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Continuum robots are not constructed with discrete joints but, instead, change shape and position their tip by flexing along their entire length. Their narrow curvilinear shape makes them well suited to passing through body lumens, natural orifices, or small surgical incisions to perform minimally invasive procedures. Modeling and controlling these robots are, however, substantially more complex than traditional robots comprised of rigid links connected by discrete joints. Furthermore, there are many approaches to achieving robot flexure. Each presents its own design and modeling challenges, and to date, each has been pursued largely independently of the others. This article attempts to provide a unified summary of the state of the art of continuum robot architectures with respect to design for specific clinical applications. It also describes a unifying framework for modeling and controlling these systems while additionally explaining the elements unique to each architecture. The major research accomplishments are described for each topic and directions for the future progress needed to achieve widespread clinical use are identified. [ABSTRACT FROM AUTHOR]

Safe human-robot interaction requires robots endowed with perception. This paper presents the design of a multi-modal sensory array for continuum robots, targeting operation in semi-structured confined spaces with human users. Active safety measures are enabled via sensory arrays capable of simultaneous sensing of proximity, contact, and force. Proximity sensing is achieved using time-of-flight sensors, while contact force is sensed using Hall effect sensors and embedded magnets. The paper presents the design and fabrication of these sensors, the communication protocol and multiplexing scheme used to allow an interactive rate of communication with a high-level controller, and an evaluation of these sensors for actively mapping the shape of the environment and compliance control using gestures and contact with the robot. Characterization of the proximity sensors is presented with considerations of sensitivity to lighting, color, and texture conditions. Also, characterization of the force sensing is presented. The results show that the multi-modal sensory array can enable pre and post-collision active safety measures and can also enable user interaction with the robot. We believe this new technology allows for increased safety for human-robot interaction in confined and semi-structures spaces due to its demonstrated capabilities of detecting impending collision and mapping the environment along the length of the robot. Future miniaturization of the electronics will also allow possible integration in smaller continuum and soft robots. [ABSTRACT FROM AUTHOR]

Continuum robots offer the dexterity and obstacle circumvention capabilities necessary to enable surgery in deep surgical sites. They also can enable joint-level ex situ force sensing (JEFS), which provides an estimate of end-effector wrenches given joint-level forces. Prior works on JEFS relied on a restrictive embodiment with minimal actuation line friction and captured model and frictional actuation transmission uncertainties using a configuration space formulation. In this work, we overcome these limitations. First, frictional losses are canceled using a feed-forward term based on support vector regression in joint space. Then, regression maps and their interpolation are used to account for actuation hysteresis. The residual joint-force error is then further minimized using a least-squares model parameter update. An indirect hybrid force/position controller using JEFS is presented with evaluation carried out on a realistic pre-clinically deployable insertable robotic effectors platform (IREP) for single-port access surgery. Automated mock force-controlled ablation, exploration, and knot tightening are evaluated. A user study involving the daVinci Research Kit surgeon console and the IREP as a surgical slave was carried out to compare the performance of users with and without force feedback based on JEFS for force-controlled ablation and knot tightening. Results in automated experiments and a user study of telemanipulated experiments suggest that intrinsic force-sensing can achieve levels of force uncertainty and force regulation errors of the order of 0.2 N. Using JEFS and automated task execution, repeatability, and force regulation accuracy is shown to be comparable to using a commercial force sensor for human-in-the-loop feedback. [ABSTRACT FROM AUTHOR]

Objective: This paper introduces a methodology to design intuitive, low-cost, and portable devices for visual inspection of the upper gastrointestinal tract. Methods: The proposed approach mechanically couples a multi-backbone continuum structure, as the user interface, and a parallel bellows actuator, as the endoscopic tip. Analytical modeling techniques derived from continuum robotics were adopted to describe the endoscopic tip motion from user input, accounting for variations in component size and pneumatic compressibility. The modeling framework was used to improve intuitiveness of user-to-task mapping. This was assessed against a 1:1 target, while ease-of-use was validated using landmark identification tasks performed in a stomach simulator by one expert and ten non-expert users; benchmarked against conventional flexible endoscopy. Pre-clinical validation consisted of comparative trials in in-vivo porcine and human cadaver models. Results: Target mapping was achieved with an average error of $5^\circ$ in bending angle. Simulated endoscopies were performed by an expert user successfully, within a time comparable to conventional endoscopy ($< $ 1 min difference). Non-experts using the proposed device achieved visualization of the stomach in a shorter time (9 s faster on average) than with a conventional endoscope. The estimated cost is $< $ 10 USD and $< $ 30 USD for disposable and reusable parts, respectively. Significance and Conclusions: Flexible endoscopes are complex and expensive devices, actuated via non-intuitive cable-driven mechanisms. They frequently break, requiring costly repair, and necessitate a dedicated reprocessing facility to prevent cross contamination. The proposed solution is portable, inexpensive, and easy to use, thus lending itself to disposable use by personnel without formal training in flexible endoscopy. [ABSTRACT FROM AUTHOR]

