US20140276936A1 - Active drive mechanism for simultaneous rotation and translation - Google Patents

Active drive mechanism for simultaneous rotation and translation Download PDF

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Publication number
US20140276936A1
US20140276936A1 US13/835,136 US201313835136A US2014276936A1 US 20140276936 A1 US20140276936 A1 US 20140276936A1 US 201313835136 A US201313835136 A US 201313835136A US 2014276936 A1 US2014276936 A1 US 2014276936A1
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United States
Prior art keywords
roller
drive apparatus
roller assembly
elongate member
motion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US13/835,136
Inventor
Arkady Kokish
Francis MACNAMARA
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Hansen Medical Inc
Original Assignee
Hansen Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hansen Medical Inc filed Critical Hansen Medical Inc
Priority to US13/835,136 priority Critical patent/US20140276936A1/en
Assigned to HANSEN MEDICAL, INC. reassignment HANSEN MEDICAL, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: KOKISH, ARKADY, MACNAMARA, FRANCIS
Priority to EP14160068.4A priority patent/EP2777594B1/en
Publication of US20140276936A1 publication Critical patent/US20140276936A1/en
Priority to US15/359,886 priority patent/US10524867B2/en
Priority to US16/669,268 priority patent/US11504195B2/en
Abandoned legal-status Critical Current

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Classifications

    • A61B19/22
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/301Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/35Surgical robots for telesurgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/37Master-slave robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation

Definitions

  • Robotic interventional systems and devices are well suited for performing minimally invasive medical procedures as opposed to conventional techniques wherein the patient's body cavity is open to permit the surgeon's hands access to internal organs.
  • advances in technology have led to significant changes in the field of medical surgery such that less invasive surgical procedures, in particular, minimally invasive surgery (MIS), are increasingly popular.
  • MIS minimally invasive surgery
  • MIS is generally defined as surgery that is performed by entering the body through the skin, a body cavity, or an anatomical opening utilizing small incisions rather than large, open incisions in the body. With MIS, it is possible to achieve less operative trauma for the patient, reduced hospitalization time, less pain and scarring, reduced incidence of complications related to surgical trauma, lower costs, and a speedier recovery.
  • Special medical equipment may be used to perform MIS procedures.
  • a surgeon inserts small tubes or ports into a patient and uses endoscopes or laparoscopes having a fiber optic camera, light source, or miniaturized surgical instruments. Without a traditional large and invasive incision, the surgeon is not able to see directly into the patient. Thus, the video camera serves as the surgeon's eyes.
  • the images of the interior of the body are transmitted to an external video monitor to allow a surgeon to analyze the images, make a diagnosis, visually identify internal features, and perform surgical procedures based on the images presented on the monitor.
  • MIS devices and techniques have advanced to the point where an insertion and rolling motion of components of an elongated component such as a catheter instrument, e.g., a catheter sheath and associated guidewire, are generally controllable by selectively operating rollers or other mechanisms for generally gripping the component.
  • a catheter instrument e.g., a catheter sheath and associated guidewire
  • Some known mechanisms use gripping devices capable of infinite motion for translation, e.g., a roller, may require complex catheter component loading procedures, or may not be compatible with replaceable components adapted for a sterile operating environment.
  • An exemplary drive apparatus having a roller assembly configured to impart axial motion to the elongate member along a first continuous surface configured to maintain contact with the elongate member during axial motion.
  • the drive apparatus may further include a roller support configured to rotate the roller assembly, thereby imparting rotational motion to the elongate member.
  • the roller support may be configured to rotate the roller assembly about a second continuous surface configured to maintain contact with the roller support during rotational motion.
  • the roller assembly and roller support may be configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support.
  • FIG. 1 is an illustration of a robotically controlled surgical system, according to one exemplary illustration
  • FIG. 3 is another exemplary illustration of an exemplary catheter assembly of the surgical system of FIG. 1 ;
  • FIG. 4 is a rear perspective view of an exemplary drive apparatus for an elongated member, e.g., a guidewire for a catheter;
  • FIG. 5 is a front perspective view of the exemplary drive apparatus of FIG. 4 ;
  • FIG. 6 is a rear perspective view of the exemplary drive apparatus of FIG. 4 , with a support plate removed;
  • FIG. 7 is a rear perspective view of a disposable device for the exemplary drive apparatus of FIG. 4 , with the disposable device in an open position;
  • FIG. 8 is a rear perspective view of the split clamp assembly of FIG. 7 , with the disposable device in a closed position;
  • FIG. 9 is a front perspective view of the disposable device of FIG. 7 , with the disposable device in an open position and shown without a split housing;
  • FIG. 10 is a rear perspective view of a drive mechanism for the exemplary drive apparatus of FIG. 4 ;
  • FIG. 12B is a front perspective view of the exemplary roller assembly of FIG. 12A .
  • System 100 may include a robotic catheter assembly 102 having a robotic or first or outer steerable complement, otherwise referred to as a sheath instrument 104 (generally referred to as “sheath” or “sheath instrument”) and/or a second or inner steerable component, otherwise referred to as a robotic catheter or guide or catheter instrument 106 (generally referred to as “catheter” or “catheter instrument”).
  • Catheter assembly 102 is controllable using a robotic instrument driver 108 (generally referred to as “instrument driver”).
  • system 100 includes an operator workstation 112 , an electronics rack 114 and associated bedside electronics box (not shown), a setup joint mounting brace 116 , and instrument driver 108 .
  • operator workstation 112 may include a computer monitor to display a three dimensional object, such as a catheter instrument or component thereof, e.g., a guidewire, catheter sheath.
  • catheter instrument 502 may be displayed within or relative to a three dimensional space, such as a body cavity or organ, e.g., a chamber of a patient's heart.
  • a body cavity or organ e.g., a chamber of a patient's heart.
  • an operator uses a computer mouse to move a control point around the display to control the position of catheter instrument.
  • System components may be coupled together via a plurality of cables or other suitable connectors 118 to provide for data communication, or one or more components may be equipped with wireless communication components to reduce or eliminate cables 118 . Communication between components may also be implemented over a network or over the interne. In this manner, a surgeon or other operator may control a surgical instrument while being located away from or remotely from radiation sources, thereby decreasing radiation exposure. Because of the option for wireless or networked operation, the surgeon may even be located remotely from the patient in a different room or building.
  • the instrument 109 includes a cover 111 and a drive apparatus 400 partially extending out of the cover, as will be described further in regard to FIGS. 4-11 .
  • the drive apparatus 400 may include a disposable portion 402 which extends out of the housing 111 , while an associated drive mechanism (not seen in FIG. 3 ) remains within the housing 111 .
  • the drive mechanism (not shown in FIG. 3 ) may generally be reused for surgical procedures, while the disposable portion 402 may part of a sterile environment associated with a surgical procedure and may be disposed of afterwards.
  • the disposable portion 402 may be formed of relatively cost-effective materials and may be of a generally small relative size, minimizing a length of the elongate member that must be allowed for the drive mechanism 400 to properly “grip” the elongate member, and increasing cost-effectiveness of the system 100 overall.
  • the instrument 109 may be used to manipulate an elongate member included in the catheter assembly 102 , e.g., a catheter guidewire (not shown in FIG. 3 ).
  • the instrument 109 may be employed to manipulate a catheter sheath (not shown in FIG. 3 ).
  • a single instrument 109 is illustrated in FIG. 3
  • two instruments 109 may be employed in which a first instrument 109 is used to insert and roll a guidewire, which guidewire is inserted within a central lumen of a second instrument 109 (not shown in FIG. 3 ) such that the two instruments 109 are arranged in a coaxial manner, substantially as described above regarding the instruments 104 , 106 .
  • the drive apparatus 400 may include a disposable mechanism 402 for contacting and driving an elongate member, e.g., a guidewire or catheter.
  • An associated drive mechanism 404 may generally be configured to be kept separate from the disposable mechanism 402 , at least to an extent allowing the drive mechanism 404 to be kept out of a sterile environment associated with the elongate member and surgical procedure.
  • the disposable mechanism 402 may be supported between two idle rollers 421 , 423 , and a driving roller 425 which is configured to rotate the disposable mechanism 402 to impart rotational motion to the elongate member, as will be described further below.
  • the idle roller 421 may include a driving gear 422 for selectively imparting axial motion, i.e., insertion or retraction, of an elongate member, as will also be further described below.
  • the disposable portion 402 may include a roller assembly, e.g., comprising one or more rollers 483 that are configured to impart axial motion to the elongate member along a first continuous surface.
  • a roller 483 a and a second roller 483 b each define generally cylindrical surfaces 485 a , 485 b that are configured to maintain contact with the elongate member during axial motion, i.e., caused by rotation of the rollers 483 .
  • the drive apparatus 400 may further include a roller support configured to rotate the roller assembly, i.e., at least one of the rollers 483 , thereby imparting rotational motion to the elongate member.
  • the roller assembly and roller support may be configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support.
  • the rollers 483 may generally rotate about their respective spindles to provide axial motion, regardless of whether the spindles themselves are being rotated about the axis of the elongate member. It should be noted that while one set of rollers 483 is shown, multiple sets of rollers could be incorporated, e.g., in series, to provide additional traction on the elongate member for axial and rotational movement thereof.
  • the disposable drive mechanism 402 may include a left clamp 401 and a right clamp 403 , as best seen in FIG. 7 .
  • the left and right clamps 401 , 403 may be connected to each other with a compliant member 482 configured to maintain the left and right clamps 401 , 403 together in an open position as illustrated in FIG. 7 . More specifically, in the open position the left and right clamps 401 , 403 are held together along a lower portion and are spaced apart by a gap G along an upper portion of the clamps 401 , 403 .
  • the compliant member 482 includes first and second memory wires 482 a , 482 b , e.g., nitinol wires, which generally act similar to a spring in holding the clamps together in the open configuration shown in FIG. 7 .
  • the memory wires 482 a , 482 b may generally provide a locating feature for the roller assembly, thereby generally positioning the rollers 483 a , 483 b within the clamps 401 , 403 , as best seen in FIG. 9 .
  • the disposable drive mechanism 402 includes a roller assembly, e.g., having one or more rollers 483 a , 483 b for imparting axial motion to the elongate member.
  • a roller assembly e.g., having one or more rollers 483 a , 483 b for imparting axial motion to the elongate member.
  • two rollers 483 a , 483 b may be configured to receive an elongate member (not shown in FIG. 9 ) therebetween. More specifically, the rollers 483 may each rotate about corresponding spindles 484 a , 484 b .
  • rollers 483 a , 483 b may each have a plurality of geared teeth 478 a , 478 b which are meshingly engaged such that the rotation of the rollers 483 a , 483 b is generally coordinated.
  • the rollers 483 a , 483 b may each be generally round, thereby defining respective continuous surfaces 485 a , 485 b about the generally cylindrical rollers 483 for engaging the elongate member. More specifically, an axial movement of any distance may be applied by the rollers 483 a , 483 b , since the rollers 483 a , 483 b may continuously turn about the spindles 484 without limitation.
  • axial motion of the elongate member is not limited by any range of motion of any component of the drive apparatus 400 , allowing the drive apparatus 400 to provide an axial movement in either direction of any magnitude while maintaining constant contact with the elongate member, i.e., by way of the generally looped or continuous surfaces 485 a , 485 b of the rollers 483 a , 483 b.
  • the roller assembly may be supported in a roller support configured to rotate the rollers about an axis perpendicular to the spindles 484 of the rollers 483 .
  • the spindle 484 a of the roller 483 a may be supported in a saddle 474 that is engaged with an interior surface of one of the clamps 401 , 403 (not shown in FIG. 9 ) by way of a plurality of springs 473 .
  • the driving mechanism 404 may include a front plate 451 having a channel 490 through which an elongate member may be received during operation.
  • the driving mechanism may further include a right idle roll rotational assembly 452 which corresponds to right idle roller 423 (see FIGS. 4-6 ).
  • a lever 453 is located on the front plate 451 by way of a pivot shaft 460 , about which the lever 453 may be pivoted by way of a threaded member 454 , which may be a driving screw.
  • the driving mechanism 404 may include driving shafts 455 and 456 , which may be received within corresponding drive mechanisms (not shown) associated with the instrument driver 108 supporting the instrument 109 (see FIG. 3 ).
  • the drive apparatus 400 may generally integrate a plurality of actuating mechanisms together.
  • the drive apparatus 400 may include a mechanism for opening and closing to facilitate loading and unloading of an elongate member, e.g., a guidewire or a catheter.
  • the clamps 401 , 403 may generally be opened to allow top loading of an elongate member, and may thereby facilitate loading of the elongate member without requiring threading the elongate member axially through the drive apparatus 400 .
  • the drive apparatus may also include a mechanism for inserting and retracting the elongate member, i.e., in an axial direction.
  • the drive apparatus 400 also includes a mechanism for imparting rotational motion to the elongate member.
  • the drive apparatus 400 may provide axial motion and rotational motion simultaneously, and in an “infinite” manner. More specifically, as will be seen below the insertion and rotational motion is provided by continuous drive surfaces, e.g., the generally round or looped roller surfaces 485 a , 485 b and the toothed gear engagement between the drive pinion 477 and gear halves 426 a , 426 b . Accordingly, a generally continuous axial or rotational motion may be provided without releasing the elongate member during the motion. In other words, the rotational and insertion motions are not limited by any range of motion of the drive apparatus 400 or components thereof. Moreover, the rotational and axial motion may be provided independent of the other, i.e., one of or both of the rotational and axial motion may be applied to the elongate member at any given time.
  • the drive apparatus 400 may be in the open position, i.e., where the disposable portion 402 defines a gap G between the clamps 401 , 403 as best seen in FIG. 7 . While the disposable portion 402 is in the open position, the elongate member, e.g., a guidewire or catheter (not shown in FIG. 6 or 7 ), may be placed between the rollers 483 a , 483 b supported from below by the compliant members 482 . An end portion 425 a of driving roller 425 (see FIG.
  • the driving roller 425 may selectively open and close the disposable portion 402 . More specifically, when the driving roller 425 is in an upper position as defined by the pivoting of the lever 453 , the disposable portion 402 will be closed, as seen in FIG. 8 . When the driving roller 425 is moved downward to a lower position, the driving roller 425 generally allows the compliant element 482 to urge the clamps 401 , 403 apart at the upper portion, defining the gap G as best seen in FIG. 7 .
  • the disposable portion 402 Upon movement of the driving roller 425 upward, the disposable portion 402 is forced to close. For example, an engagement portion 425 b of the driving roller 425 may come into contact with one or both clamps 401 , 403 , thereby forcing the clamps 401 , 403 together at the upper portion, closing the gap G as seen in FIG. 8 .
  • the elongate member may be held between the rollers 483 a , 483 b with a force that is generally limited by springs 473 , as best seen in FIG. 9 .
  • the springs 483 may generally act upon an inner surface of one of the clamps 401 , 403 (not shown in FIG. 9 ), urging the roller 483 a which is supported in the saddle 474 toward the other roller 483 b . Accordingly, a desired force of the rollers 483 a , 483 b may be adjusted based upon the spring force imparted by the springs 473 .
  • the roller 425 may be rotated via the shaft 456 , e.g., though bevel gears 458 and 459 , as best seen in FIG. 10 .
  • Rotation of the driving roller 425 in turn rotates the disposable portion 402 via friction between the engagement portion 425 b of the roller 425 and an outer surface 402 a of the disposable portion 402 , as best seen in FIG. 6 .
  • Motion may be imparted to the disposable portion via other mechanisms as well.
  • motion may be transferred from the roller 425 to the disposable portion 402 with a using corresponding toothed surfaces on the roller 425 and the disposable portion 402 , similar to a geared arrangement.
  • FIG. 11 illustrates a cross section of the holders for left idle roller 423 and driving gear 422 (see FIG. 3 ). More specifically, left idle roll 423 is located by bushing 461 and driving gear 422 is located by bushing 463 .
  • the bushing 463 may have a driving mechanism (not shown) for selectively rotating the driving gear 422 . Rotation of the driving gear 422 (see FIG. 3 ), which is engaged with an outer toothed surface of gear halves 426 a , 426 b , will thereby rotate the gear halves 426 a , 426 b .
  • the gear halves 426 a , 426 b when in the closed position may form a gear that rotates in response to the driving gear 422 (see FIG. 6 ).
  • the gear halves 426 a , 426 b in turnactuates gear 477 as best seen in FIGS. 7 and 8 .
  • the gear 477 is located on the worm 480 , as illustrated in FIG. 9 .
  • Rotation of the worm 480 in turn drives worm gear 479 .
  • the worm gear 479 actuates one of the rollers 483 b .
  • the other roller 483 a rotates in response to the roller 483 b , as they are connected with the corresponding gears 478 a , 478 b .
  • the surfaces 485 a , 485 b of the rollers 483 a , 483 b may generally be designed to ensure substantially slipless contact with the elongate member, such that the turning of the rollers 483 a , 483 b imparts axial motion directly to the elongate member.
  • shaft 456 (see FIG. 10 ) and drive gear 422 (see FIG. 6 ) may be driven simultaneously.
  • the instrument 109 may include interfaces for the shaft 456 and drive gear 422 that allow for selective rotation of each, facilitating independent axial and rotational motion.
  • Rotational speeds of the components of the drive apparatus 400 can be optimized as needed to suit any given application, e.g., by altering the interfaces between the various rotational parts, e.g., by adjusting the geared arrangements to ensure reasonable rotational speeds of the components based upon typical axial and rotational movement for the given application.
  • FIGS. 12A and 12B another set of exemplary rollers 783 a , 783 b is illustrated with an elongate member 999 , e.g., a guidewire.
  • the rollers 783 a , 783 b may each define generally cylindrical continuous surfaces 785 a , 785 b , and may rotate about spindles 784 a , 784 b , e.g., similar to rollers 483 a , 483 b .
  • the rollers 783 a , 783 b may each define a plurality of upper teeth 799 a , 799 b , as well as a plurality of lower teeth 789 a , 798 b .
  • the upper teeth 799 a of the roller 783 a may generally mesh with the upper teeth 799 b of the roller 783 b
  • the lower teeth 798 a of the roller 783 a may generally mesh with the lower teeth 798 b of the roller 783 b , thereby generally preventing an elongate member received between the rollers 783 a , 783 b , e.g., guidewire 999 , from slipping out between the rollers 783 a , 783 b
  • the upper and lower teeth 799 , 798 may still allow for top loading of an elongate member such as the guidewire 999 .
  • At least one of the rollers 783 a , 783 b may be supported in a saddle, e.g., as described above regarding roller 483 a , which allows enough lateral displacement of the roller 783 a or 783 b to be moved to temporarily open a gap between the upper teeth 799 through which the elongate member can be laid between the rollers 783 a , 783 b.
  • Operator workstation 112 , electronics rack 114 and/or drive apparatus 400 may include a computer or a computer readable storage medium implementing the operation of drive and implementing the various methods and processes described herein, e.g., process 1300 .
  • computing systems and/or devices such as the processor and the user input device, may employ any of a number of computer operating systems, including, but by no means limited to, versions and/or varieties of the Microsoft Windows® operating system, the Unix operating system (e.g., the Solaris® operating system distributed by Oracle Corporation of Redwood Shores, Calif.), the AIX UNIX operating system distributed by International Business Machines of Armonk, N.Y., the Linux operating system, the Mac OS X and iOS operating systems distributed by Apple Inc. of Cupertino, Calif., and the Android operating system developed by the Open Handset Alliance.
  • Microsoft Windows® operating system e.g., the Solaris® operating system distributed by Oracle Corporation of Redwood Shores, Calif.
  • AIX UNIX operating system distributed by International Business Machines of
  • Computing devices generally include computer-executable instructions, where the instructions may be executable by one or more computing devices such as those listed above.
  • Computer-executable instructions may be compiled or interpreted from computer programs created using a variety of programming languages and/or technologies, including, without limitation, and either alone or in combination, JavaTM, C, C++, Visual Basic, Java Script, Perl, etc.
  • a processor e.g., a microprocessor
  • receives instructions e.g., from a memory, a computer-readable medium, etc., and executes these instructions, thereby performing one or more processes, including one or more of the processes described herein.
  • Such instructions and other data may be stored and transmitted using a variety of computer-readable media.
  • a computer-readable medium includes any non-transitory (e.g., tangible) medium that participates in providing data (e.g., instructions) that may be read by a computer (e.g., by a processor of a computer).
  • a medium may take many forms, including, but not limited to, non-volatile media and volatile media.
  • Non-volatile media may include, for example, optical or magnetic disks and other persistent memory.
  • Volatile media may include, for example, dynamic random access memory (DRAM), which typically constitutes a main memory.
  • Such instructions may be transmitted by one or more transmission media, including coaxial cables, copper wire and fiber optics, including the wires that comprise a system bus coupled to a processor of a computer.
  • Computer-readable media include, for example, a floppy disk, a flexible disk, hard disk, magnetic tape, any other magnetic medium, a CD-ROM, DVD, any other optical medium, punch cards, paper tape, any other physical medium with patterns of holes, a RAM, a PROM, an EPROM, a FLASH-EEPROM, any other memory chip or cartridge, or any other medium from which a computer can read.
  • Databases, data repositories or other data stores described herein may include various kinds of mechanisms for storing, accessing, and retrieving various kinds of data, including a hierarchical database, a set of files in a file system, an application database in a proprietary format, a relational database management system (RDBMS), etc.
  • Each such data store is generally included within a computing device employing a computer operating system such as one of those mentioned above, and are accessed via a network in any one or more of a variety of manners.
  • a file system may be accessible from a computer operating system, and may include files stored in various formats.
  • An RDBMS generally employs the Structured Query Language (SQL) in addition to a language for creating, storing, editing, and executing stored procedures, such as the PL/SQL language mentioned above.
  • SQL Structured Query Language
  • system elements may be implemented as computer-readable instructions (e.g., software) on one or more computing devices (e.g., servers, personal computers, etc.), stored on computer readable media associated therewith (e.g., disks, memories, etc.).
  • a computer program product may comprise such instructions stored on computer readable media for carrying out the functions described herein.
  • the drive apparatus 400 may advantageously use disposable materials in the construction of the disposable mechanism 402 , e.g., an injection molded plastic material. Additionally, the disposable mechanism is relatively short in an axial direction associated with the elongate member, minimizing wasted length, i.e., the portion of the elongate member that must be gripped or held by the drive apparatus 400 during operation. The minimal length of the drive apparatus 400 may generally be due in part to the containment of the driving mechanisms of the disposable portion 402 within the clamps 401 , 403 .
  • the drive apparatus employs separate driving mechanisms, e.g., rollers 483 a , 483 b and the toothed gear engagement between the drive pinion 477 and gear halves 426 a , 426 b , that allow for independent control of the axial motion and rotational motion.
  • the drive apparatus mechanism 400 provides generally “infinite” motion due to the looped or round surfaces of the rollers 483 a , 483 b and the toothed gear engagement between the drive pinion 477 and gear halves 426 a , 426 b , thereby allowing for application of any magnitude of axial or rotational motion without having to release the elongate member.
  • axial and rotational motion of the elongate member are not limited by any range of motion of the drive apparatus 400 .
  • the split clamps 401 , 403 of the disposable portion allows for top loading of the elongate member, such that the elongate member need not be threaded through the drive mechanism during installation of the elongate member.

