학술논문

A Robotic System for Solo Surgery in Flexible Ureterorenoscopy
Document Type
Periodical
Source
IEEE Robotics and Automation Letters IEEE Robot. Autom. Lett. Robotics and Automation Letters, IEEE. 7(4):10558-10565 Oct, 2022
Subject
Robotics and Control Systems
Computing and Processing
Components, Circuits, Devices and Systems
Endoscopes
Robots
Surgery
Robot kinematics
Robot sensing systems
Bending
Shafts
Medical robots and systems
physical human-robot interaction
performance evaluation and benchmarking
fURS
DLR MIRO
Language
ISSN
2377-3766
2377-3774
Abstract
Urolithiasis is a common disease with increasing prevalence across all ages. A common treatment option for smaller kidney stones is flexible ureterorenoscopy (fURS), where a flexible ureteroscope (FU) is used for stone removal and to inspect the renal collecting system. The handling of the flexible ureteroscope and end effectors (EEs), however, is challenging and requires two surgeons. In this article, we introduce a modular robotic system for endoscope manipulation, which enables solo surgery (SSU) and is adaptable to various hand-held FUs. Both the developed hardware components and the proposed workflow and its representation in software are described. We then present and discuss the results of an initial user study. Finally, we describe subsequent developmental steps towards more extensive testing by clinical staff.