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Early detection and treatment of intraluminal diseases enable minimally invasive surgery and can lead to a high cure rate. Advanced devices with multiple degrees of freedom (DOFs) make narrow intraluminal procedures easier and safer. In a previous study, we developed a multi-DOF compliant endoluminal forceps with a tendon-sheath mechanism. The maximum bending stress of this design was reduced by changing the thickness of a compliant hinge in each segment, and the forceps achieved a wide range of motion. However, its deformed shapes with a non-constant curvature, due to a compliant inhomogeneous-thickness hinge structure, hinder fine manipulation in a narrow lumen. Here, we construct an accurate model of this compliant inhomogeneous-thickness hinge structure using pseudo-rigid-body model. In the proposed method, each compliant hinge is represented by a torsion spring and rotational joint, and the deformed shape is estimated from the bending angle caused by the tensile force. We derive the coefficient of dynamic friction by considering the friction between the wire and compliant joint based on a belt friction model. These novel calculations allow to consider individual differences in material properties and surface roughness. We experimentally confirm the feasibility of constructing a highly accurate model with a lower calculation cost than the finite element method. Our proposal seems suitable for developing dexterous forceps and other endoluminal devices, such as catheters, which mitigate operation errors and help approach lesions in narrow lumens. [ABSTRACT FROM AUTHOR]

Minimally invasive surgery (MIS) is a viable alternative to general surgery with distinct advantages. Robotically assisted MIS, has been demonstrated to achieve higher accuracy and repeatability in comparison with those of manual procedures. Despite these advantages, owing to the nature of some surgical procedures in which dexterous tissue manipulations in deep narrow areas of the human body are necessary, there is a need for further miniaturized tools with smaller bending radii. To cater to this requirement, this study proposes a new compliant mechanism based surgical robotic forceps. It can generate four degrees of freedom at the tip of the forceps including two bending motions in two perpendicular axes, grasping and rotation. A better combination of the stress distribution through the elastic material, grasping force, and range of motion was determined based on a series of finite element analyses. In addition, the manufactured prototype underwent a series of laboratory experiments to evaluate its effectiveness. Details of the mechanism, finite element analysis, prototype implementation, and evaluations are presented in this paper. [ABSTRACT FROM AUTHOR]

Purpose: Gastrointestinal cancer can be treated using a flexible endoscope through a natural orifice. However, treatment instruments with limited degrees of freedom (DOFs) require a highly skilled operator. Articulated devices useful for endoluminal procedures, such as endoscopic submucosal dissection and biopsy, have been developed. These devices enable dexterous operation in a narrow lumen; however, they suffer from limitations such as large size and high cost. To overcome these limitations, we developed a 2.5-mm articulated forceps that can be inserted into a standard endoscope channel based on a compliant mechanism. Methods: The compliant mechanism allows the device to be compact and affordable, which is possible due to its monolithic structure. The proposed mechanism consists of two segments, 1-DOF grasping and 2-DOF bending, that are actuated by tendon-sheath mechanisms. A prototype was designed based on finite element analysis results. Results: To confirm the effectiveness of the proposed mechanism, we fabricated the prototype using a 3D printer. A series of mechanical performance tests on the prototype revealed that it achieved the following specifications: (1) DOF: 1-DOF grasping + 2-DOF bending, (2) outer diameter: 2.5 mm, (3) length of the bending segment: 30 mm, and (4) range of motion: 0 ∘ to 20 ∘ (grasping) and - 90 ∘ to + 90 ∘ (bending). Finally, we performed a tissue manipulation test on an excised porcine colon and found that a piece of mucous membrane tissue was successfully resected using an electric knife while being lifted with the developed forceps. Conclusion: The results of the evaluation experiment demonstrated a positive feasibility of the proposed mechanism, which has a simpler structure compared to those of other conventional mechanisms; furthermore, it is potentially more cost-effective and is disposable. The mechanical design, prototype implementation, and evaluations are reported in this paper. [ABSTRACT FROM AUTHOR]

