ABSTRACT

The purpose of Computer-Assisted Surgery (CAS) is to help physicians or surgeons to plan and to execute optimal strategies from multi-modal data. The execu­ tion of such planned strategies may be assisted by guid­ ing systems. Passive systems based on 6D localizers give information to the operator such that he can com­ pare the planned task to the real one he executes. Active systems are robots that realize part of the intervention autonomously. Semi-active systems, more generally called synergistic systems, are based on the cooperation of a robotic device with a human operator. We have developped such a synergistic device : PADyC (Passive Arm with Dynamic Constraints). The basic principle of PADyC is to have a manually actuated arm that con­ strains the authorized motions of the surgical tool held by the human operator in function of a planned task. For instance, if the task is to stay inside a given 3D cartesian region, the motions of the tool will be free in­ side the region whilst some of them will be forbidden on the borders of this region. These constraints are realized by a patented mechanical system.