Research at U of Alberta focuses on robotics for medical applications

Research at U of Alberta focuses on robotics for medical applications

By Scott Simmie

 

You’ve probably heard of the “Three Ds” by now: Robots are perfect for tasks that are Dirty, Dull and Dangerous. In fact, we recently took a pretty comprehensive look at why inspection robots can tick all of these boxes – while saving companies from unplanned downtime.

Generally, that maxim holds true. But a recent conversation with two researchers from the University of Alberta got us thinking that some innovative robotics applications don’t truly fit this description. Specifically, certain medical or healthcare use-cases.

The people we spoke to carry out their research under the umbrella of a body that intersects the robotics and healthcare sectors. It’s called the Telerobotic and Biorobotic Systems Group in the Electrical and Computer Engineering Department of the U of A. It’s under the direction of Prof. Mahdi Tavakoli, who is kind of a big name in this sector. Within that group, there are three separate labs:

  • CREATE Lab (Collaborative, Rehabilitation, Assistive robotics research
  • HANDS Lab (Haptics and Surgery research
  • SIMULAT-OR Lab (A simulated operating room featuring a da Vinci Surgical System)

Broadly, the research can be thought of as belonging to one of two realms: Rehabilitation/assistive and surgical. But what does that actually mean? And how has a robot from InDro been modified to become a smart device that can assist people with certain disabilities?

Let’s dive in.

Below: Could a robotic platform like the Ranger Mini be put to use helping someone with mobility issues? We’ll find out…

Ranger Mini 3.0

HELPING PEOPLE (AND EVEN SURGEONS)

 

We spoke with researchers Sadra Zargarzadeh and Mahdi Chalaki. Sadra is a Master’s student in Electrical and Computer Engineering and previously studied Mechanical Engineering at Iran’s Sharif University of Technology. Mahdi is also a Master’s student in the same department, and studied Mechanical Engineering at the University of Tehran.

Sadra’s research has focused on healthcare robotics with an emphasis on autonomous systems leveraging Large Language Model AI.

“I’ve always had a passion for helping people that have disabilities,” he explains. “And in the rehab sector we often deal with patients that have some sort of fine motor skill issue or challenge in executing tasks the way they’d like to. Robotics has the potential to mitigate some of these issues and essentially be a means to remove some of the barriers patients are dealing with – so I think there’s a very big potential for engineering and robotics to increase the quality of life for these people.”

That’s not dirty, dull or dangerous. But it is a very worthwhile use-case.

 

SMART WALKER

 

People with mobility and/or balance issues often require the help of walkers. Some of these devices are completely manual, and some have their own form of locomotion that keeps pace with the user’s desired speed. The direction of these is generally controlled with two hands on some form of steering device. Usually, equal pressure from each hand and arm are required in order to go in a straight line and by pushing harder on one side or another steering is achieved.

But what about someone who has had a stroke that has left them with partial paralysis on one side? They might well not be able to compensate, meaning despite their intent to carry out a straight path forward the device would turn. That’s where Mahdi’s research comes in.

“Robotic walkers or Smart Walkers have been studied for more than 20 years,” he says. “But in almost all of them, their controllers assume you have the same amount of force in both of your hands. And people with strokes often don’t have the same strength in one side of their body as they have on the other side.”

So how can robotics compensate for that? Well, using an AgileX Ranger Mini with InDro Commander from InDro Robotics as the base, Mahdi and others got to work. They built a steering structure and integrated a force sensor, depth perception camera, and some clever algorithms. That camera zones in on the user’s shoulders and translates movement into user intent.

“We know, for example, if you are just trying to use your right hand to turn left, the shoulder angle increases. If you’re trying to turn right, the shoulder angle on the right arm decreases.”

By interpreting those shoulder movements in conjunction with the force being applied by each hand, this Smart Walker translates that data into desired steering action. As a result, the user doesn’t have to push so hard with that compromised side and it also reduces cognitive load. The wrist torque required by the user drops by up to 80 per cent.