Highly rigid surgical robots are capable of precise positioning; however, there is a risk of injury to the surrounding organs owing to undesired contact. To solve this problem, surgeons can change their stiffness according to the desired motion by contracting and relaxing the muscles. Therefore, surgical robots that can change their stiffness according to their application, similar to a surgeon, are useful in improving safety. However, existing variable stiffness actuators cannot easily achieve a wide variable stiffness range while maintaining a small size and lightweight, which are critical factors for surgical robots. This study presents the design, fabrication, and evaluation of a variable stiffness actuator that is compact and provides a wide range of variable stiffness, with elastic elements arranged in a circumferential direction. [ABSTRACT FROM AUTHOR]

Gastrointestinal cancer, when detected early, is treated by accessing the lesion through the natural orifice using flexible endoscopes. However, the limited degree-of-freedom (DOF) of conventional treatment devices and the narrow surgical view through the endoscope demand advanced techniques. In contrast, multi-DOF forceps systems are an excellent alternative; however, these systems often involve high fabrication costs because they require a large number of micro-parts. To solve this problem, we designed compact multi-DOF endoluminal forceps with a monolithic structure comprising compliant hinges. To allow an efficient stress dispersion at the base end when the hinge bends, we proposed a novel design method to obtain the hinge parameters using the beam of uniform strength theory. This method does not involve a high computational cost. The results show that the improved design with a variable hinge thickness can reduce the maximum bending stress, dispersing the stress in a larger area than that of the previous design considering a constant thickness of the hinge. Moreover, the experiments conducted in a prototype confirm that the radius of the curvature was significantly improved. The proposed method could aid in designing other continuum robots relying on compliant hinges. [ABSTRACT FROM AUTHOR]

Recently, brain–computer interfaces, combined with feedback systems and goal-oriented training, have been investigated for their capacity to promote functional recovery after stroke. Accordingly, we developed a brain–computer interface-triggered robotic hand orthosis that assists hand-closing and hand-opening for post-stroke patients without sufficient motor output. In this system, near-infrared spectroscopy is used to monitor the affected motor cortex, and a linear discriminant analysis-based binary classifier estimates hand posture. The estimated posture then wirelessly triggers the robotic hand orthosis. For better performance of the brain–computer interface, we tested feature windows of different lengths and varying feature vector compositions with motor execution data from seven neurologically intact participants. The interaction between a feature window and a delay in the hemodynamic response significantly affected both classification accuracy (Matthew Correlation Coefficient) and detection latency. The 'preserving channels' feature vector was able to increase accuracy by 13.14% and decrease latency by 29.48%, relative to averaging. Oxyhemoglobin combined with deoxyhemoglobin improved accuracy by 3.71% and decreased latency by 6.01% relative to oxyhemoglobin alone. Thus, the best classification performance resulted in an accuracy of 0.7154 and a latency of 2.8515 s. The hand rehabilitation system was successfully implemented using this feature vector composition, which yielded better classification performance. [ABSTRACT FROM AUTHOR]

The ability to sense force in surgery is in high demand in many applications such as force feedback in surgical robots and remote palpation (e.g., tumor detection in endoscopic surgery). In addition, recording and analyzing surgical data is of substantial value in terms of evidence-based medicine. However, force sensing in surgery remains challenging because of the specific requirements of surgical instruments, namely, they must be small, bio-compatible, sterilizable, and tolerant to noise. In this study, we propose a modular optic force sensor using a Fabry–Perot interferometer that can be used on surgical devices. The the proposed sensor can be implemented like a strain gauge, which is widely used in industrial applications but not compatible with surgery. The proposed sensor includes two key elements, a fiber-optic pressure sensor using a Fabry–Perot interferometer that was previously developed by one of the authors and a structure that includes a carbide pin that contacts the pressure sensor along the long axis. These two elements are fixed in a guide channel fabricated in a 3 × 2 × 0.5 mm sensor housing. The experimental results are promising, revealing a linear relationship between the output and the applied load while showing a linear temperature characteristic that suggests temperature compensation will be needed in use. [ABSTRACT FROM AUTHOR]

