Vine4Spine: A Steerable Tip-Growing Robot with Contact Force Estimation for Navigation in the Spinal Subarachnoid Space

Abstract

Therapies targeting neurodegenerative diseases via brain ventricles and spinal parenchyma face delivery challenges. Systemic administration is ineffective due to the blood-brain barrier, while direct surgical access, especially for multi-site delivery, is highly invasive. The spinal subarachnoid space offers potential for microcatheter-based delivery, but existing robotic catheter technologies are unsuitable due to spinal anatomy constraints. This paper presents a miniaturised and sensorised steerable eversion-growing robot tailored to navigation of the subarachnoid space of the spine. The property of eversion reduces interaction forces with the anatomy, rendering our approach safer than microcatheters that need to be pushed. Our system is capable of real-time tip force estimation with three degrees of freedom (DoF) using fibre Bragg gratings (FBG). Additionally, it incorporates a micro-endoscope and a steerable tip, all within a tiny 2mm outer diameter. The system’s navigation, sensing, and imaging capabilities were evaluated using a realistic up-scaled phantom of the subarachnoid space covering the cervical spine, demonstrating interaction forces within the safe range of 2-5N during phantom navigation. Comparison study of instrument-tissue interactions further approved its clinical relevance, presenting a 73.78% decrease of the mean absolute forces to traditional insertion without the sheath in global measurements.