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1 Engineering Research Center for Computer Integrated Surgical Systems and Technology 1 601.455/655 Fall 2021 Copyright R. H. Taylor Medical Robots, Constrained Robot Motion Control, and “Virtual Fixtures” (Part 1) Russell H. Taylor 601.455/655 1 Engineering Research Center for Computer Integrated Surgical Systems and Technology 2 601.455/655 Fall 2021 Copyright R. H. Taylor Disclosures & Acknowledgments This is the work of many people Some of the work reported in this presentation was supported by fellowship grants from Intuitive Surgical and Philips Research North America to Johns Hopkins graduate students and by equipment loans from Intuitive Surgical, Think Surgical, Philips, Kuka, and Carl Zeiss Meditec. Some of the work reported in this talk incorporates intellectual property that is owned by Johns Hopkins University and that has been or may be licensed to outside entities, including including Intuitive Surgical, Varian Medical Systems, Philips Nuclear Medicine, Galen Robotics and other corporate entities. Prof. Taylor has received or may receive some portion of the license fees. Also, Dr. Taylor is a paid consultant to and owns equity in Galen Robotics, Inc. These arrangements have been reviewed and approved by JHU in accordance with its conflict of interest policy. Much of this work has been funded by Government research grants, including NSF grants EEC9731478 and IIS0099770 and NIH grants R01-EB016703, R01- EB007969, R01-CA127144, R42-RR019159, and R21-EB0045457; by Industry Research Contracts, including from Think Surgical; by gifts to Johns Hopkins University from John C. Malone, Richard Swirnow and Paul Maritz; and by Johns Hopkins University internal funds. 2
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Page 1: Medical Robots, Constrained Robot Motion Control, and ...

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Engineering Research Center for Computer Integrated Surgical Systems and Technology1 601.455/655 Fall 2021Copyright R. H. Taylor

Medical Robots,Constrained Robot Motion Control,

and “Virtual Fixtures”

(Part 1)

Russell H. Taylor601.455/655

1

Engineering Research Center for Computer Integrated Surgical Systems and Technology2 601.455/655 Fall 2021Copyright R. H. Taylor

Disclosures & Acknowledgments• This is the work of many people• Some of the work reported in this presentation was supported by fellowship grants

from Intuitive Surgical and Philips Research North America to Johns Hopkins graduate students and by equipment loans from Intuitive Surgical, Think Surgical, Philips, Kuka, and Carl Zeiss Meditec.

• Some of the work reported in this talk incorporates intellectual property that is owned by Johns Hopkins University and that has been or may be licensed to outside entities, including including Intuitive Surgical, Varian Medical Systems, Philips Nuclear Medicine, Galen Robotics and other corporate entities. Prof. Taylor has received or may receive some portion of the license fees. Also, Dr. Taylor is a paid consultant to and owns equity in Galen Robotics, Inc. These arrangements have been reviewed and approved by JHU in accordance with its conflict of interest policy.

• Much of this work has been funded by Government research grants, including NSF grants EEC9731478 and IIS0099770 and NIH grants R01-EB016703, R01-EB007969, R01-CA127144, R42-RR019159, and R21-EB0045457; by Industry Research Contracts, including from Think Surgical; by gifts to Johns Hopkins University from John C. Malone, Richard Swirnow and Paul Maritz; and by Johns Hopkins University internal funds.

2

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Engineering Research Center for Computer Integrated Surgical Systems and Technology3 601.455/655 Fall 2021Copyright R. H. Taylor

Patient-specific Evaluation

Statistical Analysis

Process Loop

Model

Information

Plan

Patient-specific loop

Closed Loop Interventional Medicine

General information ( anatomic atlases,

statistics, rules)

Patient-specificInformation

( Images, lab results, genetics,

etc.)

Action

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Engineering Research Center for Computer Integrated Surgical Systems and Technology4 601.455/655 Fall 2021Copyright R. H. Taylor

Goal: Human-machine partnership to fundamentally improve interventional medicine

PhysiciansTechnology

Information

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Engineering Research Center for Computer Integrated Surgical Systems and Technology5 601.455/655 Fall 2021Copyright R. H. Taylor

Complementary CapabilitiesHumans

• Excellent judgment & reasoning• Excellent optical vision• Cannot see through tissue• Do not tolerate ionizing radiation• Limited precision, hand tremor• No stereotactic accuracy• Moderately strong• High dexterity (“human” scale)• Big hands and bodies• Reasonable force sensitivity• Must rely on memory of

preoperative plans and data

Robots• No judgment• Limited vision processing• Can use x-rays, other sensors• Do not mind radiation• High precision• High stereotactic accuracy • Variable strength• Dexterity at different scales• Variable sizes• Can sense very small forces• Can be programmed to use

preoperative plans and data

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Engineering Research Center for Computer Integrated Surgical Systems and Technology6 601.455/655 Fall 2021Copyright R. H. Taylor

Common classes of medical robots• Surgical “CAD/CAM” systems

– Goal is accurate execution of surgical plans– Typically based on medical images– Planning may be “online” or “offline”– Execution is often at least semi-autonomous but may still

involve interaction with humans– Examples: Orthopaedic robots, needle placement robots,

radiation therapy robots• Surgical “assistant” systems

– Emphasis is on interactive control by human– Human input may be through hand controllers (e.g., da Vinci),

hand-over-hand (e.g., Mako, JHU “steady hand” robots)– Typically augmenting or supplementing human ability– Common applications include MIS, microsurgery

• Note that the distinction is really somewhat arbitrary– Most real systems have aspects of both.

