Evidence map›Paper›PMID 42069891›Full record

ArticleAnnals of biomedical engineering2026

MitraNav: Design and Modeling of a Robotic System for Transseptal Mitral Valve Replacement with Dock Catheter Task-Space Control.

Weizhao Wang, Zhenguan Tu, Jiyu Cai, Shuangyi Wang, Richard J Housden, Kawal Rhode

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Article in Annals of biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Weizhao WangDepartment of Surgical & Interventional Engineering, King's College London, Strand, London, WC2R 2LS, U.K.. weizhao.wang@kcl.ac.uk.ORCID http://orcid.org/0009-0002-0643-1496
Zhenguan TuDepartment of Surgical & Interventional Engineering, King's College London, Strand, London, WC2R 2LS, U.K.
Jiyu CaiDepartment of Surgical & Interventional Engineering, King's College London, Strand, London, WC2R 2LS, U.K.
Shuangyi WangInstitute of Automation, Chinese Academy of Sciences, 95 Zhongguancun East Road, Beijing, 100190, China.
Richard J HousdenDepartment of Surgical & Interventional Engineering, King's College London, Strand, London, WC2R 2LS, U.K.
Kawal RhodeDepartment of Surgical & Interventional Engineering, King's College London, Strand, London, WC2R 2LS, U.K.

Funding

China Scholarship Council 202208440109Wellcome EPSRC Centre for Medical Engineering WT203148/Z/16/Z
6 · The paper itself

Abstract

purposeTranscatheter mitral valve replacement (TMVR) is a promising therapy for reducing mitral regurgitation in select patients. Direct tip control of multi-segment catheters can simplify manipulation and enable precise, stable positioning. This paper introduces MitraNav, the first robotic system developed for dock-based TMVR, focusing on system design and task-space control of the dock catheter.

methodsBuilt on a previously validated guide-sheath robot, MitraNav is upgraded to support concentric multi-catheter manipulation via a unified actuation mechanism. It suits both dock and balloon catheters, enabling all catheter manipulation using a single robotic system. A two-segment bending model maps joint space to task space through an intermediate configuration space. A two-stage control strategy is then applied: joint-space control allows for rapid approach to the mitral annulus, followed by task-space control for direct tip positioning. To improve accuracy and handle joint limits, the task-space controller incorporates Jacobian normalization to balance joint contributions, null-space optimization to regulate joint motion without affecting the primary task, and a PD controller to reduce tracking errors.

resultsTrajectory-following experiments demonstrate feasibility of direct tip control, with maximum errors of 2.38 mm, 2.53 mm, and 2.46 mm in three trials. These positional errors are within the range of acceptable accuracy commonly considered for catheter-based cardiac interventions.

conclusionMitraNav represents the foundation for intuitive catheter manipulation and offers the potential for semi-autonomous robotic dock-based TMVR.

Indexed as

Mitral ValveMitral Valve InsufficiencyModels, CardiovascularRobotic Surgical ProceduresTranscatheter Mitral Valve ReplacementEquipment DesignHumansDock catheterMedical robotMulti-segment continuum robotTask-space controlTranscatheter mitral valve replacement

Identifiers

PMID42069891

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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.