Of course, there’s much more to this device than we’ve outlined here. Enough, in fact, that a scientific paper on it can be found here. You can also check out the video below:

 

ROBOTS IN THE O-R

 

While the Smart Walker is a great example of robotics being put to use on the assistive and rehabilitation side of things, let’s not forget that the Telerobotic and Biosystems Research Group also carries out work on the surgical side. Sadra explains that robotic devices – particularly in conjunction with AI – could prove of great benefit assisting a surgeon.

“My research centres around the use of Generative AI. With the growth of Large Language Models (LLM) such as ChatGPT, we want to see how these AI tools can translate into the physical world in robots. A big section of my projects have focused on Generative AI for surgical autonomy.”

For example, a robotic device with plenty of AI onboard might be able to handle tasks such as suctioning blood. Machine Vision and Machine Learning could help that device determine where and how much suction needs to be applied. And, if you push this far enough, a surgeon might be able to initiate that process with a simple voice command like: “Suction.”

“How can we have task planners and motion planners through generative AI such that the surgeon would communicate with the robot with natural language – so they could ask the robot to complete a task and it would execute?” asks Sadra. “This would allow robots to become more friendly to the average individual who doesn’t have robotics knowledge.”

On the flip side of the coin, there’s also the potential for robotic devices to inform the surgeon of something that might require attention. In breast cancer surgery, for example, an AI-enhanced robot with realtime data from an imaging device might notice remaining tumour tissue and give the all-clear to close the incision only after all cancerous material has been excised.

In other words, some of the algorithms Sadra works on involve working on that human-robotic interface while leveraging powerful Large Language Model systems.

“Exactly. And we look at this process in three stages: We think about high-level reasoning and task planning, then mid-level motion planning, then lower-level motion control. This is not only for surgery; it’s a similar workflow for assistive robotics.”

The head of the lab, Professor & Senior University of Alberta Engineering
Research Chair in Healthcare Robotics Dr. Mahdi Tavakoli, describes AI in this field as “a game-changer,” enabling the next level of human-robotics interface.

“Our focus is clear: We’re building robots that collaborate with humans — robots that can understand our language, interpret context, and assist with the kinds of repetitive or physically demanding tasks that free people up to focus on what they do best: The creative, the social, the human. We see the future in ‘collaborative intelligence,’ where people stay in control and robots amplify human capabilities.”

Fun fact: The most powerful LLMs are known as Generative Pretrained Transformers – which is where ChatGPT gets its name.

 

WHAT’S NEXT?

 

We asked the researchers if the plan is to ultimately explore commercialisation. Apparently it’s a little more complex when it comes to surgery due to regulatory issues, but this is definitely on the roadmap. Sadra has been doing research through a program called Lab2Market and says there’s been very positive feedback from clinicians, physical and occupational therapists and manufacturers.

Program head Dr. Tavakoli says the lab is “thinking big” about how such innovations can help diversify the Canadian economy. In Alberta specifically, which has traditionally been a resource-dominated economy, he says robotics presents a huge opportunity for growth.

“That’s part of why we’ve launched Alberta Robotics: To build a regional ecosystem for robotics research, education, and innovation. So, the University of Alberta is open for business when it comes to robotics; people should be watching for what will come out of Alberta in robotics!”

Below: A promotional video for the da Vinci Surgical System. Will research at the U of A someday enable machines like this to take verbal commands from a surgeon?

INDRO’S TAKE

 

The research being carried out at the University of Alberta is both fascinating and carries with it huge potential in both the surgery and rehabilitation/assistive spheres. We’re pleased to know that three Ranger Mini platforms with InDro Commander are being put to work for this purpose – which is unlike any other use-case we’ve seen for our robots.

“I’m incredibly impressed with what they’re doing,” says InDro Founder and CEO Philip Reece. “It’s researchers like these, quietly carrying out advanced and focussed work, who make breakthroughs that ultimately become real-world devices and applications. We’re pleased to put a well-deserved spotlight on their work.”