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Engineering Research Center for Computer Integrated Surgical Systems and Technology7 601.455/655 Fall 2021Copyright R. H. Taylor

Surgical CAD/CAM: Orthopaedic Robots

D. Glozman& M. Shoham

Robodoc

Mako Robotics Riohttp://www.makosurgical.com/

ACROBOT surgical robot

Blue Belt Technologies

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Engineering Research Center for Computer Integrated Surgical Systems and Technology8 601.455/655 Fall 2021Copyright R. H. Taylor

Image-guided needle placement

Masamune, Fichtinger, Iordachita, … Okamura, Webster, … Krieger, Fichtinger, Whitcomb, …

Fichtinger, Kazanzides,Burdette, Song … Iordachita, Fischer, Hata… Taylor, Masamune, Susil, Patriciu, Stoianovici,…

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Engineering Research Center for Computer Integrated Surgical Systems and Technology9 601.455/655 Fall 2021Copyright R. H. Taylor

Image Guided Radiotherapy

Cyberknife

•Radiation source mounted on robotic arm•Automatic segmentation of targets•Automated planning radiation beam path• Image guide patient motion compensation for more accurate radiation targeting

Slide credit: Howie Choset + RHT http://www.varian.com/us/oncology/radiation_oncology/trilogy/

Varian Trilogy System

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Engineering Research Center for Computer Integrated Surgical Systems and Technology10 601.455/655 Fall 2021Copyright R. H. Taylor

Common classes of medical robots• Surgical “CAD/CAM” systems

– Goal is accurate execution of surgical plans– Typically based on medical images– Planning may be “online” or “offline”– Execution is often at least semi-autonomous but may still involve

interaction with humans– Examples: Orthopaedic robots, needle placement robots, radiation

therapy robots• Surgical “assistant” systems

– Emphasis is on interactive control by human– Human input may be through hand controllers (e.g., da Vinci), hand-

over-hand (e.g., Mako, JHU “steady hand” robots), mouse, or other– Typically augmenting or supplementing human ability– Common applications include MIS, microsurgery

• Note that the distinction is really somewhat arbitrary– Most real systems have aspects of both

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Engineering Research Center for Computer Integrated Surgical Systems and Technology12 601.455/655 Fall 2021Copyright R. H. Taylor

Precision Augmentation

T. Lueth

K. Olds

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Engineering Research Center for Computer Integrated Surgical Systems and Technology13 601.455/655 Fall 2021Copyright R. H. Taylor

Common classes of medical robots• Surgical “CAD/CAM” systems

– Goal is accurate execution of surgical plans– Typically based on medical images– Planning may be “online” or “offline”– Execution is often at least semi-autonomous but may still

involve interaction with humans– Examples: Orthopaedic robots, needle placement robots,

radiation therapy robots• Surgical “assistant” systems

– Emphasis is on interactive control by human– Human input may be through hand controllers (e.g., da Vinci),

hand-over-hand (e.g., Mako, JHU “steady hand” robots)– Typically augmenting or supplementing human ability– Common applications include MIS, microsurgery

• Note that the distinction is really somewhat arbitrary– Most real systems have aspects of both.

13

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Engineering Research Center for Computer Integrated Surgical Systems and Technology14 601.455/655 Fall 2021Copyright R. H. Taylor

Surgical Assistant Systems

• Situation assessment• Task strategy & decisions• Sensory-motor coordination

Augmentation System

• Sensor processing• Model interpretation• Display

atlases

• Manipulation enhancement

• Online references & decision support

• Cooperative control and “macros”

atlases

libraries

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Engineering Research Center for Computer Integrated Surgical Systems and Technology15 601.455/655 Fall 2021Copyright R. H. Taylor

Surgical Assistant Systems

• Situation assessment• Task strategy & decisions• Sensory-motor coordination

Augmentation System

• Sensor processing• Model interpretation• Display

atlases

• Manipulation enhancement

• Online references & decision support

• Cooperative control and “macros”

atlases

librariesR. Taylor

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Engineering Research Center for Computer Integrated Surgical Systems and Technology16 601.455/655 Fall 2021Copyright R. H. Taylor

