Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Minimally invasive procedures such as Natural Orifice Transluminal Endoscopic Surgery (NOTES) require powerful, small, and flexible instruments. A cable-driven instrument was developed, which is able to retract tissue to create sufficient space for an actual operation (e.g. cholecystectomy). In this...

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Main Authors: Bachmann Ada L., Giacoppo Giuliano A., Pott Peter P.
Format: Article
Language:English
Published: De Gruyter 2022-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2022-1077
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author Bachmann Ada L.
Giacoppo Giuliano A.
Pott Peter P.
author_facet Bachmann Ada L.
Giacoppo Giuliano A.
Pott Peter P.
author_sort Bachmann Ada L.
collection DOAJ
description Minimally invasive procedures such as Natural Orifice Transluminal Endoscopic Surgery (NOTES) require powerful, small, and flexible instruments. A cable-driven instrument was developed, which is able to retract tissue to create sufficient space for an actual operation (e.g. cholecystectomy). In this paper, the work space of a developed instrument is presented. The work space is calculated using direct kinematics equations and verified by measurement using an electromagnetic (EM) tracking system. The angular orientation of the instrument can be up to 85° with a length of the active section of 60 mm. However, a longitudinal rotation up to 17° becomes apparent. This is due to the characteristics of the steel cable used for actuation. Nevertheless, the instrument reaches the intended work space. Further measurements are necessary to evaluate the instrument’s behavior under payload and whether this affects the work space.
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spelling doaj.art-8909c8e464ce48e1991b8b0b5aa74df42023-01-19T12:47:02ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042022-09-018230130410.1515/cdbme-2022-1077Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)Bachmann Ada L.0Giacoppo Giuliano A.1Pott Peter P.2Institute of Medical Device Technology, University of Stuttgart, Pfaffenwaldring 9, 70569Stuttgart, GermanyInstitute of Medical Device Technology, University of Stuttgart, Pfaffenwaldring 9, 70569Stuttgart, GermanyInstitute of Medical Device Technology, University of Stuttgart, Pfaffenwaldring 9, 70569Stuttgart, GermanyMinimally invasive procedures such as Natural Orifice Transluminal Endoscopic Surgery (NOTES) require powerful, small, and flexible instruments. A cable-driven instrument was developed, which is able to retract tissue to create sufficient space for an actual operation (e.g. cholecystectomy). In this paper, the work space of a developed instrument is presented. The work space is calculated using direct kinematics equations and verified by measurement using an electromagnetic (EM) tracking system. The angular orientation of the instrument can be up to 85° with a length of the active section of 60 mm. However, a longitudinal rotation up to 17° becomes apparent. This is due to the characteristics of the steel cable used for actuation. Nevertheless, the instrument reaches the intended work space. Further measurements are necessary to evaluate the instrument’s behavior under payload and whether this affects the work space.https://doi.org/10.1515/cdbme-2022-1077kinematic analysisrobotic endoscopyinstrumentgrippernoteselectromagnetic tracking
spellingShingle Bachmann Ada L.
Giacoppo Giuliano A.
Pott Peter P.
Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
Current Directions in Biomedical Engineering
kinematic analysis
robotic endoscopy
instrument
gripper
notes
electromagnetic tracking
title Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
title_full Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
title_fullStr Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
title_full_unstemmed Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
title_short Work space analysis of a new instrument for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
title_sort work space analysis of a new instrument for natural orifice transluminal endoscopic surgery notes
topic kinematic analysis
robotic endoscopy
instrument
gripper
notes
electromagnetic tracking
url https://doi.org/10.1515/cdbme-2022-1077
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