Background and Aims: Colonic endoscopic submucosal dissection (ESD) is time-consuming and bears a high risk of perforation. The aim of the present study was to compare the safety and efficacy between novel articulating devices and conventional ESD in live porcine colon models.Methods: Thirty ESDs in ten pigs were carried out at three different locations (15, 25, and 35 cm from the anus) by the conventional method (n = 15) and by the new method (n = 15). Procedure times, adverse events (perforation, bleeding), and damage to the muscular layer were recorded, and the ESD time per unit area of the specimens was calculated.Results: The perforation rate using the conventional method was 6.7% (1/15), whereas that using the new method was 0.0%. The number of sites of muscular damage was significantly lower in the new than conventional method (6 vs. 37, respectively; P = 0.024). The mean procedure time was significantly shorter in the new than conventional method (4.6 ± 2.0 vs. 7.0 ± 4.1 min/cm2, respectively; P = 0.042).Conclusions: Use of the new ESD method allows for reduced adverse events and a shortened resection time. [ABSTRACT FROM AUTHOR]

Purpose: Image guidance is a key technology that can improve the outcome of laparoscopic surgery. However, due to the large deformation caused by digestive organs, a computer-aided navigation system based on preoperative imaging data cannot indicate the correct target position of the lesion (e.g., liver tumors and vessels invisible from the organ surface). To overcome this issue, we developed a laparoscopic ultrasound manipulator with two motorized degrees of freedom at the tip, allowing for the performance of a dexterous ultrasound scan in a confined laparoscopic surgical area.Method: The developed manipulator consists of a compact and elastic structure using springs, enabling a safe ultrasound scan and avoiding excess force on the inspected organs. The manipulator is a handheld device equipped with four buttons at the handle, which the surgeon directly grasps to send a motion command to the tip structure. The developed prototype realizes two motorized degree-of-freedom motion at the tip. The size of prototype is 15.0 mm in diameter that is usable in conventional laparoscopy. The tip of the manipulator was carefully designed by considering the kinematic model and the results of the finite element analysis.Results: To assess the prototype, accuracy and rigidity were measured by using a motion processing microscope. The accuracy test showed that the proposed device has a fairly accurate characteristic as a handheld device. This was supposedly caused by the nature of compliant mechanism, which does not have mechanical play in motion. In addition, the intrinsic elastic structure (approximately 2.0 N/mm in most of the range of motion) allowed the ultrasound probe to adequately fit on the curved organ surface without extra effort of manipulation during the inspection. In the in vivo experiment, the yaw motion was found to be effective for investigating the vascular network because the manipulator allows the probe to be rotated while maintaining the same position.Conclusion: The mechanical evaluation and in vivo test results showed high feasibility of the prototype. We are currently working on further mechanical improvement for commercialization and development of a real-time navigation system that can perform three-dimensional reconstruction of ultrasonographic images by implementing a magnetic position sensor at the tip of the manipulator. [ABSTRACT FROM AUTHOR]

Background: Difficulties in endoscopic operations and therapeutic procedures seem to occur due to the complexity of operating the endoscope dial as well as difficulty in performing synchronized movements with both hands. We developed a prototype robotic-assisted flexible endoscope that can be controlled with a single hand in order to simplify the operation of the endoscope. The aim of this study was to confirm the operability of the robotic-assisted flexible endoscope (RAFE) by performing endoscopic submucosal dissection (ESD).Methods: Study 1: ESD was performed manually or with RAFE by an expert endoscopist in ex vivo porcine stomachs; six operations manually and six were performed with RAFE. The procedure time per unit circumferential length/area was calculated, and the results were statistically analyzed. Study 2: We evaluated how smoothly a non-endoscopist can move a RAFE compared to a manual endoscope by assessing the designated movement of the endoscope.Results: Study 1: En bloc resection was achieved by ESD using the RAFE. The procedure time was gradually shortened with increasing experience, and the procedure time of ESD performed with the RAFE was not significantly different from that of ESD performed with a manual endoscope. Study 2: The time for the designated movement of the endoscope was significantly shorter with a RAFE than that with a manual endoscope as for a non-endoscopist.Conclusions: The RAFE that we developed enabled an expert endoscopist to perform the ESD procedure without any problems and allowed a non-endoscopist to control the endoscope more easily and quickly than a manual endoscope. The RAFE is expected to undergo further development. [ABSTRACT FROM AUTHOR]