You can check out a list of researchers and alumni – and see a photo of Sadra and Mahdi – right here.

Assistive devices on the rise at Korea’s Robot World Conference

Assistive devices on the rise at Korea’s Robot World Conference

By Scott Simmie

A major robotics conference is underway in Seoul, South Korea.

Robot World 2023 features some 200 exhibitors and 700 booths, ranging all the way from heavy hitters like Hyundai (which makes robots for industrial purposes) through to companies that manufacture the various widgets that make up the robot supply chain. There are manufacturers of wheels, servos, end effectors, lubricants, cable management systems – you name it, you’ll find it.

Need a hand? There’s no shortage of robotic arms. While many are suited for factory and warehouse work, others are destined for the food services industry. Turn a corner and you’re more likely than not to see an arm smoothly pouring a coffee, grabbing a soft drink or snack and presenting it to an attendee.

Below: A Hyundai robot that can lift and reposition autonomobiles. It’s part of the Hyundai WIA (World Industrial Ace) division.

USE-CASES

 

The robots at this show illustrate the many use-cases. There are welding robots, pick-and-place machines, and heavy-lift AMRs (Autonomous Mobile Robots) that can lift more than a ton. Need something stacked, sorted, inspected, delivered? Want a manipulator arm you can program to start preparing French fries the moment a take-out order has been placed by an app? Need a robot to move a car?

At Robot World 2023, you’ll find all of the above – and more.

 

ASSISTIVE DEVICES

 

But there was another category of robot on display at the exhibition: Assistive medical devices. Specifically, very smart machines that can be used for patients requiring rehabilitation.

InDro Robotics, which was invited to attend Robot World 2023, was struck by the number of companies with products in this sector. There were ground robots – friendly-looking devices that keep an eye on vulnerable people and can call for assistance if there’s a fall or some other crisis. But more intriguing to us were machines that can play a role – both physiologically and psychologically – in helping to rehabilitate someone from a serious injury or other challenging condition.

Below: A shape-shifting wheelchair wheel can climb stairs

Robot World Microsurgery

RE-LEARNING TO WALK

 

Like any major convention, exhibitors range from established global companies like Hyundai all the way to smaller startups with a great idea. And one that caught our attention is a company called Astrek Innovations. Its CEO and co-Founder is Robin Kanattu, a young engineer from Kerala in southern India.

“We are mainly focussing on building and designing products for the 20 per cent of people who are suffering from disability and accessibility issues,” says Robin. “One of the products is the lower limb exoskeleton, for people who are suffering form lower limb disabilities.”

As the company’s website explains:

“Established in 2018, we develop cutting edge solutions to some of our most complex problems – Disability and Rehabilitation. Leveraging our knowledge and expertise in robotics, machine learning and motion capture, we design devices that would transform the current state-of-the-art in the rehabilitation and assistive technology arena.

“Our magnum opus is a wearable robotic device, an exoskeleton, that would help people with lower-limb immobility walk again. A culmination of motorised limb braces, motion capturing & tracking; and machine learning; this device would transform rehabilitation into a precise, immediate treatment protocol.”

Established in 2018, the company has been building and testing versions of this product for four years.

“Now we have a final version, and we wanted to provide independence for people who are suffering form these disabilities,” he says.

A lot of research has gone into this product. Robin says a great deal of groundwork was spent capturing data on healthy people: How they walk, how they sit, how gaits alter during the course of a stride.

“Now we use that same data to predict the walking pattern of users, so they will have much more stable walking and standing while using the device.”

The exoskeleton provides support and strength and moves the legs. Forward-facing crutches are used to aid in stability. The product can be used on someone who is paralysed from the waist down, people recovering from strokes, those with certain genetic issues and people recovering from accidents.

