Compositepro is right; roller chain stretched over an edge with a convex profile can work pretty well as a drive means.
Using what appears to be a DualVee four-roller carriage as the sole support for a load that will also exert a substantial moment may be a problem, because the individual ball bearings in the rollers are generally small and have limited capacity. Additionally, the contact surfaces of the rollers and the guide will need to be hardened, and even then have limited load bearing capacity.
The illustration you provided is a concept, only. In practice, especially in a medical environment, gears and rollers and such are typically concealed and sealed, so that airborne dust and debris don't contaminate them, and so that wear products of the mechanism don't fall into the patient.
I don't think you'll ever be able to bend a rack or a guideway accurately enough to allow good tooth contact or good roller contact. Better plan to machine a full circle and cut it into sectors.
Given a sector like that, you could then consider plain bearings of Rulon or similar self-lubricating material, which will be much more compact than any sort of roller of equivalent capacity.
Mike Halloran
Pembroke Pines, FL, USA