Slipknot-gauged mechanical transmission and robotic operation.

Xue, Yaoting; Cao, Jiasheng; Feng, Tao; Zhang, Kaihang; Li, Siyang; Hu, Jiahao; Guo, Haotian; Zhang, Jinming et al. · Nature · 2025

biomechanical · Level V

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Abstract

Mechanical transmission is essential in force-related activities ranging from the daily tying of shoe laces<sup>1</sup> to sophisticated surgical<sup>2</sup> and robotic operations<sup>3,4</sup>. Modern machines and robots typically use complex electronic devices designed to sense and limit force<sup>5</sup>, some of which still face challenges when operating space is limited (for example, in minimally invasive surgeries)<sup>6</sup> or when resources are scarce (for example, operations in remote areas without electricity). Here we describe an alternative slipknot-based mechanical transmission mechanism to control the intelligent operation of both human and robotic systems. Through topological design, slipknot tying and release can encode and deliver force with a consistency of 95.4% in repeating operations, which circumvents the need for additional sensors and controllers. When applied to surgical repair, this mechanism helped inexperienced surgeons to improve their knotting-force precision by 121%, enabling them to perform surgical knots as good as those of experienced surgeons. Moreover, blood supply and tissue healing after surgery were improved. The mechano-intelligence exhibited in slipknots may inspire investigations of knotted structures across multiple length scales. This slipknot-gauged mechanical transmission strategy can be widely deployed, opening up opportunities for resource-limited healthcare, science education and field exploration.

Medical subject headings