Further increase in the possible applications using AI with ROSES, our system for endovascular treatment

  • Guido Danieli orcid

    Dipartimento di Ingegneria Meccanica, Energetica e Gestionale (DIMEG), Università della Calabria, 87036 Rende, Italy

    Calabrian High Tech S.r.l., 87036 Rende, Italy
  • Salvatore De Rosa orcid

    Scienze Mediche e Chirurgiche Avanzate, Università della Magna Graecia, 88100 Catanzaro, Italy
  • Olindo Di Benedetto

    Azienda Ospedaliero Universitaria (AOU) Dulbecco, 88100 Catanzaro, Italy
  • Pasquale F. Greco

    Calabrian High Tech S.r.l., 87036 Rende, Italy
  • Ciro Indolfi orcid

    Dipartimento di Farmacia, Salute e Scienze della Nutrizione, Università della Calabria, 87036 Rende, Italy
  • Gabriele Larocca

    Calabrian High Tech S.r.l., 87036 Rende, Italy
  • Stefano Loizzo

    Calabrian High Tech S.r.l., 87036 Rende, Italy
  • Massimo Massetti orcid

    Gemelli Policlinic, Sacred Heart University, 00168 Rome, Italy
  • Emanuele Tinelli

    Scienze Mediche e Chirurgiche Avanzate, Università della Magna Graecia, 88100 Catanzaro, Italy
  • Giovanni Tinelli orcid

    Gemelli Policlinic, Sacred Heart University, 00168 Rome, Italy
  • Umberto Sabatini orcid

    Scienze Mediche e Chirurgiche Avanzate, Università della Magna Graecia, 88100 Catanzaro, Italy
  • Yamume Tshomba orcid

    Gemelli Policlinic, Sacred Heart University, 00168 Rome, Italy
Article ID: 1795
DOI: https://doi.org/10.59400/mea1795
Keywords: robotic-assisted minimally invasive surgery, endovascular black box, elimination of ionizing radiation for surgeons, freedom for neuro-radiologists from X-ray

Abstract

ROSES (Robotic System for Endovascular Surgery) continuously measures the resistance encountered by a catheter during advancement without requiring additional specialized components. The system consists of up to six robotic actuators arranged linearly on slides that move along an inclined rail toward the patient. The final slide accommodates the sixth actuator, which houses four stepper motors, allowing for adjustments in the relative positions of the actuators. The proximal actuator is affixed to the last slide using side bars. A force transducer, connected to the motorized slide by a wire, measures the gravitational component of any object on the rail, which remains constant as the actuators move. However, if an external obstruction hinders catheter or guidewire progression, the force changes, triggering an alert. The system also facilitates the introduction of the first catheter, even if pre-curved, enabling complete separation between the surgeon and the patient throughout the entire procedure. ROSES employs compact, purely mechanical, disposable components compatible with commercially available catheters and guidewires, making it suitable for a wide range of interventions, including cerebral arterial procedures, aneurysm treatment, ischemic interventions, angioplasty, Transcatheter Aortic Valve Implantation (TAVI), and various lower and upper limb surgeries. Future enhancements include AI-assisted brain endovascular treatments and the integration of animated catheters capable of shape adaptation via console control. By recording console inputs, resistance forces, device penetration lengths, and X-ray images, ROSES effectively functions as the “black box” of endovascular surgeries. The system is protected by multiple pending international patent applications.

Published
2025-08-22
How to Cite
Danieli, G., De Rosa, S., Di Benedetto, O., Greco, P. F., Indolfi, C., Larocca, G., Loizzo, S., Massetti, M., Tinelli, E., Tinelli, G., Sabatini, U., & Tshomba, Y. (2025). Further increase in the possible applications using AI with ROSES, our system for endovascular treatment. Mechanical Engineering Advances, 3(3). https://doi.org/10.59400/mea1795
Issue
Vol. 3 No. 3 (2025)
Section
Article

Copyright (c) 2025 Guido Danieli, Salvatore De Rosa, Olindo Di Benedetto, Pasquale F. Greco, Ciro Indolfi, Gabriele Larocca, Stefano Loizzo, Massimo Massetti, Emanuele Tinelli, Giovanni Tinelli, Umberto Sabatini, Yamume Tshomba

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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