Abstract

An exemplary drive apparatus is disclosed having a roller assembly configured to impart axial motion to the elongate member along a first continuous surface configured to maintain contact with the elongate member during axial motion. The drive apparatus may further include a roller support configured to rotate the roller assembly, thereby imparting rotational motion to the elongate member. The roller support may be configured to rotate the roller assembly about a second continuous surface configured to maintain contact with the roller support during rotational motion. Moreover, the roller assembly and roller support may be configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support.

Description

    BACKGROUND
  • Robotic interventional systems and devices are well suited for performing minimally invasive medical procedures as opposed to conventional techniques wherein the patient's body cavity is open to permit the surgeon's hands access to internal organs. However, advances in technology have led to significant changes in the field of medical surgery such that less invasive surgical procedures, in particular, minimally invasive surgery (MIS), are increasingly popular.
  • MIS is generally defined as surgery that is performed by entering the body through the skin, a body cavity, or an anatomical opening utilizing small incisions rather than large, open incisions in the body. With MIS, it is possible to achieve less operative trauma for the patient, reduced hospitalization time, less pain and scarring, reduced incidence of complications related to surgical trauma, lower costs, and a speedier recovery.
  • Special medical equipment may be used to perform MIS procedures. Typically, a surgeon inserts small tubes or ports into a patient and uses endoscopes or laparoscopes having a fiber optic camera, light source, or miniaturized surgical instruments. Without a traditional large and invasive incision, the surgeon is not able to see directly into the patient. Thus, the video camera serves as the surgeon's eyes. The images of the interior of the body are transmitted to an external video monitor to allow a surgeon to analyze the images, make a diagnosis, visually identify internal features, and perform surgical procedures based on the images presented on the monitor.
  • MIS devices and techniques have advanced to the point where an insertion and rolling motion of components of an elongated component such as a catheter instrument, e.g., a catheter sheath and associated guidewire, are generally controllable by selectively operating rollers or other mechanisms for generally gripping the component. Some known mechanisms use gripping devices capable of infinite motion for translation, e.g., a roller, may require complex catheter component loading procedures, or may not be compatible with replaceable components adapted for a sterile operating environment.
  • Accordingly, there is a need in the art for systems and methods for inserting and rolling catheter components that address or solve the above problems.
  • SUMMARY
  • An exemplary drive apparatus is disclosed having a roller assembly configured to impart axial motion to the elongate member along a first continuous surface configured to maintain contact with the elongate member during axial motion. The drive apparatus may further include a roller support configured to rotate the roller assembly, thereby imparting rotational motion to the elongate member. The roller support may be configured to rotate the roller assembly about a second continuous surface configured to maintain contact with the roller support during rotational motion. Moreover, the roller assembly and roller support may be configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • While the claims are not limited to the illustrated embodiments, an appreciation of various aspects is best gained through a discussion of various examples thereof. Referring now to the drawings, illustrative embodiments are shown in detail. Although the drawings represent the embodiments, the drawings are not necessarily to scale and certain features may be exaggerated to better illustrate and explain an innovative aspect of an embodiment. Further, the embodiments described herein are not intended to be exhaustive or otherwise limiting or restricting to the precise form and configuration shown in the drawings and disclosed in the following detailed description. Exemplary embodiments of the present invention are described in detail by referring to the drawings as follows.
  • FIG. 1 is an illustration of a robotically controlled surgical system, according to one exemplary illustration;
  • FIG. 2 is an illustration of an exemplary catheter assembly of the surgical system of FIG. 1;
  • FIG. 3 is another exemplary illustration of an exemplary catheter assembly of the surgical system of FIG. 1;
  • FIG. 4 is a rear perspective view of an exemplary drive apparatus for an elongated member, e.g., a guidewire for a catheter;
  • FIG. 5 is a front perspective view of the exemplary drive apparatus of FIG. 4;
  • FIG. 6 is a rear perspective view of the exemplary drive apparatus of FIG. 4, with a support plate removed;
  • FIG. 7 is a rear perspective view of a disposable device for the exemplary drive apparatus of FIG. 4, with the disposable device in an open position;
  • FIG. 8 is a rear perspective view of the split clamp assembly of FIG. 7, with the disposable device in a closed position;
  • FIG. 9 is a front perspective view of the disposable device of FIG. 7, with the disposable device in an open position and shown without a split housing;
  • FIG. 10 is a rear perspective view of a drive mechanism for the exemplary drive apparatus of FIG. 4;
  • FIG. 11 is a section view of the exemplary drive mechanism taken through line 11-11 in FIG. 10;
  • FIG. 12A is a perspective view of another roller assembly with an elongated member, according to an exemplary illustration; and
  • FIG. 12B is a front perspective view of the exemplary roller assembly of FIG. 12A.
  • DETAILED DESCRIPTION
  • Referring now to the drawings, illustrative embodiments are shown in detail. Although the drawings represent the embodiments, the drawings are not necessarily to scale and certain features may be exaggerated to better illustrate and explain an innovative aspect of an embodiment. Further, the embodiments described herein are not intended to be exhaustive or otherwise limit or restrict the invention to the precise form and configuration shown in the drawings and disclosed in the following detailed description.
  • Referring to FIG. 1, a robotically controlled surgical system 100 is illustrated in which an apparatus, a system, and/or method may be implemented according to various exemplary illustrations. System 100 may include a robotic catheter assembly 102 having a robotic or first or outer steerable complement, otherwise referred to as a sheath instrument 104 (generally referred to as “sheath” or “sheath instrument”) and/or a second or inner steerable component, otherwise referred to as a robotic catheter or guide or catheter instrument 106 (generally referred to as “catheter” or “catheter instrument”). Catheter assembly 102 is controllable using a robotic instrument driver 108 (generally referred to as “instrument driver”). During use, a patient is positioned on an operating table or surgical bed 110 (generally referred to as “operating table”) to which robotic instrument driver 108 may be coupled or mounted. In the illustrated example, system 100 includes an operator workstation 112, an electronics rack 114 and associated bedside electronics box (not shown), a setup joint mounting brace 116, and instrument driver 108. A surgeon is seated at operator workstation 112 and can monitor the surgical procedure, patient vitals, and control one or more catheter devices. Operator workstation 112 may include a computer monitor to display a three dimensional object, such as a catheter instrument or component thereof, e.g., a guidewire, catheter sheath. Moreover, catheter instrument 502 may be displayed within or relative to a three dimensional space, such as a body cavity or organ, e.g., a chamber of a patient's heart. In one example, an operator uses a computer mouse to move a control point around the display to control the position of catheter instrument.
  • System components may be coupled together via a plurality of cables or other suitable connectors 118 to provide for data communication, or one or more components may be equipped with wireless communication components to reduce or eliminate cables 118. Communication between components may also be implemented over a network or over the interne. In this manner, a surgeon or other operator may control a surgical instrument while being located away from or remotely from radiation sources, thereby decreasing radiation exposure. Because of the option for wireless or networked operation, the surgeon may even be located remotely from the patient in a different room or building.
  • Referring now to FIG. 2, an exemplary instrument assembly 200 is shown, including sheath instrument 104 and the associated guide or catheter instrument 106 mounted to mounting plates 202, 204 on a top portion of instrument driver 108. During use, catheter instrument 106 is inserted within a central lumen of sheath instrument 104 such that instruments 104, 106 are arranged in a coaxial manner. Although instruments 104, 106 are arranged coaxially, movement of each instrument 104, 106 can be controlled and manipulated independently. For this purpose, motors within instrument driver 108 are controlled such that carriages coupled to each of the instruments 104, 160 may allow the instruments 104, 106 to be driven forwards and backwards along the driver 108, e.g., with mounting plates securing the instruments to the driver 108 on bearings. As a result, a catheter 300 coupled to guide catheter instrument 106 and sheath instrument 104 can be controllably manipulated while inserted into the patient, as will be further illustrated. Additional instrument driver 108 motors (not shown in FIG. 2) may be activated to control bending of the catheter as well as the orientation of the distal tips thereof, including tools mounted at the distal tip. Sheath catheter instrument 106 is configured to move forward and backward for effecting an axial motion of the catheter, e.g., to insert and withdraw the catheter from a patient, respectively.
  • Referring now to FIG. 3, another exemplary instrument 109 is illustrated mounted on theexemplary instrument driver 108. The instrument 109 includes a cover 111 and a drive apparatus 400 partially extending out of the cover, as will be described further in regard to FIGS. 4-11. More specifically, as will be described further, the drive apparatus 400 may include a disposable portion 402 which extends out of the housing 111, while an associated drive mechanism (not seen in FIG. 3) remains within the housing 111. Accordingly, the drive mechanism (not shown in FIG. 3) may generally be reused for surgical procedures, while the disposable portion 402 may part of a sterile environment associated with a surgical procedure and may be disposed of afterwards. Moreover, as will be described further below the disposable portion 402 may be formed of relatively cost-effective materials and may be of a generally small relative size, minimizing a length of the elongate member that must be allowed for the drive mechanism 400 to properly “grip” the elongate member, and increasing cost-effectiveness of the system 100 overall.
  • During use the instrument 109 may be used to manipulate an elongate member included in the catheter assembly 102, e.g., a catheter guidewire (not shown in FIG. 3). Alternatively, the instrument 109 may be employed to manipulate a catheter sheath (not shown in FIG. 3). Although a single instrument 109 is illustrated in FIG. 3, in another exemplary illustration two instruments 109 may be employed in which a first instrument 109 is used to insert and roll a guidewire, which guidewire is inserted within a central lumen of a second instrument 109 (not shown in FIG. 3) such that the two instruments 109 are arranged in a coaxial manner, substantially as described above regarding the instruments 104, 106. Additionally, the instruments 109 may generally insert and rotate the associated elongate member, i.e., the guidewire and catheter sheath, independently, as described above regarding the instruments 104, 106. Accordingly, while the exemplary illustrations herein may generally focus on the insertion and rotation of a guidewire for a catheter, the instrument 109 may be used for insertion and rotation of any elongate member that is convenient.
  • Turning now to FIGS. 4-11, exemplary drive apparatus 400 is illustrated in further detail. As noted above, the drive apparatus 400 may include a disposable mechanism 402 for contacting and driving an elongate member, e.g., a guidewire or catheter. An associated drive mechanism 404 may generally be configured to be kept separate from the disposable mechanism 402, at least to an extent allowing the drive mechanism 404 to be kept out of a sterile environment associated with the elongate member and surgical procedure. As best seen in FIGS. 4-6, the disposable mechanism 402 may be supported between two idle rollers 421, 423, and a driving roller 425 which is configured to rotate the disposable mechanism 402 to impart rotational motion to the elongate member, as will be described further below. Moreover, the idle roller 421 may include a driving gear 422 for selectively imparting axial motion, i.e., insertion or retraction, of an elongate member, as will also be further described below.
  • The disposable portion 402 may include a roller assembly, e.g., comprising one or more rollers 483 that are configured to impart axial motion to the elongate member along a first continuous surface. For example, as best seen in FIG. 9, a roller 483 a and a second roller 483 b each define generally cylindrical surfaces 485 a, 485 b that are configured to maintain contact with the elongate member during axial motion, i.e., caused by rotation of the rollers 483. The drive apparatus 400 may further include a roller support configured to rotate the roller assembly, i.e., at least one of the rollers 483, thereby imparting rotational motion to the elongate member. For example, as will be described further below, the rollers 483 may generally be supported within the clamps 401, 403 of the disposable portion, e.g., via a saddle 474 or by the clamps 401, 403 themselves, such that the rollers 483 may be rotated about an axis defined by the elongate member. Moreover, the roller support may be configured to rotate the roller assembly about a second continuous surface configured to maintain contact with the roller support during rotational motion, thereby permitting generally any magnitude of rotational motion. Moreover, the roller assembly and roller support may be configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support. More specifically, as will be described further below the rollers 483 may generally rotate about their respective spindles to provide axial motion, regardless of whether the spindles themselves are being rotated about the axis of the elongate member. It should be noted that while one set of rollers 483 is shown, multiple sets of rollers could be incorporated, e.g., in series, to provide additional traction on the elongate member for axial and rotational movement thereof.
  • Turning now to FIG. 7, the disposable drive mechanism 402 may include a left clamp 401 and a right clamp 403, as best seen in FIG. 7. The left and right clamps 401, 403 may be connected to each other with a compliant member 482 configured to maintain the left and right clamps 401, 403 together in an open position as illustrated in FIG. 7. More specifically, in the open position the left and right clamps 401, 403 are held together along a lower portion and are spaced apart by a gap G along an upper portion of the clamps 401, 403. In one exemplary illustration, the compliant member 482 includes first and second memory wires 482 a, 482 b, e.g., nitinol wires, which generally act similar to a spring in holding the clamps together in the open configuration shown in FIG. 7. The memory wires 482 a, 482 b may generally provide a locating feature for the roller assembly, thereby generally positioning the rollers 483 a, 483 b within the clamps 401, 403, as best seen in FIG. 9.
  • Referring now to FIG. 9, the disposable mechanism 402 is illustrated with the left and right clamps 401, 403 (not shown in FIG. 9) removed. The disposable drive mechanism 402 includes a roller assembly, e.g., having one or more rollers 483 a, 483 b for imparting axial motion to the elongate member. As shown in FIG. 9, two rollers 483 a, 483 b may be configured to receive an elongate member (not shown in FIG. 9) therebetween. More specifically, the rollers 483 may each rotate about corresponding spindles 484 a, 484 b. Moreover, as will be described further below the rollers 483 a, 483 b may each have a plurality of geared teeth 478 a, 478 b which are meshingly engaged such that the rotation of the rollers 483 a, 483 b is generally coordinated. The rollers 483 a, 483 b may each be generally round, thereby defining respective continuous surfaces 485 a, 485 b about the generally cylindrical rollers 483 for engaging the elongate member. More specifically, an axial movement of any distance may be applied by the rollers 483 a, 483 b, since the rollers 483 a, 483 b may continuously turn about the spindles 484 without limitation. Accordingly, axial motion of the elongate member is not limited by any range of motion of any component of the drive apparatus 400, allowing the drive apparatus 400 to provide an axial movement in either direction of any magnitude while maintaining constant contact with the elongate member, i.e., by way of the generally looped or continuous surfaces 485 a, 485 b of the rollers 483 a, 483 b.
