Abstract

Minimally invasive robotic surgery often requires functional tools that can change their compliance to adapt to the environment and surgical needs. This paper proposes a submillimeter continuous variable stiffness catheter equipped with a phase‐change alloy that has a high stiffness variation in its different states, allowing for rapid compliance control. Variable stiffness is achieved through a variable phase boundary in the alloy due to a controlled radial temperature gradient. This catheter can be safely navigated in its soft state and rigidified to the required stiffness during operation to apply a desired force at the tip. The maximal contact force that the catheter applies to tissue can be continuously modified by a factor of 400 (≈20 mN–8 N). The catheter is equipped with a magnet and a micro‐gripper to perform a fully robotic ophthalmic minimally invasive surgery on an eye phantom by means of an electromagnetic navigation system.

Highlights

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  • The controller sends a signal to the power drives, which apply a voltage to the heating wires embedded in the continuous VS (CVS) catheter

  • In order to investigate the relationship between the electrical resistance, the temperature, and the phase of the Low-melting point alloys (LMPAs), the CVS catheter was placed in a controlled environment

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Summary

A Submillimeter Continuous Variable Stiffness Catheter for Compliance Control

The retina is susceptible to physical damage that could be induced by the surgeon’s hand tremor or unintended movements, as well as sudden patient movements.[34] A functionalized catheter with adjustable compliance could increase the safety and precision of the procedure.[35,36] To achieve this, the CVS tool, with an outer diameter of 1 mm, was equipped with an automated microgripper and tested on an eye phantom to perform robot-assisted epiretinal membrane peeling. When we reach the desired area, the stiffness of the tool is increased such that we can apply forces to the tissue and close the gripper

Stiffness Control
Stiffness Characterization
Time Constants
Robotic Epiretinal Membrane Peeling
Discussion
Experimental Section
Conflict of Interest
Data Availability Statement
Full Text
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