Intuitiveness in robotic surgery is highly desirable when performing highly elaborate surgical tasks using surgical master-slave systems (MSSs), such as suturing. To increase the operability of such systems, the time delay of the system response, haptic feedback, and eye-hand coordination are the issues that have received the most attention. In addition to these approaches, we propose a surgical robotic system that induces a multisensory illusion. In our previous study, we reported that a robotic instrument we devised enhances the multisensory illusion. In this paper, we determine the requirements for inducing this multisensory illusion in a multi-degree-of-freedom (DOF) MSS, and the first stage of prototype implementation based on the given requirements is described. [ABSTRACT FROM AUTHOR]

In recent years, the field of robots for medical applications has been expanding rapidly. Robots effectively augment their operators' skills, enabling them to achieve accuracy and high precision during complex procedures. The use of robots improves the quality of life of patients and the quality of medical research. Therefore, the research and development of robots for medical applications will become more active in aging societies. This special issue focuses on the design and control of robots as well as integrated technologies for robots for medical applications. These include navigation, simulator, image guidance, training, and validation technologies for robots. The special issue consists of 17 papers with various studies related to medical robots. There are 7 papers on assistant robots, including their passive and active controls, devices, and sensors. There are 10 papers related to minimally invasive surgery and neurosurgery involving robots, including papers on sensors, actuators, navigation, haptic display devices, the mechanical design of devices, and other topics. The editors are confident that this special issue will greatly contribute to further progress in robotics We sincerely thank the authors for their fine contributions and the reviewers for their generous contributions of time and effort. We would also like to thank the Editorial Board of the Journal of Robotics and Mechatronics for their help with this special issue. [ABSTRACT FROM AUTHOR]

Purpose: In minimally invasive surgery, instruments are inserted from the exterior of the patient's body into the surgical field inside the body through the minimum incision, resulting in limited visibility, accessibility, and dexterity. To address this problem, surgical instruments with articulated joints and multiple degrees of freedom have been developed. The articulations in currently available surgical instruments use mainly wire or link mechanisms. These mechanisms are generally robust and reliable, but the miniaturization of the mechanical parts required often results in problems with size, weight, durability, mechanical play, sterilization, and assembly costs. Methods: We thus introduced a compliant mechanism to a laparoscopic surgical instrument with multiple degrees of freedom at the tip. To show the feasibility of the concept, we developed a prototype with two degrees of freedom articulated surgical instruments that can perform the grasping and bending movements. The developed prototype is roughly the same size of the conventional laparoscopic instrument, within the diameter of 4 mm. The elastic parts were fabricated by Ni-Ti alloy and SK-85M, rigid parts ware fabricated by stainless steel, covered by 3D- printed ABS resin. The prototype was designed using iterative finite element method analysis, and has a minimal number of mechanical parts. Results: The prototype showed hysteresis in grasping movement presumably due to the friction; however, the prototype showed promising mechanical characteristics and was fully functional in two degrees of freedom. In addition, the prototype was capable to exert over 15 N grasping that is sufficient for the general laparoscopic procedure. The evaluation tests thus positively showed the concept of the proposed mechanism. Conclusion: The prototype showed promising characteristics in the given mechanical evaluation experiments. Use of a compliant mechanism such as in our prototype may contribute to the advancement of surgical instruments in terms of simplicity, size, weight, dexterity, and affordability. [ABSTRACT FROM AUTHOR]

At present, much of the research conducted worldwide focuses on extending the ability of surgical robots. One approach is to extend robotic dexterity. For instance, accessibility and dexterity of the surgical instruments remains the largest issue for reduced port surgery such as single port surgery or natural orifice surgery. To solve this problem, a great deal of research is currently conducted in the field of robotics. Enhancing the surgeon's perception is an approach that uses advanced sensor technology. The real-time data acquired through the robotic system combined with the data stored in the robot (such as the robot's location) provide a major advantage. This paper aims at introducing state-of-the-art products and pre-market products in this technological advancement, namely the robotic challenge in extending dexterity and hopefully providing the path to robotic surgery in the near future. [ABSTRACT FROM AUTHOR]

