Design and Development of a Novel Force-Sensing Robotic System for the Transseptal Puncture in Left Atrial Catheter Ablation

Aya Mutaz Zeidan*, Zhouyang Xu, Christopher E. Mower, Honglei Wu, Quentin Walker, Oyinkansola Ayoade, Natalia Cotic, Jonathan Behar, Steven Williams, Aruna Arujuna, Yohan Noh, Richard Housden, Kawal Rhode

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference paperpeer-review

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Abstract

Transseptal puncture (TSP) is a prerequisite for left atrial catheter ablation for atrial fibrillation, requiring access from the right side of the heart. It is a demanding procedural step associated with complications, including inadvertent puncturing and application of large forces on the tissue wall. Robotic systems have shown great potential to overcome such challenges by introducing force-sensing capabilities and increased precision and localization accuracy. Therefore, this work introduces the design and development of a novel robotic system developed to perform TSP. We integrated optoelectronic sensors into the tools' fixtures, measuring tissue contact and puncture forces along one axis. The novelty of this design is in the system's ability to manipulate a Brockenbrough (BRK) needle and dilator-sheath simultaneously and measure tissue contact and puncture forces. In performing puncture experiments on anthropomorphic tissue models, an average puncture force of 3.97 ± 0.45 N (1SD) was established - similar to the force reported in literature on the manual procedure. This research highlights the potential for improving patient safety by enforcing force constraints, paving the way to more automated and safer TSP.

Original languageEnglish
Title of host publication2023 IEEE International Conference on Robotics and Automation (ICRA)
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages6851-6858
Number of pages8
ISBN (Electronic)9798350323658
ISBN (Print)9798350323665
DOIs
Publication statusPublished - 4 Jul 2023
Event2023 IEEE International Conference on Robotics and Automation, ICRA 2023 - London, United Kingdom
Duration: 29 May 20232 Jun 2023

Publication series

NameProceedings - IEEE International Conference on Robotics and Automation
Volume2023-May
ISSN (Print)1050-4729

Conference

Conference2023 IEEE International Conference on Robotics and Automation, ICRA 2023
Country/TerritoryUnited Kingdom
CityLondon
Period29/05/20232/06/2023

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