Lang, S., Whitcomb, L., Hager, G., Jensen, P., de Juan, E., Taylor, R., Niparko, J.: Performance “Evaluation of a Cooperative Manipulation Microsurgical Assistant Robot Applied to Stapedotomy. In: Niessen, W.J., Viergever, M.A. (eds.) MICCAI 2001. LNCS, vol. 2208, pp. 1426–1429. Springer, Heidelberg (2001)
Riviere, C., Rader, R., Khosla, P.: Characteristics of hand motion of eye surgeons. IEEE EMBS 4, 1690–1693 (1997)
Kapoor, A., Li, M., Taylor, R.H.: Constrained control for surgical assistant robots. IEEE ICRA, 231–236 (2006)
Uneri, A., Balicki, M., Handa, J., Gehlbach, P., Taylor, R., Iordachita, I.: New Steady-Hand Eye Robot with Microforce Sensing for Vitreoretinal Surgery Research. In: IEEE BioRob. 2010 (2010)
Jagtap, A.S., Riviere, C.N.: Applied force during vitreoretinal microsurgery with handheld instruments. In: Proc. IEEE Conf. on Eng. Med. Biol. Soc., vol. 4, pp. 2771–2773 (2004)
Kitagawa, M., Dokko, D., Okamura, A., Yuh, D.: Effect of sensory substitution on suture manipulation forces for robotic surgical systems. JTCS 129(1), 151–158 (2005)
Taylor, C.L.: The biomechanics of the normal and of the amputated upper extremities. In: Klopsteg, P.E., Wilson, P.D. (eds.) Human limbs and their substitutes, ch. 7, pp. 169–221. Hafner Pub. Co., New York (1968)
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Balicki, M., Uneri, A., Iordachita, I., Handa, J., Gehlbach, P., Taylor, R. (2010). Micro-force Sensing in Robot Assisted Membrane Peeling for Vitreoretinal Surgery . In: Jiang, T., Navab, N., Pluim, J.P.W., Viergever, M.A. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2010. MICCAI 2010. Lecture Notes in Computer Science, vol 6363. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15711-0_38
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DOI: https://doi.org/10.1007/978-3-642-15711-0_38
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