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A Model to Predict Deflection of an Active Tendon-Driven Notched Needle Inside Soft Tissue.

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This study presents a new model for active tendon-driven notched needle steering in soft tissues. The model accurately predicts needle deflection, improving robotic control for minimally invasive surgeries.

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Area of Science:

  • Robotics
  • Medical Engineering
  • Surgical Technology

Background:

  • Minimally invasive and robotic-assisted surgeries have advanced significantly.
  • Needle insertion is crucial for procedures like brachytherapy, ablation, drug delivery, and biopsy.
  • Manual needle steering is challenging due to tissue interaction, movement, and limited control/visualization.

Purpose of the Study:

  • Introduce a novel deflection model for active tendon-driven notched needle steering in soft tissue.
  • Enable model-based robotic control for precise needle guidance.
  • Predict needle deflection within single-layer tissue models.

Main Methods:

  • Developed a new deflection model for active tendon-driven notched needles.
  • Conducted five needle insertion experiments using a bevel-tipped active needle into phantom tissues.
  • Employed real-time robot-assisted ultrasound tracking to monitor needle tip trajectory.

Main Results:

  • The proposed deflection model was validated through experimental insertion.
  • Needle deflection was predicted with an average error of 0.58 ± 0.14 mm.
  • The model demonstrated accuracy for bevel-tipped active needle insertion in single-layer phantom tissue.

Conclusions:

  • The developed deflection model shows promise for enhancing robotic control in needle insertion procedures.
  • Accurate prediction of needle deflection is vital for improving surgical precision.
  • This model contributes to the advancement of robotic-assisted minimally invasive surgery.