  • The roller assembly may be supported in a roller support configured to rotate the rollers about an axis perpendicular to the spindles 484 of the rollers 483. For example, the spindle 484 a of the roller 483 a may be supported in a saddle 474 that is engaged with an interior surface of one of the clamps 401, 403 (not shown in FIG. 9) by way of a plurality of springs 473. Radially inward movement of the saddle 474 away from the interior surface may be limited by stop pins 475, which may engage an interior side of the saddle 474 to generally limit radially inward movement of the saddle 474 and the roller 483 a, thereby limiting force applied by the roller 483 a to the elongate member when the elongate member is positioned between the rollers 483 a, 483 b. The spindle 484 b of the other roller 483 b may be supported in the corresponding one of the clamps 401, 403 (not shown in FIG. 9). Accordingly, the spindle 484 b may be generally fixed within the clamps 401, 403 while the spindle 484 a may be movable by way of the springs 473 to provide a clamping force upon the elongate member.
  • The disposable device 402 may further comprise gear halves 426 a, 426 b which define an inner toothed surface 489 engaging a drive pinion 477 (see FIGS. 7 and 8). The drive pinion 477 may be engaged with a worm gear 479 by way of worm 480, wherein the worm 480 is fixed for rotation with the drive pinion 477. A location shaft 481 may be provided to assist with locating the above components within the clamps 401, 403, as will be described further below. Additionally, a compliant element 482 may be provided which generally provides a spring force urging the clamps 401, 403 toward an open position, e.g., as seen in FIG. 7.
  • The driving mechanism 404, as best seen in FIGS. 10 and 11, may include a front plate 451 having a channel 490 through which an elongate member may be received during operation. The driving mechanism may further include a right idle roll rotational assembly 452 which corresponds to right idle roller 423 (see FIGS. 4-6). Additionally, a lever 453 is located on the front plate 451 by way of a pivot shaft 460, about which the lever 453 may be pivoted by way of a threaded member 454, which may be a driving screw. The driving mechanism 404 may include driving shafts 455 and 456, which may be received within corresponding drive mechanisms (not shown) associated with the instrument driver 108 supporting the instrument 109 (see FIG. 3). A driving roll rotational assembly 457 supports bevel gears 458 and 459, which are engaged to transfer rotational motion of the driving shaft 456 to driving roller 425 (see FIGS. 4 and 5). A left idle roll bushing 461 and driving gear bushing 463 may be supported in a housing 462 mounted to the support plate 451, as will be described further below.
  • The drive apparatus 400 may generally integrate a plurality of actuating mechanisms together. The drive apparatus 400 may include a mechanism for opening and closing to facilitate loading and unloading of an elongate member, e.g., a guidewire or a catheter. As will be described further below, the clamps 401, 403 may generally be opened to allow top loading of an elongate member, and may thereby facilitate loading of the elongate member without requiring threading the elongate member axially through the drive apparatus 400. The drive apparatus may also include a mechanism for inserting and retracting the elongate member, i.e., in an axial direction. Moreover, the drive apparatus 400 also includes a mechanism for imparting rotational motion to the elongate member. Additionally, as will be described further below, the drive apparatus 400 may provide axial motion and rotational motion simultaneously, and in an “infinite” manner. More specifically, as will be seen below the insertion and rotational motion is provided by continuous drive surfaces, e.g., the generally round or looped roller surfaces 485 a, 485 b and the toothed gear engagement between the drive pinion 477 and gear halves 426 a, 426 b. Accordingly, a generally continuous axial or rotational motion may be provided without releasing the elongate member during the motion. In other words, the rotational and insertion motions are not limited by any range of motion of the drive apparatus 400 or components thereof. Moreover, the rotational and axial motion may be provided independent of the other, i.e., one of or both of the rotational and axial motion may be applied to the elongate member at any given time.
  • Referring now to FIGS. 6 and 7, the use and operation of the drive apparatus 400 will be described in further detail. Initially the drive apparatus 400 may be in the open position, i.e., where the disposable portion 402 defines a gap G between the clamps 401, 403 as best seen in FIG. 7. While the disposable portion 402 is in the open position, the elongate member, e.g., a guidewire or catheter (not shown in FIG. 6 or 7), may be placed between the rollers 483 a, 483 b supported from below by the compliant members 482. An end portion 425 a of driving roller 425 (see FIG. 6), may be located in the driving roll assembly 457 and can be moved up and down by rotation of the lever 453, which rotates about the pivot shaft 460, as best seen in FIG. 7. The lever 453 may be actuated by threaded member 454. Accordingly, the driving roller 425 may selectively open and close the disposable portion 402. More specifically, when the driving roller 425 is in an upper position as defined by the pivoting of the lever 453, the disposable portion 402 will be closed, as seen in FIG. 8. When the driving roller 425 is moved downward to a lower position, the driving roller 425 generally allows the compliant element 482 to urge the clamps 401, 403 apart at the upper portion, defining the gap G as best seen in FIG. 7. Upon movement of the driving roller 425 upward, the disposable portion 402 is forced to close. For example, an engagement portion 425 b of the driving roller 425 may come into contact with one or both clamps 401, 403, thereby forcing the clamps 401, 403 together at the upper portion, closing the gap G as seen in FIG. 8.
  • Upon closure of the disposable portion 402, the elongate member may be held between the rollers 483 a, 483 b with a force that is generally limited by springs 473, as best seen in FIG. 9. More specifically, the springs 483 may generally act upon an inner surface of one of the clamps 401, 403 (not shown in FIG. 9), urging the roller 483 a which is supported in the saddle 474 toward the other roller 483 b. Accordingly, a desired force of the rollers 483 a, 483 b may be adjusted based upon the spring force imparted by the springs 473.
  • Turning now to FIGS. 6 and 10, a rotational motion imparted by the drive apparatus 400 to an elongate member will be described in further detail. The roller 425 may be rotated via the shaft 456, e.g., though bevel gears 458 and 459, as best seen in FIG. 10. Rotation of the driving roller 425 in turn rotates the disposable portion 402 via friction between the engagement portion 425 b of the roller 425 and an outer surface 402 a of the disposable portion 402, as best seen in FIG. 6. Motion may be imparted to the disposable portion via other mechanisms as well. Merely as an example, motion may be transferred from the roller 425 to the disposable portion 402 with a using corresponding toothed surfaces on the roller 425 and the disposable portion 402, similar to a geared arrangement.
  • Turning now to FIGS. 9-11, the axial motion of the drive apparatus 400 is described in further detail. FIG. 11 illustrates a cross section of the holders for left idle roller 423 and driving gear 422 (see FIG. 3). More specifically, left idle roll 423 is located by bushing 461 and driving gear 422 is located by bushing 463. The bushing 463 may have a driving mechanism (not shown) for selectively rotating the driving gear 422. Rotation of the driving gear 422 (see FIG. 3), which is engaged with an outer toothed surface of gear halves426 a, 426 b, will thereby rotate the gear halves 426 a, 426 b. The gear halves 426 a, 426 b when in the closed position (i.e., as in FIG. 8) may form a gear that rotates in response to the driving gear 422 (see FIG. 6). The gear halves 426 a, 426 b in turnactuates gear 477 as best seen in FIGS. 7 and 8. The gear 477 is located on the worm 480, as illustrated in FIG. 9. Rotation of the worm 480 in turn drives worm gear 479. The worm gear 479 actuates one of the rollers 483 b. The other roller 483 a rotates in response to the roller 483 b, as they are connected with the corresponding gears478 a, 478 b. The surfaces485 a, 485 b of the rollers 483 a, 483 b may generally be designed to ensure substantially slipless contact with the elongate member, such that the turning of the rollers 483 a, 483 b imparts axial motion directly to the elongate member.
  • To enact simultaneous axial and rotational motion of the elongate member, shaft 456 (see FIG. 10) and drive gear 422 (see FIG. 6) may be driven simultaneously. Moreover, the instrument 109 may include interfaces for the shaft 456 and drive gear 422 that allow for selective rotation of each, facilitating independent axial and rotational motion. Rotational speeds of the components of the drive apparatus 400 can be optimized as needed to suit any given application, e.g., by altering the interfaces between the various rotational parts, e.g., by adjusting the geared arrangements to ensure reasonable rotational speeds of the components based upon typical axial and rotational movement for the given application.
  • Turning now to FIGS. 12A and 12B, another set of exemplary rollers 783 a, 783 b is illustrated with an elongate member 999, e.g., a guidewire. The rollers 783 a, 783 b may each define generally cylindrical continuous surfaces 785 a, 785 b, and may rotate about spindles 784 a, 784 b, e.g., similar to rollers 483 a, 483 b. Moreover, the rollers 783 a, 783 b may each define a plurality of upper teeth 799 a, 799 b, as well as a plurality of lower teeth 789 a, 798 b. The upper teeth 799 a of the roller 783 a may generally mesh with the upper teeth 799 b of the roller 783 b, and the lower teeth 798 a of the roller 783 a may generally mesh with the lower teeth 798 b of the roller 783 b, thereby generally preventing an elongate member received between the rollers 783 a, 783 b, e.g., guidewire 999, from slipping out between the rollers 783 a, 783 b. Moreover, the upper and lower teeth 799, 798 may still allow for top loading of an elongate member such as the guidewire 999. For example, at least one of the rollers 783 a, 783 b may be supported in a saddle, e.g., as described above regarding roller 483 a, which allows enough lateral displacement of the roller 783 a or 783 b to be moved to temporarily open a gap between the upper teeth 799 through which the elongate member can be laid between the rollers 783 a, 783 b.
  • Operator workstation 112, electronics rack 114 and/or drive apparatus 400 may include a computer or a computer readable storage medium implementing the operation of drive and implementing the various methods and processes described herein, e.g., process 1300. In general, computing systems and/or devices, such as the processor and the user input device, may employ any of a number of computer operating systems, including, but by no means limited to, versions and/or varieties of the Microsoft Windows® operating system, the Unix operating system (e.g., the Solaris® operating system distributed by Oracle Corporation of Redwood Shores, Calif.), the AIX UNIX operating system distributed by International Business Machines of Armonk, N.Y., the Linux operating system, the Mac OS X and iOS operating systems distributed by Apple Inc. of Cupertino, Calif., and the Android operating system developed by the Open Handset Alliance.
  • Computing devices generally include computer-executable instructions, where the instructions may be executable by one or more computing devices such as those listed above. Computer-executable instructions may be compiled or interpreted from computer programs created using a variety of programming languages and/or technologies, including, without limitation, and either alone or in combination, Java™, C, C++, Visual Basic, Java Script, Perl, etc. In general, a processor (e.g., a microprocessor) receives instructions, e.g., from a memory, a computer-readable medium, etc., and executes these instructions, thereby performing one or more processes, including one or more of the processes described herein. Such instructions and other data may be stored and transmitted using a variety of computer-readable media.
  • A computer-readable medium (also referred to as a processor-readable medium) includes any non-transitory (e.g., tangible) medium that participates in providing data (e.g., instructions) that may be read by a computer (e.g., by a processor of a computer). Such a medium may take many forms, including, but not limited to, non-volatile media and volatile media. Non-volatile media may include, for example, optical or magnetic disks and other persistent memory. Volatile media may include, for example, dynamic random access memory (DRAM), which typically constitutes a main memory. Such instructions may be transmitted by one or more transmission media, including coaxial cables, copper wire and fiber optics, including the wires that comprise a system bus coupled to a processor of a computer. Common forms of computer-readable media include, for example, a floppy disk, a flexible disk, hard disk, magnetic tape, any other magnetic medium, a CD-ROM, DVD, any other optical medium, punch cards, paper tape, any other physical medium with patterns of holes, a RAM, a PROM, an EPROM, a FLASH-EEPROM, any other memory chip or cartridge, or any other medium from which a computer can read.
  • Databases, data repositories or other data stores described herein may include various kinds of mechanisms for storing, accessing, and retrieving various kinds of data, including a hierarchical database, a set of files in a file system, an application database in a proprietary format, a relational database management system (RDBMS), etc. Each such data store is generally included within a computing device employing a computer operating system such as one of those mentioned above, and are accessed via a network in any one or more of a variety of manners. A file system may be accessible from a computer operating system, and may include files stored in various formats. An RDBMS generally employs the Structured Query Language (SQL) in addition to a language for creating, storing, editing, and executing stored procedures, such as the PL/SQL language mentioned above.
  • In some examples, system elements may be implemented as computer-readable instructions (e.g., software) on one or more computing devices (e.g., servers, personal computers, etc.), stored on computer readable media associated therewith (e.g., disks, memories, etc.). A computer program product may comprise such instructions stored on computer readable media for carrying out the functions described herein.
  • The drive apparatus 400 may advantageously use disposable materials in the construction of the disposable mechanism 402, e.g., an injection molded plastic material. Additionally, the disposable mechanism is relatively short in an axial direction associated with the elongate member, minimizing wasted length, i.e., the portion of the elongate member that must be gripped or held by the drive apparatus 400 during operation. The minimal length of the drive apparatus 400 may generally be due in part to the containment of the driving mechanisms of the disposable portion 402 within the clamps 401, 403. Additionally, the drive apparatus employs separate driving mechanisms, e.g., rollers 483 a, 483 b and the toothed gear engagement between the drive pinion 477 and gear halves 426 a, 426 b, that allow for independent control of the axial motion and rotational motion. Moreover, the drive apparatus mechanism 400 provides generally “infinite” motion due to the looped or round surfaces of the rollers 483 a, 483 b and the toothed gear engagement between the drive pinion 477 and gear halves 426 a, 426 b, thereby allowing for application of any magnitude of axial or rotational motion without having to release the elongate member. Accordingly, axial and rotational motion of the elongate member are not limited by any range of motion of the drive apparatus 400. Finally, the split clamps 401, 403 of the disposable portion allows for top loading of the elongate member, such that the elongate member need not be threaded through the drive mechanism during installation of the elongate member.
  • The exemplary illustrations are not limited to the previously described examples. Rather, a plurality of variants and modifications are possible, which also make use of the ideas of the exemplary illustrations and therefore fall within the protective scope. Accordingly, it is to be understood that the above description is intended to be illustrative and not restrictive.
  • With regard to the processes, systems, methods, heuristics, etc. described herein, it should be understood that, although the steps of such processes, etc. have been described as occurring according to a certain ordered sequence, such processes could be practiced with the described steps performed in an order other than the order described herein. It further should be understood that certain steps could be performed simultaneously, that other steps could be added, or that certain steps described herein could be omitted. In other words, the descriptions of processes herein are provided for the purpose of illustrating certain embodiments, and should in no way be construed so as to limit the claimed invention.
  • Accordingly, it is to be understood that the above description is intended to be illustrative and not restrictive. Many embodiments and applications other than the examples provided would be upon reading the above description. The scope of the invention should be determined, not with reference to the above description, but should instead be determined with reference to the appended claims, along with the full scope of equivalents to which such claims are entitled. It is anticipated and intended that future developments will occur in the arts discussed herein, and that the disclosed systems and methods will be incorporated into such future embodiments. In sum, it should be understood that the invention is capable of modification and variation and is limited only by the following claims.
  • All terms used in the claims are intended to be given their broadest reasonable constructions and their ordinary meanings as understood by those skilled in the art unless an explicit indication to the contrary in made herein. In particular, use of the singular articles such as “a,” “the,” “the,” etc. should be read to recite one or more of the indicated elements unless a claim recites an explicit limitation to the contrary.