Surgical Assistant Systems

• Situation assessment• Task strategy & decisions• Sensory-motor coordination

Augmentation System

• Sensor processing• Model interpretation• Display

atlases

• Manipulation enhancement

• Online references & decision support

• Cooperative control and “macros”

atlases

libraries

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Engineering Research Center for Computer Integrated Surgical Systems and Technology17 601.455/655 Fall 2021Copyright R. H. Taylor

Problem: specifying motion for a [medical] robot

Motion level

control

Low levelcontrol

Motorcurrents

Joint positions& velocities

Joint position orvelocity commands

Joint positions, velocities, & other state information

Sensor values

Desired motion description

Task - level constraints on how motion is doneTask level

controlSensor and state information

Robot kinematics& motion limits

Surgeon inputPlan informationAnatomic modelsSafety constraints

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Background: Robot Kinematics

Joint positions !q Pose F = kins

!q( )

Pose F!q+Δ

!q( )= kins

!q+Δ

!q( )

ΔF iF= kins!q+Δ

!q( )

ΔF= kins!q+Δ

!q( )kins

!q( )−1

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Engineering Research Center for Computer Integrated Surgical Systems and Technology19 601.455/655 Fall 2021Copyright R. H. Taylor

Positioncontrol

Motorcurrents

Sensor values

Surgeon inputPlan informationAnatomic modelsSafety constraints

!q, "q

One implementation

Motion level

control

!qdes = Kins−1(ΔFdesFcur )

Task level control

ΔFdes

F,!q

!qdes

!q, "qSensor values

Robot kinematics& motion limits

Kins(!), JKins (!)"qL ≤

"q ≤"qu

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Engineering Research Center for Computer Integrated Surgical Systems and Technology20 601.455/655 Fall 2021Copyright R. H. Taylor

Background: Jacobean Robot Motion Control

Let F=[R,!p] be the current pose of a robot end effector and

!q = [q1,",qN ] be the current joint position values corresponding

to F. I.e., F=Kins(!q), where Kins(") is a function computing

the "forward kinematics" of the robot.

Joint positions !q Pose F = kins

!q( )

Pose F!q+Δ

!q( ) = kins

!q+Δ

!q( )

ΔFiF = kins!q+Δ

!q( )

ΔF = kins!q+Δ

!q( )kins

!q( )−1

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Engineering Research Center for Computer Integrated Surgical Systems and Technology21 601.455/655 Fall 2021Copyright R. H. Taylor

Background: Jacobean Robot Motion Control

Let F=[R,!p] be the current pose of a robot end effector and

!q = [q1,",qN ] be the current joint position values corresponding

to F. I.e., F=Kins(!q), where Kins(") is a function computing

the "forward kinematics" of the robot. Let ΔF •F=Kins(!q+ Δ

!q)

For small Δ!q, we can write the following expression for ΔF = [Rot(

!α),!ε ]

ΔF = Kins(!q+ Δ

!q)Kins(

!q)−1

which we typically linearize as

Δ!x =

!α!ε

⎣⎢

⎦⎥ ≈ JKins (

!q)Δ!q

Note that here we are computing ΔF in the base frame of the robot.If we want to compute ΔF in the end effector frame, so thatF • ΔF=Kins(

!q+ Δ

!q), then we will get a slightly different expression

for JKins (!q), though the flavor will be the same

Δ!q Δ

!x

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Engineering Research Center for Computer Integrated Surgical Systems and Technology22 601.455/655 Fall 2021Copyright R. H. Taylor

Background: Jacobean Robot Motion Control

Joint positions !q Pose F = kins

!q( )

Pose F!q+Δ

!q( ) = kins

!q+Δ

!q( )

ΔFiF = kins!q+Δ

!q( )

ΔF = kins!q+Δ

!q( )kins

!q( )−1

!αε

⎣⎢⎢⎤

⎦⎥⎥ ≈ J

!q( )Δ!q

Δ!q≈ J

!q( )−1

!αε

⎣⎢⎢⎤

⎦⎥⎥

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Engineering Research Center for Computer Integrated Surgical Systems and Technology23 601.455/655 Fall 2021Copyright R. H. Taylor

Background: Jacobean Robot Motion Control

!αε

⎣⎢⎢⎤

⎦⎥⎥ ≈ J

!q( )Δ!q

Δ!q≈ argmin

Δ!q

J!q( )Δ!q−

!αε

⎣⎢⎢⎤

⎦⎥⎥

2

Alternative way of solving:

Advantages:

• Produces solution even if kinematically redundant or kinematically deficient

• Can add auxiliary constraints or objective function terms

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Engineering Research Center for Computer Integrated Surgical Systems and Technology24 601.455/655 Fall 2021Copyright R. H. Taylor

Positioncontrol

Motorcurrents or voltages

Sensor values

Surgeon inputPlan informationAnatomic modelsSafety constraints

!q, "q

Jacobean motion control implementation

Motion level

control

!qdes =

!q+ J−1(

!q)Δ!xdes

Task level control

Δ!xdes

F,!q

!qdes

!q, "qSensor values

Robot kinematics& motion limits

Kins(!), JKins (!)"qL ≤

"q ≤"qu

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Engineering Research Center for Computer Integrated Surgical Systems and Technology25 601.455/655 Fall 2021Copyright R. H. Taylor

What about parallel-link robots?

