Skip to main content
Top

20-11-2023 | Original Article

Robotic system for nasopharyngeal swab sampling based on remote center of motion mechanism

Authors: Seongbo Shim, Joonho Seo

Published in: International Journal of Computer Assisted Radiology and Surgery

Login to get access

Abstract

Purpose

In this study, a robotic system is proposed for nasopharyngeal (NP) swab sampling with high safety and efficiency. Most existing swab-sampling robots have more than six degrees of freedom (DOFs). However, not all six DOFs are necessarily required for NP swab sampling. A high number of DOFs can cause safety problems, such as collisions between the robot and patient.

Method

We developed a new type of robot with four DOFs for NP swab sampling that consists of a two DOFs remote center of motion (RCM) mechanism, a two DOFs insertion mechanism, and a nostril support unit. With the nostril support unit, the robot no longer needs to adjust the insertion position of the swab. The proposed robot enables the insertion orientation and depth to be adjusted according to different postures or facial shapes of the subject. For intuitive and precise remote control of the robot, a dedicated master device for the RCM and a visual feedback system were developed.

Result

The effectiveness of the robotic system was demonstrated by repeatability, RCM accuracy, tracking accuracy, and in vitro phantom experiments. The average tracking error between the master device and the robot was less than 2 mm. The contact force exerted on the swab prior to reaching the nasopharynx was less than 0.04 N, irrespective of the phantom's pose.