The recent growth of surgical applications exploiting continuum robots demands for new control paradigms that ensure safety by controlling interaction forces of tele-operated end-effectors. In this paper, we present the modeling, sensing and control of multi-backbone continuum robots in a unified framework for hybrid motion/force control. Multi-backbone continuum robots allow to estimate forces and torques at the operational point by monitoring loads along their actuation lines without the need for a dedicated transducer at the operational point. This capability is indeed crucial in emerging fields such as robotic surgery where cost and strict sterilization guidelines prevent the adoption of a dedicated sensor to provide force feedback from the sterile field. To advance further the force sensing capabilities of multi-backbone continuum robots, we present a new framework for hybrid motion and force control of continuum robots with intrinsic force sensing capabilities. The framework is based on a kinetostatic modeling of the multi-backbone continuum robot with, a simplified model for online estimate of the manipulator’s compliance, and a new strategy for merging force and motion control laws in the configuration space of the manipulator. Experimental results show the ability to sense and regulate forces at the operational point and evaluate the framework for shape exploration and stiffness imaging in flexible environments. [ABSTRACT FROM AUTHOR]

Single port access surgery (SPAS) presents surgeons with added challenges that require new surgical tools and surgical assistance systems with unique capabilities. To address these challenges, we designed and constructed a new insertable robotic end-effectors platform (IREP) for SPAS. The IREP can be inserted through a Ø15 mm trocar into the abdomen and it uses 21 actuated joints for controlling two dexterous arms and a stereo-vision module. Each dexterous arm has a hybrid mechanical architecture comprised of a two-segment continuum robot, a parallelogram mechanism for improved dual-arm triangulation, and a distal wrist for improved dexterity during suturing. The IREP is unique because of the combination of continuum arms with active and passive segments with rigid parallel kinematics mechanisms. This paper presents the clinical motivation, design considerations, kinematics, statics, and mechanical design of the IREP. The kinematics of coordination between the parallelogram mechanisms and the continuum arms is presented using the pseudo-rigid-body model of the beam representing the passive segment of each snake arm. Kinematic and static simulations and preliminary experiment results are presented in support of our design choices. [ABSTRACT FROM PUBLISHER]

In this paper, we present a novel kinematic-based framework for collision detection and estimation of contact location along multisegment continuum robots. Screw theory is used to define a screw motion deviation (SMD) as the distance between the expected and the actual instantaneous screw axis (ISA) of motion. The expected ISA is computed based on the unconstrained kinematics model of the robot, while the actual ISA is computed based on sensory information. Collisions with rigid environments at any point along the robot are detected by monitoring the SMD. Contact locations are estimated by the minimization of the SMD between the ISA that is obtained from a constrained kinematic model of the continuum robot and the one that is obtained from sensor data. The proposed contact detection and localization methods only require the relative motion of each continuum segment with respect to its own base. This strategy allows the straightforward generalization of these algorithms for an n -segment continuum robot. The framework is evaluated via simulations and experimentally on a three-segment multibackbone continuum robot. Results show that the collision-detection algorithm is capable of detecting a single collision at any segment, multiple collisions occurring at multiple segments, and total-arm constraint. It is also shown that the estimation of contact location is possible at any location along the continuum robot with an accuracy better than 20% of the segment nominal length. We believe this study will enhance manipulation safety in unstructured environments and confined spaces. [ABSTRACT FROM PUBLISHER]

In this paper we present the clinical motivation, design specifications, kinematics, statics, and actuation compensation for a newly constructed telerobotic system for Minimally Invasive Surgery (MIS) of the throat. A hybrid dual-arm telesurgical slave, with 20 joint-space Degrees-of-Freedom (DoFs), is used in this telerobotic system to provide the necessary dexterity in deep surgical fields such as the throat. The telerobotic slave uses novel continuum robots that use multiple super-elastic backbones for actuation and structural integrity. We present the kinematics of the telesurgical slave and methods for actuation compensation to cancel the effects of backlash, friction, and flexibility of the actuation lines. A method for actuation compensation is presented in order to overcome uncertainties of modeling, friction, and backlash. This method uses a tiered hierarchy of two novel approaches of actuation compensation for remotely actuated snake-like robots. The tiered approach for actuation compensation uses compensation in both joint space and configuration space of the continuum robots. These hybrid actuation compensation schemes use intrinsic model information and external data through a recursive linear estimation algorithm and involve compensation using configuration space and joint space variables. Experimental results validate the ability of our integrated telemanipulation system through experiments of suturing and knot tying in confined spaces. [ABSTRACT FROM AUTHOR]