Haptic Guidance for Robot-Assisted Endovascular Procedures: Implementation and Evaluation on Surgical Simulator

M. B. Molinero, G. Dagnino, J. Liu, W. Chi, M. E.M.K. Abdelaziz, T. M.Y. Kwok, C. Riga, G. Z. Yang

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

2 Citations (Scopus)

Abstract

Vascular diseases are the most common precursors to ischemic heart disease and stroke, which are two of the leading causes of death worldwide. Endovascular intervention is a minimally invasive surgical approach to treat such diseases. Compared to open surgery, it has the advantages of faster recovery, reduced need for general anesthesia, reduced blood loss and significantly lower mortality. Endovascular procedures require high surgical skills to minimize contacts between the manipulated instruments (catheters and guidewires) and the vessel wall, which represent one of the major risks for the patient. Robotic assistance can potentially improve the precision and stability of instruments manipulation. One key limitation of current commercial robotic platforms is the lack of haptic feedback, preventing their acceptance and limiting the clinical usability. This paper proposes to bring the benefit of haptic feedback to robot-assisted endovascular intervention. Here we hypothesize that the introduction of 3D haptic guidance during robot-assisted endovascular procedure can further improve the surgical performance and safety while overcoming the limitations of currently available technology. The proposed 3D haptic guidance allows the surgeon to sense the vasculature while controlling a catheter through a robotic haptic manipulator. Validation of the system is performed through end-user experiments with vascular surgeons on a bespoke surgical simulator. The obtained results demonstrate that 3D haptic guidance has the potential of improving effectiveness, precision, and safety of endovascular intervention. Furthermore, vascular surgeons found the proposed technology safe and overall easy to use, indicating its potential on real surgical procedures.

Original languageEnglish
Title of host publication2019 IEEE/RSJ International Conference on Intelligent Robots and Systems, IROS 2019
PublisherIEEE
Pages5398-5403
Number of pages6
ISBN (Electronic)9781728140049
DOIs
Publication statusPublished - Nov 2019
Externally publishedYes
Event2019 IEEE/RSJ International Conference on Intelligent Robots and Systems - The Venetian Macao, Macau, China
Duration: 4 Nov 20198 Nov 2019
https://www.iros2019.org/

Conference

Conference2019 IEEE/RSJ International Conference on Intelligent Robots and Systems
Abbreviated titleIROS 2019
CountryChina
CityMacau
Period4/11/198/11/19
Internet address

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