Respiratory Compensation System in Spinal Surgery

The traditional spinal surgery is often conducted by hand operation with the help of navigation system which is combined with medical image. Although a veteran surgeon has a good adaptability during surgeries, it will tend to decrease along with the increase in surgery time which causes fatigues and leads to low qualities. Many surgical robots have been developed to assist surgeons in operation, and some of them approved by doctors or researchers are DaVinci (Intuitive Surgical, America) [1], Renaissance (Mazor Robotics, Israel), etc. These robot systems have enhanced the accuracy of operation; however, the adaptabilities are still weakened at the same time. During the pedicle screw drilling, surgeons can well adapt to the spine movements mainly caused by respiration, while it is difficult for these robots to adapt to the movements, indicating that the accuracy might drop in the actual application. Respiratory compensation system is aimed to keep the region of operation stable or reduce the amplitude of fluctuation [2]. The rests of paper introduced the respiratory compensation system and its control algorithm based on infrared tracking data, and experiments were conducted to analyze the accuracy and stability.