Utilization of a robotic mount to determine the force required to cut palatal tissue.

Journal: Journal of the mechanical behavior of biomedical materials
Published Date:

Abstract

Determination of the material properties of soft tissue is a growing area of interest that aids in the development of new surgical tools and surgical simulators. This study first aims to develop a robot-operated tissue testing system for determination of tissue cutting forces. Second, this system was used to ascertain the cutting properties of the hard and soft palate mucosa and soft palate musculature for the purpose of developing a robotic instrument for cleft palate surgery and a cleft-specific surgical simulator. The palate tissue was cut with a 15 blade mounted to the robot with varying angles (30°, 60°, 90°) and speeds (1.5, 2.5, 3.5 cm/s) of cutting to imitate typical operative tasks. The cutting force range for hard palate mucosa, soft palate mucosa and soft palate muscle were 0.98-3.30, 0.34-1.74 and 0.71-2.71 N, respectively. The break-in force of the cut (i.e. force required for the blade to penetrate the tissue) is significantly impacted by the angle of the blade relative to the tissue rather than the cutting speed. Furthermore, the total surface area of the tissue in contact with the blade during the cut has a significant impact on the total force expended on the tissue.

Authors

  • Kimia Sorouri
    Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Center for Image Guided Innovation and Therapeutic Intervention (CIGITI), Toronto, Ontario, Canada. Electronic address: kimia.sorouri@mail.utoronto.ca.
  • Dale J Podolsky
    Division of Plastic & Reconstructive Surgery, University of Toronto, Toronto, Ontario, Canada; Center for Image Guided Innovation and Therapeutic Intervention (CIGITI), Toronto, Ontario, Canada.
  • Annie M Q Wang
    Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Center for Image Guided Innovation and Therapeutic Intervention (CIGITI), Toronto, Ontario, Canada.
  • David M Fisher
    Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
  • Karen W Wong
    Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
  • Thomas Looi
    Centre for Image Guided Innovation and Therapeutic Intervention, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada and The Institute of Biomaterials and Biomedical Engineering, The University of Toronto, Toronto, Ontario M5G 3G9, Canada.
  • James M Drake
    Centre for Image Guided Innovation and Therapeutic Intervention, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada; Department of Neurosurgery, The University of Toronto, Toronto, Ontario M5S 1A1, Canada; and The Institute of Biomaterials and Biomedical Engineering, The University of Toronto, Toronto, Ontario M5G 3G9, Canada.
  • Christopher R Forrest
    Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.