 

HOW THE IDEA WAS BORN

 

Robin is an electrical engineer. But there was a personal motivation to put his skills to use in this arena.

“My grandfather had this issue. After having an accident, he was not able to walk properly. And after doing knee replacement surgery he was not able to walk again,” he explains. “So that’s how our team came togeher.”

Astrek has been recognized for product excellence at Robot World 2023, and Korea has brought the company in on a program called the K Startup Grand Challenge. Robin has been working in Korea on streamlining the manufacturing chain, working with mentors and looking for collaboration.

But the product, he says, is fully functioning. And people who are paralyzed from the waist down have been able to walk with it.

“Psychologically, they are so happy,” he says. “Their sole dream is to walk again, and we are happy to see them doing that.”

Robin did not have the prototype at the show because of red tape involving flying the batteries to Seoul. He’s pictured below with a banner showing the device.

Robin Kanattu Astrek

ROBOT REHABILITATION

 

Another company, RpiO, has already cracked the market. Its R-BoT plus is a device designed for people with central nervous system damage (including stroke, paraplegia, spinal cord injury etc.). It’s more of a rehab device designed for hospital settings, but allows users to exercise lower extremities while lying down or standing upright. The product is approved by a Korean regulatory body (Korean Ministry of Food and Drug Safey, formerly the KFDA), and the company has already sold seven units inside Korea.

“We have major hospitals, locals hospitals and private hospitals who are using the machine with people who have damage impacting their lower body,” explains CEO Jay Moh.

“Because KFDA is a standard in Southeast Asia, we are starting to sell in Hong Kong, Malaysia and Singapore. Many doctors have come to see our robots.”

The R-BoT plus works in three modes: Passive, active and resistive – depending on the patient’s abilities. What sets this device apart is that the person exercising watches a large-screen display during rehabilitation sessions. The display features outdoor scenes, and with every ‘step’ made, a footprint appears on the ground and the patient has a visual cue that they’re making progress. Distance covered, calories burned and heart rate are all displayed as well, providing further incentive.

“Once the machine starts, they look at the display,” he says. “This has been medically tested; this stimulates the brain and releases a chemical that stimulates recovery. People feel better – they enjoy the workout and feel like they’re walking through the grass.”

For those ready to actually move in the real world, the company also has a product called EXOwalk. Here, an exoskeleton is strapped to the patient’s limbs and can help move their legs (again, in multiple modes). But this exoskeleton is fixed to a rolling robotic platform – meaning the patient actually moves forward on the ground, rather than being fixed to a static machine.

“This is driven – so they actually move along the hallway in the facility.”

 

EXO Motion

 

For patients with upper limb motor impairments, the company has developed a product called EXO motion. This is strictly a portable exoskeleton device that attaches to the arm. In active mode, it detects myolectric signals from the user’s arm and – with some sophisticated algorithms and mechatronics – converts those signals into mechanical motion that moves the arm.

In addition to these robotic devices, RpiO also is a leading company in software designed to help people with dementia.

“We have a high population of elderly people who suffer with this,” says Moh. “So the market is growing very fast.”

Below: CEO Jay Moh, followed by the R-BoT plus and display. Note the footprints…

 

Robot World Korea R-BoT plus
R-BoT plus display

INDRO’S TAKE

 

We enjoyed checking out these devices at Robot World 2023 – and were pleased to see yet more evidence of #robotsforgood.

“Robots can be tremendous tools on their own,” says InDro Robotics CEO Philip Reece. “But there’s something truly special about products designed to directly help human beings improve their mobility and health. We applaud the inventors and engineers who develop these products, and look forward to even more assistive device breakthroughs in future.”

And a final note: The feature image at the top of this story shows some very, very, tiny arms used for microsurgery. InDro was able to take a run at the controls (pictured below). It took some patience, but we were able to grasp an impossibly small elastic band.

Now picture a highly skilled microsurgeon operating on someone remotely.

It’s happening now, thanks to robotics.

Robot World Microsurgery