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Chapter 63 — Medical Robotics and Computer-Integrated Surgery

Russell H. Taylor, Arianna Menciassi, Gabor Fichtinger, Paolo Fiorini and Paolo Dario

The growth of medical robotics since the mid- 1980s has been striking. From a few initial efforts in stereotactic brain surgery, orthopaedics, endoscopic surgery, microsurgery, and other areas, the field has expanded to include commercially marketed, clinically deployed systems, and a robust and exponentially expanding research community. This chapter will discuss some major themes and illustrate them with examples from current and past research. Further reading providing a more comprehensive review of this rapidly expanding field is suggested in Sect. 63.4.

Medical robotsmay be classified in many ways: by manipulator design (e.g., kinematics, actuation); by level of autonomy (e.g., preprogrammed versus teleoperation versus constrained cooperative control), by targeted anatomy or technique (e.g., cardiac, intravascular, percutaneous, laparoscopic, microsurgical); or intended operating environment (e.g., in-scanner, conventional operating room). In this chapter, we have chosen to focus on the role of medical robots within the context of larger computer-integrated systems including presurgical planning, intraoperative execution, and postoperative assessment and follow-up.

First, we introduce basic concepts of computerintegrated surgery, discuss critical factors affecting the eventual deployment and acceptance of medical robots, and introduce the basic system paradigms of surgical computer-assisted planning, execution, monitoring, and assessment (surgical CAD/CAM) and surgical assistance. In subsequent sections, we provide an overview of the technology ofmedical robot systems and discuss examples of our basic system paradigms, with brief additional discussion topics of remote telesurgery and robotic surgical simulators. We conclude with some thoughts on future research directions and provide suggested further reading.

A micro-robot operating inside an eye

Author  ETHZ, Zurich, Switzerland - Prof. Bradley Nelson

Video ID : 835

A micro-robot with remote magnetic propulsion for surgery inside an eye.

Chapter 70 — Human-Robot Augmentation

Massimo Bergamasco and Hugh Herr

The development of robotic systems capable of sharing with humans the load of heavy tasks has been one of the primary objectives in robotics research. At present, in order to fulfil such an objective, a strong interest in the robotics community is collected by the so-called wearable robots, a class of robotics systems that are worn and directly controlled by the human operator. Wearable robots, together with powered orthoses that exploit robotic components and control strategies, can represent an immediate resource also for allowing humans to restore manipulation and/or walking functionalities.

The present chapter deals with wearable robotics systems capable of providing different levels of functional and/or operational augmentation to the human beings for specific functions or tasks. Prostheses, powered orthoses, and exoskeletons are described for upper limb, lower limb, and whole body structures. State-of-theart devices together with their functionalities and main components are presented for each class of wearable system. Critical design issues and open research aspects are reported.

L-Exos for upper-limb motor rehabilitation

Author  Massimo Bergamasco

Video ID : 180

The video shows the L-Exos integrated into a virtual environment, which has been specifically developed for the motor rehabilitation of the upper limb.

Chapter 76 — Evolutionary Robotics

Stefano Nolfi, Josh Bongard, Phil Husbands and Dario Floreano

Evolutionary Robotics is a method for automatically generating artificial brains and morphologies of autonomous robots. This approach is useful both for investigating the design space of robotic applications and for testing scientific hypotheses of biological mechanisms and processes. In this chapter we provide an overview of methods and results of Evolutionary Robotics with robots of different shapes, dimensions, and operation features. We consider both simulated and physical robots with special consideration to the transfer between the two worlds.

Evolved group coordination

Author  Phil Husbands

Video ID : 376

Identical evolved robots are required to coordinate by coming together and moving off in the same direction. No roles are pre-assigned. The robots must evolve to coordinate such that one robot takes on the role of leader and the others follow. Only minimal sensing is available (proximity IR sensing) and no dedicated communication channels. The robot neural-network controllers are evolved using a minimal simualtion and, as can be seen, these successfully transfer to reality. Work by Matt Quinn, Giles Mayley, Linc Smith and Phil Husbands at Sussex University.

