ArticleAnnals of biomedical engineering2020
A Concentric Tube Robot System for Rigid Bronchoscopy: A Feasibility Study on Central Airway Obstruction Removal.
Article in Annals of biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 46 citations in OpenAlex.
- Artificial intelligence and digital health in bronchoscopy: advances in diagnostic accuracy, real-time navigation and procedural skills training.Breathe (Sheffield, England) · 2026Review
- Perseus: perception with semantic endoscopic understanding and SLAM.International journal of computer assisted radiology and surgery · 2026Article
- Few-Shot Physics-Informed Neural Network for Shape Reconstruction of Concentric-Tube Robots.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation · 2026Article
- Toward Image-Guided, Robot-Assisted Focal Prostate Resection: Do Enhanced Dexterity and Visualization Improve Performance?Journal of medical robotics research · 2026Article
- Design and Validation of a Compact Concentric-Tube Robot for Percutaneous Nephrolithotomy.IEEE transactions on medical robotics and bionics · 2025Article
- The utility of a rigid bronchoscope.Breathe (Sheffield, England) · 2025Review
- Neural Network-Based Shape Analysis and Control of Continuum Objects.Biomimetics (Basel, Switzerland) · 2024Article
- Article
- A Model to Predict Deflection of an Active Tendon-Driven Notched Needle Inside Soft Tissue.Journal of engineering and science in medical diagnostics and therapy · 2024Article
- Coupling Analysis of Compound Continuum Robots for Surgery: Another Line of Thought.Sensors (Basel, Switzerland) · 2023Article
- Innovation in rigid bronchoscopy-past, present, and future.Journal of thoracic disease · 2023Review
- Flexible Needle Steering with Tethered and Untethered Actuation: Current States, Targeting Errors, Challenges and Opportunities.Annals of biomedical engineering · 2023Review
- A Millimeter-Scale Soft Robot for Tissue Biopsy Procedures.Advanced intelligent systems (Weinheim an der Bergstrasse, Germany) · 2023Article
- Modular robotic platform for precision neurosurgery with a bio-inspired needle: System overview and first in-vivo deployment.PloS one · 2022Article
- Primum non nocere: do we really need non-intubated thoracic surgery and robotic assisted thoracic surgery for tracheal airway resection and reconstruction?Annals of translational medicine · 2021Article
- Tip estimation approach for concentric tube robots using 2D ultrasound images and kinematic model.Medical & biological engineering & computing · 2021Article
- Shape Reconstruction Processes for Interventional Application Devices: State of the Art, Progress, and Future Directions.Frontiers in robotics and AI · 2021Review
- Transurethral Anastomosis after Transurethral Radical Prostatectomy: A Phantom Study on Intraluminal Suturing With Concentric Tube Robots.IEEE transactions on medical robotics and bionics · 2020Article
- Design of a multi-arm concentric-tube robot system for transnasal surgery.Medical & biological engineering & computing · 2020Article
- Beyond Constant Curvature: A New Mechanics Model for Unidirectional Notched-Tube Continuum Wrists.Journal of medical robotics researchArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
New robotic systems have recently emerged to assist with peripheral lung access, but a robotic system for rigid bronchoscopy has yet to be developed. We describe a new robotic system that can deliver thin robotic manipulators through the ports of standard rigid bronchoscopes. The manipulators bend and elongate to provide maneuverability of surgical tools at the endoscope tip, without endoscope motion. We describe an initial feasibility study on the use of this system to bronchoscopically treat a central airway obstruction (CAO). CAO is prevalent and can be life-threatening in patients with large tumors, and conventional rigid bronchoscopic treatments place patients at risk of complications including broken teeth, neck trauma and damage to oropharyngeal structures due to significant forces induced by bronchoscope tilting and manipulation. In this study, we used an ex vivo ovine airway model to demonstrate the ability of a physician using the robotic system to efficiently remove tissue and restore the airway. Pre- and post-operative CT scans showed that the robot was able to reduce the degree of airway obstruction stenosis from 75 to 14% on average for five CAO resections performed in an ex vivo animal model. Using cadaver experiments, we demonstrated the potential of the robotic system to substantially reduce the intraoperative forces applied to the patient's head and neck (from 80.6 to 4.1 N). These preliminary results illustrate that CAO removal is feasible with our new rigid bronchoscopy robot system, and that this approach has the potential to reduce forces applied to the patient due to bronchoscope angulation, and thereby reduce the risk of complications encountered during CAO surgery.
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Registered trials
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.