Continuum Robots for Medical Interventions

• Published in: Proceedings of the IEEE Vol. 110; no. 7; pp. 847 - 870
• Main Authors: Dupont, Pierre E., Simaan, Nabil, Choset, Howie, Rucker, Caleb
• Format: Journal Article
• Language: English
• Published: United States IEEE 01-07-2022; The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
• Subjects: Catheters; Concentric tube robots; continuum robots; Electron tubes; Flexing; Lumens; Magnetic hysteresis; Medical robotics; medical robots; Modelling; multibackbone robots; Orifices; Pneumatic systems; Robots; tendon actuation; Tendons; medical robots; Concentric tube robots; continuum robots; multibackbone robots; tendon actuation
• ISSN: 0018-9219; 1558-2256
• DOI: 10.1109/JPROC.2022.3141338

Continuum robots are not constructed with discrete joints but, instead, change shape and position their tip by flexing along their entire length. Their narrow curvilinear shape makes them well suited to passing through body lumens, natural orifices, or small surgical incisions to perform minimally invasive procedures. Modeling and controlling these robots are, however, substantially more complex than traditional robots comprised of rigid links connected by discrete joints. Furthermore, there are many approaches to achieving robot flexure. Each presents its own design and modeling challenges, and to date, each has been pursued largely independently of the others. This article attempts to provide a unified summary of the state of the art of continuum robot architectures with respect to design for specific clinical applications. It also describes a unifying framework for modeling and controlling these systems while additionally explaining the elements unique to each architecture. The major research accomplishments are described for each topic and directions for the future progress needed to achieve widespread clinical use are identified.