Key result
A mathematical procedure based on static equilibrium equations accurately and efficiently calculates the inertial parameters and force exerted by uterine manipulators for surgical assistance robots.
Why the study?
A gap needs to be filled regarding the precise handling of uterine manipulators used to mobilize the uterus in gynecological laparoscopic surgeries.
The proposed mathematical procedure accurately identifies inertial parameters of uterine manipulators, enabling precise position and force control for surgical assistance robots.
Hypothesis-generating for force estimation in robotic uterine surgery; prospective validation required before clinical use.
Surgeries or rehabilitation exercises are hazardous tasks for a mechanical system, as the device has to interact with parts of the human body without the hands-on experience that the surgeon or physiotherapist acquires over time. For various gynecological laparoscopic surgeries, such as laparoscopic hysterectomy or laparoscopic pelvic endometriosis, Uterine Manipulators are used. These medical devices allow the uterus to be suitably mobilized. A gap needs to be filled in terms of the precise handling of this type of devices. In this sense, this manuscript first describes the mathematical procedure to identify the inertial parameters of uterine manipulators. These parameters are needed to establish an accurate position and force control for an electromechanical system to assist surgical operations. The method for identifying the mass and the center of mass of the manipulator is based on the solution of the equations for the static equilibrium of rigid solids. Based on the manipulator inertial parameter estimation, the paper shows how the force exerted by the manipulator can be obtained. For this purpose, it solves a matrix system composed of the torques and forces of the manipulator. Different manipulators have been used, and it has been verified that the mathematical procedures proposed in this work allow us to calculate in an accurate and efficient way the force exerted by these manipulators.
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Zamora-Ortiz et al. (2021) studied Gynecological laparoscopic surgeries. Mathematical procedure to identify inertial parameters was evaluated on Identification of mass, center of mass, and force exerted by the manipulator. A mathematical procedure based on static equilibrium equations accurately and efficiently calculates the inertial parameters and force exerted by uterine manipulators for surgical assistance robots.
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