Dynamics of Insufflated Abdominal Wall Tissue for Magnetically Anchored Surgical Instruments

TL;DR

This study investigates the mechanical dynamics of insufflated abdominal wall tissue with magnetic anchoring, analyzing its response to excitations to inform control strategies for surgical devices.

Contribution

It provides experimental data and a numerical model of tissue dynamics under magnetic anchoring, aiding the design of minimally disruptive surgical devices.

Findings

Tissue displacement during loading/unloading is approximately zero at steady state.

Maximum transient displacement error is about 1mm with high magnetic force.

High stiffness and damping attenuate disturbances above 100 rad/s.

Abstract

Magnetically-anchored surgical devices have recently gained attention in abdominal surgery, with the use of magnets to anchor surgical devices onto the insufflated abdominal wall. These anchors have been used to secure passive and active devices, where active device such as robotic manipulators produce motions that would excite the dynamics of the non-rigid abdominal wall. Hence, there is a need to investigate the mechanical dynamics of the abdominal wall tissue in insufflated state, combined with magnetic anchoring, specifically its response to mechanical excitations and the expected disturbances to the operation of the anchored devices. In this paper, loading and unloading tests are performed on a corresponding porcine specimen for dynamics identification. The experiment setup was constructed to emulate the insufflated state of the abdomen with the magnetically anchored mechanism. The tissue responses during unloading are captured and approximated with a general numerical model, which is in turn used for the dynamic analysis of the tissue using Bode plot. The results showed that in such stretched and compressed state, the steady state displacement of the tissue is approximately zero. The maximum transient error was found to be 1mm in displacement using a high magnetic anchoring force. Significant attenuation of the disturbances due to the high stiffness and damping of the abdominal wall, was observed from 100rad/s in the frequency response. If a robotic manipulator was attached to the anchoring device, the typical operating frequency of movements would still produce unattenuated disturbances. It is expected that some error compensation through suitable control strategies is required. These outcomes establish the basis for the controller design and the design specification of the active magnetically-anchored surgical devices for minimal disturbance impact onto the abdominal wall tissue.