Devi Yuliarti

Devi Yuliarti, Ravi Prakash, Hiu Ching Cheung et al.

The tactile properties of tissue, such as elasticity and stiffness, often play an important role in surgical oncology when identifying tumors and pathological tissue boundaries. Though extremely valuable, robot-assisted surgery comes at the cost of reduced sensory information to the surgeon, with vision being the primary. Sensors proposed to overcome this sensory desert are often bulky, complex, and incompatible with the surgical workflow. We present PalpAid, a multimodal pneumatic tactile sensor to restore touch in robot-assisted surgery. PalpAid is equipped with a microphone and pressure sensor, converting contact force into an internal pressure differential. The pressure sensor acts as an event detector, while the acoustic signature assists in tissue identification. We show the design, fabrication, and assembly of sensory units with characterization tests for robustness to use, repetition cycles, and integration with a robotic system. Finally, we demonstrate the sensor's ability to classify 3D-printed hard objects with varying infills and soft ex vivo tissues. We envision PalpAid to be easily retrofitted with existing surgical/general robotic systems, allowing soft tissue palpation.

Ravi Prakash, Vincent Y. Wang, Arpit Mishra et al.

Robotic laser systems offer the potential for sub-millimeter, non-contact, high-precision tissue resection, yet existing platforms lack volumetric planning and intraoperative feedback. We present RATS (Robot-Assisted Tissue Surgery), an intelligent opto-mechanical, optical coherence tomography (OCT)-guided robotic platform designed for autonomous volumetric soft tissue resection in surgical applications. RATS integrates macro-scale RGB-D imaging, micro-scale OCT, and a fiber-coupled surgical laser, calibrated through a novel multistage alignment pipeline that achieves OCT-to-laser calibration accuracy of 0.161+-0.031mm on tissue phantoms and ex vivo porcine tissue. A super-Gaussian laser-tissue interaction (LTI) model characterizes ablation crater morphology with an average RMSE of 0.231+-0.121mm, outperforming Gaussian baselines. A sampling-based model predictive control (MPC) framework operates directly on OCT voxel data to generate constraint-aware resection trajectories with closed-loop feedback, achieving 0.842mm RMSE and improving intersection-over-union agreement by 64.8% compared to feedforward execution. With OCT, RATS detects subsurface structures and modifies the planner's objective to preserve them, demonstrating clinical feasibility.