Complete Autonomous Robotic Nasopharyngeal Swab System with Evaluation on a Stochastically Moving Phantom Head

TL;DR

This paper presents an autonomous robotic system capable of performing nasopharyngeal swabs on a moving phantom head, integrating visual, force, and safety systems to ensure effective and safe sample collection.

Contribution

It introduces a novel control system with visual servoing, force feedback, and safety mechanisms for autonomous NP swab collection on a moving patient model.

Findings

System successfully performs swabs with head motion

Controller configurations ensure safety and reliability

Robustness demonstrated through extensive experiments

Abstract

The application of autonomous robotics to close-contact healthcare tasks has a clear role for the future due to its potential to reduce infection risks to staff and improve clinical efficiency. Nasopharyngeal (NP) swab sample collection for diagnosing upper-respiratory illnesses is one type of close contact task that is interesting for robotics due to the dexterity requirements and the unobservability of the nasal cavity. We propose a control system that performs the test using a collaborative manipulator arm with an instrumented end-effector to take visual and force measurements, under the scenario that the patient is unrestrained and the tools are general enough to be applied to other close contact tasks. The system employs a visual servo controller to align the swab with the nostrils. A compliant joint velocity controller inserts the swab along a trajectory optimized through a simulation environment, that also reacts to measured forces applied to the swab. Additional subsystems include a fuzzy logic system for detecting when the swab reaches the nasopharynx and a method for detaching the swab and aborting the procedure if safety criteria is violated. The system is evaluated using a second robotic arm that holds a nasal cavity phantom and simulates the natural head motions that could occur during the procedure. Through extensive experiments, we identify controller configurations capable of effectively performing the NP swab test even with significant head motion, which demonstrates the safety and reliability of the system.