A single port surgical robot system with novel elbow joint mechanism for high force transmission

Int J Med Robot. 2017 Dec;13(4). doi: 10.1002/rcs.1808. Epub 2017 Apr 3.

Abstract

Background: Despite its evident clinical benefits, single-incision laparoscopic surgery (SILS) imposes inherent limitations of collision between external arms and inadequate triangulation because multiple instruments are inserted through a single port at the same time.

Methods: A robot platform appropriate for SILS was developed wherein an elbowed instrument can be equipped to easily create surgical triangulation without the interference of robot arms. A novel joint mechanism for a surgical instrument actuated by a rigid link was designed for high torque transmission capability.

Results: The feasibility and effectiveness of the robot was checked through three kinds of preliminary tests: payload, block transfer, and ex vivo test. Measurements showed that the proposed robot has a payload capability >15 N with 7 mm diameter.

Conclusions: The proposed robot is effective and appropriate for SILS, overcoming inadequate triangulation and improving workspace and traction force capability.

MeSH terms

  • Biomechanical Phenomena
  • Equipment Design
  • Hand / physiology
  • Humans
  • Laparoscopy / instrumentation
  • Robotic Surgical Procedures / instrumentation*
  • Robotic Surgical Procedures / methods*
  • Robotics / instrumentation*
  • Stainless Steel

Substances

  • Stainless Steel