Evidence map›Paper›PMID 40510660›Full record

ArticleCyborg and bionic systems (Washington, D.C.)2025

Development of a Bioinspired Soft Robotic System for Teleoperated Endoscopic Surgery.

Kefan Zhu, Chi Cong Nguyen, Bibhu Sharma, Phuoc Thien Phan, Trung Thien Hoang, James Davies, Adrienne Ji, Emanuele Nicotra, Jingjing Wan, Patrick Pruscino and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cyborg and bionic systems (Washington, D.C.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
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

16 authors.

Kefan ZhuGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Chi Cong NguyenGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Bibhu SharmaGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Phuoc Thien PhanGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Trung Thien HoangGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
James DaviesGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Adrienne JiGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Emanuele NicotraGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Jingjing WanGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Patrick PruscinoGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Sumeet WaliaCentre for Opto-electronic Materials and Sensors, School of Engineering, RMIT University, Melbourne, VIC 3000, Australia.
Tat Thang Vo-DoanSchool of Mechanical and Mining Engineering, The University of Queensland, St Lucia, QLD 4072, Australia.
Soo Jay PheeSchool of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Shing WongSchool of Clinical Medicine, UNSW Sydney and Prince of Wales Hospital, Randwick, Sydney, NSW 2031, Australia.
Nigel H LovellGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.
Thanh Nho DoGraduate School of Biomedical Engineering, UNSW, Kensington Campus, Sydney, NSW 2052, Australia.ORCID https://orcid.org/0000-0002-4980-5251

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic submucosal dissection (ESD) has emerged as a critical alternative to laparoscopic excisional surgery for the removal of early gastrointestinal tumors. However, current robotic systems for ESD face challenges with accessibility, dexterity, and precision in confined spaces due to limitations in actuation methods and mechanical design. To overcome these issues, a new motorless, master-slave soft robotic system using hydraulic actuation is introduced for ESD procedures. This system features dual soft robotic arms: one serves as an electrosurgical tool, and the other serves as a 3-jaw soft tubular grasper. Notably, the entire system is powered purely by hydraulic force, eliminating the need for DC motors or complex electronic controllers. Inspired by nature, the grasper ensures even force distribution and removes rotational motion, reducing the risk of iatrogenic injury. Its scalable design and compliant properties allow for effective tissue manipulation in tight spaces, with strong pulling forces generated by the embedded soft actuation network. In vitro and ex vivo experiments on fresh porcine tissues demonstrate the system's ability to grip and perform electrosurgical cutting on simulated lesions. This innovation has the potential to be applied in other areas of endoscopic surgery as well.

Identifiers

PMID40510660
PMCPMC12159415

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.