Development and assessment of a stiffness display system for minimally invasive surgery based on smart magneto-rheological elastomers

Sensors and Sensing Devices Utilizing Electrorheological Fluids and Magnetorheological Materials-A Review

This paper comprehensively reviews sensors and sensing devices developed or/and proposed so far utilizing two smart materials: electrorheological fluids (ERFs) and magnetorheological materials (MRMs) whose rheological characteristics such as stiffness and damping can be controlled by external stimuli; an electrical voltage for ERFs and a magnetic field for MRMs, respectively. In this review article, the MRMs are classified into magnetorheological fluids (MRF), magnetorheological elastomers (MRE) and magnetorheological plastomers (MRP). To easily understand the history of sensing research using these two smart materials, the order of this review article is organized in a chronological manner of ERF sensors, MRF sensors, MRE sensors and MRP sensors. Among many sensors fabricated from each smart material, one or two sensors or sensing devices are adopted to discuss the sensing configuration, working principle and specifications such as accuracy and sensitivity. Some sensors adopted in this article include force sensors, tactile devices, strain sensors, wearable bending sensors, magnetometers, display devices and flux measurement sensors. After briefly describing what has been reviewed in a conclusion, several challenging future works, which should be undertaken for the practical applications of sensors or/and sensing devices, are discussed in terms of response time and new technologies integrating with artificial intelligence neural networks in which several parameters affecting the sensor signals can be precisely and optimally tuned. It is sure that this review article is very helpful to potential readers who are interested in creative sensors using not only the proposed smart materials but also different types of smart materials such as shape memory alloys and active polymers.

Optical Fiber Array Sensor for Force Estimation and Localization in TAVI Procedure: Design, Modeling, Analysis and Validation

Transcatheter aortic valve implantation has shown superior clinical outcomes compared to open aortic valve replacement surgery. The loss of the natural sense of touch, inherited from its minimally invasive nature, could lead to misplacement of the valve in the aortic annulus. In this study, a cylindrical optical fiber sensor is proposed to be integrated with valve delivery catheters. The proposed sensor works based on intensity modulation principle and is capable of measuring and localizing lateral force. The proposed sensor was constituted of an array of optical fibers embedded on a rigid substrate and covered by a flexible shell. The optical fibers were modeled as Euler–Bernoulli beams with both-end fixed boundary conditions. To study the sensing principle, a parametric finite element model of the sensor with lateral point loads was developed and the deflection of the optical fibers, as the determinant of light intensity modulation was analyzed. Moreover, the sensor was fabricated, and a set of experiments were performed to study the performance of the sensor in lateral force measurement and localization. The results showed that the transmitted light intensity decreased up to 24% for an external force of 1 N. Additionally, the results showed the same trend between the simulation predictions and experimental results. The proposed sensor was sensitive to the magnitude and position of the external force which shows its capability for lateral force measurement and localization.

Recent Progress in Isotropic Magnetorheological Elastomers and Their Properties: A Review

Magnetorheological elastomers (MREs) are magneto-sensitive smart materials, widely used in various applications, i.e., construction, automotive, electrics, electronics, medical, minimally invasive surgery, and robotics. Such a wide field of applications is due to their superior properties, including morphological, dynamic mechanical, magnetorheological, thermal, friction and wear, and complex torsional properties. The objective of this review is to provide a comprehensive review of the recent progress in isotropic MREs, with the main focus on their properties. We first present the background and introduction of the isotropic MREs. Then, the preparation of filler particles, fabrication methods of isotropic MREs, and key parameters of the fabrication process-including types of polymer matrices and filler particles, filler particles size and volume fraction, additives, curing time/temperature, and magnetic field strength-are discussed in a separate section. Additionally, the properties of various isotropic MREs, under specific magnetic field strength and tensile, compressive, or shear loading conditions, are reviewed in detail. The current review concludes with a summary of the properties of isotropic MREs, highlights unexplored research areas in isotropic MREs, and provides an outlook of the future opportunities of this innovative field.

Sensor-free Force Control of Tendon-driven Ablation Catheters through Position Control and Contact Modeling

In the present study, a sensor-free force control framework for tendon-driven steerable catheters was proposed and validated. The hypothesis of this study was that the contact force between the catheter tip and the tissue could be controlled using the estimated force with a previously validated displacement-based viscoelastic tissue model. The tissue model was used in a feedback control loop. The model estimated the contact force based on a realtime estimation of catheter-tissue indentation depth performed by a data-driven inverse kinematic model. To test the hypothesis, a tendon-driven catheter (φ6 × 40mm) and a robotic catheter intervention system were prototyped and characterized. Three validation studies were performed to test the performance of the proposed system with static and dynamic inputs. The results showed that the system was capable of reaching to the desired force with a root-mean-square error of 0.03 ± 0.02N for static tests and 0.05 ± 0.04N for dynamic inputs. The main contribution of this study was providing a computationally efficient and sensor-free force control schema for tendon-driven catheters.

Toward Task Autonomy in Robotic Cardiac Ablation: Learning-Based Kinematic Control of Soft Tendon-Driven Catheters

The goal of this study was to propose and validate a control framework with level-2 autonomy (task autonomy) for the control of flexible ablation catheters. To this end, a kinematic model for the flexible portion of typical ablation catheters was developed and a 40-mm-long spring-loaded flexible catheter was fabricated. The feasible space of the catheter was obtained experimentally. Furthermore, a robotic catheter intervention system was prototyped for controlling the length of the catheter tendons. The proposed control framework used a support vector machine classifier to determine the tendons to be driven, and a fully connected neural network regressor to determine the length of the tendons. The classifier and regressors were trained with the data from the feasible space. The control system was implemented in parallel at user-interface and firmware and exhibited a 0.4-s lag in following the input. The validation studies were four trajectory tracking and four target reaching experiments. The system was capable of tracking trajectories with an error of 0.49 ± 0.32 and 0.62 ± 0.36 mm in slow and fast trajectories, respectively. Also, it exhibited submillimeter accuracy in reaching three preplanned targets and ruling out one nonfeasible target autonomously. The results showed improved accuracy and repeatability of the position control compared with the recent literature. The proposed learning-based approach could be used in enabling task autonomy for catheter-based ablation therapies.