The Catheter and Guidewire Operating Systems of Vascular Interventional Surgical Robots: A Systematic Review

Abstract

Vascular interventional surgical robots (VISR) assisted doctors in surgery can not only protect doctors from X-ray radiation, but also improve the accuracy of surgery. The catheter and guidewire operating systems with master-slave operation mode play an important role in VISR. In recent years, the operating systems have gradually become a research hotspot. After nearly two decades of development, they have made great progress, but there are still some problems to be solved. This review first introduces the research necessity and development history of these operating systems. Then, we summarize the research direction of operating systems from the perspective of hardware devices and algorithms. In the hardware devices, we analyzed the catheter and guidewire operating mechanisms, contact force detection devices, master operating mechanisms and master force feedback devices. In the algorithm, we introduce the bilateral control methods, security strategies and skill evaluation methods. Next, we discuss the actual performance and shortcomings of the operating systems from the perspective of clinical application. Finally, we summarize the current problems of the operating systems and propose the future development direction. This review is helpful for researchers to understand the current situation, and provides a reference framework of catheter and guidewire operating system.