Applying tactile sensing with piezoelectric materials for minimally invasive surgery and magnetic-resonance-guided interventions

MR-Safe Pneumatic Rotation Stepping Actuator

Magnetic Resonance Imaging (MRI) is widely used not only for diagnosis but also for surgical navigation, etc. Surgeons and surgery-support systems can conduct surgeries less invasively because they derive accurate positional relationships between surgical instruments and anatomical regions of interest from preoperative or intraoperative MRI images. Many surgical robots intended for use within MRI gantries have been developed. Some of them use pneumatic actuators that are difficult to control accurately or that have many components, however, causing high fabrication cost, low durability and low sterilizability. To solve these problems, we have developed a φ30-mm pneumatic rotation stepping actuator. The actuator consists of three Direct Acting gears (D.A. gears) and a Rotation gear (R gear). When all of the D.A. gears are pushed sequentially up by compressed air, the R gear rotates because it engages all of them. In a fundamental performance experiment, the maximum angular error was 2.1° and maximum torque was approximately 150 mNm using 0.6 MPaG. Additionally, in an MR safety evaluation, the actuator was not found to cause any distortion or artifacts in MRI images. The actuator can therefore be applied to MR-safe positioning or puncturing robots.

Magnetic resonance imaging-compatible tactile sensing device based on a piezoelectric array

Minimally invasive surgery is a widely used medical technique, one of the drawbacks of which is the loss of direct sense of touch during the operation. Palpation is the use of fingertips to explore and make fast assessments of tissue morphology. Although technologies are developed to equip minimally invasive surgery tools with haptic feedback capabilities, the majority focus on tissue stiffness profiling and tool-tissue interaction force measurement. For greatly increased diagnostic capability, a magnetic resonance imaging-compatible tactile sensor design is proposed, which allows minimally invasive surgery to be performed under image guidance, combining the strong capability of magnetic resonance imaging soft tissue and intuitive palpation. The sensing unit is based on a piezoelectric sensor methodology, which conforms to the stringent mechanical and electrical design requirements imposed by the magnetic resonance environment The sensor mechanical design and the device integration to a 0.2 Tesla open magnetic resonance imaging scanner are described, together with the device's magnetic resonance compatibility testing. Its design limitations and potential future improvements are also discussed. A tactile sensing unit based on a piezoelectric sensor principle is proposed, which is designed for magnetic resonance imaging guided interventions.

A piezoresistive tactile sensor for tissue characterization during catheter-based cardiac surgery

BACKGROUND

Currently, most of mitral valve annuloplasty surgeries are performed by using open heart surgery. However, if such operation would be performed by using minimally invasive surgery via catheter-based techniques (CBT), it offers various advantages for both surgeons and patients.

METHODS

Two piezoresistive force sensors are used in the structure of the tactile sensor, which can easily be miniaturized and integrated into surgical catheters. The tactile sensor was fabricated and tested to characterize different elastomers, as the phantom of cardiac tissues. Based on a developed finite element analysis (FEA) of the elastomers, the interaction between the sensor and those materials were modelled to validate the output of the sensor.

RESULTS

The results of the mechanical and psychophysical tests confirm the capability of the proposed sensor to measure the relative hardness/softness of different soft tissues.

CONCLUSIONS

The proposed tactile sensor will help surgeons to characterize different types of cardiac tissues and would facilitate the use of CBT to perform mitral valve annuloplasty.