Claims (20)

1. A drive apparatus for an elongated member, comprising:
a roller assembly configured to impart axial motion to the elongate member; and
a roller support configured to rotate the roller assembly, thereby imparting rotational motion to the elongate member;
wherein the roller assembly and roller support are configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support.
2. The drive apparatus of claim 1, further comprising a first continuous surface defined by a generally cylindrical roller included in the roller assembly.
3. The drive apparatus of claim 2, wherein the roller support is configured to rotate about a second generally continuous surface.
4. The drive apparatus of claim 1 wherein the roller assembly is configured to maintain continuous grip of the elongate member in the axial and rotational direction.
5. The drive apparatus of claim 1, further comprising a pair of clamps selectively surrounding the roller assembly and the roller support.
6. The drive apparatus of claim 5, wherein the clamps selectively open to define a gap along an upper portion of the drive apparatus, allowing the elongate member to be received through the gap and within the rollers in a direction parallel to an axis of rotation of the rollers.
7. The drive apparatus of claim 5, further comprising a driving roller supported in a support plate defining a channel configured to receive the elongated member when the elongated member is disposed in the roller assembly, the driving roller configured to rotate the clamps.
8. The drive apparatus of claim 5, further comprising a saddle supporting the roller assembly within a housing defined by the pair of clamps.
9. The drive apparatus of claim 1, wherein the roller assembly includes a pair of opposing rollers.
10. The drive apparatus of claim 9, wherein the opposing rollers are engaged via a plurality of mating teeth, thereby coordinating a turning of the opposing rollers.
11. The drive apparatus of claim 5, further comprising a drive pinion engaged with an inner toothed surface.
12. The drive apparatus of claim 11, wherein the drive pinion is configured to rotate the first continuous surface about a spindle.
13. The drive apparatus of claim 1, further comprising a drive mechanism and a disposable portion including the roller assembly and the roller support.
14. The drive apparatus of claim 13, wherein the drive mechanism defines at least a portion of a sterile barrier with respect to the disposable portion.
15. A drive apparatus for an elongated member, comprising:
a roller assembly configured to impart axial motion to the elongate member along a first continuous surface configured to maintain contact with the elongate member during axial motion;
a roller support configured to rotate the roller assembly, thereby imparting rotational motion to the elongate member, the roller support configured to rotate the roller assembly about a second continuous surface configured to maintain contact with the roller support during rotational motion; and
a pair of clamps selectively surrounding the roller assembly and the roller support;
wherein the roller assembly and roller support are configured to impart axial and rotational motion independently of one another, such that a first one of the roller assembly and the roller support imparts their associated motion regardless of a presence or absence of motion by the other of the roller assembly and the roller support.
16. The drive apparatus of claim 15, wherein the first continuous surface is defined by a generally cylindrical roller included in the roller assembly.
17. The drive apparatus of claim 15, wherein the clamps selectively open to define a gap along an upper portion of the drive apparatus, allowing the elongate member to be received through the gap and within the rollers in a direction parallel to an axis of rotation of the rollers.
18. The drive apparatus of claim 15, further comprising a drive pinion engaged with an inner toothed surface.
19. The drive apparatus of claim 18, wherein the drive pinion is configured to rotate the first continuous surface about a spindle.
20. The drive apparatus of claim 15, further comprising a drive mechanism and a disposable portion including the roller assembly and the roller support, wherein the drive mechanism defines at least a portion of a sterile barrier with respect to the disposable portion.
US13/835,136 2013-03-15 2013-03-15 Active drive mechanism for simultaneous rotation and translation Abandoned US20140276936A1 (en)

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US13/835,136 US20140276936A1 (en) 2013-03-15 2013-03-15 Active drive mechanism for simultaneous rotation and translation
EP14160068.4A EP2777594B1 (en) 2013-03-15 2014-03-14 Active drive mechanism for simultaneous rotation and translation
US15/359,886 US10524867B2 (en) 2013-03-15 2016-11-23 Active drive mechanism for simultaneous rotation and translation
US16/669,268 US11504195B2 (en) 2013-03-15 2019-10-30 Active drive mechanism for simultaneous rotation and translation

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US13/835,136 US20140276936A1 (en) 2013-03-15 2013-03-15 Active drive mechanism for simultaneous rotation and translation

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US15/359,886 Continuation US10524867B2 (en) 2013-03-15 2016-11-23 Active drive mechanism for simultaneous rotation and translation

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US20140276936A1 true US20140276936A1 (en) 2014-09-18

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US13/835,136 Abandoned US20140276936A1 (en) 2013-03-15 2013-03-15 Active drive mechanism for simultaneous rotation and translation
US15/359,886 Active 2034-04-02 US10524867B2 (en) 2013-03-15 2016-11-23 Active drive mechanism for simultaneous rotation and translation
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Cited By (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9326822B2 (en) 2013-03-14 2016-05-03 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US9408669B2 (en) 2013-03-15 2016-08-09 Hansen Medical, Inc. Active drive mechanism with finite range of motion
US10046140B2 (en) * 2014-04-21 2018-08-14 Hansen Medical, Inc. Devices, systems, and methods for controlling active drive systems
US10213264B2 (en) 2013-03-14 2019-02-26 Auris Health, Inc. Catheter tension sensing
US10219874B2 (en) 2013-10-24 2019-03-05 Auris Health, Inc. Instrument device manipulator with tension sensing apparatus
US10363103B2 (en) 2009-04-29 2019-07-30 Auris Health, Inc. Flexible and steerable elongate instruments with shape control and support elements
US10376672B2 (en) 2013-03-15 2019-08-13 Auris Health, Inc. Catheter insertion system and method of fabrication
US10398518B2 (en) 2014-07-01 2019-09-03 Auris Health, Inc. Articulating flexible endoscopic tool with roll capabilities
US10454347B2 (en) 2016-04-29 2019-10-22 Auris Health, Inc. Compact height torque sensing articulation axis assembly
US10463439B2 (en) 2016-08-26 2019-11-05 Auris Health, Inc. Steerable catheter with shaft load distributions
US10470830B2 (en) 2017-12-11 2019-11-12 Auris Health, Inc. Systems and methods for instrument based insertion architectures
US10478595B2 (en) 2013-03-07 2019-11-19 Auris Health, Inc. Infinitely rotatable tool with finite rotating drive shafts
US10493239B2 (en) 2013-03-14 2019-12-03 Auris Health, Inc. Torque-based catheter articulation
US10499999B2 (en) 2014-10-09 2019-12-10 Auris Health, Inc. Systems and methods for aligning an elongate member with an access site
US10524867B2 (en) 2013-03-15 2020-01-07 Auris Health, Inc. Active drive mechanism for simultaneous rotation and translation
US10543047B2 (en) 2013-03-15 2020-01-28 Auris Health, Inc. Remote catheter manipulator
US10543048B2 (en) 2016-12-28 2020-01-28 Auris Health, Inc. Flexible instrument insertion using an adaptive insertion force threshold
US10556092B2 (en) 2013-03-14 2020-02-11 Auris Health, Inc. Active drives for robotic catheter manipulators
US10569052B2 (en) 2014-05-15 2020-02-25 Auris Health, Inc. Anti-buckling mechanisms for catheters
US10631949B2 (en) 2015-09-09 2020-04-28 Auris Health, Inc. Instrument device manipulator with back-mounted tool attachment mechanism
US10667720B2 (en) 2011-07-29 2020-06-02 Auris Health, Inc. Apparatus and methods for fiber integration and registration
US10682189B2 (en) 2016-08-31 2020-06-16 Auris Health, Inc. Length conservative surgical instrument
US10695536B2 (en) 2001-02-15 2020-06-30 Auris Health, Inc. Catheter driver system
US10820947B2 (en) 2018-09-28 2020-11-03 Auris Health, Inc. Devices, systems, and methods for manually and robotically driving medical instruments
US10820954B2 (en) 2018-06-27 2020-11-03 Auris Health, Inc. Alignment and attachment systems for medical instruments
US10820952B2 (en) 2013-03-15 2020-11-03 Auris Heath, Inc. Rotational support for an elongate member
US10849702B2 (en) 2013-03-15 2020-12-01 Auris Health, Inc. User input devices for controlling manipulation of guidewires and catheters
US10888386B2 (en) 2018-01-17 2021-01-12 Auris Health, Inc. Surgical robotics systems with improved robotic arms
US11026758B2 (en) 2017-06-28 2021-06-08 Auris Health, Inc. Medical robotics systems implementing axis constraints during actuation of one or more motorized joints
US11147637B2 (en) 2012-05-25 2021-10-19 Auris Health, Inc. Low friction instrument driver interface for robotic systems
US11147950B2 (en) 2016-01-07 2021-10-19 Robocath Robotizable module for driving an elongated flexible medical member, medical robot and system including such a module
US11213363B2 (en) 2013-03-14 2022-01-04 Auris Health, Inc. Catheter tension sensing
US11241559B2 (en) 2016-08-29 2022-02-08 Auris Health, Inc. Active drive for guidewire manipulation
US11382650B2 (en) 2015-10-30 2022-07-12 Auris Health, Inc. Object capture with a basket
US11406461B2 (en) * 2015-06-23 2022-08-09 Stryker Corporation Delivery system and method for delivering material to a target site during a medical procedure
US11439419B2 (en) 2019-12-31 2022-09-13 Auris Health, Inc. Advanced basket drive mode
US11510736B2 (en) 2017-12-14 2022-11-29 Auris Health, Inc. System and method for estimating instrument location
US11534249B2 (en) 2015-10-30 2022-12-27 Auris Health, Inc. Process for percutaneous operations
US11571229B2 (en) 2015-10-30 2023-02-07 Auris Health, Inc. Basket apparatus
US11638618B2 (en) 2019-03-22 2023-05-02 Auris Health, Inc. Systems and methods for aligning inputs on medical instruments
US11737845B2 (en) 2019-09-30 2023-08-29 Auris Inc. Medical instrument with a capstan
US11771309B2 (en) 2016-12-28 2023-10-03 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
US11950872B2 (en) 2019-12-31 2024-04-09 Auris Health, Inc. Dynamic pulley system

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9962229B2 (en) 2009-10-12 2018-05-08 Corindus, Inc. System and method for navigating a guide wire
CN107205781B (en) 2014-12-05 2020-03-13 科林达斯公司 System and method for guiding a wire
EP3417901A1 (en) 2017-06-20 2018-12-26 Siemens Healthcare GmbH Autonomous catheterization assembly
US20200345483A1 (en) * 2019-05-01 2020-11-05 Twelve, Inc. Support devices for transcatheter delivery system handles
CN110353810A (en) * 2019-07-24 2019-10-22 曾林旺 A kind of single aperture directly drives surgical robot system manually
EP4065028A4 (en) 2019-11-28 2023-12-06 Microbot Medical Ltd. Device for automatically inserting and manipulating a medical tool into and within a bodily lumen
CN112245013B (en) * 2020-11-13 2021-10-15 南京佗道医疗科技有限公司 Quick-release mechanism, tail end execution instrument and robot

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5779623A (en) * 1993-10-08 1998-07-14 Leonard Medical, Inc. Positioner for medical instruments
US7615042B2 (en) * 2004-06-03 2009-11-10 Corindus Ltd. Transmission for a remote catheterization system
US20100130987A1 (en) * 2008-05-06 2010-05-27 Corindus Ltd. Catheter system
US20110130718A1 (en) * 2009-05-25 2011-06-02 Kidd Brian L Remote Manipulator Device
US7998020B2 (en) * 2007-08-21 2011-08-16 Stereotaxis, Inc. Apparatus for selectively rotating and/or advancing an elongate device

