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                        Figure 5: separation for sterilization; (left) forceps manipulator, (right) bending forceps

               inserting distance of 300[mm] was realized using the 150[mm]-long linear stage. Rotational motion of the  forceps
               around  the  shaft  was  realized  by  transmitting  the  rotation  of the motor  with  gear.  The  size  of RCM  part  was
                              3                                   3
               W250*H110*D60[mm ], and forceps driving unit was W140*H410*D70[mm ]. The whole weight was 4.5[kg].

               Robotized forceps  with a two-DOFbendingjoint  anda  grasper

               We adopted minimal six DOFs to follow the motion of surgical procedure by surgeon. Robotized forceps had two
               DOFs for bending motion and one DOF for the grasping motion of the jaw (Figure 4), resulting seven DOFs by
               integrating  four-DOF  forceps  manipulator. Bending  and grasping motions were  actuated with  a tendon  mecha-
               nism,  which  had  advantages  in  its mechanical  simplicity  and  compactness  and  wide  working range.  Contrary,
               elongation of the wire might lead to the decrease of tension and the poor controllability. Tension control  mecha-
               nism should be implemented to maintain the tension, however, it will cause the increase of size and  complexity.
               We used plastic wire made of polyarylate with low elastic property (approximately 0.8%)(Gravity Jigging, Fujino
               line Corp., Japan). Each  bending motion was independent  from  each  other mechanically,  and the path  length  of
               the wire was constant despite of the bending angle of the other joint (Nishizawa K., et al. (2004)). We  manufac-
               tured various kinds of instruments; needle holder, grasper, and soft tissue grasper (Figure 4). Bending forceps con-
               sisted of "forceps part" and "motor driving unit". The  forceps was  10[mm] in diameter, 460[mm] in length. The
               motor driving unit was 55[mm] in diameter and 160[mm] in length. The whole weight was 0.7[kg].


               Separation  mechanism  for clinical appUcation

               All surgical tools used in the operating room must be sterilized by steam (120[deg C], 2[atm]). Here, electric mo-
               tors and circuit boxes could not be  sterilized because they  did not have water- and heat-resistant property. Thus,
               we  adopted "three parts method"(Hefti  J.L., et al. (1998)); forceps  manipulator  and bending forceps were  sepa-
               rated into modules; autoclave-compatible part and non-sterilized part. Non-sterilized part was wrapped with  sur-
               gical drapes (sterilized clothes) except mechanical interface. At the mechanical  interface, a sterilized intermediate
               block  is attached. Hereby, non-sterilized parts are not exposed, and sterilized module is attached to the intermedi-
               ate  block.  With  this method,  sterilized  module  can be  connected  to  non-sterilized  part  via  intermediate  block
               without contamination. Forceps manipulator was separated  into the RCM motion module (non-sterilization)  and
               forceps-driving  module  (sterilization compatible). They were connected  using intermediate block. In the case of
               bending  forceps,  it  could  be  separated  into  forceps  module  (autoclave  compatible)  and  motor  driving  unit
               (non-sterilization) (Figure 5).


               EXEPERIMENTAL RESULTS

               Forceps  manipulator
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