The rubber hand illusion is a well-known multisensory illusion. In brief, watching a rubber hand being stroked by a paintbrush while one’s own unseen hand is synchronously stroked causes the rubber hand to be attributed to one’s own body and to “feel like it’s my hand.” The rubber hand illusion is thought to be triggered by the synchronized tactile stimulation of both the subject’s hand and the fake hand. To extend the conventional rubber hand illusion, we introduce robotic technology in the form of a master-slave telemanipulator. The developed one degree-of-freedom master-slave system consists of an exoskeleton master equipped with an optical encoder that is worn on the subject’s index finger and a motor-actuated index finger on the rubber hand, which allows the subject to perform unilateral telemanipulation. The moving rubber hand illusion has been studied by several researchers in the past with mechanically connected rigs between the subject’s body and the fake limb. The robotic instruments let us investigate the moving rubber hand illusion with less constraints, thus behaving closer to the classic rubber hand illusion. In addition, the temporal delay between the body and the fake limb can be precisely manipulated. The experimental results revealed that the robotic instruments significantly enhance the rubber hand illusion. The time delay is significantly correlated with the effect of the multisensory illusion, and the effect significantly decreased at time delays over 100 ms. These findings can potentially contribute to the investigations of neural mechanisms in the field of neuroscience and of master-slave systems in the field of robotics. [ABSTRACT FROM PUBLISHER]

In conventional haptic devices for virtual reality (VR) systems, a user interacts with a scene by handling a tool (such as a pen) using a mechanical device (i.e. an end-effector-type haptic device). In the case that the device can ‘mimic’ a VR object, the user can interact directly with the VR object without the mechanical constraint of a device (i.e. an encounter-type haptic device). A new challenge of an encounter-type haptic device is displaying the visuals and haptic information simultaneously on a single device. We are proposing a new desk-top encounter-type haptic device with an actively driven pen-tablet LCD panel. The proposed device is capable of providing pseudo-3D visuals and haptic information on a single device. As the result, the system provides to the user a sense of interaction with a real object. To develop a proof-of-concept prototype, a compact parallel mechanism was developed and implemented. The aim of this research is to propose a new concept in haptic research. In this paper, the concept, the prototype, and some preliminary evaluation tests with the proposed system are presented. [ABSTRACT FROM AUTHOR]

Purpose: We are currently developing a neurosurgical robotic system that facilitates access to residual tumors and improves brain tumor removal surgical outcomes. The system combines conventional and robotic surgery allowing for a quick conversion between the procedures. This concept requires a new master console that can be positioned at the surgical bedside and be sterilized. Methods: The master console was developed using new technologies, such as a parallel mechanism and pneumatic sensors. The parallel mechanism is a purely passive 5-DOF (degrees of freedom) joystick based on the author's haptic research. The parallel mechanism enables motion input of conventional brain tumor removal surgery with a compact, intuitive interface that can be used in a conventional surgical environment. In addition, the pneumatic sensors implemented on the mechanism provide an intuitive interface and electrically isolate the tool parts from the mechanism so they can be easily sterilized. Results: The 5-DOF parallel mechanism is compact (17 cm width, 19cm depth, and 15cm height), provides a 505,050 mm and 90° workspace and is highly backdrivable (0.27N of resistance force representing the surgical motion). The evaluation tests revealed that the pneumatic sensors can properly measure the suction strength, grasping force, and hand contact. In addition, an installability test showed that the master console can be used in a conventional surgical environment. Conclusion: The proposed master console design was shown to be feasible for operative neurosurgery based on comprehensive testing. This master console is currently being tested for master-slave control with a surgical robotic system. [ABSTRACT FROM AUTHOR]

A parallel mechanism is a multi-legged kinematic structure with actuators fixed on the base. In recent years, parallel mechanisms have been implemented in haptic devices due to their benefits, such as high rigidity, high output force, high accuracy and high backdrivability. Multi-d.o.f. haptic devices with rotational motion have become increasingly important as haptic applications have become diversified (e.g., in surgical training). However, typical multi-d.o.f. parallel mechanisms (e.g., Stewart platform and HEXA) have limitations on the working area for rotational motions. A multi-d.o.f. haptic device can be designed by stacking the translational and rotational mechanisms by decoupling these motions. However, this dedoupling can have an adverse effect on inertia because of the weight of the stacking mechanism. Eventually, the operability of the device deteriorates. Therefore, a parallel mechanism with both a translational and rotational multi-d.o.f. structure can effectively apply the full advantages of a parallel mechanism to a multi-d.o.f. haptic device. In this paper, a 6-d.o.f. (five active: three translations, two rotations and one passive rotation) parallel mechanism, called the D-8, is presented. In the D-8, a new redundant parallel mechanism is introduced to overcome the problem of operability. [ABSTRACT FROM AUTHOR]

