Journal
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING
Volume 69, Issue 9, Pages 2926-2934Publisher
IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/TBME.2022.3157818
Keywords
Handheld device; medical device; miniaturized dexterous instrument; minimally invasive surgery; surgical drill; tendon-driven mechanism
Categories
Funding
- CUHK Chow Yuk Ho Technology Centre of Innovative Medicine
- Multi-Scale Medical Robotics Centre, InnoHK [8312051, RGCT42-409/18-R]
- SHIAE [BME-p1-17]
- Natural Science Foundation of China [U1613202]
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This study presents a handheld steerable drill with a miniaturized tip and large bend angle, which can be used for dexterous operations in confined spaces. The experiments show that the drill has high distal dexterity and can minimize collateral tissue damage.
Objective: Steerable surgical drills have the potential to minimize intraoperative tissue damage to patients. However, due to their large shaft diameters, large bend radii, and small bend angles, existing steerable drills are unsuitable for dexterous operations in confined spaces. This article presents a handheld steerable drill with a phi 4.5mm miniaturized tip, capable of abruptly bending up to +/- 65 degrees. Methods: To achieve a small tip diameter and a large bend angle, we propose a novel articulated joint module composed of a tendon-driven geared rolling joint and a double universal joint for steering the drill shaft and transmitting drilling torques, respectively. We integrate this joint module with a customized compact actuation unit into a handheld device. The integrated handheld steerable drill is slim and lightweight, supporting burdenless, single-handed grips and easy integration into existing surgical procedures. Results: Experiments and analysis showed the proposed steerable drill has high distal dexterity and is capable to remove target tissues dexterously through a small passage/incision with minimized collateral damage. Conclusion: The results suggest the potential of the proposed miniaturized articulated drill for dexterous bone work in confined spaces. Significance: By enhancing distal dexterity and reach for surgeons when dealing with hard bony tissues, the proposed device can potentially minimize surgical invasiveness and thus collateral tissue damage to patients for a better clinical outcome.
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