Robot could steady surgeon's hand

Feb. 22, 2007
A snakelike robot could help surgeons make incisions and tie sutures with greater precision.

Johns Hopkins researchers are testing this steady-hand system that may someday let surgeons inject vision-saving drugs into tiny blood vessels in the eye.

The snakelike robot designed by Johns Hopkins engineers has two thin rods tipped with tools that move with six degrees of motion.

A second robot, the steady-hand, may curb a surgeon's natural tremor and let the doctor inject drugs into tiny blood vessels in the eye, dissolving clots that can damage vision.

The robots are being perfected at the National Science Foundation Engineering Research Center at Johns Hopkins University. "Human hands are remarkable, but they have limitations. There are times it would be useful to have a third hand, and we can provide that. Sometimes a surgeon's fingers are too large to work in a confined space within the body. We can help by building tools that act like tiny, highly dexterous hands," says Russell H. Taylor, a professor of computer science and director of the center.

One potential use for the team's snakelike robot is in throat surgery. Currently, a doctor must insert and manually manipulate long inflexible tools and a camera into this narrow passageway. The snakelike robot, in contrast, could enter the throat, its two thin rods carrying tools at their tips. Capable of six degrees of freedom, the tools easily bend into an S-curve.

During surgery, a doctor at a workstation would see a three-dimensional view of the operating site while guiding the robot. The tools' movements are nimble, thanks to sophisticated software that can make up to 100 adjustments/sec.

The steady-hand system was built to help with another challenging task: microsurgery. At this scale, even the best surgeons display some tremor in their hands. Yet the slightest uncontrolled movements can be troublesome during surgery on microscopic structures. To address this problem, the steady-hand robot can grasp a needle and move it carefully in tandem with the surgeon in a technique called cooperative manipulation.

Before they are used on human patients, both the snakelike robot and the steady-hand system will need perhaps five more years of lab testing and prototyping. Still, Taylor believes both have a good chance of eventually joining more traditional tools in hospital operating rooms.

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