Introduction

This is a research in active instruments for enhanced accuracy in microsurgery. The aim is to make accuracy enhancement as transparent to the surgeon as possible. Rather than using a robotic arm, we have taken the novel approach of developing a handheld instrument that senses its own movement, distinguishes between desired and undesired motion, and deflects its tip to perform active compensation of the undesired component.

Problem Definition and Implications

Involuntary hand movement of healthy human beings include:

1.      Physiological Tremor – roughly sinusoidal, up to 50 mm p-p, 8-12 Hz

2.      Non-tremulous errors – Drift, jerk etc., aperoidic, usually > tremor

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These erroneous hand movements restrict the types of microsurgical procedures that are feasible, and hinder the quality of those that are performed. There is some amount of consensus among the microsurgeons on the need for tool tip positioning accuracy to be approaching

10 mm.   

Technical Challenges

The major technical challenges of implementing active error compensation in a handheld instrument are threefold:

1)     Accuracy requirement –  mm-level precision for sensing, filtering, and manipulator sub-systems

2)     Real-time issue – Phase shift (time delay) between input and output < 1 sampling cycle 

3)     Miniaturization of components to be fitted in a handheld device