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Fiberbots: Robotic fibers for high-precision minimally invasive surgery.

Mohamed E M K AbdelazizJinshi ZhaoBruno Miguel Gil RosaHyun-Taek LeeDaniel SimonKhushi VyasBing LiHanifa KogunaYue LiAli Anil DemircaliHüseyin UvetGulsum GencoglanArzu AkcayMohamed ElriedyJames Macalister KinrossRanan DasguptaZoltán TakátsEric M YeatmanGuang-Zhong YangBurak Temelkuran
Published in: Science advances (2024)
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.
Keyphrases
  • minimally invasive
  • high resolution
  • robot assisted
  • low cost
  • laparoscopic surgery
  • machine learning
  • squamous cell carcinoma
  • deep learning
  • quantum dots
  • high density