Family Cites Families (541)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2556601A (en) 1947-02-10 1951-06-12 Niles Bement Pond Co Multiple tapping head
US2566183A (en) 1947-05-29 1951-08-28 Skilsaw Inc Portable power-driven tool
US2623175A (en) 1949-03-25 1952-12-23 Radiart Corp Reel antenna
US2730699A (en) 1952-02-01 1956-01-10 Gen Dynamics Corp Telemetering system
US2884808A (en) 1957-10-23 1959-05-05 Mueller Co Drive for drilling machine
US3294183A (en) 1964-09-30 1966-12-27 Black & Decker Mfg Co Power driven tools
US3472083A (en) 1967-10-25 1969-10-14 Lawrence S Schnepel Torque wrench
US3513724A (en) 1968-07-17 1970-05-26 Monogram Ind Inc Speed reduction mechanism
US3595074A (en) 1968-10-30 1971-07-27 Clarence Johnson Torque transducer
JPS5025234B1 (en) * 1970-02-20 1975-08-21
CA935059A (en) 1970-02-27 1973-10-09 Jewett-Ashley Holding Corp. Catheter device
JPS4921672Y1 (en) * 1970-08-21 1974-06-10
GB1372327A (en) 1971-10-11 1974-10-30 Commissariat Energie Atomique Articulated manipulator
US3734207A (en) 1971-12-27 1973-05-22 M Fishbein Battery powered orthopedic cutting tool
US3926386A (en) 1974-07-09 1975-12-16 Us Air Force Spool for wire deployment
US3921536A (en) 1975-01-30 1975-11-25 Hall Ski Lift Company Inc Cable grip tester
DE2524605A1 (en) 1975-06-03 1976-12-23 Heinz Peter Dipl Brandstetter DEVICE FOR MEASURING MECHANICAL WORK AND POWER
SE414272B (en) 1978-10-17 1980-07-21 Viggo Ab CANNEL OR CATETER DEVICE
US4241884A (en) 1979-03-20 1980-12-30 George Lynch Powered device for controlling the rotation of a reel
AT365363B (en) 1979-09-20 1982-01-11 Philips Nv RECORDING AND / OR PLAYING DEVICE
CH643092A5 (en) 1980-02-18 1984-05-15 Gruenbaum Heinrich Leuzinger DEVICE FOR MEASURING TORQUE EXTENDED BY AN ELECTRIC MOTOR.
US4357843A (en) 1980-10-31 1982-11-09 Peck-O-Matic, Inc. Tong apparatus for threadedly connecting and disconnecting elongated members
JPS57144633A (en) 1981-03-05 1982-09-07 Inoue Japax Res Inc Wire electrode feeder
US4507026A (en) 1982-09-29 1985-03-26 Boeing Aerospace Company Depth control assembly
US4555960A (en) 1983-03-23 1985-12-03 Cae Electronics, Ltd. Six degree of freedom hand controller
US4688555A (en) 1986-04-25 1987-08-25 Circon Corporation Endoscope with cable compensating mechanism
US4945305A (en) 1986-10-09 1990-07-31 Ascension Technology Corporation Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields
US4784150A (en) 1986-11-04 1988-11-15 Research Corporation Surgical retractor and blood flow monitor
US4745908A (en) 1987-05-08 1988-05-24 Circon Corporation Inspection instrument fexible shaft having deflection compensation means
US4907168A (en) 1988-01-11 1990-03-06 Adolph Coors Company Torque monitoring apparatus
US4857058A (en) 1988-07-11 1989-08-15 Payton Hugh W Support patch for intravenous catheter
US4945790A (en) 1989-08-07 1990-08-07 Arthur Golden Multi-purpose hand tool
US5078714A (en) 1990-03-02 1992-01-07 Jefferson Katims Method and apparatus for placement of a probe in the body and the medical procedure for guiding and locating a catheter or probe in the body
US5086401A (en) 1990-05-11 1992-02-04 International Business Machines Corporation Image-directed robotic system for precise robotic surgery including redundant consistency checking
US5350101A (en) 1990-11-20 1994-09-27 Interventional Technologies Inc. Device for advancing a rotatable tube
US5186793A (en) 1990-12-31 1993-02-16 Invacare Corporation Oxygen concentrator utilizing electrochemical cell
US5329923A (en) 1991-02-15 1994-07-19 Lundquist Ingemar H Torquable catheter
US5217453A (en) 1991-03-18 1993-06-08 Wilk Peter J Automated surgical system and apparatus
US5339799A (en) 1991-04-23 1994-08-23 Olympus Optical Co., Ltd. Medical system for reproducing a state of contact of the treatment section in the operation unit
US5234428A (en) 1991-06-11 1993-08-10 Kaufman David I Disposable electrocautery/cutting instrument with integral continuous smoke evacuation
US5279309A (en) 1991-06-13 1994-01-18 International Business Machines Corporation Signaling device and method for monitoring positions in a surgical operation
US5417210A (en) 1992-05-27 1995-05-23 International Business Machines Corporation System and method for augmentation of endoscopic surgery
JPH05146975A (en) 1991-11-26 1993-06-15 Bridgestone Corp Multi-shaft automatic nut runner
US5256150A (en) 1991-12-13 1993-10-26 Endovascular Technologies, Inc. Large-diameter expandable sheath and method
US5631973A (en) 1994-05-05 1997-05-20 Sri International Method for telemanipulation with telepresence
US6963792B1 (en) 1992-01-21 2005-11-08 Sri International Surgical method
US5207128A (en) 1992-03-23 1993-05-04 Weatherford-Petco, Inc. Tong with floating jaws
WO1993020876A1 (en) * 1992-04-14 1993-10-28 Du-Med B.V. Electronic catheter displacement sensor
US5341807A (en) 1992-06-30 1994-08-30 American Cardiac Ablation Co., Inc. Ablation catheter positioning system
GB2280343A (en) 1993-07-08 1995-01-25 Innovative Care Ltd A laser targeting device for use with image intensifiers
US7074179B2 (en) 1992-08-10 2006-07-11 Intuitive Surgical Inc Method and apparatus for performing minimally invasive cardiac procedures
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5657429A (en) 1992-08-10 1997-08-12 Computer Motion, Inc. Automated endoscope system optimal positioning
US5754741A (en) 1992-08-10 1998-05-19 Computer Motion, Inc. Automated endoscope for optimal positioning
US5524180A (en) 1992-08-10 1996-06-04 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5662108A (en) 1992-09-23 1997-09-02 Endocardial Solutions, Inc. Electrophysiology mapping system
US5368564A (en) 1992-12-23 1994-11-29 Angeion Corporation Steerable catheter
SE9300825D0 (en) 1993-03-12 1993-03-12 Siemens Elema Ab DEVICE FOR Saturation of electrical activity at heart
US5766153A (en) 1993-05-10 1998-06-16 Arthrocare Corporation Methods and apparatus for surgical cutting
WO1994026167A1 (en) 1993-05-14 1994-11-24 Sri International Remote center positioner
US5738096A (en) 1993-07-20 1998-04-14 Biosense, Inc. Cardiac electromechanics
US5391199A (en) 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
US5398691A (en) 1993-09-03 1995-03-21 University Of Washington Method and apparatus for three-dimensional translumenal ultrasonic imaging
US5558091A (en) 1993-10-06 1996-09-24 Biosense, Inc. Magnetic determination of position and orientation
US5575810A (en) 1993-10-15 1996-11-19 Ep Technologies, Inc. Composite structures and methods for ablating tissue to form complex lesion patterns in the treatment of cardiac conditions and the like
US5394875A (en) 1993-10-21 1995-03-07 Lewis; Judith T. Automatic ultrasonic localization of targets implanted in a portion of the anatomy
US5876325A (en) 1993-11-02 1999-03-02 Olympus Optical Co., Ltd. Surgical manipulation system
JP3476878B2 (en) 1993-11-15 2003-12-10 オリンパス株式会社 Surgical manipulator
US5571216A (en) 1994-01-19 1996-11-05 The General Hospital Corporation Methods and apparatus for joining collagen-containing materials
US5447529A (en) 1994-01-28 1995-09-05 Philadelphia Heart Institute Method of using endocardial impedance for determining electrode-tissue contact, appropriate sites for arrhythmia ablation and tissue heating during ablation
US5598848A (en) 1994-03-31 1997-02-04 Ep Technologies, Inc. Systems and methods for positioning multiple electrode structures in electrical contact with the myocardium
US5600330A (en) 1994-07-12 1997-02-04 Ascension Technology Corporation Device for measuring position and orientation using non-dipole magnet IC fields
US5492131A (en) 1994-09-06 1996-02-20 Guided Medical Systems, Inc. Servo-catheter
US6154000A (en) 1994-09-07 2000-11-28 Omnitek Research & Development, Inc. Apparatus for providing a controlled deflection and/or actuator apparatus
US5559294A (en) 1994-09-15 1996-09-24 Condux International, Inc. Torque measuring device
US5836869A (en) 1994-12-13 1998-11-17 Olympus Optical Co., Ltd. Image tracking endoscope system
US5887121A (en) 1995-04-21 1999-03-23 International Business Machines Corporation Method of constrained Cartesian control of robotic mechanisms with active and passive joints
US5649956A (en) 1995-06-07 1997-07-22 Sri International System and method for releasably holding a surgical instrument
JP3782113B2 (en) 1995-06-12 2006-06-07 コーディス ウェブスター,インコーポレイティド Catheter with electromagnetic guidance sensor
DE19625850B4 (en) 1995-06-27 2008-01-31 Matsushita Electric Works, Ltd., Kadoma planetary gear
US5784542A (en) 1995-09-07 1998-07-21 California Institute Of Technology Decoupled six degree-of-freedom teleoperated robot system
US5825982A (en) 1995-09-15 1998-10-20 Wright; James Head cursor control interface for an automated endoscope system for optimal positioning
US5722959A (en) 1995-10-24 1998-03-03 Venetec International, Inc. Catheter securement device
US5697377A (en) 1995-11-22 1997-12-16 Medtronic, Inc. Catheter mapping system and method
US6363279B1 (en) 1996-01-08 2002-03-26 Impulse Dynamics N.V. Electrical muscle controller
US5836874A (en) 1996-04-08 1998-11-17 Ep Technologies, Inc. Multi-function electrode structures for electrically analyzing and heating body tissue
DE69732362T2 (en) 1996-02-15 2006-03-23 Biosense Webster, Inc., Diamond Bar Method for calibrating a probe
IL125761A (en) 1996-02-15 2005-05-17 Biosense Inc Independently positionable transducers for location system
DE69733249T8 (en) 1996-02-15 2006-04-27 Biosense Webster, Inc., Diamond Bar DETERMINATION OF THE EXACT POSITION OF ENDOSCOPES
US5855583A (en) 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US6063095A (en) 1996-02-20 2000-05-16 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5842390A (en) 1996-02-28 1998-12-01 Frank's Casing Crew And Rental Tools Inc. Dual string backup tong
US5830224A (en) 1996-03-15 1998-11-03 Beth Israel Deaconess Medical Center Catheter apparatus and methodology for generating a fistula on-demand between closely associated blood vessels at a pre-chosen anatomic site in-vivo
US20030073908A1 (en) 1996-04-26 2003-04-17 2000 Injectx, Inc. Method and apparatus for delivery of genes, enzymes and biological agents to tissue cells
US5799055A (en) 1996-05-15 1998-08-25 Northwestern University Apparatus and method for planning a stereotactic surgical procedure using coordinated fluoroscopy
WO1997044089A1 (en) 1996-05-17 1997-11-27 Biosense Inc. Self-aligning catheter
US5797900A (en) 1996-05-20 1998-08-25 Intuitive Surgical, Inc. Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5767840A (en) 1996-06-28 1998-06-16 International Business Machines Corporation Six-degrees-of-freedom movement sensor having strain gauge mechanical supports
US5845646A (en) 1996-11-05 1998-12-08 Lemelson; Jerome System and method for treating select tissue in a living being
EP0937263B1 (en) 1996-11-07 2003-05-07 TomTec Imaging Systems GmbH Method and apparatus for ultrasound image reconstruction
DE19649082C1 (en) 1996-11-27 1998-01-08 Fraunhofer Ges Forschung Remote control unit for implement with holder and two hexapods
US6132368A (en) 1996-12-12 2000-10-17 Intuitive Surgical, Inc. Multi-component telepresence system and method
US7963913B2 (en) 1996-12-12 2011-06-21 Intuitive Surgical Operations, Inc. Instrument interface of a robotic surgical system
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
SI0901341T1 (en) 1997-01-03 2005-04-30 Biosense Webster, Inc. Bend-responsive catheter
ES2216180T3 (en) 1997-01-03 2004-10-16 Biosense, Inc. CONFORMATIONAL CATHETER.
JPH10223624A (en) 1997-02-06 1998-08-21 Nec Yamagata Ltd Manufacture of semiconductor device
US6380732B1 (en) 1997-02-13 2002-04-30 Super Dimension Ltd. Six-degree of freedom tracking system having a passive transponder on the object being tracked
WO1998036688A1 (en) 1997-02-20 1998-08-27 Johns Hopkins University Friction transmission with axial loading and a radiolucent surgical needle driver
US6580938B1 (en) 1997-02-25 2003-06-17 Biosense, Inc. Image-guided thoracic therapy and apparatus therefor
ES2249832T3 (en) 1997-04-01 2006-04-01 Axel Muntermann DEVICE FOR THE DETECTION OF THE CONTACT OF A CATETER WITH THE FABRIC AS WELL AS OF INTERACTIONS WITH THE FABRIC DURING THE ABOLATION C0N THE CATETER.
US5876373A (en) 1997-04-04 1999-03-02 Eclipse Surgical Technologies, Inc. Steerable catheter
DE19717108A1 (en) 1997-04-23 1998-11-05 Stm Medtech Starnberg Inverted hose system
US6129668A (en) 1997-05-08 2000-10-10 Lucent Medical Systems, Inc. System and method to determine the location and orientation of an indwelling medical device
US6061587A (en) 1997-05-15 2000-05-09 Regents Of The University Of Minnesota Method and apparatus for use with MR imaging
TW403051U (en) 1997-05-29 2000-08-21 Seiko Epson Corp Recording medium of control program for printing device and recorded printing device
US6231565B1 (en) 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
DE19730938C1 (en) 1997-07-18 1999-03-11 Tomtec Imaging Syst Gmbh Method and device for taking ultrasound images
DE19732125C1 (en) 1997-07-25 1999-02-11 Tomtec Imaging Syst Gmbh Method for taking ultrasound images of moving objects
US6200312B1 (en) 1997-09-11 2001-03-13 Vnus Medical Technologies, Inc. Expandable vein ligator catheter having multiple electrode leads
US5836990A (en) 1997-09-19 1998-11-17 Medtronic, Inc. Method and apparatus for determining electrode/tissue contact
EP1015944B1 (en) 1997-09-19 2013-02-27 Massachusetts Institute Of Technology Surgical robotic apparatus
US5951475A (en) 1997-09-25 1999-09-14 International Business Machines Corporation Methods and apparatus for registering CT-scan data to multiple fluoroscopic images
US6086532A (en) 1997-09-26 2000-07-11 Ep Technologies, Inc. Systems for recording use of structures deployed in association with heart tissue
US5953683A (en) 1997-10-09 1999-09-14 Ascension Technology Corporation Sourceless orientation sensor
US20020120200A1 (en) 1997-10-14 2002-08-29 Brian Brockway Devices, systems and methods for endocardial pressure measurement
US6409674B1 (en) 1998-09-24 2002-06-25 Data Sciences International, Inc. Implantable sensor with wireless communication
US5921968A (en) 1997-11-25 1999-07-13 Merit Medical Systems, Inc. Valve apparatus with adjustable quick-release mechanism
DE69836907T2 (en) 1998-02-10 2007-11-08 Biosense Webster, Inc., Diamond Bar Probe arrangement for improved catheter calibration
GB2334270A (en) 1998-02-14 1999-08-18 Weatherford Lamb Apparatus for attachment to pipe handling arm
US7214230B2 (en) 1998-02-24 2007-05-08 Hansen Medical, Inc. Flexible instrument
US7297142B2 (en) 1998-02-24 2007-11-20 Hansen Medical, Inc. Interchangeable surgical instrument
US20080177285A1 (en) 1998-02-24 2008-07-24 Hansen Medical, Inc. Surgical instrument
US6949106B2 (en) 1998-02-24 2005-09-27 Endovia Medical, Inc. Surgical instrument
WO2002074178A2 (en) 2001-02-15 2002-09-26 Endovia Medical, Inc. Flexible surgical instrument
IL123646A (en) 1998-03-11 2010-05-31 Refael Beyar Remote control catheterization
JPH11267133A (en) 1998-03-25 1999-10-05 Olympus Optical Co Ltd Therapeutic apparatus
AU3197699A (en) 1998-03-30 1999-10-18 Biosense, Inc. Three-axis coil sensor
CA2324304A1 (en) 1998-03-31 1999-10-07 Patrick E. Macaulay Catheters, systems and methods for percutaneous in situ arterio-venous bypass
US6233504B1 (en) 1998-04-16 2001-05-15 California Institute Of Technology Tool actuation and force feedback on robot-assisted microsurgery system
US6004271A (en) 1998-05-07 1999-12-21 Boston Scientific Corporation Combined motor drive and automated longitudinal position translator for ultrasonic imaging system