Chapter 58 — Robotics in Hazardous Applications

James Trevelyan, William R. Hamel and Sung-Chul Kang

Robotics researchers have worked hard to realize a long-awaited vision: machines that can eliminate the need for people to work in hazardous environments. Chapter 60 is framed by the vision of disaster response: search and rescue robots carrying people from burning buildings or tunneling through collapsed rock falls to reach trapped miners. In this chapter we review tangible progress towards robots that perform routine work in places too dangerous for humans. Researchers still have many challenges ahead of them but there has been remarkable progress in some areas. Hazardous environments present special challenges for the accomplishment of desired tasks depending on the nature and magnitude of the hazards. Hazards may be present in the form of radiation, toxic contamination, falling objects or potential explosions. Technology that specialized engineering companies can develop and sell without active help from researchers marks the frontier of commercial feasibility. Just inside this border lie teleoperated robots for explosive ordnance disposal (EOD) and for underwater engineering work. Even with the typical tenfold disadvantage in manipulation performance imposed by the limits of today’s telepresence and teleoperation technology, in terms of human dexterity and speed, robots often can offer a more cost-effective solution. However, most routine applications in hazardous environments still lie far beyond the feasibility frontier. Fire fighting, remediating nuclear contamination, reactor decommissioning, tunneling, underwater engineering, underground mining and clearance of landmines and unexploded ordnance still present many unsolved problems.

iRobots inspecting interior of Fukushima powerplant

Author  James P. Trevelyan

Video ID : 580

A video timestamped April 17, 2011, with English commentary.

Chapter 24 — Wheeled Robots

Woojin Chung and Karl Iagnemma

The purpose of this chapter is to introduce, analyze, and compare various wheeled mobile robots (WMRs) and to present several realizations and commonly encountered designs. The mobility of WMR is discussed on the basis of the kinematic constraints resulting from the pure rolling conditions at the contact points between the wheels and the ground. Practical robot structures are classified according to the number of wheels, and features are introduced focusing on commonly adopted designs. Omnimobile robot and articulated robots realizations are described. Wheel–terrain interaction models are presented in order to compute forces at the contact interface. Four possible wheel-terrain interaction cases are shown on the basis of relative stiffness of the wheel and terrain. A suspension system is required to move on uneven surfaces. Structures, dynamics, and important features of commonly used suspensions are explained.

An omnidirectional robot with four mecanum wheels

Author  Nexus Automation Limited

Video ID : 327

This video shows a holonomic omnidirectional mobile robot with four mecanum wheels. The mecanum wheel is similar to the Swedish wheel. The rollers of the mecanum wheel have an axis of rotation at 45° to the axis of the wheel hub rotation. The design problem of omnidirectional robots becomes easier because the rotating axes of all wheel hubs can be placed in parallel.

Chapter 64 — Rehabilitation and Health Care Robotics

H.F. Machiel Van der Loos, David J. Reinkensmeyer and Eugenio Guglielmelli

The field of rehabilitation robotics considers robotic systems that 1) provide therapy for persons seeking to recover their physical, social, communication, or cognitive function, and/or that 2) assist persons who have a chronic disability to accomplish activities of daily living. This chapter will discuss these two main domains and provide descriptions of the major achievements of the field over its short history and chart out the challenges to come. Specifically, after providing background information on demographics (Sect. 64.1.2) and history (Sect. 64.1.3) of the field, Sect. 64.2 describes physical therapy and exercise training robots, and Sect. 64.3 describes robotic aids for people with disabilities. Section 64.4 then presents recent advances in smart prostheses and orthoses that are related to rehabilitation robotics. Finally, Sect. 64.5 provides an overview of recent work in diagnosis and monitoring for rehabilitation as well as other health-care issues. The reader is referred to Chap. 73 for cognitive rehabilitation robotics and to Chap. 65 for robotic smart home technologies, which are often considered assistive technologies for persons with disabilities. At the conclusion of the present chapter, the reader will be familiar with the history of rehabilitation robotics and its primary accomplishments, and will understand the challenges the field may face in the future as it seeks to improve health care and the well being of persons with disabilities.

The Arm Guide

Author  Lennie Kahn

Video ID : 494

The Arm Guide was an early rehabilitation therapy robot used to study the role of active assistance in robotic therapy after stroke, which was developed at the Rehabilitation Institute of Chicago and the University of California at Irvine. It was a singly-actuated, trombone-like device which could be oriented in different directions. It was used to sense patient's arm movement along a linear bearing and then assisted in completing movements with a motor attached to a timing belt along the bearing. It also measured off-axis forces generated against the linear bearing, using a 6-axis force-torque cell in order to quantify abnormal synergies.

Chapter 21 — Actuators for Soft Robotics

Alin Albu-Schäffer and Antonio Bicchi

Although we do not know as yet how robots of the future will look like exactly, most of us are sure that they will not resemble the heavy, bulky, rigid machines dangerously moving around in old fashioned industrial automation. There is a growing consensus, in the research community as well as in expectations from the public, that robots of the next generation will be physically compliant and adaptable machines, closely interacting with humans and moving safely, smoothly and efficiently - in other terms, robots will be soft.

