Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors

Medical robotics is a highly challenging and rewarding field of research, especially in the development of minimally invasive solutions for the treatment of the worldwide leading cause of death, cancer. The aim of the paper is to provide a design methodology for the development of a safe and efficie...

Full description

Bibliographic Details
Main Authors: Bogdan Gherman, Nadim Al Hajjar, Paul Tucan, Corina Radu, Calin Vaida, Emil Mois, Alin Burz, Doina Pisla
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/2/389
_version_ 1797479669205827584
author Bogdan Gherman
Nadim Al Hajjar
Paul Tucan
Corina Radu
Calin Vaida
Emil Mois
Alin Burz
Doina Pisla
author_facet Bogdan Gherman
Nadim Al Hajjar
Paul Tucan
Corina Radu
Calin Vaida
Emil Mois
Alin Burz
Doina Pisla
author_sort Bogdan Gherman
collection DOAJ
description Medical robotics is a highly challenging and rewarding field of research, especially in the development of minimally invasive solutions for the treatment of the worldwide leading cause of death, cancer. The aim of the paper is to provide a design methodology for the development of a safe and efficient medical robotic system for the minimally invasive, percutaneous, targeted treatment of hepatocellular carcinoma, which can be extended with minimal modification for other types of abdominal cancers. Using as input a set of general medical requirements to comply with currently applicable standards, and a set of identified hazards and failure modes, specific methods, such as the Analytical Hierarchy Prioritization, Risk Analysis and fuzzy logic Failure Modes and Effect Analysis have been used within a stepwise approach to help in the development of a medical device targeting the insertion of multiple needles in brachytherapy procedures. The developed medical device, which is visually guided using CT scanning, has been tested for validation in a medical environment using a human-size ballistic gel liver, with promising results. These prove that the robotic system can be used for the proposed medical task, while the modular approach increases the chances of acceptance.
first_indexed 2024-03-09T21:49:08Z
format Article
id doaj.art-a263208d316445ddbb56614a94874ca4
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-09T21:49:08Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-a263208d316445ddbb56614a94874ca42023-11-23T20:11:08ZengMDPI AGHealthcare2227-90322022-02-0110238910.3390/healthcare10020389Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver TumorsBogdan Gherman0Nadim Al Hajjar1Paul Tucan2Corina Radu3Calin Vaida4Emil Mois5Alin Burz6Doina Pisla7CESTER—Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, Bulevardul Muncii Street, No. 103-105, 400641 Cluj-Napoca, Romania“Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaCESTER—Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, Bulevardul Muncii Street, No. 103-105, 400641 Cluj-Napoca, Romania“Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaCESTER—Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, Bulevardul Muncii Street, No. 103-105, 400641 Cluj-Napoca, Romania“Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, RomaniaCESTER—Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, Bulevardul Muncii Street, No. 103-105, 400641 Cluj-Napoca, RomaniaCESTER—Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, Bulevardul Muncii Street, No. 103-105, 400641 Cluj-Napoca, RomaniaMedical robotics is a highly challenging and rewarding field of research, especially in the development of minimally invasive solutions for the treatment of the worldwide leading cause of death, cancer. The aim of the paper is to provide a design methodology for the development of a safe and efficient medical robotic system for the minimally invasive, percutaneous, targeted treatment of hepatocellular carcinoma, which can be extended with minimal modification for other types of abdominal cancers. Using as input a set of general medical requirements to comply with currently applicable standards, and a set of identified hazards and failure modes, specific methods, such as the Analytical Hierarchy Prioritization, Risk Analysis and fuzzy logic Failure Modes and Effect Analysis have been used within a stepwise approach to help in the development of a medical device targeting the insertion of multiple needles in brachytherapy procedures. The developed medical device, which is visually guided using CT scanning, has been tested for validation in a medical environment using a human-size ballistic gel liver, with promising results. These prove that the robotic system can be used for the proposed medical task, while the modular approach increases the chances of acceptance.https://www.mdpi.com/2227-9032/10/2/389medical roboticsrisk assessmentcancer treatmentfailure modes analysisrobot designneedle insertion
spellingShingle Bogdan Gherman
Nadim Al Hajjar
Paul Tucan
Corina Radu
Calin Vaida
Emil Mois
Alin Burz
Doina Pisla
Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors
Healthcare
medical robotics
risk assessment
cancer treatment
failure modes analysis
robot design
needle insertion
title Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors
title_full Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors
title_fullStr Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors
title_full_unstemmed Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors
title_short Risk Assessment-Oriented Design of a Needle Insertion Robotic System for Non-Resectable Liver Tumors
title_sort risk assessment oriented design of a needle insertion robotic system for non resectable liver tumors
topic medical robotics
risk assessment
cancer treatment
failure modes analysis
robot design
needle insertion
url https://www.mdpi.com/2227-9032/10/2/389
work_keys_str_mv AT bogdangherman riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT nadimalhajjar riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT paultucan riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT corinaradu riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT calinvaida riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT emilmois riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT alinburz riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors
AT doinapisla riskassessmentorienteddesignofaneedleinsertionroboticsystemfornonresectablelivertumors