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Research Article | Open Access

Enhancing Shape Sensing of Slender Medical Continuum Robot Using Carbon Nanotube Piezoresistive Fiber Bandage

Pingyu Xiang1,Xiangyu Mi1,Hongye Zhang1,Fei Wang1,Xiong Yang2Yue Wang1Rong Xiong1Song Liu3Haojian Lu1,4,5( )
Department of Control Science and Engineering, Zhejiang University, Hangzhou 310027, China
Department of Electronic and Computer Engineering, The Hong Kong University of Science and Technology, Hong Kong, China
School of Information Science and Technology, ShanghaiTech University, Shanghai 201210, China
Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou 310000, China
Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, China

†These authors contributed equally to this work.

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Abstract

Slender medical continuum robots with flexibility and highly redundant degrees of freedom are widely used in various minimally invasive surgery. However, when interacting with anatomical structures, the continuum robot adopts diverse shapes, posing challenges for operation and control. To achieve real-time intraoperative shape sensing and provide online guidance for manipulation, most existing methods rely on optical fibers embedded within the robot, which often require specialized robot designs and come with high costs. Here, we present a novel approach utilizing thin and flexible carbon nanotube piezoresistive fibers as a bandage, helically integrated on the surface of existing slender medical continuum robots for shape sensing. The spatial configuration of the robot is effectively inferred by downsampling the resistance changes along the robot’s body and applying a learning-based method. The results demonstrate that the proposed helically arranged carbon nanotube piezoresistive fibers, combined with a data-driven approach, are capable of reconstructing the robot’s spatial shape. In vitro and ex vivo experiments on animal tissues further highlight its promising potential for enhancing the shape-sensing ability of existing medical continuum robots.

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Cyborg and Bionic Systems
Article number: 0622

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Cite this article:
Xiang P, Mi X, Zhang H, et al. Enhancing Shape Sensing of Slender Medical Continuum Robot Using Carbon Nanotube Piezoresistive Fiber Bandage. Cyborg and Bionic Systems, 2026, 7: 0622. https://doi.org/10.34133/cbsystems.0622

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Received: 03 December 2025
Revised: 01 May 2026
Accepted: 21 May 2026
Published: 24 June 2026
© 2026 Pingyu Xiang et al. Exclusive licensee Beijing Institute of Technology Press. No claim to original U.S. Government Works.