Purpose: Brain tumor (e.g., glioma) resection surgery, representing the first step for many treatments, is often difficult and time-consuming for neurosurgeons. Thus, intelligent neurosurgical instruments have been developed to improve tumor removal. Methods: The concept and robotic structure of intelligent neurosurgical instruments were introduced. These instruments consist of a surgical robot, a master device and operating software. The robot incorporates a surgical motion base and tool manipulator, including a volume control suction tool. Open Core Control software was developed for connecting intelligent neurosurgical instruments through a network connection and integrating the instruments into a system. Results: Mechanical evaluation tests on the components and a preliminary system evaluation were performed. A phantom model was fixed on a head frame, and a tumor-removal procedure was successfully performed using prototype intelligent neurosurgical instruments. Conclusion: Intelligent neurosurgical instruments are feasible and suitable for on-going evaluation in practical tasks, including in-vivo animal testing. [ABSTRACT FROM AUTHOR]

A number of haptic devices have recently become available on the commercial market, and these devices are becoming common not only in research but in consumer use as well. In this paper, a new parallel mechanism, referred to herein as DELTA-R (meaning DELTA-Redundant, formerly referred to as DELTA-4) is proposed for a new haptic device having high-quality force display capability and operability. DELTA-R allows three-degree-of-freedom (DOF) translational motions. The key features of DELTA-R, as compared with conventional parallel mechanisms, are redundant actuation, a smaller footprint, a larger working area, and improved access to the end effector. The prototype is equipped with a 3-DOF rotation mechanism, the center of motion of which is located on the wrist position of the operator. An evaluation test of the force display was conducted using a prototype of the proposed mechanism. This paper describes the kinematic design, kinematic modeling, kinematic analysis, prototype implementation, and evaluations. [ABSTRACT FROM PUBLISHER]

Object: In these days, patients and doctors in operation room are surrounded by many medical devices as resulting from recent advancement of medical technology. However, these cutting-edge medical devices are working independently and not collaborating with each other, even though the collaborations between these devices such as navigation systems and medical imaging devices are becoming very important for accomplishing complex surgical tasks (such as a tumor removal procedure while checking the tumor location in neurosurgery). On the other hand, several surgical robots have been commercialized, and are becoming common. However, these surgical robots are not open for collaborations with external medical devices in these days. A cutting-edge 'intelligent surgical robot' will be possible in collaborating with surgical robots, various kinds of sensors, navigation system and so on. On the other hand, most of the academic software developments for surgical robots are 'home-made' in their research institutions and not open to the public. Therefore, open source control software for surgical robots can be beneficial in this field. From these perspectives, we developed Open Core Control software for surgical robots to overcome these challenges. Materials and methods: In general, control softwares have hardware dependencies based on actuators, sensors and various kinds of internal devices. Therefore, these control softwares cannot be used on different types of robots without modifications. However, the structure of the Open Core Control software can be reused for various types of robots by abstracting hardware dependent parts. In addition, network connectivity is crucial for collaboration between advanced medical devices. The OpenIGTLink is adopted in Interface class which plays a role to communicate with external medical devices. At the same time, it is essential to maintain the stable operation within the asynchronous data transactions through network. In the Open Core Control software, several techniques for this purpose were introduced. Virtual fixture is well known technique as a 'force guide' for supporting operators to perform precise manipulation by using a master-slave robot. The virtual fixture for precise and safety surgery was implemented on the system to demonstrate an idea of high-level collaboration between a surgical robot and a navigation system. The extension of virtual fixture is not a part of the Open Core Control system, however, the function such as virtual fixture cannot be realized without a tight collaboration between cutting-edge medical devices. By using the virtual fixture, operators can pre-define an accessible area on the navigation system, and the area information can be transferred to the robot. In this manner, the surgical console generates the reflection force when the operator tries to get out from the pre-defined accessible area during surgery. Results: The Open Core Control software was implemented on a surgical master-slave robot and stable operation was observed in a motion test. The tip of the surgical robot was displayed on a navigation system by connecting the surgical robot with a 3D position sensor through the OpenIGTLink. The accessible area was pre-defined before the operation, and the virtual fixture was displayed as a 'force guide' on the surgical console. In addition, the system showed stable performance in a duration test with network disturbance. Conclusion: In this paper, a design of the Open Core Control software for surgical robots and the implementation of virtual fixture were described. The Open Core Control software was implemented on a surgical robot system and showed stable performance in high-level collaboration works. The Open Core Control software is developed to be a widely used platform of surgical robots. Safety issues are essential for control software of these complex medical devices. It is important to follow the global specifications such as a FDA requirement 'General Principles of Software Validation' or IEC62304. For following these regulations, it is important to develop a self-test environment. Therefore, a test environment is now under development to test various interference in operation room such as a noise of electric knife by considering safety and test environment regulations such as ISO13849 and IEC60508. The Open Core Control software is currently being developed software in open-source manner and available on the Internet. A communization of software interface is becoming a major trend in this field. Based on this perspective, the Open Core Control software can be expected to bring contributions in this field. [ABSTRACT FROM AUTHOR]

