Fast-Response Variable-Stiffness Magnetic Catheters for Minimally Invasive Surgery

Adv Sci (Weinh). 2024 Mar;11(12):e2305537. doi: 10.1002/advs.202305537. Epub 2024 Jan 15.

Abstract

In minimally invasive surgery, such as cardiac ablation, magnetically steered catheters made of variable-stiffness materials can enable higher dexterity and higher force application to human tissue. However, the long transition time between soft and rigid states leads to a significant increase in procedure duration. Here, a fast-response, multisegmented catheter is described for minimally invasive surgery made of variable-stiffness thread (FRVST) that encapsulates a helical cooling channel. The rapid stiffness change in the FRVST, composed of a nontoxic shape memory polymer, is achieved by an active cooling system that pumps water through the helical channel. The FRVST displays a 66 times stiffness change and a 26 times transition enhancement compare with the noncooled version. The catheter allows for selective bending of each segment up to 127° in air and up to 76° in water under an 80 mT external magnetic field. The inner working channel can be used for cooling an ablation tip during a procedure and for information exchange via the deployment of wires or surgical tools.

Keywords: active cooling; continuum robot; magnetic navigation; medical robotics; shape memory polymer; soft robotics; variable stiffness.

MeSH terms

  • Catheters*
  • Humans
  • Magnetic Phenomena
  • Mechanical Phenomena
  • Minimally Invasive Surgical Procedures*
  • Water

Substances

  • Water