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Concentric tube robots (CTRs) have drawn significant research attention over the years, particularly due to their applications in minimally invasive surgery (MIS). Indeed, their small size, flexibility, and high dexterity enable several potential benefits for MIS. Research has led to an increasing number of discoveries and scientific breakthroughs in CTR design, fabrication, control, and applications. Numerous prototypes have emerged from different research groups, each with their own design and specifications. This survey paper provides an overview of the state-of-the-art of the mechatronics aspects of CTRs, including approaches for the design and fabrication of the tubes, actuation unit, and end effector. In addition to the various hardware and associated fabrication methods, we propose to the research community, a unifying way of classifying CTRs based on their actuation unit architecture, as well as a set of specification details for evaluation of future CTR prototypes. Finally, we also aim to highlight the current advancements, challenges, and perspectives of CTR design and fabrication. 

Minimally invasive surgery is of high interest for interventional medicine since the smaller incisions can lead to less pain and faster recovery for patients. The current standard-of-care involves a range of affordable, manual, hand-held rigid tools, whose limited dexterity and range of adoptable shapes can prevent access to confined spaces. In contrast, recently developed roboticized tools that can provide increased accessibility and dexterity to navigate and perform complex tasks often come at the cost of larger, heavier, and grounded devices that are teleoperated, posing a new set of challenges. In this article, we propose a new hand-held concentric tube robot with an associated position control method that has the dexterity and precision of large roboticized devices, while maintaining the footprint of a traditional hand-held tool. The device shows human-in-the-loop control performance that meets the requirements of the targeted application, percutaneous abscess drainage. In addition, a small user study illustrates the advantage of combining rigid body motion of the device with more precise motions of the tip, thus showing the potential to bridge the gap between traditional hand-held tools and grounded robotic devices.