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Engineering Research Center for Computer Integrated Surgical Systems and Technology26 601.455/655 Fall 2021Copyright R. H. Taylor

!ai

!bi

Fp(!q)

qi

Fpe(!θ ) Fe(

!q,!θ )

!q = [q1,",q6 ]T = invk(Fp )

qi = Fp(!q)!ai −bi

Fp(!q+Δ

!q) =ΔFp(

!q,Δ!q)Fp(

!q)

ΔFp ≈ [I+ sk( !αp ),!εp ]

!γp = [ !αp

T ,!εp

T ]T

Δ!q≈ Jinvk (Fp(

!q)) !γp

!γp ≈ Jinvk (Fp(

!q))−1Δ

!q

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Engineering Research Center for Computer Integrated Surgical Systems and Technology27 601.455/655 Fall 2021Copyright R. H. Taylor

!ai

!bi

Fp(!q)

qi

Fpe(!θ ) Fe(

!q,!θ )

Fpe(!θ +Δ

!θ ) = Fpe(

!θ )ΔFpe

(right )(!θ,Δ!θ )

≈Fpe(!θ ) i I+ sk( !αpe ),

!εpe

⎡⎣⎢

⎤⎦⎥

!αpe!εpe

⎢⎢⎢⎢

⎥⎥⎥⎥=!γpe = Jpe(

!θ )Δ!θ =

JpeR (!θ )

Jpe

!p (!θ )

⎢⎢⎢⎢

⎥⎥⎥⎥Δ!θ

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Engineering Research Center for Computer Integrated Surgical Systems and Technology28 601.455/655 Fall 2021Copyright R. H. Taylor

!ai

!bi

Fp(!q)

qi

Fpe(!θ )

Fe(!q,!θ )

Fet = [I,!ptip ]

Fe(!q,!q) = Fp(

!q)Fpe(

!q)

Fe(!q+ Δ

!q,!q + Δ

!q) = ΔFp(!q,Δ!q)Fp(

!q)Fpe(

!q + Δ!q)

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Engineering Research Center for Computer Integrated Surgical Systems and Technology29 601.455/655 Fall 2021Copyright R. H. Taylor

Fe(!q,!θ ) = Fp(

!q)Fpe(

!θ )

Fe(!q+Δ

!q,!θ +Δ

!θ ) =ΔFp(

!q,Δ!q)Fp(

!q)Fpe(

!θ +Δ

!θ )

ΔFe(!q,Δ!q,!θ,Δ!θ )Fe(

!q,!θ ) =ΔFp(

!q,Δ!q)Fp(

!q)Fpe(

!θ )ΔFpe(

!θ,Δ!θ )

ΔFe(!q,Δ!q,!θ,Δ!θ ) =ΔFp(

!q,Δ!q)Fp(

!q)Fpe(

!θ )ΔFpe(

!θ,Δ!θ )Fe(

!q,!θ )−1

=ΔFp(!q,Δ!q)Fp(

!q)Fpe(

!θ )ΔFpe(

!θ,Δ!θ )Fe(

!q,!θ )−1

ΔRe(!q,Δ!q,!θ,Δ!θ ) =ΔRp(

!q,Δ!q)Rp(

!q)Rpe(

!θ )ΔRpe(

!θ,Δ!θ )ΔRpe(

!q,!θ )−1Rpe(

!q,!θ )−1

I+ sk( !αe )≈ I+ sk( !αp )( )Re(!q,!θ ) I−sk( !αpe )( )Re(

!q,!θ )−1

I+ sk( !αe )≈ I+ sk( !αp )( ) I−Re(!q,!θ )sk( !αpe )Re(

!q,!θ )−1( )

I+ sk( !αe )≈ I+ sk( !αp )( ) I−sk(Re(!q,!θ ) !αpe )( )

!αe ≈

!αp−Re(

!q,!θ ) !αpe

!αe ≈ Jinvk

!α (Fp(

!q))−1Δ

!q−Re(

!q,!θ ) !αpe

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Engineering Research Center for Computer Integrated Surgical Systems and Technology30 601.455/655 Fall 2021Copyright R. H. Taylor

Fe(!q,!θ ) = Fp(

!q)Fpe(

!θ )

Fe(!q+Δ

!q,!θ +Δ

!θ ) =ΔFp(

!q,Δ!q)Fp(

!q)Fpe(

!θ +Δ

!θ )

ΔFe(!q,Δ!q,!θ,Δ!θ )Fe(

!q,!θ ) =ΔFp(

!q,Δ!q)Fp(

!q)Fpe(

!θ )ΔFpe(

!θ,Δ!θ )