US6096004A (en) 1998-07-10 2000-08-01 Mitsubishi Electric Information Technology Center America, Inc. (Ita) Master/slave system for the manipulation of tubular medical tools
US6375471B1 (en) 1998-07-10 2002-04-23 Mitsubishi Electric Research Laboratories, Inc. Actuator for independent axial and rotational actuation of a catheter or similar elongated object
US6301496B1 (en) 1998-07-24 2001-10-09 Biosense, Inc. Vector mapping of three-dimensionally reconstructed intrabody organs and method of display
EP1109497B1 (en) 1998-08-04 2009-05-06 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
DE19838140C1 (en) 1998-08-21 2000-04-20 Tomtec Imaging Syst Gmbh Method and device for taking ultrasound images
US20030074011A1 (en) 1998-09-24 2003-04-17 Super Dimension Ltd. System and method of recording and displaying in context of an image a location of at least one point-of-interest in a body during an intra-body medical procedure
IL126333A0 (en) 1998-09-24 1999-05-09 Super Dimension Ltd System and method of recording and displaying in context of an image a location of at least one point-of-interest in body during an intra-body medical procedure
US6171234B1 (en) 1998-09-25 2001-01-09 Scimed Life Systems, Inc. Imaging gore loading tool
US6659939B2 (en) 1998-11-20 2003-12-09 Intuitive Surgical, Inc. Cooperative minimally invasive telesurgical system
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6852107B2 (en) 2002-01-16 2005-02-08 Computer Motion, Inc. Minimally invasive surgical training using robotics and tele-collaboration
US6468265B1 (en) 1998-11-20 2002-10-22 Intuitive Surgical, Inc. Performing cardiac surgery without cardioplegia
US6799065B1 (en) 1998-12-08 2004-09-28 Intuitive Surgical, Inc. Image shifting apparatus and method for a telerobotic system
US6620173B2 (en) 1998-12-08 2003-09-16 Intuitive Surgical, Inc. Method for introducing an end effector to a surgical site in minimally invasive surgery
US6309397B1 (en) 1999-12-02 2001-10-30 Sri International Accessories for minimally invasive robotic surgery and methods
US6493608B1 (en) 1999-04-07 2002-12-10 Intuitive Surgical, Inc. Aspects of a control system of a minimally invasive surgical apparatus
US6394998B1 (en) 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
DE19903332C2 (en) 1999-01-28 2001-06-07 Tomtec Imaging Syst Gmbh Method for motion compensation in ultrasound images of an object
US6084371A (en) 1999-02-19 2000-07-04 Lockheed Martin Energy Research Corporation Apparatus and methods for a human de-amplifier system
CA2363254C (en) 1999-03-07 2009-05-05 Discure Ltd. Method and apparatus for computerized surgery
US6289579B1 (en) 1999-03-23 2001-09-18 Motorola, Inc. Component alignment and transfer apparatus
US8944070B2 (en) 1999-04-07 2015-02-03 Intuitive Surgical Operations, Inc. Non-force reflecting method for providing tool force information to a user of a telesurgical system
US6565554B1 (en) 1999-04-07 2003-05-20 Intuitive Surgical, Inc. Friction compensation in a minimally invasive surgical apparatus
US6424885B1 (en) 1999-04-07 2002-07-23 Intuitive Surgical, Inc. Camera referenced control in a minimally invasive surgical apparatus
US6594552B1 (en) 1999-04-07 2003-07-15 Intuitive Surgical, Inc. Grip strength with tactile feedback for robotic surgery
EP2078498B1 (en) 1999-04-09 2010-12-22 Evalve, Inc. Apparatus for cardiac valve repair
US6233476B1 (en) 1999-05-18 2001-05-15 Mediguide Ltd. Medical positioning system
US8442618B2 (en) 1999-05-18 2013-05-14 Mediguide Ltd. Method and system for delivering a medical device to a selected position within a lumen
US7343195B2 (en) 1999-05-18 2008-03-11 Mediguide Ltd. Method and apparatus for real time quantitative three-dimensional image reconstruction of a moving organ and intra-body navigation
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US6626899B2 (en) 1999-06-25 2003-09-30 Nidus Medical, Llc Apparatus and methods for treating tissue
US6415171B1 (en) 1999-07-16 2002-07-02 International Business Machines Corporation System and method for fusing three-dimensional shape data on distorted images without correcting for distortion
JP2003508133A (en) 1999-08-27 2003-03-04 ヴォルシュレーガー ヘルムート Catheter handling device
US9345544B2 (en) 1999-09-17 2016-05-24 Intuitive Surgical Operations, Inc. Systems and methods for avoiding collisions between manipulator arms using a null-space
US9272416B2 (en) 1999-09-17 2016-03-01 Intuitive Surgical Operations, Inc. Phantom degrees of freedom for manipulating the movement of mechanical bodies
US8004229B2 (en) 2005-05-19 2011-08-23 Intuitive Surgical Operations, Inc. Software center and highly configurable robotic systems for surgery and other uses
US8768516B2 (en) 2009-06-30 2014-07-01 Intuitive Surgical Operations, Inc. Control of medical robotic system manipulator about kinematic singularities
US6312435B1 (en) 1999-10-08 2001-11-06 Intuitive Surgical, Inc. Surgical instrument with extended reach for use in minimally invasive surgery
US6493573B1 (en) 1999-10-28 2002-12-10 Winchester Development Associates Method and system for navigating a catheter probe in the presence of field-influencing objects
US6172499B1 (en) 1999-10-29 2001-01-09 Ascension Technology Corporation Eddy current error-reduced AC magnetic position measurement system
US6427783B2 (en) 2000-01-12 2002-08-06 Baker Hughes Incorporated Steerable modular drilling assembly
WO2001051993A1 (en) 2000-01-14 2001-07-19 Advanced Micro Devices, Inc. System, method and photomask for compensating aberrations in a photolithography patterning system
US6615155B2 (en) 2000-03-09 2003-09-02 Super Dimension Ltd. Object tracking using a single sensor or a pair of sensors
US6817973B2 (en) 2000-03-16 2004-11-16 Immersion Medical, Inc. Apparatus for controlling force for manipulation of medical instruments
US20050165276A1 (en) 2004-01-28 2005-07-28 Amir Belson Methods and apparatus for accessing and treating regions of the body
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US8888688B2 (en) 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US6610007B2 (en) 2000-04-03 2003-08-26 Neoguide Systems, Inc. Steerable segmented endoscope and method of insertion
DE10025285A1 (en) 2000-05-22 2001-12-06 Siemens Ag Fully automatic, robot-assisted camera guidance using position sensors for laparoscopic interventions
US6746443B1 (en) 2000-07-27 2004-06-08 Intuitive Surgical Inc. Roll-pitch-roll surgical tool
US6716166B2 (en) 2000-08-18 2004-04-06 Biosense, Inc. Three-dimensional reconstruction using ultrasound
US6551273B1 (en) 2000-08-23 2003-04-22 Scimed Life Systems, Inc. Catheter having a shaft keeper
US7494494B2 (en) 2000-08-30 2009-02-24 Johns Hopkins University Controllable motorized device for percutaneous needle placement in soft tissue target and methods and systems related thereto
US7225012B1 (en) 2000-09-18 2007-05-29 The Johns Hopkins University Methods and systems for image-guided surgical interventions
US20020100254A1 (en) 2000-10-12 2002-08-01 Dsd Communications, Inc. System and method for targeted advertising and marketing
EP1199622B1 (en) 2000-10-20 2007-12-12 Deere & Company Operating element
US6487940B2 (en) 2001-01-23 2002-12-03 Associated Toolmakers Incorporated Nut driver
US6676557B2 (en) 2001-01-23 2004-01-13 Black & Decker Inc. First stage clutch
DE20102202U1 (en) 2001-02-07 2001-08-02 Aesculap Ag & Co Kg Device for determining the contour of a recess in a piece of material
US8414505B1 (en) * 2001-02-15 2013-04-09 Hansen Medical, Inc. Catheter driver system
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US7766894B2 (en) 2001-02-15 2010-08-03 Hansen Medical, Inc. Coaxial catheter system
US6612143B1 (en) 2001-04-13 2003-09-02 Orametrix, Inc. Robot and method for bending orthodontic archwires and other medical devices
US6533794B2 (en) 2001-04-19 2003-03-18 The Ohio State University Simplified stereotactic apparatus and methods
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US6640412B2 (en) 2001-04-26 2003-11-04 Endovascular Technologies, Inc. Method for loading a stent using a collapsing machine
US7635342B2 (en) * 2001-05-06 2009-12-22 Stereotaxis, Inc. System and methods for medical device advancement and rotation
US7766856B2 (en) 2001-05-06 2010-08-03 Stereotaxis, Inc. System and methods for advancing a catheter
US7276044B2 (en) 2001-05-06 2007-10-02 Stereotaxis, Inc. System and methods for advancing a catheter
US7607440B2 (en) 2001-06-07 2009-10-27 Intuitive Surgical, Inc. Methods and apparatus for surgical planning
US20060199999A1 (en) 2001-06-29 2006-09-07 Intuitive Surgical Inc. Cardiac tissue ablation instrument with flexible wrist
ATE547992T1 (en) 2001-06-29 2012-03-15 Intuitive Surgical Operations JOINT MECHANISM FOR PLATFORM CONNECTION
US20060178556A1 (en) 2001-06-29 2006-08-10 Intuitive Surgical, Inc. Articulate and swapable endoscope for a surgical robot
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
CA2351993C (en) 2001-06-29 2003-02-18 New World Technologie Inc. Torque tool
US20040243147A1 (en) 2001-07-03 2004-12-02 Lipow Kenneth I. Surgical robot and robotic controller
US6587750B2 (en) 2001-09-25 2003-07-01 Intuitive Surgical, Inc. Removable infinite roll master grip handle and touch sensor for robotic surgery
EP1472579B1 (en) 2002-02-06 2013-05-01 The Johns Hopkins University Remote center of motion robotic system
US6741883B2 (en) 2002-02-28 2004-05-25 Houston Stereotactic Concepts, Inc. Audible feedback from positional guidance systems
US7206626B2 (en) 2002-03-06 2007-04-17 Z-Kat, Inc. System and method for haptic sculpting of physical objects
US6774624B2 (en) 2002-03-27 2004-08-10 Ge Medical Systems Global Technology Company, Llc Magnetic tracking system
AU2003230845A1 (en) 2002-04-10 2003-10-27 Stereotaxis, Inc. Systems and methods for interventional medicine
EP1501411B1 (en) 2002-04-22 2014-03-12 Johns Hopkins University Apparatus for insertion of a medical device during a medical imaging process
WO2003091839A2 (en) 2002-04-25 2003-11-06 The John Hopkins University Robot for computed tomography interventions
US6830545B2 (en) 2002-05-13 2004-12-14 Everest Vit Tube gripper integral with controller for endoscope of borescope
US20040176751A1 (en) 2002-08-14 2004-09-09 Endovia Medical, Inc. Robotic medical instrument system
US20040034365A1 (en) 2002-08-16 2004-02-19 Lentz David J. Catheter having articulation system
US7044936B2 (en) 2002-08-21 2006-05-16 Arrow International Inc. Catheter connector with pivot lever spring latch
US7331967B2 (en) 2002-09-09 2008-02-19 Hansen Medical, Inc. Surgical instrument coupling mechanism
US7404824B1 (en) 2002-11-15 2008-07-29 Advanced Cardiovascular Systems, Inc. Valve aptation assist device
EP2901958B1 (en) 2002-12-06 2019-02-06 Intuitive Surgical Operations, Inc. Flexible wrist for surgical tool
US7660623B2 (en) 2003-01-30 2010-02-09 Medtronic Navigation, Inc. Six degree of freedom alignment display for medical procedures
EP1442720A1 (en) 2003-01-31 2004-08-04 Tre Esse Progettazione Biomedica S.r.l Apparatus for the maneuvering of flexible catheters in the human cardiovascular system
US7246273B2 (en) 2003-02-28 2007-07-17 Sony Corporation Method of, apparatus and graphical user interface for automatic diagnostics
US8882657B2 (en) 2003-03-07 2014-11-11 Intuitive Surgical Operations, Inc. Instrument having radio frequency identification systems and methods for use
WO2004087235A2 (en) 2003-03-27 2004-10-14 Cierra, Inc. Methods and apparatus for treatment of patent foramen ovale
US7972330B2 (en) 2003-03-27 2011-07-05 Terumo Kabushiki Kaisha Methods and apparatus for closing a layered tissue defect
US6939348B2 (en) 2003-03-27 2005-09-06 Cierra, Inc. Energy based devices and methods for treatment of patent foramen ovale
US7101387B2 (en) 2003-04-30 2006-09-05 Scimed Life Systems, Inc. Radio frequency ablation cooling shield
US20040220588A1 (en) 2003-05-01 2004-11-04 James Kermode Guide assembly
EP2591820B1 (en) 2003-05-21 2015-02-18 The Johns Hopkins University Devices and systems for minimally invasive surgery of the throat and other portions of mammalian body
US20050004579A1 (en) 2003-06-27 2005-01-06 Schneider M. Bret Computer-assisted manipulation of catheters and guide wires
US9002518B2 (en) 2003-06-30 2015-04-07 Intuitive Surgical Operations, Inc. Maximum torque driving of robotic surgical tools in robotic surgical systems
US7280863B2 (en) 2003-10-20 2007-10-09 Magnetecs, Inc. System and method for radar-assisted catheter guidance and control
AU2004299000B8 (en) 2003-12-11 2010-07-22 Cook Medical Technologies Llc Hemostatic valve assembly
US7901348B2 (en) 2003-12-12 2011-03-08 University Of Washington Catheterscope 3D guidance and interface system
US8287584B2 (en) 2005-11-14 2012-10-16 Sadra Medical, Inc. Medical implant deployment tool
US7344494B2 (en) 2004-02-09 2008-03-18 Karl Storz Development Corp. Endoscope with variable direction of view module
US8046049B2 (en) 2004-02-23 2011-10-25 Biosense Webster, Inc. Robotically guided catheter
US7204168B2 (en) 2004-02-25 2007-04-17 The University Of Manitoba Hand controller and wrist device
US8052636B2 (en) 2004-03-05 2011-11-08 Hansen Medical, Inc. Robotic catheter system and methods
US20060100610A1 (en) 2004-03-05 2006-05-11 Wallace Daniel T Methods using a robotic catheter system
US7972298B2 (en) 2004-03-05 2011-07-05 Hansen Medical, Inc. Robotic catheter system
DE102004020465B3 (en) 2004-04-26 2005-09-01 Aumann Gmbh Wire tension regulator for winding machine has braking wheel which may be driven by electric motor and braked by disk brake applied by moving coil actuator
US9782130B2 (en) 2004-05-28 2017-10-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system
US7974674B2 (en) 2004-05-28 2011-07-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for surface modeling
US10258285B2 (en) 2004-05-28 2019-04-16 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic surgical system and method for automated creation of ablation lesions
US7540288B2 (en) 2004-06-04 2009-06-02 Stereotaxis, Inc. User interface for remote control of medical devices
US7367975B2 (en) 2004-06-21 2008-05-06 Cierra, Inc. Energy based devices and methods for treatment of anatomic tissue defects
EP1778337A4 (en) 2004-06-29 2008-04-02 Stereotaxis Inc Navigation of remotely actuable medical device using control variable and length
US20060013523A1 (en) 2004-07-16 2006-01-19 Luna Innovations Incorporated Fiber optic position and shape sensing device and method relating thereto
US7781724B2 (en) 2004-07-16 2010-08-24 Luna Innovations Incorporated Fiber optic position and shape sensing device and method relating thereto
US8005537B2 (en) 2004-07-19 2011-08-23 Hansen Medical, Inc. Robotically controlled intravascular tissue injection system
AU2005296053B2 (en) 2004-10-18 2011-03-10 Covidien Lp Compression anastomosis device and method
IL166032A0 (en) 2004-12-28 2006-01-15 Sergey Popov Catheter placement device
US20060229641A1 (en) 2005-01-28 2006-10-12 Rajiv Gupta Guidance and insertion system
US8050746B2 (en) 2005-02-02 2011-11-01 Voyage Medical, Inc. Tissue visualization device and method variations
US10064540B2 (en) 2005-02-02 2018-09-04 Intuitive Surgical Operations, Inc. Visualization apparatus for transseptal access
US7314097B2 (en) 2005-02-24 2008-01-01 Black & Decker Inc. Hammer drill with a mode changeover mechanism
US8075498B2 (en) 2005-03-04 2011-12-13 Endosense Sa Medical apparatus system having optical fiber load sensing capability
US8182433B2 (en) 2005-03-04 2012-05-22 Endosense Sa Medical apparatus system having optical fiber load sensing capability
