Design of a Polymer-based Steerable Cannula for Neurosurgical Applications

TL;DR

This paper presents a novel polymer-based, laser-micromachined, steerable cannula for neurosurgery, offering improved MRI compatibility, safety, and tissue compliance over traditional metal tools.

Contribution

It introduces a new fabrication method for polyimide steerable cannulas using laser micromachining, enabling small, precise joints for neurosurgical applications.

Findings

Successfully fabricated joints as small as 1.5 mm OD

Experimentally characterized the loading behavior of the joints

Demonstrated the feasibility of polymer-based steerable cannulas

Abstract

Robotically steerable compliant surgical tools offer several advantages over rigid tools, including enhanced dexterity, reduced tissue damage, and the ability to generate non-linear trajectories in minimally invasive neurosurgical procedures. Many existing robotic neurosurgical tools are designed using stainless steel or nitinol materials. Using polymer-based materials instead can offer advantages such as reduced interference in magnetic resonance imaging, enhanced safety for guiding electrically powered instruments, and reduced tissue damage due to inherent compliance. Several polymer materials have been used in robotic surgical applications, such as polyimide, polycarbonate, and elastic resin. Various fabrication strategies have also been proposed, including standard microfabrication techniques, thermal drawing, and 3-D printing. In our previous work, a tendon-driven, notched-tube was designed for several neurosurgical robotic tools, utilizing laser micromachining to reduce the stiffness of the tube in certain directions. This fabrication method is desirable because it has a single-step process, has high precision, and does not require a cleanroom or harsh chemicals. Past studies have explored laser-micromachining of polymer material for surgical applications such as stent fabrication. In this work, we explore extending the use of the laser micromachining approach to the fabrication of polyimide (PI) robotically steerable cannulas for neurosurgical applications. Utilizing the method presented in this work, we fabricated joints as small as 1.5 mm outer diameter (OD). Multiple joints were fabricated using PI tubes of different ODs, and the loading behavior of the fabricated joints was experimentally characterized.