Steerable catheters for minimally invasive surgery: a review and future directions

Comput Assist Surg (Abingdon). 2018 Dec;23(1):21-41. doi: 10.1080/24699322.2018.1526972.

Abstract

The steerable catheter refers to the catheter that is manipulated by a mechanism which may be driven by operators or by actuators. The steerable catheter for minimally invasive surgery has rapidly become a rich and diverse area of research. Many important achievements in design, application and analysis of the steerable catheter have been made in the past decade. This paper aims to provide an overview of the state of arts of steerable catheters. Steerable catheters are classified into four main groups based on the actuation principle: (1) tendon driven catheters, (2) magnetic navigation catheters, (3) soft material driven catheters (shape memory effect catheters, steerable needles, concentric tubes, conducting polymer driven catheters and hydraulic pressure driven catheters), and (4) hybrid actuation catheters. The advantages and limitations of each of them are commented and discussed in this paper. The future directions of research are summarized.

Keywords: Continuum manipulator; Design; Minimally invasive surgery; Steerable catheter.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Catheters / classification
  • Catheters / trends*
  • Equipment Design
  • Humans
  • Minimally Invasive Surgical Procedures / instrumentation*
  • Minimally Invasive Surgical Procedures / methods
  • Minimally Invasive Surgical Procedures / trends
  • Robotic Surgical Procedures / instrumentation
  • Robotic Surgical Procedures / methods
  • Robotic Surgical Procedures / trends
  • Surgery, Computer-Assisted / instrumentation*
  • Surgery, Computer-Assisted / methods
  • Surgery, Computer-Assisted / trends