ΔFe(!q,Δ!q,!θ,Δ!θ )!pe =ΔFp(

!q,Δ!q)FeΔ

!ppe

ΔRe(!q,Δ!q,!θ,Δ!θ )!pe +Δ

!pe =ΔRp(

!q,Δ!q) ReΔ

!ppe +

!pe( )+Δ

!pp

I+ sk( !αe )( )!pe +

!εe ≈ I+ sk( !αp )( ) Re

!εpe +

!pe( )+

!εp

!pe + sk( !αe )

!pe +

!εe ≈

!pe + sk( !αp )

!pe +Re

!εpe +

!εp

!εe ≈−sk(

!pe ) !αp +Re

!εpe +

!εp

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Engineering Research Center for Computer Integrated Surgical Systems and Technology31 601.455/655 Fall 2021Copyright R. H. Taylor

Steady Hand RobotHands on compliance control

Handle Force Kv

Joint Velocities

!"xdes = Kv

"fh

!qcmd = Jkins−1 !"xdes

[1] R. H. Taylor, J. Funda, B. Eldgridge, S. Gomory, K. Gruben, D. LaRose, M. Talamini, L. Kavoussi, and J. anderson, "Telerobotic assistant for laparoscopic surgery.", IEEE Eng Med Biol, vol. 14- 3, pp. 279-288, 1995

[2] R. Taylor, P. Jensen, L. Whitcomb, A. Barnes, R. Kumar, D. Stoianovici, P. Gupta, Z. Wang, E. deJuan, and L. Kavoussi, "A Steady-Hand Robotic System for Microsurgical Augmentation", International Journal of Robotics Research, vol. 18- 12, pp. 1201-1210, 1999

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Engineering Research Center for Computer Integrated Surgical Systems and Technology32 601.455/655 Fall 2021Copyright R. H. Taylor

Steady Hand RobotHands on compliance control with force scaling

Handle Force Kv

Joint Velocities

!"xdes = Kv (

"fh −γ

"ftip )

!qcmd = Jkins−1 !"xdes

Tool tip Force

[1] D. Rothbaum, J. Roy, G. Hager, R. Taylor, and L. Whitcomb, "Task Performance in stapedotomy: Comparison between surgeons of different experience levels", Otolaryngology -- Head and Neck Surgery, vol. 128- 1, pp. 71-77, January 2003

[2] J. Roy and L. L. Whitcomb, "Adaptive Force Control of Position Controlled Robots: Theory and Experiment", IEEE Transactions on Robotics and Automation, vol. 18- 2, pp. 121-137, April 2002

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Engineering Research Center for Computer Integrated Surgical Systems and Technology33 601.455/655 Fall 2021Copyright R. H. Taylor

Steady Hand Robot (Alternative Formulation)Hands on compliance control with force scaling

Handle Force Kv

Joint Velocities

!"xdes = Kv (

"fh−γ

"ftip )

!"qcmd = argmin

!"qcmd

!"xdes−Jkins

!"qcmd

Tool tip Force

[1] D. Rothbaum, J. Roy, G. Hager, R. Taylor, and L. Whitcomb, "Task Performance in stapedotomy: Comparison between surgeons of different experience levels", Otolaryngology -- Head and Neck Surgery, vol. 128- 1, pp. 71-77, January 2003

[2] J. Roy and L. L. Whitcomb, "Adaptive Force Control of Position Controlled Robots: Theory and Experiment", IEEE Transactions on Robotics and Automation, vol. 18- 2, pp. 121-137, April 2002

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Example: Fenestratration of Stapes Footplate

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Example: Fenestratration of Stapes Footplate

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Virtual Fixtures

• Bridge the gap between autonomous robots and direct human control.

• Assist the human operator in safer, faster, and more accurate task completion.

• Broadly Categorized• Guidance VF• Forbidden Region VF

• Different implementation• Tele-manipulation• Cooperative Control

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Engineering Research Center for Computer Integrated Surgical Systems and Technology37 601.455/655 Fall 2021Copyright R. H. Taylor

Background: Virtual Fixtures• First proposed for complex telerobotic tasks, but draw upon rich prior research in robot

assembly and other manufacturing automation applications

• Many authors, e.g., – L. B. Rosenberg, "Virtual Fixtures: Perceptual Tools for Telerobotic Manipulation," Proc. IEEE Virtual Reality

International Symposium, 1993.– B. Davies, S. Harris, M. Jakopec, K. Fan, and J. cobb, "Intraoperative application of a robotic knee surgery

system”, MICCAI 1999.– S. Park, R. D. Howe, and D. F. Torchiana, "Virtual Fixtures for Robotic Cardiac Surgery”, MICCAI 2001.– S. Payandeh and Z. Stanisic, "On Application of Virtual Fixtures as an Aid for Telemanipulation and

Training," Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems, 2002.

