Needle path planning in semiautonomous and teleoperated robot-assisted epidural anaesthesia procedure: A proof of concept

Int J Med Robot. 2022 Dec;18(6):e2434. doi: 10.1002/rcs.2434. Epub 2022 Jun 29.

Abstract

Background: Epidural anaesthesia is a Percutaneous Procedure (PP) which plays a crucial role in surgical procedures, where accurate needle insertion is still challenging. The objective of this work is to present a Tuohy needle path planning, which allows an anaesthesiologist to drive semiautonomously, with the assistance of a teleoperated robot, the tip of the needle during this PP.

Methods: We capture, analysed and modelled the anaesthetist hands' motion during the execution of this procedure, by synthetising, programing and simulating a parametrised and normalised kinematic constrains dependent on an insertion variable in a virtual robot.

Results: Two preoperative path planning models were obtained, which provide a teleoperated robot with kinematic constraints to semiautonomously drive a Tuohy needle in the epidural anaesthesia procedure.

Conclusions: A semiautonomous robot can assist in the execution of this PP using the kinematic constraints obtained from the study of the movement of a specialist's hands.

Keywords: epidural anaesthesia procedure; needle path planning; percutaneous procedure; semiautonomous robot.

MeSH terms

  • Anesthesia, Epidural* / methods
  • Humans
  • Motion
  • Needles
  • Robotics* / methods