Surgery enabled by ultrasonics

超声波手术

• 批准号: EP/R045291/1
• 负责人: Margaret Lucas
• 金额: $ 779.13万
• 依托单位: University of Glasgow
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=EP%2FR045291%2F1
• 关键词: Surgery; enabled; ultrasonics

The range of surgical tools for interventional procedures that dissect or fragment tissue has not changed significantly for millennia. There is huge potential for ultrasonic devices to enable new minimal access surgeries, offering higher precision, much lower force, better preservation of delicate structures, low thermal damage and, importantly, enabling more procedures to be carried out on an out-patient or day surgery basis. To realise this potential, and deliver our vision of ultrasonics being the technology of choice for minimal access interventional surgery, a completely new approach to device design is required, to achieve miniaturisation and to incorporate both a cutting and healing capability in the devices. By integrating with innovative flexible, tentacle-like surgical robots, we will bring ultrasonic devices deep into the human body, along tortuous pathways to the surgical site, to deliver unparalleled precision.Unsurpassed precision in challenging neurological, skull-base and spinal procedures as well as in general surgery is attainable through tailoring the robotic-ultrasonic devices to deliver the exact ultrasonic energy to the exact locations required to optimise the surgery. We will achieve this by quantifying the effects of the ultrasonic excitations typical of surgical devices in tissues, at and surrounding the site of surgery, in terms of precision cutting, tissue damage (mechanical damage, thermal necrosis, cavitation) but also the potential to aid regeneration. We will make world-leading advances in ultra-high speed imaging measurements and biophysical analysis, complementing advances in histology and clinical assessment, to develop a combined approach to the characterisation of both damage and regeneration of tissue. Through this holistic approach to device design, we will create integrated robotic-ultrasonic surgical devices tailored for optimised surgery.

用于解剖或破碎组织的介入手术的手术工具的范围几千年来没有显著变化。超声设备具有巨大的潜力，可以实现新的微创手术，提供更高的精度，更低的力，更好地保护微妙的结构，低热损伤，重要的是，可以在门诊或日间手术的基础上进行更多的手术。为了实现这一潜力，并实现我们的愿景，即超声是微创介入手术的首选技术，需要一种全新的器械设计方法，以实现切割并将切割和愈合能力纳入器械中。通过与创新的灵活、触手般的手术机器人进行整合，我们将把超声波设备深入人体，沿着曲折的路径到达手术部位，以提供无与伦比的精确度，在挑战神经学的领域实现无与伦比的精确度颅底和脊柱手术以及普通外科手术都可以通过定制机器人来实现，超声波设备将精确的超声波能量输送到优化手术所需的精确位置。我们将通过量化手术器械在手术部位和周围组织中的典型超声激励的影响来实现这一点，包括精确切割、组织损伤（机械损伤、热坏死、空化）以及辅助再生的潜力。我们将在超高速成像测量和生物物理分析方面取得世界领先的进展，补充组织学和临床评估方面的进展，以开发一种综合方法来表征组织的损伤和再生。通过这种设备设计的整体方法，我们将创建为优化手术量身定制的集成机器人超声手术设备。

项目成果

Independent and Hybrid Magnetic Manipulation for Full Body Controlled Soft Continuum Robots

• DOI: 10.1109/lra.2023.3280749
• 发表时间: 2023-07-01
• 期刊: IEEE ROBOTICS AND AUTOMATION LETTERS
• 影响因子: 5.2
• 作者: Abolfathi，Kiana;Rosales-Medina，Jose A.;Hoshiar，Ali Kafash
• 通讯作者: Hoshiar，Ali Kafash

Optimization and fabrication of programmable domains for soft magnetic robots: A review.

• DOI: 10.3389/frobt.2022.1040984
• 发表时间: 2022
• 期刊: Frontiers in robotics and AI
• 影响因子: 3.4
• 作者: Bacchetti A;Lloyd P;Taccola S;Fakhoury E;Cochran S;Harris RA;Valdastri P;Chandler JH
• 通讯作者: Chandler JH

Autonomy in Surgical Robotics

• DOI: 10.1146/annurev-control-062420-090543
• 发表时间: 2021-01-01
• 期刊: ANNUAL REVIEW OF CONTROL, ROBOTICS, AND AUTONOMOUS SYSTEMS, VOL 4, 2021
• 作者: Attanasio, Aleks;Scaglioni, Bruno;Valdastri, Pietro
• 通讯作者: Valdastri, Pietro

A Comparative Study of Spatio-Temporal U-Nets for Tissue Segmentation in Surgical Robotics

• DOI: 10.1109/tmrb.2021.3054326
• 发表时间: 2021-02-01
• 期刊: IEEE TRANSACTIONS ON MEDICAL ROBOTICS AND BIONICS
• 作者: Attanasio, Aleks;Alberti, Chiara;Valdastri, Pietro
• 通讯作者: Valdastri, Pietro

Incorporating stainless steel and titanium back masses in twice planar folded ultrasonic scalpels for robotic surgery

将不锈钢和钛质背部质量结合到用于机器人手术的两次平面折叠超声手术刀中

• DOI: 10.1109/ius54386.2022.9957398
• 发表时间: 2022
• 作者: Chibli A