US20060237205A1 (en) 2005-04-21 2006-10-26 Eastway Fair Company Limited Mode selector mechanism for an impact driver
JP2008541797A (en) 2005-05-03 2008-11-27 ハンセン メディカル,インク. Robotic guide catheter system
US7789874B2 (en) 2005-05-03 2010-09-07 Hansen Medical, Inc. Support assembly for robotic catheter system
US8343040B2 (en) 2005-05-04 2013-01-01 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
US8235942B2 (en) 2005-05-04 2012-08-07 Olympus Endo Technology America Inc. Rotate-to-advance catheterization system
DE102005027951A1 (en) 2005-06-16 2007-01-04 Siemens Ag Medical system for introducing a catheter into a vessel
US8104479B2 (en) 2005-06-23 2012-01-31 Volcano Corporation Pleated bag for interventional pullback systems
US20070005002A1 (en) 2005-06-30 2007-01-04 Intuitive Surgical Inc. Robotic surgical instruments for irrigation, aspiration, and blowing
WO2007005976A1 (en) 2005-07-01 2007-01-11 Hansen Medical, Inc. Robotic catheter system
CN101247847B (en) 2005-07-11 2013-01-09 导管机器人技术公司 Remotely controlled catheter insertion system
US20070038181A1 (en) 2005-08-09 2007-02-15 Alexander Melamud Method, system and device for delivering a substance to tissue
JP4763420B2 (en) 2005-10-27 2011-08-31 オリンパスメディカルシステムズ株式会社 Endoscope operation assistance device
JP5121132B2 (en) 2005-11-02 2013-01-16 オリンパスメディカルシステムズ株式会社 Endoscope system and operation assist device for endoscope
US20070149946A1 (en) 2005-12-07 2007-06-28 Viswanathan Raju R Advancer system for coaxial medical devices
US8498691B2 (en) 2005-12-09 2013-07-30 Hansen Medical, Inc. Robotic catheter system and methods
US8190238B2 (en) 2005-12-09 2012-05-29 Hansen Medical, Inc. Robotic catheter system and methods
US9266239B2 (en) 2005-12-27 2016-02-23 Intuitive Surgical Operations, Inc. Constraint based control in a minimally invasive surgical apparatus
US9962066B2 (en) 2005-12-30 2018-05-08 Intuitive Surgical Operations, Inc. Methods and apparatus to shape flexible entry guides for minimally invasive surgery
US9060678B2 (en) 2006-06-13 2015-06-23 Intuitive Surgical Operations, Inc. Minimally invasive surgical system
US8219178B2 (en) 2007-02-16 2012-07-10 Catholic Healthcare West Method and system for performing invasive medical procedures using a surgical robot
JP4789000B2 (en) 2006-02-16 2011-10-05 Smc株式会社 Automatic reduction ratio switching device
CN101389285B (en) 2006-02-22 2012-10-03 航生医疗公司 System and apparatus for measuring distal forces on a working instrument
US9675375B2 (en) * 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
US8628520B2 (en) 2006-05-02 2014-01-14 Biosense Webster, Inc. Catheter with omni-directional optical lesion evaluation
WO2007136803A2 (en) 2006-05-17 2007-11-29 Hansen Medical, Inc. Robotic instrument system
US8048063B2 (en) 2006-06-09 2011-11-01 Endosense Sa Catheter having tri-axial force sensor
WO2007143859A1 (en) 2006-06-14 2007-12-21 Macdonald Dettwiler & Associates Inc. Surgical manipulator with right-angle pulley drive mechanisms
US8303449B2 (en) 2006-08-01 2012-11-06 Techtronic Power Tools Technology Limited Automatic transmission for a power tool
JP4755047B2 (en) 2006-08-08 2011-08-24 テルモ株式会社 Working mechanism and manipulator
US20080064920A1 (en) 2006-09-08 2008-03-13 Ethicon Endo-Surgery, Inc. Medical drive system for providing motion to at least a portion of a medical apparatus
US7699809B2 (en) 2006-12-14 2010-04-20 Urmey William F Catheter positioning system
IL188262A (en) 2007-01-10 2011-10-31 Mediguide Ltd System and method for superimposing a representation of the tip of a catheter on an image acquired by a moving imager
US20080243064A1 (en) 2007-02-15 2008-10-02 Hansen Medical, Inc. Support structure for robotic medical instrument
US20080214925A1 (en) 2007-03-01 2008-09-04 Civco Medical Instruments Co., Inc. Device for precision positioning of instruments at a mri scanner
US7695154B2 (en) 2007-04-05 2010-04-13 Dpm Associates, Llc Illuminating footwear accessory
EP2142071B1 (en) 2007-04-20 2018-04-04 Cook Medical Technologies LLC Steerable overtube
US20120149985A1 (en) 2007-05-18 2012-06-14 Frassica James J Rotate-to-advance catheterization system
US8364312B2 (en) 2007-06-06 2013-01-29 Cycogs, Llc Modular rotary multi-sensor sensor ring
US8945148B2 (en) 2007-06-13 2015-02-03 Intuitive Surgical Operations, Inc. Surgical system instrument manipulator
US9468412B2 (en) 2007-06-22 2016-10-18 General Electric Company System and method for accuracy verification for image based surgical navigation
US20090082722A1 (en) 2007-08-21 2009-03-26 Munger Gareth T Remote navigation advancer devices and methods of use
AU2008291475B2 (en) 2007-08-28 2014-02-06 Marel A/S Gripping device, for example for a robot
CN100522507C (en) 2007-10-19 2009-08-05 哈尔滨工业大学 Flexible connecting line structure between integrated circuit board in the finger of robot delicacy hand
JP2009139187A (en) 2007-12-05 2009-06-25 Sumitomo Heavy Ind Ltd Torque measuring device
JP5017076B2 (en) 2007-12-21 2012-09-05 テルモ株式会社 Manipulator system and manipulator control method
US8473031B2 (en) 2007-12-26 2013-06-25 Intuitive Surgical Operations, Inc. Medical robotic system with functionality to determine and display a distance indicated by movement of a tool robotically manipulated by an operator
US8708952B2 (en) 2008-01-16 2014-04-29 Catheter Robotics, Inc. Remotely controlled catheter insertion system
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US20090221908A1 (en) 2008-03-01 2009-09-03 Neil David Glossop System and Method for Alignment of Instrumentation in Image-Guided Intervention
EP2252629A2 (en) 2008-03-07 2010-11-24 Novozymes Adenium Biotech A/S Use of defensins against tuberculosis
JP5322153B2 (en) 2008-03-25 2013-10-23 Ntn株式会社 Drive device for medical linear body
US8317745B2 (en) 2008-03-27 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter rotatable device cartridge
US7886743B2 (en) 2008-03-31 2011-02-15 Intuitive Surgical Operations, Inc. Sterile drape interface for robotic surgical instrument
US7938809B2 (en) 2008-04-14 2011-05-10 Merit Medical Systems, Inc. Quick release hemostasis valve
WO2009140281A2 (en) 2008-05-12 2009-11-19 Longyear Tm, Inc. Open-faced rod spinner
US20110015650A1 (en) 2008-06-11 2011-01-20 Seung Wook Choi Instrument of robot arm for surgery
US20090318797A1 (en) 2008-06-19 2009-12-24 Vision-Sciences Inc. System and method for deflecting endoscopic tools
JP2010035768A (en) 2008-08-04 2010-02-18 Olympus Medical Systems Corp Active drive type medical apparatus
JP2010046384A (en) 2008-08-25 2010-03-04 Terumo Corp Medical manipulator and experimental device
US8390438B2 (en) 2008-09-24 2013-03-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system including haptic feedback
US8086298B2 (en) 2008-09-29 2011-12-27 Civco Medical Instruments Co., Inc. EM tracking systems for use with ultrasound and other imaging modalities
US8720448B2 (en) * 2008-11-07 2014-05-13 Hansen Medical, Inc. Sterile interface apparatus
US8095223B2 (en) 2008-11-26 2012-01-10 B. Braun Medical, Inc. Apparatus and method for inserting a catheter
US8602031B2 (en) 2009-01-12 2013-12-10 Hansen Medical, Inc. Modular interfaces and drive actuation through barrier
US8474806B2 (en) 2009-01-26 2013-07-02 T&T Engineering Services, Inc. Pipe gripping apparatus
ITBO20090004U1 (en) 2009-02-11 2010-08-12 Tre Esse Progettazione Biomedica S R L ROBOTIC MANIPULATOR FOR DISTANCE MANEUVERING OF STEERABLE CATHETERS IN THE HUMAN CARDIOVASCULAR SYSTEM.
KR100961661B1 (en) 2009-02-12 2010-06-09 주식회사 래보 Apparatus and method of operating a medical navigation system
WO2010093489A2 (en) 2009-02-13 2010-08-19 Cardiac Pacemakers, Inc. Deployable sensor platform on the lead system of an implantable device
US8423182B2 (en) 2009-03-09 2013-04-16 Intuitive Surgical Operations, Inc. Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems
EP2405824B1 (en) 2009-03-14 2018-08-08 Vasostitch, Inc. Vessel access and closure device
US10004387B2 (en) 2009-03-26 2018-06-26 Intuitive Surgical Operations, Inc. Method and system for assisting an operator in endoscopic navigation
EP2233103B1 (en) 2009-03-26 2017-11-15 W & H Dentalwerk Bürmoos GmbH Medical, in particular dental handpiece
KR101030371B1 (en) 2009-04-27 2011-04-20 국립암센터 Endoscope manipulator for minimal invasive surgery
US20100280525A1 (en) 2009-04-29 2010-11-04 Hansen Medical, Inc. Flexible and steerable elongate instruments with shape control and support elements
US20100280320A1 (en) 2009-04-29 2010-11-04 Hansen Medical, Inc. Flexible and steerable elongate instruments with shape control and support elements
US9254123B2 (en) 2009-04-29 2016-02-09 Hansen Medical, Inc. Flexible and steerable elongate instruments with shape control and support elements
GB0908368D0 (en) 2009-05-15 2009-06-24 Univ Leuven Kath Adjustable remote center of motion positioner
ES2388029B1 (en) 2009-05-22 2013-08-13 Universitat Politècnica De Catalunya ROBOTIC SYSTEM FOR LAPAROSCOPIC SURGERY.
WO2011005335A1 (en) 2009-07-10 2011-01-13 Tyco Healthcare Group Lp Shaft constructions for medical devices with an articulating tip
US20110015484A1 (en) 2009-07-16 2011-01-20 Alvarez Jeffrey B Endoscopic robotic catheter system
US20110015648A1 (en) 2009-07-16 2011-01-20 Hansen Medical, Inc. Endoscopic robotic catheter system
WO2011028627A2 (en) 2009-08-26 2011-03-10 The Research Foundation Of State University Of New York System and method for endovascular telerobotic access
US8277417B2 (en) 2009-09-23 2012-10-02 James J. Fedinec Central venous catheter kit with line gripping and needle localizing devices
US20110071541A1 (en) 2009-09-23 2011-03-24 Intuitive Surgical, Inc. Curved cannula
KR101666859B1 (en) 2009-10-01 2016-10-17 마코 서지컬 코포레이션 Tool, kit-of-parts for multi-functional tool, and robotic system for same
WO2011058493A1 (en) * 2009-11-12 2011-05-19 Koninklijke Philips Electronics N.V. A steering system and a catcher system
WO2011058530A1 (en) 2009-11-16 2011-05-19 Koninklijke Philips Electronics, N.V. Human-robot shared control for endoscopic assistant robot
US8932211B2 (en) 2012-06-22 2015-01-13 Macroplata, Inc. Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
DE102010031274B4 (en) 2009-12-18 2023-06-22 Robert Bosch Gmbh Hand tool with gear cooling
US20110152880A1 (en) 2009-12-23 2011-06-23 Hansen Medical, Inc. Flexible and steerable elongate instruments with torsion control
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
EP3659661A1 (en) 2010-03-02 2020-06-03 Corindus Inc. Robotic catheter system with variable drive mechanism
US9610133B2 (en) 2010-03-16 2017-04-04 Covidien Lp Wireless laparoscopic camera
US8870849B2 (en) 2010-04-08 2014-10-28 BiO2 Medical, Inc. Catheter hub
US9950139B2 (en) 2010-05-14 2018-04-24 C. R. Bard, Inc. Catheter placement device including guidewire and catheter control elements
DE102010029275A1 (en) 2010-05-25 2011-12-01 Siemens Aktiengesellschaft Method for moving an instrument arm of a Laparoskopierobotors in a predetermined relative position to a trocar
US8672837B2 (en) 2010-06-24 2014-03-18 Hansen Medical, Inc. Methods and devices for controlling a shapeable medical device
US8226580B2 (en) 2010-06-30 2012-07-24 Biosense Webster (Israel), Ltd. Pressure sensing for a multi-arm catheter
WO2012018816A2 (en) 2010-08-02 2012-02-09 The Johns Hopkins University Tool exchange interface and control algorithm for cooperative surgical robots
US9326872B2 (en) 2010-08-17 2016-05-03 W. L. Gore & Associates, Inc. Forced deployment sequence handle assembly with independent actuating mechanism
EP2532299B1 (en) 2010-09-14 2014-11-05 Olympus Medical Systems Corp. Endoscope system and low visibility determining method
US20120071894A1 (en) 2010-09-17 2012-03-22 Tanner Neal A Robotic medical systems and methods
US10092359B2 (en) 2010-10-11 2018-10-09 Ecole Polytechnique Federale De Lausanne Mechanical manipulator for surgical instruments
CN201884596U (en) 2010-11-02 2011-06-29 李国铭 Differential mechanism
EP2640301B1 (en) 2010-11-15 2016-03-30 Intuitive Surgical Operations, Inc. Decoupling instrument shaft roll and end effector actuation in a surgical instrument
DE102011003118A1 (en) 2011-01-25 2012-07-26 Krones Aktiengesellschaft closing
DE102011011497A1 (en) 2011-02-17 2012-08-23 Kuka Roboter Gmbh Surgical instrument
AU2012250729B2 (en) 2011-05-03 2016-12-01 Shifamed Holdings, Llc Steerable delivery sheaths
EP2731517A2 (en) 2011-07-11 2014-05-21 Medical Vision Research & Development AB Status control for electrically powered surgical tool systems
US9138166B2 (en) 2011-07-29 2015-09-22 Hansen Medical, Inc. Apparatus and methods for fiber integration and registration
JP5931497B2 (en) 2011-08-04 2016-06-08 オリンパス株式会社 Surgery support apparatus and assembly method thereof
CN102973317A (en) 2011-09-05 2013-03-20 周宁新 Arrangement structure for mechanical arm of minimally invasive surgery robot
FR2979532B1 (en) * 2011-09-07 2015-02-20 Robocath MODULE AND METHOD FOR DRIVING LONG SOFT MEDICAL ORGANS AND ASSOCIATED ROBOTIC SYSTEM
EP2755591B1 (en) 2011-09-16 2020-11-18 Auris Health, Inc. System for displaying an image of a patient anatomy on a movable display
WO2013043804A1 (en) 2011-09-20 2013-03-28 Corindus, Inc. Catheter force measurement apparatus and method
US9504604B2 (en) 2011-12-16 2016-11-29 Auris Surgical Robotics, Inc. Lithotripsy eye treatment
US20140142591A1 (en) 2012-04-24 2014-05-22 Auris Surgical Robotics, Inc. Method, apparatus and a system for robotic assisted surgery
US10383765B2 (en) 2012-04-24 2019-08-20 Auris Health, Inc. Apparatus and method for a global coordinate system for use in robotic surgery
DE102012207060A1 (en) 2012-04-27 2013-10-31 Deutsches Zentrum für Luft- und Raumfahrt e.V. Robot assembly for use in medical fields
US20130317519A1 (en) 2012-05-25 2013-11-28 Hansen Medical, Inc. Low friction instrument driver interface for robotic systems
JP2014004310A (en) 2012-05-31 2014-01-16 Canon Inc Medical instrument
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
EP2884933B1 (en) 2012-08-15 2020-10-07 Intuitive Surgical Operations, Inc. User initiated break-away clutching of a surgical mounting platform
EP2884934B1 (en) 2012-08-15 2020-10-14 Intuitive Surgical Operations, Inc. Movable surgical mounting platform controlled by manual motion of robotic arms
CN104736085B (en) 2012-10-12 2018-01-30 直观外科手术操作公司 Determine position of the medicine equipment in branch's anatomical structure
US8894610B2 (en) 2012-11-28 2014-11-25 Hansen Medical, Inc. Catheter having unirail pullwire architecture
US8671817B1 (en) 2012-11-28 2014-03-18 Hansen Medical, Inc. Braiding device for catheter having acuately varying pullwires
JP2014134530A (en) 2012-12-14 2014-07-24 Panasonic Corp Force measurement device, force measurement method, force measurement program, force measurement integrated electronic circuit and master-slave device
FR2999939B1 (en) * 2012-12-21 2015-01-16 Robocath CATHETERISM SYSTEM TRAINING MODULE
US10231867B2 (en) 2013-01-18 2019-03-19 Auris Health, Inc. Method, apparatus and system for a water jet
DE102013002818A1 (en) 2013-02-19 2014-08-21 Rg Mechatronics Gmbh Holding device for a surgical instrument and a lock and method for operating a robot with such a holding device
DE102013002813B4 (en) 2013-02-19 2017-11-09 Rg Mechatronics Gmbh Holding device with at least one jaw for a robotic surgical system
EA033708B1 (en) 2013-02-26 2019-11-19 Ahmet Sinan Kabakci Robotic manipulator system
FR3002852B1 (en) * 2013-03-07 2016-04-01 Robocath MEDICAL MEMBER TRAINING MODULE EXTENDED
US9668814B2 (en) 2013-03-07 2017-06-06 Hansen Medical, Inc. Infinitely rotatable tool with finite rotating drive shafts
FR3002851B1 (en) * 2013-03-07 2015-06-19 Robocath ROBOTISE CATHETERISM SYSTEM TRAINING MODULE.
