» Articles » PMID: 38241380

Fiberbots: Robotic Fibers for High-precision Minimally Invasive Surgery

Abstract

Precise manipulation of flexible surgical tools is crucial in minimally invasive surgical procedures, necessitating a miniature and flexible robotic probe that can precisely direct the surgical instruments. In this work, we developed a polymer-based robotic fiber with a thermal actuation mechanism by local heating along the sides of a single fiber. The fiber robot was fabricated by highly scalable fiber drawing technology using common low-cost materials. This low-profile (below 2 millimeters in diameter) robotic fiber exhibits remarkable motion precision (below 50 micrometers) and repeatability. We developed control algorithms coupling the robot with endoscopic instruments, demonstrating high-resolution in situ molecular and morphological tissue mapping. We assess its practicality and safety during in vivo laparoscopic surgery on a porcine model. High-precision motion of the fiber robot delivered endoscopically facilitates the effective use of cellular-level intraoperative tissue identification and ablation technologies, potentially enabling precise removal of cancer in challenging surgical sites.

Citing Articles

Submillimeter fiber robots capable of decoupled macro-micro motion for endoluminal manipulation.

Zhou C, Xu Z, Lin Z, Qin X, Xia J, Ai X Sci Adv. 2024; 10(47):eadr6428.

PMID: 39576861 PMC: 11584019. DOI: 10.1126/sciadv.adr6428.


Robotic Laser Tissue Soldering for Atraumatic Soft Tissue Fusion Guided by Fluorescent Nanothermometry.

Cipolato O, Leuthold T, Zach M, Mannel G, Aegerter S, Sciascia C Adv Sci (Weinh). 2024; 12(7):e2406671.

PMID: 39569684 PMC: 11831491. DOI: 10.1002/advs.202406671.


Thermally Drawn Polymeric Catheters for MR-Guided Cardiovascular Intervention.

Abdelaziz M, Tian L, Lottner T, Reiss S, Heidt T, Maier A Adv Sci (Weinh). 2024; 11(45):e2407704.

PMID: 39403885 PMC: 11615795. DOI: 10.1002/advs.202407704.


Towards a Procedure-Optimised Steerable Catheter for Deep-Seated Neurosurgery.

Aktas A, Demircali A, Secoli R, Temelkuran B, Rodriguez Y Baena F Biomedicines. 2023; 11(7).

PMID: 37509647 PMC: 10377471. DOI: 10.3390/biomedicines11072008.

References
1.
York P, Pena R, Kent D, Wood R . Microrobotic laser steering for minimally invasive surgery. Sci Robot. 2021; 6(50). DOI: 10.1126/scirobotics.abd5476. View

2.
Paraskevaidi M, Cameron S, Whelan E, Bowden S, Tzafetas M, Mitra A . Laser-assisted rapid evaporative ionisation mass spectrometry (LA-REIMS) as a metabolomics platform in cervical cancer screening. EBioMedicine. 2020; 60:103017. PMC: 7522750. DOI: 10.1016/j.ebiom.2020.103017. View

3.
Leber A, Dong C, Laperrousaz S, Banerjee H, Abdelaziz M, Bartolomei N . Highly Integrated Multi-Material Fibers for Soft Robotics. Adv Sci (Weinh). 2022; 10(2):e2204016. PMC: 9839840. DOI: 10.1002/advs.202204016. View

4.
Alam M, Ratner D . Cutaneous squamous-cell carcinoma. N Engl J Med. 2001; 344(13):975-83. DOI: 10.1056/NEJM200103293441306. View

5.
Lyons C, Callaghan M . Uses and mechanisms of apnoeic oxygenation: a narrative review. Anaesthesia. 2019; 74(4):497-507. DOI: 10.1111/anae.14565. View