arXiv:2510.21734cs.ROcs.SY2025-10

用光纤传感器实时监测心脏封堵器部署力与位移,减少辐射暴露。

Force-Displacement Profiling for Robot-Assisted Deployment of a Left Atrial Appendage Occluder Using FBG-EM Distal Sensing

  • 通过光纤+电磁追踪实现部署过程中的力与位置实时感知。
  • 力信号显示作用力小,表明对周围组织损伤风险低。
  • 适合希望提升手术精度、降低辐射的介入心脏病医生。

房颤会因左心耳功能障碍增加血栓栓塞风险。左心耳封堵术(LAAC)是一种微创干预手段,通过植入可展开封堵器封闭左心耳以降低中风风险。当前操作依赖手动导管控制及透视或经食管超声等影像技术,存在辐射暴露和定位精度有限等问题。本研究利用一种集成在导管-封堵器界面的光纤布拉格光栅(FBG)力感测输送鞘,结合电磁(EM)跟踪技术,在解剖模型中实现了机器人辅助下LAAC部署过程的实时交互力与导管尖端位置测量。提出一种新型力-位移特征分析方法,可表征封堵器部署动态并识别关键操作步骤,且无需电离辐射。力曲线显示交互力幅值较低,提示对周围组织机械应力小。该方法有望为临床提供更优术中反馈,改善部署效果。未来将聚焦于部署步骤的自动化分类及在动态真实环境中的验证。

原文摘要 · Abstract (English)

Atrial fibrillation (AF) increases the risk of thromboembolic events due to impaired function of the left atrial appendage (LAA). Left atrial appendage closure (LAAC) is a minimally invasive intervention designed to reduce stroke risk by sealing the LAA with an expandable occluder device. Current deployment relies on manual catheter control and imaging modalities like fluoroscopy and transesophageal echocardiography, which carry limitations including radiation exposure and limited positioning precision. In this study, we leverage a previously developed force-sensing delivery sheath integrating fiber Bragg gratings (FBGs) at the interface between the catheter and the occluder. Combined with electromagnetic (EM) tracking, this setup enables real-time measurement of interaction forces and catheter tip position during robot-assisted LAAC deployment in an anatomical phantom. We present a novel force-displacement profiling method that characterizes occluder deployment dynamics and identifies key procedural steps without relying on ionizing radiation. The force profiles reveal low-magnitude interaction forces, suggesting minimal mechanical stress on the surrounding anatomy. This approach shows promise in providing clinicians with enhanced intraoperative feedback, improving deployment outcome. Future work will focus on automating deployment steps classification and validating the sensing strategy in dynamic, realistic environments.

机器人手术力传感心耳封堵光纤传感

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