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3-DOF Force-Sensing Motorized Micro-Forceps for Robot-Assisted Vitreoretinal Surgery

机译:机器人辅助玻璃体视网膜手术的3自由度力感电动微型手术钳

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In vitreoretinal surgery, membrane peeling is a prototypical task where a layer of fibrous tissue is delaminated off the retina with a micro-forceps by applying very fine forces that are mostly imperceptible to the surgeon. Previously, we developed sensitized ophthalmic surgery tools based on fiber Bragg grating strain sensors, which were shown to precisely detect forces at the instrument’s tip in two degrees of freedom perpendicular to the tool axis. This paper presents a new design that employs an additional sensor to capture also the tensile force along the tool axis. The grasping functionality is provided via a compact motorized unit. To compute forces, we investigate two distinct fitting methods: a linear regression and a nonlinear fitting based on second-order Bernstein polynomials. We carry out experiments to test the repeatability of sensor outputs, calibrate the sensor, and validate its performance. Results demonstrate sensor wavelength repeatability within 2 pm. Although the linear method provides sufficient accuracy in measuring transverse forces, in the axial direction, it produces a root mean square (rms) error over 3 mN even for a confined magnitude and direction of forces. On the other hand, the nonlinear method provides a more consistent and accurate measurement of both the transverse and axial forces for the entire force range (0–25 mN). Validation, including random samples, shows that our tool with the nonlinear force computation method can predict 3-D forces with an rms error under 0.15 mN in the transverse plane and within 2 mN accuracy in the axial direction.
机译:在玻璃体视网膜手术中,膜剥离是典型的任务,其中,通过施加非常难以引起外科医生觉察的细微作用力,用微型镊子将一层纤维组织从视网膜上剥离。以前,我们开发了基于光纤布拉格光栅应变传感器的敏化眼科手术工具,该工具被证明可以在垂直于工具轴的两个自由度内精确检测器械尖端的力。本文提出了一种新设计,该设计采用了一个附加传感器来捕获沿刀具轴的拉力。抓握功能通过紧凑的电动单元提供。为了计算力,我们研究了两种不同的拟合方法:基于二阶Bernstein多项式的线性回归和非线性拟合。我们进行实验以测试传感器输出的可重复性,校准传感器并验证其性能。结果表明传感器波长在2 pm内具有可重复性。尽管线性方法在测量横向力方面具有足够的精度,但在轴向方向上,即使在力的大小和方向有限的情况下,它也会产生超过3 mN的均方根(rms)误差。另一方面,非线性方法可以在整个力范围(0–25 mN)内对横向力和轴向力进行更一致和准确的测量。包括随机样本在内的验证表明,使用非线性力计算方法的工具可以预测3-D力,其有效值误差在横向平面内小于0.15 mN,而在轴向方向上的精度在2 mN以内。

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