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Motion Compensation and Adaptive Force Control Via iOCT�FBG Sensor Fusion for Robotic Subretinal Injection

Aoqi Long, Tianle Wu, Chongyang She, Mojtaba Esfandiari, Peter Gehlbach, Russell H. Taylor, Ioan Iulian Iordachita

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Key figure (auto-extracted from paper)
Fusing intraoperative OCT vision with fiber Bragg grating force sensing reduces tracking error by 40% and maintains safe tip forces during simulated retinal motion.
Subretinal injection iOCT vision FBG force sensing Motion compensation Adaptive control Robotic surgery

Problem

Current robotic subretinal injection systems struggle with physiological retinal motion and lack real-time tip force feedback, risking irreversible tissue damage during delicate therapeutic deliveries.

Approach

The framework integrates a finite-state machine with an LSTM-enhanced Kalman filter for motion prediction and an adaptive compliance estimator to dynamically blend low-rate vision data with high-rate force feedback for precise needle tracking.

Key results

  • 40% reduction in tracking RMSE (to 18.5 µm) under simulated motion
  • 96.7% of tip forces maintained within ±0.7 mN safety threshold
  • Control latency minimized to 0.25 seconds for real-time corrections
  • Unified FSM and adaptive force compensation framework for surgical phase coordination

Why it matters

Enhances precision and safety for robot-assisted retinal surgeries, advancing reliable therapeutic delivery for fragile ocular tissues.

Abstract

Subretinal injection is a highly delicate procedure that demands micron-level precision to avoid irreversible retinal damage. Current robotic systems achieve accurate positioning but remain limited by retinal motion and the lack of tip force feedback. We present the first adaptive tip force compensation framework for robotic subretinal injection, fusing intraoper- ative optical coherence tomography (iOCT) vision with fiber Bragg grating (FBG) force sensing. Our architecture integrates a finite-state machine (FSM) for surgical phase coordina- tion, a Long Short-Term Memory (LSTM) enhanced residual Kalman filter for real-time motion prediction, and an adaptive compliance estimator for safe force regulation. Compared to previous vision-only and force-only method, ex vivo experiments on porcine eyes demonstrate robust improvements: the root- mean-square tracking error reduced by 40% (to 18.5 μm), the maximum absolute error lowered by 2.5 times, and 96.7% of tip forces maintained within ± 0.7 mN. Control delays were minimized to 0.25 s, enabling low-latency corrections beyond freehand capabilities. Our system enhances precision and safety in fragile retinal tissues, advancing the potential for reliable robot-assisted surgeries for retinal diseases.

Index terms

Medical Robots and Systems Sensor-based Control Robust/Adaptive Control

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