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A cable-driven distal end-effector mechanism for single-port robotic surgery.

Yizhao Wang1, Qixin Cao1,2, Xiaoxiao Zhu3

  • 1School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.

International Journal of Computer Assisted Radiology and Surgery
|January 3, 2021
PubMed
Summary

A new cable-driven end-effector for single-port robotic surgery was developed. This mechanism enhances surgical system maneuverability in confined spaces, improving robotic surgery capabilities.

Keywords:
Cable-drivenMechanism designMinimally invasiveSingle-port surgerySurgical robot

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Area of Science:

  • Robotics
  • Surgical Technology
  • Mechanical Engineering

Background:

  • Minimally invasive surgery and robotic systems are advancing.
  • Challenges exist in operating surgical systems within narrow in vivo spaces.
  • Distal end-effectors often face operational difficulties in confined surgical environments.

Purpose of the Study:

  • To propose a novel cable-driven distal end-effector mechanism.
  • To address the limitations of operating surgical systems in confined spaces.
  • To enhance maneuverability for single-port robotic surgery.

Main Methods:

  • A novel cable-driven joint structure and cable threading methods were developed.
  • The mechanism integrates a parallelogram mechanism for workspace enlargement.
  • A snake mechanism provides bending degrees of freedom for precise positioning.

Main Results:

  • The prototype demonstrated expected performance in bending, translation, and combined movements.
  • Manual assembly and cable tensioning were adequate for initial testing.
  • Areas for improvement include automatic assembly to enhance load capacity and accuracy.

Conclusions:

  • A cable-driven end-effector mechanism for single-port robotic surgery was successfully proposed.
  • The mechanism utilizes a parallelogram and snake configuration.
  • Novel cable-driven joints and threading methods ensure constant cable length and tension.