• Discussion that follows draws upon work at IBM Research and within the CISST ERC at JHU. E.g.,

– Funda, R. Taylor, B. Eldridge, S. Gomory, and K. Gruben, "Constrained Cartesian motion control for teleoperated surgical robots," IEEE Transactions on Robotics and Automation, vol. 12, pp. 453-466, 1996.

– R. Kumar, An Augmented Steady Hand System for Precise Micromanipulation, Ph.D thesis in Computer Science, The Johns Hopkins University, Baltimore, 2001.

– M. Li, M. Ishii, and R. H. Taylor, "Spatial Motion Constraints in Medical Robot Using Virtual Fixtures Generated by Anatomy," IEEE Transactions on Robotics, vol. 2, pp. 1270-1275, 2006.

– A. Kapoor, M. Li, and R. H. Taylor "Constrained Control for Surgical Assistant Robots," in IEEE Int. Conference on Robotics and Automation, Orlando, 2006, pp. 231-236.

– A. Kapoor and R. Taylor, "A Constrained Optimization Approach to Virtual Fixtures for Multi-Handed Tasks," in IEEE International Conference on Robotics and Automation (ICRA), Pasadena, 2008, pp. 3401-3406.

– M. Li, Intelligent Robotic Surgical Assistance for Sinus Surgery, PhD Thesis in Computer Science Baltimore, Maryland: The Johns Hopkins University, 2005.

– Ankur Kapoor, Motion Constrained Control of Robots for Dexterous Surgical Tasks, Ph.D. Thesis in Computer Science, The Johns Hopkins University, Baltimore, September 2007

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Engineering Research Center for Computer Integrated Surgical Systems and Technology38 601.455/655 Fall 2021Copyright R. H. Taylor

Original Motivation for IBM Work• Kinematic control of robots for MIS• E.g., LARS and HISAR robots• LARS and other IBM robots were

kinematically redundant– Typically 7-9 actuated joints

• But tasks often imposed kinematic constraints– E.g., no lateral motion at trocar

• Some robots (e.g., IBM/JHU HISAR and CMI’s AESOP) had passive joints

• General goals– Exploit redundancy in best way possible– Come as close as possible to providing

desired motion subject to robot and task limits

• Our approach: view this as a constrained optimization problem

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LARS degrees of freedom

XYZ

RCM

Ry

R tool

Ry

Rcam

s

View direction

Clip-onjoystick

Video tracking

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LARS Video

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LARS Video

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Motion Specification Problem• Requirements

– The tool shaft must pass within a specified distance of the entry port into the patient’s body

– The individual joint limits may not be exceeded • Goals

– Aim the camera as close as possible at a target • or move view in direction indicated by clip-on pointing device• or move to track a video target on an instrument• or aim the working channel of the endoscope at a target• or something else (maybe a combination of goals)

– Keep the view as “upright” as possible– Tool should pass as close as possible to entry port center– Keep joints far away from their limits, to preserve options for future

motion– Minimize motion of XYZ joints– Etc.

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Engineering Research Center for Computer Integrated Surgical Systems and Technology43 601.455/655 Fall 2021Copyright R. H. Taylor

Our approach: view as an optimization problem• Currently formulate problem as constrained least

squares problem• Express goals in the objective function• If multiple goals, objective function is a weighted sum

of individual elements• Add constraints for requirements• Express constraints and objective function terms in

whatever coordinate system is convenient• Use Jacobean formulation to transform to joint space• Solve for joint motion

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Engineering Research Center for Computer Integrated Surgical Systems and Technology44 601.455/655 Fall 2021Copyright R. H. Taylor

Example: keep tool tip near a point

!D(Δ!x) = ΔF(

!q,Δ!q)•F •ptip −

!pgoal

=!α ×!t +!ε +!t −!pgoal where

!t = F •ptip

!α = J !α (!q)Δ!q

!ε = J!ε (!q)Δ!q ΔF(

!q,Δ!q)•F(

!q)

!ptip

!pgoal

!D(Δ!x)

Suppose we want to stay as close as possible while never going beyond 3mm from goal and also obeying joint limits

Δqdes = argminΔ!q

!D(Δ!x)

2=!α ×!t +!ε +!t −!pgoal

2

Subject to!α = J !α (

!q)Δ!q

!ε = J!ε (!q)Δ!q

!α ×!t +!ε +!t −!pgoal ≤ 3

!qL −

!q ≤ Δ

!q ≤!qU −

!q

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Engineering Research Center for Computer Integrated Surgical Systems and Technology45 601.455/655 Fall 2021Copyright R. H. Taylor

Example: keep tool tip near a pointSuppose we want to stay as close as possible while never going beyond 3mm from goal and also obeying joint limits, but we also want to minimize the change in direction of the tool shaft

Δqdes = argminΔ!q

ζ!D(Δ!x)

2+η α ×R •

!z

2

Subject to!x = Fi

!ptip!

