Tactile force sensor based on a modified acoustic reflection principle for intraoperative tumor localization in minimally invasive surgery.

Abstract

Purpose: Localization of abdominal tissue, such as tumors, in minimally invasive surgery (MIS) is crucial but challenging due to the lack of tactile sensation. This study aims to develop a tactile force sensor that provides tactile sensation for surgeons, enabling accurate tumor localization while ensuring surgical safety.

Methods: This study proposes an acoustic reflection-based tactile force sensor, with preliminary theoretical analyses and fundamental experiments performed to assess its response to applied forces. Tumor detection using the proposed sensor is evaluated with artificial tissue samples. Furthermore, the sensor is integrated with a simulated robotic system and tested in ex vivo palpation experiments on a pig liver sample with an embedded tumor.

Results: The acoustic-based sensor has a simple structure, low fabrication cost, uses biocompatible materials, and is safe for the human body. The sensor could accurately measure forces within a range of 0-5.5 N, achieving a high resolution of 2 mN and an RMSE of 149 mN. Graphical tactile force images effectively identified tumor position and relative size in artificial tissue tests. Moreover, the ex vivo tests on the pig liver demonstrated the robot-integrated sensor's success in detecting the embedded abdominal tissue.

Conclusions: The study introduces an acoustic-based tactile force sensor that supports surgeons in ensuring patient safety in MIS. Additionally, the sensor is proven to be a practical integration, and it can enable surgeons to detect the tumor's position and relative size during intraoperative surgery.