用激光加工聚酰亚胺制成可弯曲神经外科导管,提升手术精度与安全性。
Design of a Polymer-based Steerable Cannula for Neurosurgical Applications
- 采用激光微加工技术在聚酰亚胺管上开槽,实现定向柔韧控制。
- 成功制造最小外径1.5毫米的关节,实验验证其负载性能稳定。
- 适合需要高精度、低磁干扰的神经外科机器人手术场景。
机器人可控的柔性手术工具相比刚性工具具有更高的灵活性、更少的组织损伤以及在微创神经外科手术中实现非线性路径的能力。现有神经外科机器人工具多采用不锈钢或镍钛合金材料,而使用聚合物材料可减少磁共振成像干扰,提升电驱动器械的安全性,并因本征柔韧性降低组织损伤。已有研究采用聚酰亚胺、聚碳酸酯和弹性树脂等聚合物材料,结合微加工、热拉拔和3D打印等工艺。此前我们基于腱驱动与刻槽管结构设计了多种神经外科机器人工具,通过激光微加工实现局部降刚度,该方法具有单步流程、高精度且无需无尘室或强化学试剂的优点。已有研究将激光微加工用于支架制造。本文拓展该技术至聚酰亚胺(PI)机器人可转向导管的制造,成功制备外径最小达1.5毫米的关节,使用不同外径的PI管制作多个关节,并对其加载行为进行了实验表征。
原文摘要 · Abstract (English)
Robotically steerable compliant surgical tools offer several advantages over rigid tools, including enhanced dexterity, reduced tissue damage, and the ability to generate non-linear trajectories in minimally invasive neurosurgical procedures. Many existing robotic neurosurgical tools are designed using stainless steel or nitinol materials. Using polymer-based materials instead can offer advantages such as reduced interference in magnetic resonance imaging, enhanced safety for guiding electrically powered instruments, and reduced tissue damage due to inherent compliance. Several polymer materials have been used in robotic surgical applications, such as polyimide, polycarbonate, and elastic resin. Various fabrication strategies have also been proposed, including standard microfabrication techniques, thermal drawing, and 3-D printing. In our previous work, a tendon-driven, notched-tube was designed for several neurosurgical robotic tools, utilizing laser micromachining to reduce the stiffness of the tube in certain directions. This fabrication method is desirable because it has a single-step process, has high precision, and does not require a cleanroom or harsh chemicals. Past studies have explored laser-micromachining of polymer material for surgical applications such as stent fabrication. In this work, we explore extending the use of the laser micromachining approach to the fabrication of polyimide (PI) robotically steerable cannulas for neurosurgical applications. Utilizing the method presented in this work, we fabricated joints as small as 1.5 mm outer diameter (OD). Multiple joints were fabricated using PI tubes of different ODs, and the loading behavior of the fabricated joints was experimentally characterized.
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