Evidence map›Paper›PMID 25419103›Full record

ArticleIEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division2015

Manipulator Design and Operation for a Six-Degree-of-Freedom Handheld Tremor-Canceling Microsurgical Instrument.

Sungwook Yang, Robert A MacLachlan, Cameron N Riviere

Abstract read
In one paragraph

Article in IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Overcoming the impact of physiologic tremors in ophthalmology.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Pooled it
  2. Article
  3. Article
  4. Magnification-Invariant Retinal Distance Estimation for Vitreoretinal Surgery Using a Laser Aiming Beam.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Evaluation of (Shared) Autonomy in Robot-Assisted Vitreoretinal Surgery Using a Surgical Model.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Article
  10. Bedside Admittance Control of a Dual-Segment Soft Robot for Catheter-Based Interventions.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2024
    Article
  11. A Feasible Workflow for Retinal Vein Cannulation in Ex Vivo Porcine Eyes with Robotic Assistance.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2024
    Article
  12. Article
  13. Autonomous Needle Navigation in Subretinal Injections via iOCT.IEEE robotics and automation letters · 2024
    Article
  14. Article
  15. Review
  16. Human-Robot Interaction in Retinal Surgery: A Comparative Study of Serial and Parallel Cooperative Robots.RO-MAN ... : the ... IEEE International Symposium on Robot and Human Interactive Communication : proceedings. IEEE International Symposium on Robot and Human Interactive Communication · 2023
    Article
  17. Article
  18. Robotic Assistance for Intraocular Microsurgery: Challenges and Perspectives.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2022
    Article
  19. Article
  20. Towards a Clinically Optimized Tilt Mechanism for Bilateral Micromanipulation with Steady-Hand Eye Robot.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sungwook YangRobotics Institute, Carnegie Mellon University, Pittsburgh, PA 15213 USA.
Robert A MacLachlanRobotics Institute, Carnegie Mellon University, Pittsburgh, PA 15213 USA.
Cameron N RiviereRobotics Institute, Carnegie Mellon University, Pittsburgh, PA 15213 USA.

Funding

A Microsurgical Assistant SystemR01EB007969 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI TAYLOR, RUSSELL H · 2008 to 2012
$5.7M
An Active Handheld MicromanipulatorR01EB000526 · NIBIB · CARNEGIE-MELLON UNIVERSITY · PI RIVIERE, CAMERON N · 2003 to 2017
$2.6M
NIBIB NIH HHS R01 EB000526NIBIB NIH HHS R01 EB007969
6 · The paper itself

Abstract

This paper presents the design and actuation of a six-degree-of-freedom (6-DOF) manipulator for a handheld instrument, known as "Micron," which performs active tremor compensation during microsurgery. The design incorporates a Gough-Stewart platform based on piezoelectric linear motor, with a specified minimum workspace of a cylinder 4 mm long and 4 mm in diameter at the end-effector. Given the stall force of the motors and the loading typically encountered in vitreoretinal microsurgery, the dimensions of the manipulator are optimized to tolerate a transverse load of 0.2 N on a remote center of motion near the midpoint of the tool shaft. The optimization yields a base diameter of 23 mm and a height of 37 mm. The fully handheld instrument includes a custom-built optical tracking system for control feedback, and an ergonomic housing to serve as a handle. The manipulation performance was investigated in both clamped and handheld conditions. In positioning experiments with varying side loads, the manipulator tolerates side load up to 0.25 N while tracking a sinusoidal target trajectory with less than 20 μm error. Physiological hand tremor is reduced by about 90% in a pointing task, and error less than 25 μm is achieved in handheld circle-tracing.

Indexed as

medical roboticsmotion compensationRobot kinematicssurgery

Identifiers

PMID25419103
PMCPMC4235034

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.