We have developed a robotic minimally invasive surgical system within a tele-surgery capability and conducted several times of tele-surgery experiments including Japan–Thailand and Japan–Korea tele-surgery experiments by using conventional network infrastructures. In these experiments, laparoscopic cholecystectomies have been successfully performed on pigs. On the other hand, repetitive task evaluation studies are also crucial for further studies on tele-surgery applications. Nowadays, task evaluations of tele-robotic system within network time-delay have been studied in past years by many researchers. These experiments have been mostly focused on simplified tasks such as a peg-in-hole task. However, most of surgical procedures in minimally invasive surgery are based on medical specific skills such as anatomical knowledge and past experiences of surgeons. From these perspectives, a trial experiment within two tasks including surgery oriented manipulations was conducted to study the impact of network time-delay and force feedback on tele-surgery. The experiment was conducted by using the minimally invasive surgical system. As the experimental setup, a research and development Internet, JGN2 (Japan Gigabit Network 2) was used as a network infrastructure, and two tasks were performed by 15 subjects including 5 medical doctors. The trial conditions were given by changing time-delay (on the both tasks) and force feedback (on the first task). The first task was configured to test a simple surgical procedure, which is commonly performed in a laparoscopy as translational motions of surgical tools. The subjects were instructed to touch four columns located on points of a square. The second task was configured to test integrated surgical procedures. The subjects were instructed to perform a part of suturing procedures by using the robotic bending forceps. In the first task, the completion time was increased approximately 50% by time-delay. By using force feedback, the applied force was decreased. However, the effectiveness of force feedback was not strongly shown in MD group. On the other hand, the effectiveness of the force feedback was strongly shown in the applied force on the tip of surgical tool in both MD and non-MD groups. In the second task, the adverse impact of time-delay was not strongly shown in MD group. From the analysis of the motion records found that a skill of experienced surgeons on “occlusion problem” could be related in the results. These results indicate that skilful operators on surgical procedures can overcome the adverse impact of time-delay by introducing their skills depending on required surgical tasks. However, the drawback of time-delay still remains concerning on safety issues. The effectiveness of the force feedback was strongly shown in the first task in terms of the applied force on the surrounding environment. Force feedback is an essential technology for further applications of tele-surgery. In addition, the force feedback technology can be partially used for compensating the drawback of time-delay. [ABSTRACT FROM AUTHOR]

Brain–computer interfaces are emerging as an important research area and are intended to create an understanding between a computer and the human brain to ensure that robot–human interactions become more intuitive and user-friendly. However, encoding of brain information to derive the intended motion of the user in real time continues to present a problem with respect to the control of wearable robots with multiple degrees of freedom. In this study, a new approach to control several degrees of freedom in a wearable robot is proposed and its feasibility is studied by estimating the user’s motion intention in real time, in terms of the user’s intended tasks to perform, by using electroencephalography signals measured from the scalp of the user. A time-delayed feature matrix is introduced to provide inputs to neural network and support vector machine-based classifiers that harvest the dynamic nature of the electroencephalography signals for motion intention prediction. The experimental results indicate the effectiveness of the proposed methodology in the estimation of user motion intention, in terms of intended task to perform. [ABSTRACT FROM AUTHOR]