A Novel Shaft-to-Tissue Force Model for Safer Motion Planning of Steerable Needles

Steerable needles are capable of accurately targeting difficult-to-reach clinical sites in the body. By bending around sensitive anatomical structures, steerable needles have the potential to reduce the invasiveness of many medical procedures. However, inserting these needles with curved trajectories increases the risk of tissue shearing due to large forces being exerted on the surrounding tissue by the needle's shaft. Such shearing can cause significant damage to surrounding tissue, potentially worsening patient outcomes. In this work, we derive a tissue and needle force model based on a Cosserat string formulation, which describes the normal forces and frictional forces along the shaft as a function of the planned needle path, friction parameters, and tip piercing force. We then incorporate this force model as a cost function in an asymptotically near-optimal motion planner and demonstrate the ability to plan motions that consider the tissue normal forces from the needle shaft during planning in a simulated steering environment and a simulated lung tumor biopsy scenario. By planning motions for the needle that aim to minimize the tissue normal force explicitly, our method plans needle paths that reduce the risk of tissue shearing while still reaching desired targets in the body.