D(Δ!x)=!α ×!t +!ε +!x −!pgoal

!α = J !α (!q)Δ!q ; !ε = J!ε (

!q)Δ!q

!D(Δ!x) ≤ 3

!qL −

!q ≤ Δ

!q ≤!qU −

!q

!x = Fi

!ptip

ΔF(!x)•F

!ptip

!pgoal

!D(Δ!x)

Note weighting factors

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Engineering Research Center for Computer Integrated Surgical Systems and Technology46 601.455/655 Fall 2021Copyright R. H. Taylor

Solving the optimization problem• Constrained linear least squares

– Combine constraints and goals from task and robot control– Linearize and constrained least squares problem

– E.g., using “non-negative least squares” methods developed by Lawson and Hanson

– Approach used in our IBM work and in Kumar, Li, Kapoor theses• Constrained nonlinear least squares

– Approach explored by Kapoor (discuss later)• Can also minimize other objective functions

– E.g., minimize an L1 norm (linear programming problem)

Δ!qdes = argmin

Δ!q

EtaskΔ!x −!ftask

2+ E!qΔ

!x −!f!q

2

subject to

Δ!x = JΔ

!q; AtaskΔ

!x ≤!btask ; A!qΔ

!q ≤!b!q

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Engineering Research Center for Computer Integrated Surgical Systems and Technology47 601.455/655 Fall 2021Copyright R. H. Taylor

Positioncontrol

Motorcurrents or voltagesSensor

values

Surgeon inputPlan informationAnatomic modelsSafety constraints

!q, "q

Linear least squares implementation

Etask ,!ftask

F,!q

!qdes

!q, "qSensor values

Robot kinematics& motion limits

Kins(!), JKins (!)"qL ≤

"q ≤"qu ;E"q,

"f"q

Atask ,!btaskTask level

control

Motion levelcontrol

Δ!qdes = argmin

Δ!q

E • [Δ!x,Δ!q]T −

!f

2

subject to

Δ!x = JΔ

!q; A • [Δ

!x,Δ!q]T ≤

!b

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Typical Mid-Level Control Loop

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Engineering Research Center for Computer Integrated Surgical Systems and Technology49 601.455/655 Fall 2021Copyright R. H. Taylor

Some IBM Movies

Vision-guided targetingEarly Constrained MotionSystem (LapSYS)

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Engineering Research Center for Computer Integrated Surgical Systems and Technology50 601.455/655 Fall 2021Copyright R. H. Taylor

Steady Hand RobotHigh Level Constrained Control

Handle Force Kv

Joint Velocities

Reference Direction

Current Frame(s) Info.

Geometric Constraints on

Frame(s)

Optimization Framework

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Engineering Research Center for Computer Integrated Surgical Systems and Technology51 601.455/655 Fall 2021Copyright R. H. Taylor

Example: Hands-on Guiding with Forbidden Half Space

F(!q) i ΔF(

!q,Δ!q)

!ptip

!n

!n i!p ≥ d

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

Such that

d ≤!n i (F(

!q)ΔFrhs(

!q,Δ!q) i!ptip )

Note here we are using the right hand side Jacobean, since the force sensor is associated with the tool attachment point, and it is more natural for the motions to comply to pushes on the tool handle.

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Engineering Research Center for Computer Integrated Surgical Systems and Technology52 601.455/655 Fall 2021Copyright R. H. Taylor

Example: Hands-on Guiding with Forbidden Half Space

ΔF(!q,Δ!q)•F(

!q)

!ptip

!n

!n i!p ≥ d

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

Such that!α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

d ≤!n i F(

!q) i ( !α×

!ptip +

!ε+!ptip )( )

I.e., !α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

d ≤!n i R(

!q) i ( !α×

!ptip +

!ε+!ptip )+

!pkins( )

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Engineering Research Center for Computer Integrated Surgical Systems and Technology53 601.455/655 Fall 2021Copyright R. H. Taylor

Example: Hands-on Guiding with Forbidden Half Space

ΔF(!q,Δ!q)•F(

!q)

!ptip

!n

!n i!p ≥ d

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

2

Such that!α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

d−!n i!x≤!n i R(

!q) i ( !α×

!ptip +

!ε)( )

!x = F(

!q)!ptip

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Example: Hands-on Guiding with Forbidden Half Space

ΔF(!q,Δ!q) iF(

!q)

!ptip

!n

!n i!p ≥ d

Δ!q = argmin

Δ!q

Kv

!f−Jkins(

!q)Δ!q

2

Such that

d ≤!n i (ΔF(

!q,Δ!q) iF(

!q) i!ptip )

If we use the LHS Jacobean, we get something similar. Note however that in this case the gain matrix will likely be pose dependent, since the it is more natural for the surgeon’s hand to follow the tool. So it is useful to be able to make the conversion …

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Engineering Research Center for Computer Integrated Surgical Systems and Technology55 601.455/655 Fall 2021Copyright R. H. Taylor

LHS versus RHS Jacobeans

ΔF Jkins(!q)Δ!q( )iF(

!q)=F(

!q) iΔF(Jrhs(

!q)Δ!q)

