A Tape Spring Steerable Needle Capable of Sharp Turns

ObjectiveTo make steerable needles more effective, researchers have been trying to minimize turning radius, develop mechanics-based models, and simplify control. This paper introduces a novel cable-driven steerable needle that has a 3mm turning radius based on tape spring mechanics, which sets a new minimum turn radius in stiffness-matched tissue models. Methods: We characterize the turn radius and the forces that affect control and performance and create predictive models to estimate required insertion forces and maximum insertion depth. Finally, we demonstrate the performance of a task outside the capabilities of a conventional needle. Results: Minimal force is required to maintain bends, allowing surrounding tissue to fix them in place, and minimal energy is required to propagate bends, allowing the device to navigate easily through various tissue phantoms. The turn radius of the device is independent of surrounding tissue stiffness, making for simple and precise control. We show that all aspects of performance depend on minimizing the tip cutting force. Under ultrasound guidance, we successfully navigate into and then follow a deep blood vessel model at a steep angle of approach. Conclusion: This design allows the system to accurately control the direction of the device while maintaining a smaller turn radius than other steerable needles, providing the potential to broaden access to challenging targets in patients.