Implementation and Performance Analysis of Vascular Interventional Robotic Surgical Maneuvers

Zhengrong Lai, Yifa Li, Weimin Wang, Wenke Duan, Wenjing Du, O. Omisore, T. Akinyemi
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Abstract

Minimally invasive vascular interventional surgery has become one of the main clinical modalities for the treatment of cardiovascular diseases due to its advantages of small intraoperative incisions, precise localization of lesions, and rapid postoperative healing. Based on the drawbacks of low operational precision and excessive radiation exposure of physicians in current vascular interventional procedures, this paper proposes a master-slave teleoperated vascular interventional surgery robotic system to assist physicians in human-machine collaborative interventional procedures. Particularly, the implementation of the system's surgical actions of push-pull and twist guidewire is presented, including hardware construction and driver development. Further, experiments are conducted to test and analyze the performance of the robotic control system. The experimental results verify that the robotic system has good master-slave following and high system positioning accuracy. Finally, the feasibility and reliability of the robotic system for delivering guidewires to perform interventional procedures were verified by robot-vascular model experiments.
血管介入机器人手术操作的实现与性能分析
微创血管介入手术因其术中切口小、病灶定位精确、术后愈合快等优点,已成为治疗心血管疾病的主要临床方式之一。针对目前血管介入手术中存在操作精度低、医生辐射暴露过高等缺点,提出一种主从式远程操作血管介入手术机器人系统,以辅助医生进行人机协同介入手术。重点介绍了该系统推拉和扭转导丝手术动作的实现,包括硬件结构和驱动程序的开发。并通过实验对机器人控制系统的性能进行了测试和分析。实验结果表明,该机器人系统具有良好的主从跟随性和较高的系统定位精度。最后,通过机器人血管模型实验验证了该机器人系统用于导丝介入手术的可行性和可靠性。
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