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Ch13-I044963.fm  Page 57  Tuesday, August 1, 2006  12:49 PM
                           Tuesday, August 1,2006
                      Page 57
                                          12:49 PM
            Ch13-I044963.fm
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                        DEVELOPMENT OF MASTER-SLAVE ROBOTIC                 SYSTEM
                                     FORLAPAROSCOPIC          SURGERY



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                         T. Suzuki , E. Aoki , E. Kobayashi , T. Tsuji , K. Konishf, M. Hashizume , and I. Sakuma 1
                      1
                        Institute of Environmental  Studies, Graduate School of Frontier Sciences, The University of Tokyo
                                      7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8656, Japan
                      2                                 3
                       Department of Disaster and Emergency Medicine,  Department of Innovative Medical  Technology,
                                    Graduate School of Medical Sciences, Kyushu  University,
                                    3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan
                  ABSTRACT

                  Laparoscopic  surgeiy  is widely  performed  as a less traumatic minimally  invasive  surgeiy. It,  however,  requires
                  experiences and skills for surgeons. For realizing high quality and preciseness of surgical operation, we developed
                  a new compact slave robot  in a master-slave system.  Tt consisted of manipulator positioning arm, forceps manipu-
                  lator, and bending forceps.  We integrated them into a slave robot with seven DOFs. In  vivo experiment was con-
                  ducted to evaluate the basic motion and the feasibility.


                  KEY WORDS
                  Minimally  invasive  surgery, laparoscopic  surgery, computer  assisted  surgery, surgical robot, medical robot, mas-
                  ter-slave system, RCM mechanism, pivot motion, robot forceps, and bending forceps


                  TTNTRODUCTTON
                  Laparoscopic surgery is widely performed  as a means of minimally invasive surgeiy.  Tn this method, surgeons cut
                  3 A  holes on the abdominal wall, and entire operations are conducted inside the abdominal cavity through the inci-
                  sion holes using rigid thin scope (laparoscope) and long-handled surgical tools such as forceps, scalpel (Figure  1).
                  Compared  with the conventional  laparotomy  requiring  large  incision  on the  abdomen,  laparoscopic  surgeiy  has
                  benefits  for patients because of its small invasion; reduction of postoperative pain and hospital  stay time. This pa-
                  tient-friendly  technique, however, is rather difficult  and cannot be applied to all cases, mainly because the limited
                  degrees  of  freedom  (DOF)  of  forceps  eliminate  the  dexterity  of  surgeons.  Forceps  have  only  four  DOFs
                  (two-DOF pivot motion for orientation of forceps, and two DOFs for insertion and rotation of forceps). Procedure
                  is operated symmetrically around the incision hole, so that surgeon gets confused  (Figure  1). Responding to these
                  issues,  master-slave  surgery-assisting  robotic  manipulators  with  maneuverable  robotic  arms  and  laparoscope
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