• Home
  • Search
  • Adaptive Control Improves Sclera Force Safety in Robot-Assisted Eye Surgery: A Clinical Study.
  • Open Access IconOpen Access
  • Cite Icon40
  • https://doi.org/10.1109/tbme.2021.3071135Copy DOI Icon

Adaptive Control Improves Sclera Force Safety in Robot-Assisted Eye Surgery: A Clinical Study.

Show More
  • Abstract
  • Literature Map
  • References
  • Citations
  • Similar Papers
Abstract

The integration of robotics into retinal microsurgery leads to a reduction in surgeon perception of tool-to-tissue interaction forces. This blunting of human tactile sensory input, which is due to the inflexible mass and large inertia of the robotic arm as compared to the milli-Newton scale of the interaction forces and fragile tissues during ophthalmic surgery, identifies a potential iatrogenic risk during robotic eye surgery. In this paper, we aim to evaluate two variants of an adaptive force control scheme implemented on the Steady-Hand Eye Robot (SHER) that are intended to mitigate the risk of unsafe scleral forces. The present study enrolled ten retina fellows and ophthalmology residents into a simulated procedure, which simply asked the trainees to follow retinal vessels in a model retina surgery environment. For this purpose, we have developed a force-sensing (equipped with Fiber Bragg Grating (FBG)) instrument to attach to the robot. A piezo-actuated linear stage for creating random lateral motions to the eyeball phantom has been provided to simulate disturbances during surgery. The SHER and all of its dependencies were set up in an operating room in the Wilmer Eye Institute at the Johns Hopkins Hospital. The clinicians conducted robot-assisted experiments with the adaptive controls incorporated as well as freehand manipulations. The results indicate that the Adaptive Norm Control (ANC) method, is able to maintain scleral forces at predetermined safe levels better than even freehand manipulations. Novice clinicians in robot training however, subjectively preferred freehand maneuvers over robotic manipulations. Clinician preferences once highly skilled with the robot is not assessed in this study.

Similar Papers
  • Research Article
  • Citations12

Cooperative vs. Teleoperation Control of the Steady Hand Eye Robot with Adaptive Sclera Force Control: A Comparative Study.

  • May 13, 2024
  • IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation
  • Mojtaba Esfandiari +7
  • Research Article
  • Citations20

Simultaneous Online Registration-Independent Stiffness Identification and Tip Localization of Surgical Instruments in Robot-assisted Eye Surgery.

  • Apr 01, 2023
  • IEEE Transactions on Robotics
  • Ali Ebrahimi +4
  • Research Article

Adaptive Tracking Control for Dynamic Model Uncertainties of a 6-DOF Industrial Staubli Robot Manipulator Carrying Variable Payloads

  • Oct 02, 2025
  • International Journal of Research and Review
  • Emir Sonmez +1
  • PDF
  • Research Article
  • Citations10

Adaptive Admittance Control Scheme with Virtual Reality Interaction for Robot-Assisted Lower Limb Strength Training

  • Nov 22, 2021
  • Machines
  • Musong Lin +6
  • Research Article
  • Citations26

T-S Fuzzy Adaptive Control Based on Small Gain Approach for an Uncertain Robot Manipulators

  • Feb 07, 2020
  • International Journal of Fuzzy Systems
  • Yongqing Fan +3
  • Research Article
  • Citations1

Adaptive Tracking Control of Rigid Robot Manipulators by Using Only Joint Position Measurements

  • Jul 01, 1997
  • IFAC Proceedings Volumes
  • C.J Zhou +3
  • Research Article

Adaptive force control of direct drive motor for force sensor stiffness compensation

  • Jan 01, 1991
  • Electrical Engineering in Japan
  • Toshio Fukuda +1
  • PDF
  • Preprint Article

Adaptive Lqr-based Control of 3 Dof Spherical Articulated Robotic Manipulator

  • Jan 30, 2024
  • Research Square
  • K Suryanarayana K Suryanarayana
  • Research Article
  • Citations14

Real-time implementation of a robust adaptive controller for a robotic manipulator based on digital signal processors

  • Mar 01, 1999
  • IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans
  • Sung-Hyun Han +2
  • Conference Article

Adaptive control of waveguide modes in a few-mode fiber network

  • Aug 26, 2015
  • Proceedings of SPIE, the International Society for Optical Engineering/Proceedings of SPIE
  • Peng Lu +1
  • Research Article
  • Citations1

Interaction force control for robotic manipulators in contact tasks via prescribed performance-enhanced impedance regulation

  • May 27, 2025
  • Industrial Robot: the international journal of robotics research and application
  • Zhengchun Hua +3
  • Research Article
  • Citations8

Barriers in Ophthalmology Residency Applications for Students Identifying as Underrepresented in Medicine: A San Francisco Match Analysis

  • May 20, 2023
  • Journal of surgical education
  • Johsias A Maru +9
  • Research Article
  • Citations38

Switched adaptive tracking control of robot manipulators with friction and changing loads

  • May 28, 2013
  • International Journal of Systems Science
  • Xia Wang +1
  • Conference Article
  • Citations6

Adaptive Robotic Control Based on a Filter Function Under the Saturation of Actuators

  • Jan 01, 2006
  • Jin-Zhuang Xiao +3
  • Research Article
  • Citations31

Neural adaptive tracking controller for robot manipulators with unknown dynamics

  • May 24, 2000
  • IEE Proceedings - Control Theory and Applications
  • F.C Sun +3
Cactus Communications logo

Copyright 2026 Cactus Communications. All rights reserved.