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Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
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Multi-axis robotic forceps with decoupled pneumatic actuation and force sensing for cochlear implantation
Hongyan Gao1,2, Huanghua Liu1,2, Huan Jia3
1Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai, PR China.
Nature Communications
|February 14, 2025
Summary
This study introduces novel 6-axis force-sensing pneumatic forceps and a robotic platform for enhanced cochlear implantation microsurgery. The system offers improved force feedback and stable manipulation during delicate procedures.
Area of Science:
- Robotics
- Biomedical Engineering
- Surgical Technology
Background:
- Microsurgeries demand extensive hands-on experience for safe execution.
- Developing high-resolution, multi-axis force-sensing devices for micro-operations is a significant challenge in surgical automation.
- Existing automated surgical devices often lack the necessary precision for delicate micro-manipulations.
Purpose of the Study:
- To develop a 6-axis force-sensing pneumatic forceps integrated with a serial-parallel robotic platform.
- To enable precise force feedback and stable manipulation for cochlear implantation surgery.
- To address the challenges in high-resolution, multi-axis force sensing for micro-surgical applications.
Main Methods:
- Designed forceps with a curved body embedding parallel and inclined fiber Bragg grating sensors for 6-axis force sensing.
- Incorporated a pneumatic gripper with decoupled actuation for controlled grasping of the electrode array.
- Developed a robotic platform with a spherical parallel mechanism and robotic arm for 3-DOF rotations and translations.
Main Results:
- The developed forceps successfully achieved 6-axis force sensing.
- The pneumatic gripper demonstrated decoupled actuation for precise grasping and releasing.
- Cadaveric studies on temporal bone and human head validated the robotic forceps' feasibility.
Conclusions:
- The robotic forceps provide a decoupled mechanism for pneumatic actuation and force sensing.
- The system shows significant potential for enhanced force interaction and stable operation in robotic microsurgery.
- This technology advances the field of automated surgical devices for delicate procedures like cochlear implantation.