ΔR Jkins(!q)Δ!q( )iR(

!q)=R(

!q) iΔR(Jrhs(

!q)Δ!q)

Define

Jkins =Jkinsα

Jkinsε

⎢⎢⎢⎢

⎥⎥⎥⎥ !αkins = Jkins

α Δ!q Jrhs =

Jrhsα

Jrhsε

⎢⎢⎢⎢

⎥⎥⎥⎥ !αrhs = Jrhs

α Δ!q

so

ΔR(Jrhs(!q)Δ!q)=R(

!q)−1ΔR JkinsΔ

!q( )iR(

!q)

I+sk(αrhs )= I+R−1sk(

!αkins )R

sk(!αrhs )= sk(R−1!αkins )

Jrhsα =R−1Jkins

α

and one can do something similar for the Δ!p parts.

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Engineering Research Center for Computer Integrated Surgical Systems and Technology56 601.455/655 Fall 2021Copyright R. H. Taylor

LHS versus RHS JacobeansΔF Jkins(

!q)Δ!q( )iF(

!q)=F(

!q) iΔF(Jrhs(

!q)Δ!q)

Define

Jkins =Jkinsα

Jkinsε

⎢⎢⎢⎢

⎥⎥⎥⎥ !αkins = Jkins

α Δ!q Jrhs =

Jrhsα

Jrhsε

⎢⎢⎢⎢

⎥⎥⎥⎥ !αrhs = Jrhs

α Δ!q

so

R(!q)!εrhs +

!p(!q)=ΔR(

!αkins )

!p(!q)+

!εkins

R(!q)!εrhs =

!p(!q)+

!αkins×

!p(!q)+

!εkins −

!p(!q)

!εrhs =R(

!q)−1 !αkins×

!p(!q)+

!εkins( )

=R(!q)−1 !εkins −sk

!p(!q)( ) !αkins( )

=R(!q)−1!εkins −R(

!q)−1sk

!p(!q)( ) !αkins

Jrhs =R−1 0

−R−1sk(!p) R−1

⎢⎢⎢

⎥⎥⎥Jkins

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Engineering Research Center for Computer Integrated Surgical Systems and Technology57 601.455/655 Fall 2021Copyright R. H. Taylor

Example: Hands-on Guiding to Follow a Path

F(!q) i ΔF(

!q,Δ!q)

!ptip

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

Such that!e = (F(

!q)ΔFrhs(

!q,Δ!q) i!ptip )−

!c

δ≥!e−!d i!e( )!d

!d

!e

!c

Note: δ is the maximum deviation allowed from the path

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Example: Hands-on Guiding to Follow a Path

F(!q) i ΔF(

!q,Δ!q)

!ptip

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

2

Such that!e = (F(

!q) !α×

!ptip +

!ε+!ptip( ))− !c

!α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

δ≥!e−!d i!e( )!d

!d

!e

!c

Note: δ is the maximum deviation allowed from the path

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Engineering Research Center for Computer Integrated Surgical Systems and Technology59 601.455/655 Fall 2021Copyright R. H. Taylor

Example: Hands-on Guiding to Follow a Path

F(!q) i ΔF(

!q,Δ!q)

!ptip

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

2

Such that!e = R(

!q) !α×

!ptip +

!ε+!ptip( )+

!p(!q)−!c

!α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

δ≥!e−!d i!e( )!d

!d

!e

!c

Note: δ is the maximum deviation allowed from the path

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Example: Hands-on Guiding to Follow a Path

F(!q) i ΔF(

!q,Δ!q)

!ptip

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

2

Such that!e =!p(!q)+R(

!q)!ptip +R(

!q)!ε−R(

!q)sk(

!ptip ) !α

!α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

δ≥!e−!d i!e( )!d

!d

!e

!c

Approximate this by

−δ≤!e−!d i!e( )!d( )i Rot(

!d,kπ / N)

!g( )≤ δ

for 0≤k≤N−1

and some !g perpendicular to

!d

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Engineering Research Center for Computer Integrated Surgical Systems and Technology61 601.455/655 Fall 2021Copyright R. H. Taylor

Example: Hands-on Guiding to Follow a Path

F(!q) i ΔF(

!q,Δ!q)

!ptip

Δ!q = argmin

Δ!q

Kv

!f−Jrhs(

!q)Δ!q

2+ η!e−!d i!e( )!d

2

Such that!e =!p(!q)+R(

!q)!ptip +R(

!q)!ε−R(

!q)sk(

!ptip ) !α

!α!ε

⎣⎢⎢⎤

⎦⎥⎥ = Jrhs(

!q)Δ!q

δ≥!e−!d i!e( )!d

!d

!e

!c

Approximate this by

−δ≤!e−!d i!e( )!d( )i Rot(

!d,kπ / N)

!g( )≤ δ

for 0≤k≤N−1

and some !g perpendicular to

!d

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