Development of a remote trauma care assist robot

In typical teleoperated surgeries, skilled staff are still necessary in the remote surgical room to change manipulator tooling and to manage surgical supply delivery and removal. This paper describes the development of a nurse robot to provide automated support to a teleoperated surgical manipulator system in environments where the presence of skilled surgical support staff may not be practical. The tools must be inserted precisely into a compliant manipulator in a timely manner, and the supplies are diverse in nature. To support experimental investigations and evaluations, a seven degrees-of-freedom commercially available manipulator was selected. The design of novel end-effectors, tool grasping and supply holding features, and tool auto-loading systems for optimum surgical tool changing and supply delivery in minimum time is presented. A novel approach for calibration of the nurse robot among compliant and rigid subsystems and for managing forces during subsystem interaction is described and experimental results using this force management approach are presented. Overall experimental performance data for the nurse robot system during tool changing and supply delivery tasks is also presented to illustrate the feasibility of performing these functions in a remote medical or trauma care-assist cell.