Conclusion

This study confirmed that the RCM-based robotic system is effective and safe for NP swab sampling while using minimal DOFs.
Literature
1.
go back to reference Wikramaratna PS, Paton RS, Ghafari M, Lourenço J (2020) Estimating the false-negative test probability of sars-cov-2 by rt-pcr. Eurosurveillance 25(50):2000568 CrossRefPubMedPubMedCentral Wikramaratna PS, Paton RS, Ghafari M, Lourenço J (2020) Estimating the false-negative test probability of sars-cov-2 by rt-pcr. Eurosurveillance 25(50):2000568 CrossRefPubMedPubMedCentral
2.
go back to reference Wang X, Tan L, Wang X, Liu W, Lu Y, Cheng L, Sun Z (2020) Comparison of nasopharyngeal and oropharyngeal swabs for sarscov-2 detection in 353 patients received tests with both specimens simultaneously. Int J Infect Dis 94:107–109 CrossRefPubMedPubMedCentral Wang X, Tan L, Wang X, Liu W, Lu Y, Cheng L, Sun Z (2020) Comparison of nasopharyngeal and oropharyngeal swabs for sarscov-2 detection in 353 patients received tests with both specimens simultaneously. Int J Infect Dis 94:107–109 CrossRefPubMedPubMedCentral
3.
go back to reference Loibner M, Hagauer S, Schwantzer G, Berghold A, Zatloukal K (2019) Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. PLoS ONE 14(1):e0210775 CrossRefPubMedPubMedCentral Loibner M, Hagauer S, Schwantzer G, Berghold A, Zatloukal K (2019) Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. PLoS ONE 14(1):e0210775 CrossRefPubMedPubMedCentral
6.
go back to reference Li S-Q, Guo W-L, Liu H, Wang T, Zhou Y-Y, Yu T, Wang C-Y, Yang Y-M, Zhong N-S, Zhang N-F, Li S-Y (2020) Clinical application of an intelligent oropharyngeal swab robot: implication for the covid-19 pandemic. Eur Respir J 56(2):2001912 CrossRefPubMedPubMedCentral Li S-Q, Guo W-L, Liu H, Wang T, Zhou Y-Y, Yu T, Wang C-Y, Yang Y-M, Zhong N-S, Zhang N-F, Li S-Y (2020) Clinical application of an intelligent oropharyngeal swab robot: implication for the covid-19 pandemic. Eur Respir J 56(2):2001912 CrossRefPubMedPubMedCentral
9.
go back to reference Seo J, Shim S, Park H, Baek J, Cho JH, Kim N-H (2020) Development of robot-assisted untact swab sampling system for upper respiratory disease. Appl Sci 10(21):7707 CrossRef Seo J, Shim S, Park H, Baek J, Cho JH, Kim N-H (2020) Development of robot-assisted untact swab sampling system for upper respiratory disease. Appl Sci 10(21):7707 CrossRef
12.
go back to reference Taylor RH, Funda J, Eldridge B, Gomory S, Gruben K, LaRose D, Talamini M, Kavoussi L, Anderson J (1995) A telerobotic assistant for laparoscopic surgery. IEEE Eng Med Biol Mag 14(3):279–288 CrossRef Taylor RH, Funda J, Eldridge B, Gomory S, Gruben K, LaRose D, Talamini M, Kavoussi L, Anderson J (1995) A telerobotic assistant for laparoscopic surgery. IEEE Eng Med Biol Mag 14(3):279–288 CrossRef
13.
go back to reference Berkelman P, Ma J (2009) A compact modular teleoperated robotic system for laparoscopic surgery. Int J Robot Res 28:1198–1215 CrossRef Berkelman P, Ma J (2009) A compact modular teleoperated robotic system for laparoscopic surgery. Int J Robot Res 28:1198–1215 CrossRef
16.
go back to reference Shim S, Lee S, Ji D, Choi H, Hong J (2018) Trigonometric ratio-based remote center of motion mechanism for bone drilling. In: Proceedings of IEEE/RSJ international conference on intelligent robots and systems (IROS), Madrid, Spain, pp 4958–4963. Shim S, Lee S, Ji D, Choi H, Hong J (2018) Trigonometric ratio-based remote center of motion mechanism for bone drilling. In: Proceedings of IEEE/RSJ international conference on intelligent robots and systems (IROS), Madrid, Spain, pp 4958–4963.
17.
go back to reference Qian Y, Zeng T, Wang H, Xu M, Chen J, Hu N, Chen D, Liu Y (2020) Safety management of nasopharyngeal specimen collection from suspected cases of coronavirus disease 2019. Int J Nurs Sci 7(2):153–156 PubMedPubMedCentral Qian Y, Zeng T, Wang H, Xu M, Chen J, Hu N, Chen D, Liu Y (2020) Safety management of nasopharyngeal specimen collection from suspected cases of coronavirus disease 2019. Int J Nurs Sci 7(2):153–156 PubMedPubMedCentral
21.
go back to reference Park C, Choi I, Roh J, Lim SY, Kim SH, Lee J, Yang S (2021) Evaluation of applied force during nasopharyngeal swab sampling using handheld sensorized instrument. In: (2021) 43rd Annual International Conference IEEE Engineering in Medicine and Biology Society (EMBC). Mexico, pp 2207–2210 Park C, Choi I, Roh J, Lim SY, Kim SH, Lee J, Yang S (2021) Evaluation of applied force during nasopharyngeal swab sampling using handheld sensorized instrument. In: (2021) 43rd Annual International Conference IEEE Engineering in Medicine and Biology Society (EMBC). Mexico, pp 2207–2210
22.
go back to reference Centore P (2016) The coefficient of variation as a measure of spectrophotometric repeatability. Color Res Appl 41(6):571–579 CrossRef Centore P (2016) The coefficient of variation as a measure of spectrophotometric repeatability. Color Res Appl 41(6):571–579 CrossRef
23.
go back to reference Maurer CR, Fitzpatrick JM, Wang MY, Galloway RL, Maciunas RJ, Allen GS (1997) Registration of head volume images using implantable fiducial markers. IEEE Trans Med Imag 16(4):447–462 CrossRef Maurer CR, Fitzpatrick JM, Wang MY, Galloway RL, Maciunas RJ, Allen GS (1997) Registration of head volume images using implantable fiducial markers. IEEE Trans Med Imag 16(4):447–462 CrossRef
Metadata
Title
Robotic system for nasopharyngeal swab sampling based on remote center of motion mechanism
Authors
Seongbo Shim
Joonho Seo
Publication date
20-11-2023
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-023-03032-8