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Case study on force compliant robot arm controller for nasopharyngeal swab insertion.
Peter Q Lee1, John S Zelek2, Katja Mombaur2,3,4
1Systems Design Engineering, University of Waterloo, 200 University Avenue West, Waterloo, Canada. pqjlee@uwaterloo.ca.
Scientific Reports
|July 2, 2025
Summary
Robotic arms can perform nasopharyngeal (NP) swab tests using a compliant control system. This method shows promise for reducing healthcare worker exposure and improving resource allocation in medical testing.
Area of Science:
- Robotics
- Medical Technology
- Control Systems
Background:
- Nasopharyngeal (NP) swab tests are crucial for diagnosing respiratory illnesses like COVID-19.
- Current NP swab collection relies on human healthcare workers, posing exposure risks and resource demands.
- Automating NP swab collection using robotics is of significant societal interest to mitigate these challenges.
Purpose of the Study:
- To investigate the feasibility and effectiveness of using a compliant control system with a rigid robotic arm for performing NP swab tests.
- To differentiate this approach from prior research that often utilized specialized hardware.
- To identify the strengths and challenges associated with robotic NP swab collection.
Main Methods:
- Development of a force-sensing end-effector integrated with a torque-controlled compliant control loop.
- Utilization of a ubiquitous rigid robotic arm for the NP swab insertion task.
- Experimental validation using a 3D-printed nasal cavity phantom.
Main Results:
- The compliant control system demonstrated superior performance compared to a basic position controller.
- The robotic system successfully performed NP swab insertions in the phantom model.
- The study identified key challenges including initial nostril alignment and managing head motion.
Conclusions:
- Compliant control systems show significant promise for enabling robots to perform NP swab tests safely and effectively.
- Further research and development are necessary to refine nostril alignment and address patient head motion for clinical application.
- Robotic NP swab testing offers a potential solution for reducing healthcare worker exposure and optimizing resource allocation.

