A Two-Segment Continuum Robot with Piecewise Stiffness for Tracheal Intubation and Active Decoupling

This study presents a two-segment continuum robot with piecewise stiffness, designed to enhance the precision, adaptability, and safety of tracheal intubation procedures. The robot employs a continuum manipulator (CM) as its end-effector, featuring a proximal segment (PS) with an aluminum alloy interlocking joint, which provides high axial stiffness for stable insertion, and a distal segment (DS) with a micro-nano resin-based notched structure, offering increased flexibility and compliance to navigate complex anatomical structures such as the epiglottis and vocal cords, thereby reducing airway trauma. To describe the motion behavior of the robot, a piecewise variable curvature kinematic model is developed, capturing the deformation characteristics of each segment under actuation. Furthermore, a piecewise stiffness analysis is conducted to determine the axial and bending stiffness of each segment, ensuring an appropriate balance between stability and flexibility. To enhance control precision, an active tendon-driven decoupling control strategy is introduced, effectively minimizing the interaction forces between flexible segments and improving end-effector maneuverability. The results demonstrate that the proposed design significantly improves the adaptability of the tracheal intubation robot, ensuring controlled insertion while reducing the risk of excessive force on the airway walls. This study provides theoretical and technical insights into the mechanical design and control strategies of continuum robots, contributing to the safety and efficiency of tracheal intubation.