학술논문

Towards Biomechanics-Aware Design of a Steerable Drilling Robot for Spinal Fixation Procedures with Flexible Pedicle Screws
Document Type
Conference
Source
2023 International Symposium on Medical Robotics (ISMR) Medical Robotics (ISMR), 2023 International Symposium on. :1-6 Apr, 2023
Subject
Bioengineering
Robotics and Control Systems
Drilling
Biomechanics
Medical robotics
Computed tomography
Computational modeling
Materials reliability
Fasteners
Language
ISSN
2771-9049
Abstract
Towards reducing the failure rate of spinal fixation surgical procedures in osteoporotic patients, we propose a unique biomechanically-aware framework for the design of a novel concentric tube steerable drilling robot (CT-SDR). The proposed framework leverages a patient-specific finite element (FE) biomechanics model developed based on Quantitative Computed Tomography (QCT) scans of patient's vertebra to calculate a biomechanically-optimal and feasible drilling and implantation trajectory. The FE output is then used as a design requirement for the design and evaluation of the CT-SDR. Providing a balance between the necessary flexibility to create curved optimal trajectories obtained by the FE module with the required strength to not buckle during drilling through a hard simulated bone material, we showed that the CT-SDR can reliably recreate this drilling trajectory with errors between 1.7-2.2%.