Abstract
This paper presents the first prototype of an active hand-held instrument to sense and compensate physiological tremor and other unwanted movement during vitreoretinal microsurgery. The instrument incorporates six inertial sensors (three accelerometers and three rate gyros) to detect motion of the handle. The movement of the instrument tip in three dimensions is then obtained using appropriate kinematic calculations. The motion captured is processed to discriminate between desired and undesired components of motion. Tremor canceling will be implemented via the weighted-frequency Fourier linear combiner (WFLC) algorithm, and compensation of non-tremorous erroneous motion via an experimental neural-network technique. The instrument tip is attached to a three-degree-of-freedom parallel manipulator, actuated by three piezoelectric stacks. The actuators move the tool tip in opposition to the motion of the tremor or other erroneous motion, thereby suppressing the error. Experimental results show that the prototype is able to follow one-dimensional and three-dimensional trajectories with rms error of 2.5 μm and 11.2 μm respectively.
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Patkin, M.: Ergonomics applied to the practice of microsurgery. Austr. N. Z. J. Surg. 47, 239–320 (1977)
Charles, S.: Dexterity enhancement for surgery. In: Taylor, R.H., et al. (eds.) Computer Integrated Surgery: Technology & Clinical Applications, pp. 467–471. MIT Press, Cambridge (1996)
Tang, W.M., Han, D.P.: A study of surgical approaches to retinal vascular occlusions. Arch. Ophthalmol. 118, 138–143 (2000)
Weiss, J.N.: Treatment of central retinal vein occlusion by injection of tissue plasminogen activator into aretinal vein. Am. J. Ophthalmol. 126, 142–144 (1998)
Riviere, C.N., Rader, R.S., Khosla, P.K.: Characteristics of hand motion of eye surgeons. In: Proc. 19th Annu. Conf, IEEE Eng. Med. Biol. Soc, Chicago (1997)
Harwell, R.C., Ferguson, R.L.: Physiologic tremor and microsurgery. Microsurgery 4, 187–192 (1983)
Elble, R.J., Koller, W.C.: Tremor. JohnsHopkins, Baltimore (1990)
Riviere, C.N., Jensen, P.S.: A study of instrument motion in retinal microsurgery. Submitted to 21st Annu. Conf. IEEE Eng. Med. Biol. Soc. (2000)
Hunter, I.W., Doukoglou, T.D., Lafontaine, S.R., Charette, P.G., Jones, L.A., Sagar, M.A., Mallinson, G.D., Hunter, P.J.: A teleoperated microsurgical robot and associated virtual environment for eye surgery. Presence 2, 265–280 (1993)
Schenker, P.S., Barlow, E.C., Boswell, C.D., Das, H., Lee, S., Ohm, T.R., Paljug, E.D., Rodriguez, G., Charles, S.T.: Development of a telemanipulator for dexterity enhanced microsurgery. In: Proc. 2nd Intl. Symp. Med. Robot. Comput. Assist. Surg., pp. 81–88 (1995)
Taylor, R., Jensen, P., Whitcomb, L., Barnes, A., Kumar, R., Stoianovici, D., Gupta, P., Wang, Z., de Juan, E., Kavoussi, L.: A steady-hand robotic system for microsurgical augmentation. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 1031–1041. Springer, Heidelberg (1999)
Gomez-Bianco, M., Riviere, C., Khosla, P.: Sensing hand tremor in a vitreoretinal microsurgical instrument, tech. report CMU-RI-TR-99-39, Robotics Institute. Carnegie Mellon University, Pittsburgh, Pa. (1999)
Riviere, C.N., Rader, R.S., Thakor, N.V.: Adaptive canceling of physiological tremor for improved precision in microsurgery. IEEE Trans. Biomed. Eng. 45, 839–846 (1998)
Riviere, C.N., Khosla, P.K.: Augmenting the human-machine interface: improving manual accuracy. In: Proc. IEEE Intl. Conf. Robot. Autom., Albuquerque, N.M., pp. 20–25 (1997)
Nechyba, M.C., Xu, Y.: Learning and transfer of human real-time control strategies. J. Adv. Computational Intell. 1(2), 137–154 (1997)
Puskorius, G.V., Feldkamp, L.A.: Decoupled extended Kalman filter training of feedforward layered networks. In: Proc. Intl. Joint Conf. Neural Networks, vol. 1, pp. 771–777 (1991)
Lee, K.-M., Shah, D.K.: Kinematic analysis of a three-degrees-of-freedom in-parallel actuated manipulator. IEEE Trans. Robot. Autom. 4, 354–360 (1988)
Riviere, C.N., Khosla, P.K.: Microscale tracking of surgical instrument motion. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 1080–1087. Springer, Heidelberg (1999)
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Ang, W.T., Riviere, C.N., Khosla, P.K. (2000). An Active Hand-Held Instrument for Enhanced Microsurgical Accuracy. In: Delp, S.L., DiGoia, A.M., Jaramaz, B. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2000. MICCAI 2000. Lecture Notes in Computer Science, vol 1935. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-40899-4_91
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DOI: https://doi.org/10.1007/978-3-540-40899-4_91
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