This chapter discusses the design, modeling and control of actuators for the new generation of soft robots, which can replace conventional actuators in applications where rigidity is not the first and foremost concern in performance. The chapter focuses on the technology, modeling, and control of lumped parameters of soft robotics, that is, systems of discrete, interconnected, and compliant elements. Distributed parameters, snakelike and continuum soft robotics, are presented in Chap. 20, while Chap. 23 discusses in detail the biomimetic motivations that are often behind soft robotics.

VSA-Cube arm: Drawing on a wavy surface (low stiffness)

Author  centro di Ricerca "E. Piaggio"

Video ID : 473

A 3-DOF arm, built with VSA-cube units, performing a circle on a wavy surface with preset low stiffness.

Chapter 72 — Social Robotics

Cynthia Breazeal, Kerstin Dautenhahn and Takayuki Kanda

This chapter surveys some of the principal research trends in Social Robotics and its application to human–robot interaction (HRI). Social (or Sociable) robots are designed to interact with people in a natural, interpersonal manner – often to achieve positive outcomes in diverse applications such as education, health, quality of life, entertainment, communication, and tasks requiring collaborative teamwork. The long-term goal of creating social robots that are competent and capable partners for people is quite a challenging task. They will need to be able to communicate naturally with people using both verbal and nonverbal signals. They will need to engage us not only on a cognitive level, but on an emotional level as well in order to provide effective social and task-related support to people. They will need a wide range of socialcognitive skills and a theory of other minds to understand human behavior, and to be intuitively understood by people. A deep understanding of human intelligence and behavior across multiple dimensions (i. e., cognitive, affective, physical, social, etc.) is necessary in order to design robots that can successfully play a beneficial role in the daily lives of people. This requires a multidisciplinary approach where the design of social robot technologies and methodologies are informed by robotics, artificial intelligence, psychology, neuroscience, human factors, design, anthropology, and more.

A robot that approaches pedestrians

Author  Takayuki Kanda

Video ID : 258

This video illustrates an example of a study in which the social robot's capability for nonverbal interaction was developed. In the study, an anticipation technique was developed, where the robot observes pedestrians' motions and anticipates each pedestrian's future motions thanks to the accumulation of a large amount of data on pedestrian trajectories. Then, it plans its motion to approach a pedestrian from a frontal direction and initiates a conversation with the pedestrian.

Chapter 23 — Biomimetic Robots

Kyu-Jin Cho and Robert Wood

Biomimetic robot designs attempt to translate biological principles into engineered systems, replacing more classical engineering solutions in order to achieve a function observed in the natural system. This chapter will focus on mechanism design for bio-inspired robots that replicate key principles from nature with novel engineering solutions. The challenges of biomimetic design include developing a deep understanding of the relevant natural system and translating this understanding into engineering design rules. This often entails the development of novel fabrication and actuation to realize the biomimetic design.

This chapter consists of four sections. In Sect. 23.1, we will define what biomimetic design entails, and contrast biomimetic robots with bio-inspired robots. In Sect. 23.2, we will discuss the fundamental components for developing a biomimetic robot. In Sect. 23.3, we will review detailed biomimetic designs that have been developed for canonical robot locomotion behaviors including flapping-wing flight, jumping, crawling, wall climbing, and swimming. In Sect. 23.4, we will discuss the enabling technologies for these biomimetic designs including material and fabrication.

A new form of peristaltic locomotion in a robot

Author  Alexander Boxerbaum

Video ID : 287

This robotic concept uses a braided mesh that can be continuously deformed to create smooth waves of motion. The improvements in kinematics result in a much faster and effective motion.

Chapter 17 — Limbed Systems

Shuuji Kajita and Christian Ott

A limbed system is a mobile robot with a body, legs and arms. First, its general design process is discussed in Sect. 17.1. Then we consider issues of conceptual design and observe designs of various existing robots in Sect. 17.2. As an example in detail, the design of a humanoid robot HRP-4C is shown in Sect. 17.3. To design a limbed system of good performance, it is important to take into account of actuation and control, like gravity compensation, limit cycle dynamics, template models, and backdrivable actuation. These are discussed in Sect. 17.4.

In Sect. 17.5, we overview divergence of limbed systems. We see odd legged walkers, leg–wheel hybrid robots, leg–arm hybrid robots, tethered walking robots, and wall-climbing robots. To compare limbed systems of different configurations,we can use performance indices such as the gait sensitivity norm, the Froude number, and the specific resistance, etc., which are introduced in Sect. 17.6.

Whegs II: A mobile robot using abstracted biological principles

Author  Roger D. Quinn

Video ID : 537

A leg-wheel robot developed by researchers at Case Western Reserve University.