US10149720B2 (en) 2013-03-08 2018-12-11 Auris Health, Inc. Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment
US10080576B2 (en) 2013-03-08 2018-09-25 Auris Health, Inc. Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment
US9867635B2 (en) 2013-03-08 2018-01-16 Auris Surgical Robotics, Inc. Method, apparatus and system for a water jet
US20140276389A1 (en) 2013-03-13 2014-09-18 Sean Walker Selective grip device for drive mechanism
US9326822B2 (en) 2013-03-14 2016-05-03 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US20140277334A1 (en) 2013-03-14 2014-09-18 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US11213363B2 (en) 2013-03-14 2022-01-04 Auris Health, Inc. Catheter tension sensing
EP2967623B1 (en) 2013-03-14 2021-07-21 SRI International Compact robotic wrist
US9173713B2 (en) 2013-03-14 2015-11-03 Hansen Medical, Inc. Torque-based catheter articulation
US9498601B2 (en) 2013-03-14 2016-11-22 Hansen Medical, Inc. Catheter tension sensing
US9408669B2 (en) 2013-03-15 2016-08-09 Hansen Medical, Inc. Active drive mechanism with finite range of motion
US9452018B2 (en) 2013-03-15 2016-09-27 Hansen Medical, Inc. Rotational support for an elongate member
US20140276647A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Vascular remote catheter manipulator
US20140276936A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Active drive mechanism for simultaneous rotation and translation
EP4049706A1 (en) 2013-03-15 2022-08-31 Intuitive Surgical Operations, Inc. Shape sensor systems for tracking interventional instruments and methods of use
US20140276394A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Input device for controlling a catheter
US11020016B2 (en) 2013-05-30 2021-06-01 Auris Health, Inc. System and method for displaying anatomy and devices on a movable display
US10744035B2 (en) 2013-06-11 2020-08-18 Auris Health, Inc. Methods for robotic assisted cataract surgery
US20140375784A1 (en) 2013-06-21 2014-12-25 Omnivision Technologies, Inc. Image Sensor With Integrated Orientation Indicator
JP6037964B2 (en) 2013-07-26 2016-12-07 オリンパス株式会社 Manipulator system
US10426661B2 (en) 2013-08-13 2019-10-01 Auris Health, Inc. Method and apparatus for laser assisted cataract surgery
EP3033033B1 (en) 2013-08-15 2019-10-23 Intuitive Surgical Operations, Inc. Systems and methods for medical procedure confirmation
US9993614B2 (en) 2013-08-27 2018-06-12 Catheter Precision, Inc. Components for multiple axis control of a catheter in a catheter positioning system
US9713509B2 (en) 2013-10-24 2017-07-25 Auris Surgical Robotics, Inc. Instrument device manipulator with back-mounted tool attachment mechanism
KR102332023B1 (en) 2013-10-24 2021-12-01 아우리스 헬스, 인크. System for Robotic-Assisted Endolumenal Surgery and Related Methods
US9962226B2 (en) 2013-11-28 2018-05-08 Alcon Pharmaceuticals Ltd. Ophthalmic surgical systems, methods, and devices
CN103735313B (en) 2013-12-11 2016-08-17 中国科学院深圳先进技术研究院 A kind of operating robot and state monitoring method thereof
US9539020B2 (en) 2013-12-27 2017-01-10 Ethicon Endo-Surgery, Llc Coupling features for ultrasonic surgical instrument
WO2015120108A1 (en) 2014-02-07 2015-08-13 Covidien Lp Input device assemblies for robotic surgical systems
WO2015127231A1 (en) 2014-02-21 2015-08-27 Intuitive Surgical Operations, Inc. Mechanical joints, and related systems and methods
US10046140B2 (en) 2014-04-21 2018-08-14 Hansen Medical, Inc. Devices, systems, and methods for controlling active drive systems
US10569052B2 (en) 2014-05-15 2020-02-25 Auris Health, Inc. Anti-buckling mechanisms for catheters
US20160270865A1 (en) 2014-07-01 2016-09-22 Auris Surgical Robotics, Inc. Reusable catheter with disposable balloon attachment and tapered tip
US9788910B2 (en) 2014-07-01 2017-10-17 Auris Surgical Robotics, Inc. Instrument-mounted tension sensing mechanism for robotically-driven medical instruments
US9744335B2 (en) 2014-07-01 2017-08-29 Auris Surgical Robotics, Inc. Apparatuses and methods for monitoring tendons of steerable catheters
US9561083B2 (en) 2014-07-01 2017-02-07 Auris Surgical Robotics, Inc. Articulating flexible endoscopic tool with roll capabilities
US10792464B2 (en) 2014-07-01 2020-10-06 Auris Health, Inc. Tool and method for using surgical endoscope with spiral lumens
US20170007337A1 (en) 2014-07-01 2017-01-12 Auris Surgical Robotics, Inc. Driver-mounted torque sensing mechanism
US10159533B2 (en) 2014-07-01 2018-12-25 Auris Health, Inc. Surgical system with configurable rail-mounted mechanical arms
US9737371B2 (en) 2014-09-30 2017-08-22 Auris Surgical Robotics, Inc. Configurable robotic surgical system with virtual rail and flexible endoscope
US10314463B2 (en) 2014-10-24 2019-06-11 Auris Health, Inc. Automated endoscope calibration
DE102014222293A1 (en) 2014-10-31 2016-05-19 Siemens Aktiengesellschaft Method for automatically monitoring the penetration behavior of a trocar held by a robot arm and monitoring system
US9949719B2 (en) 2014-12-16 2018-04-24 General Electric Company Breast imaging method and system
DE112014007273T5 (en) 2014-12-19 2017-11-02 Olympus Corporation Insertion / removal support apparatus and insertion / removal support method
JP6342794B2 (en) 2014-12-25 2018-06-13 新光電気工業株式会社 Wiring board and method of manufacturing wiring board
EP3261574A4 (en) 2015-02-26 2018-10-31 Covidien LP Robotically controlling remote center of motion with software and guide tube
JP6733660B2 (en) 2015-03-25 2020-08-05 ソニー株式会社 Medical support arm device
US20160287279A1 (en) 2015-04-01 2016-10-06 Auris Surgical Robotics, Inc. Microsurgical tool for robotic applications
WO2016164824A1 (en) 2015-04-09 2016-10-13 Auris Surgical Robotics, Inc. Surgical system with configurable rail-mounted mechanical arms
WO2016187054A1 (en) 2015-05-15 2016-11-24 Auris Surgical Robotics, Inc. Surgical robotics system
EP3305229A4 (en) 2015-06-01 2019-02-20 Olympus Corporation Medical manipulator
CN105147393B (en) 2015-08-19 2017-06-20 哈尔滨工业大学 A kind of minimally invasive robot holds mirror mechanical arm
EP3340919B1 (en) 2015-08-27 2020-09-30 Focal Healthcare Inc. Moveable interface and stepper assembly
WO2017044884A1 (en) 2015-09-09 2017-03-16 Auris Surgical Robotics, Inc. Instrument device manipulator for a surgical robotics system
US9727963B2 (en) 2015-09-18 2017-08-08 Auris Surgical Robotics, Inc. Navigation of tubular networks
US9955986B2 (en) 2015-10-30 2018-05-01 Auris Surgical Robotics, Inc. Basket apparatus
US9949749B2 (en) 2015-10-30 2018-04-24 Auris Surgical Robotics, Inc. Object capture with a basket
US10231793B2 (en) 2015-10-30 2019-03-19 Auris Health, Inc. Object removal through a percutaneous suction tube
WO2017083453A1 (en) 2015-11-12 2017-05-18 Covidien Lp Robotic surgical systems and methods for monitoring applied forces
CN105559850B (en) 2015-12-17 2017-08-25 天津工业大学 It is a kind of to be used for the surgical drill apparatus that robot assisted surgery has power sensing function
US10932861B2 (en) 2016-01-14 2021-03-02 Auris Health, Inc. Electromagnetic tracking surgical system and method of controlling the same
US10932691B2 (en) 2016-01-26 2021-03-02 Auris Health, Inc. Surgical tools having electromagnetic tracking components
CN108697478A (en) 2016-03-04 2018-10-23 柯惠Lp公司 Motor machine operation system and its robotic surgery instrument
US11324554B2 (en) 2016-04-08 2022-05-10 Auris Health, Inc. Floating electromagnetic field generator system and method of controlling the same
US10454347B2 (en) 2016-04-29 2019-10-22 Auris Health, Inc. Compact height torque sensing articulation axis assembly
US10888428B2 (en) 2016-05-12 2021-01-12 University Of Notre Dame Du Lac Additive manufacturing device for biomaterials
KR102520799B1 (en) 2016-07-01 2023-04-12 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Computer-assisted medical systems and methods
US11037464B2 (en) 2016-07-21 2021-06-15 Auris Health, Inc. System with emulator movement tracking for controlling medical devices
US10398517B2 (en) 2016-08-16 2019-09-03 Ethicon Llc Surgical tool positioning based on sensed parameters
US10463439B2 (en) 2016-08-26 2019-11-05 Auris Health, Inc. Steerable catheter with shaft load distributions
US11241559B2 (en) 2016-08-29 2022-02-08 Auris Health, Inc. Active drive for guidewire manipulation
CN109069138B (en) 2016-08-31 2021-07-20 奥瑞斯健康公司 Length-conservative surgical instrument
US9931025B1 (en) 2016-09-30 2018-04-03 Auris Surgical Robotics, Inc. Automated calibration of endoscopes with pull wires
EP3949891A1 (en) 2016-10-04 2022-02-09 Intuitive Surgical Operations, Inc. Computer-assisted teleoperated surgery systems and methods
US10286556B2 (en) 2016-10-16 2019-05-14 The Boeing Company Method and apparatus for compliant robotic end-effector
US10543048B2 (en) 2016-12-28 2020-01-28 Auris Health, Inc. Flexible instrument insertion using an adaptive insertion force threshold
US10244926B2 (en) 2016-12-28 2019-04-02 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
US10136959B2 (en) 2016-12-28 2018-11-27 Auris Health, Inc. Endolumenal object sizing
US10820951B2 (en) 2017-03-14 2020-11-03 Verb Surgical Inc. Techniques for damping vibration in a robotic surgical system
CN116585031A (en) 2017-03-22 2023-08-15 直观外科手术操作公司 System and method for intelligent seed registration
AU2018244318B2 (en) 2017-03-28 2023-11-16 Auris Health, Inc. Shaft actuating handle
CN108990412B (en) 2017-03-31 2022-03-22 奥瑞斯健康公司 Robot system for cavity network navigation compensating physiological noise
US10285574B2 (en) 2017-04-07 2019-05-14 Auris Health, Inc. Superelastic medical instrument
CN110602976B (en) 2017-04-07 2022-11-15 奥瑞斯健康公司 Patient introducer alignment
KR102643758B1 (en) 2017-05-12 2024-03-08 아우리스 헬스, 인코포레이티드 Biopsy devices and systems
EP3624668A4 (en) 2017-05-17 2021-05-26 Auris Health, Inc. Exchangeable working channel
US10022192B1 (en) 2017-06-23 2018-07-17 Auris Health, Inc. Automatically-initialized robotic systems for navigation of luminal networks
JP7130682B2 (en) 2017-06-28 2022-09-05 オーリス ヘルス インコーポレイテッド instrument insertion compensation
WO2019005699A1 (en) 2017-06-28 2019-01-03 Auris Health, Inc. Electromagnetic field generator alignment
KR102578978B1 (en) 2017-06-28 2023-09-19 아우리스 헬스, 인코포레이티드 Electromagnetic distortion detection
US11026758B2 (en) 2017-06-28 2021-06-08 Auris Health, Inc. Medical robotics systems implementing axis constraints during actuation of one or more motorized joints
US10426559B2 (en) 2017-06-30 2019-10-01 Auris Health, Inc. Systems and methods for medical instrument compression compensation
US10464209B2 (en) 2017-10-05 2019-11-05 Auris Health, Inc. Robotic system with indication of boundary for robotic arm
US10016900B1 (en) 2017-10-10 2018-07-10 Auris Health, Inc. Surgical robotic arm admittance control
US10145747B1 (en) 2017-10-10 2018-12-04 Auris Health, Inc. Detection of undesirable forces on a surgical robotic arm
US11058493B2 (en) 2017-10-13 2021-07-13 Auris Health, Inc. Robotic system configured for navigation path tracing
US10555778B2 (en) 2017-10-13 2020-02-11 Auris Health, Inc. Image-based branch detection and mapping for navigation
WO2019113249A1 (en) 2017-12-06 2019-06-13 Auris Health, Inc. Systems and methods to correct for uncommanded instrument roll
AU2018378808A1 (en) 2017-12-08 2020-05-21 Auris Health, Inc. Directed fluidics
CN110831534B (en) 2017-12-08 2023-04-28 奥瑞斯健康公司 System and method for medical instrument navigation and targeting
KR102462568B1 (en) 2017-12-11 2022-11-04 아우리스 헬스, 인코포레이티드 Systems and Methods for Instrument-Based Insertion Architectures
EP3684562A4 (en) 2017-12-14 2021-06-30 Auris Health, Inc. System and method for estimating instrument location
WO2019125964A1 (en) 2017-12-18 2019-06-27 Auris Health, Inc. Methods and systems for instrument tracking and navigation within luminal networks
US10517692B2 (en) 2018-01-17 2019-12-31 Auris Health, Inc. Surgical platform with adjustable arm supports
CN116370084A (en) 2018-02-13 2023-07-04 奥瑞斯健康公司 System and method for driving a medical instrument
US20190269468A1 (en) 2018-03-01 2019-09-05 Auris Health, Inc. Methods and systems for mapping and navigation
JP7225259B2 (en) 2018-03-28 2023-02-20 オーリス ヘルス インコーポレイテッド Systems and methods for indicating probable location of instruments
CN117017505A (en) 2018-03-28 2023-11-10 奥瑞斯健康公司 Composite instrument and robotic system
US10524866B2 (en) 2018-03-28 2020-01-07 Auris Health, Inc. Systems and methods for registration of location sensors
KR20200139200A (en) 2018-03-29 2020-12-11 아우리스 헬스, 인코포레이티드 Robotic medical system with multifunctional end effectors with rotational offset
WO2019231895A1 (en) 2018-05-30 2019-12-05 Auris Health, Inc. Systems and methods for location sensor-based branch prediction
CN112236083A (en) 2018-05-31 2021-01-15 奥瑞斯健康公司 Robotic system and method for navigating a luminal network detecting physiological noise
MX2020012904A (en) 2018-05-31 2021-02-26 Auris Health Inc Image-based airway analysis and mapping.
EP3801189A4 (en) 2018-05-31 2022-02-23 Auris Health, Inc. Path-based navigation of tubular networks
US10744981B2 (en) 2018-06-06 2020-08-18 Sensata Technologies, Inc. Electromechanical braking connector
JP7267309B2 (en) 2018-06-07 2023-05-01 オーリス ヘルス インコーポレイテッド Robotic medical system with high-strength instruments
WO2020005370A1 (en) 2018-06-27 2020-01-02 Auris Health, Inc. Systems and techniques for providing multiple perspectives during medical procedures
KR20210024484A (en) 2018-06-28 2021-03-05 아우리스 헬스, 인코포레이티드 Medical system with integrated pulley sharing
WO2020033318A1 (en) 2018-08-07 2020-02-13 Auris Health, Inc. Combining strain-based shape sensing with catheter control
US10828118B2 (en) 2018-08-15 2020-11-10 Auris Health, Inc. Medical instruments for tissue cauterization
CN112566567A (en) 2018-08-17 2021-03-26 奥瑞斯健康公司 Bipolar medical instrument
US10881280B2 (en) 2018-08-24 2021-01-05 Auris Health, Inc. Manually and robotically controllable medical instruments
CN112770689A (en) 2018-09-26 2021-05-07 奥瑞斯健康公司 Systems and apparatus for suction and irrigation
EP3813634A4 (en) 2018-09-26 2022-04-06 Auris Health, Inc. Articulating medical instruments
US10765487B2 (en) 2018-09-28 2020-09-08 Auris Health, Inc. Systems and methods for docking medical instruments
EP3856001A4 (en) 2018-09-28 2022-06-22 Auris Health, Inc. Devices, systems, and methods for manually and robotically driving medical instruments
KR20210069670A (en) 2018-09-28 2021-06-11 아우리스 헬스, 인코포레이티드 Robotic Systems and Methods for Simultaneous Endoscopy and Transdermal Medical Procedures
WO2020076447A1 (en) 2018-10-08 2020-04-16 Auris Health, Inc. Systems and instruments for tissue sealing
EP3870075A4 (en) 2018-12-20 2022-08-03 Auris Health, Inc. Shielding for wristed instruments
WO2020140072A1 (en) 2018-12-28 2020-07-02 Auris Health, Inc. Percutaneous sheath for robotic medical systems and methods
US11202683B2 (en) 2019-02-22 2021-12-21 Auris Health, Inc. Surgical platform with motorized arms for adjustable arm supports

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5779623A (en) * 1993-10-08 1998-07-14 Leonard Medical, Inc. Positioner for medical instruments
US7615042B2 (en) * 2004-06-03 2009-11-10 Corindus Ltd. Transmission for a remote catheterization system
US7998020B2 (en) * 2007-08-21 2011-08-16 Stereotaxis, Inc. Apparatus for selectively rotating and/or advancing an elongate device
US20100130987A1 (en) * 2008-05-06 2010-05-27 Corindus Ltd. Catheter system
US20110130718A1 (en) * 2009-05-25 2011-06-02 Kidd Brian L Remote Manipulator Device

Cited By (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10695536B2 (en) 2001-02-15 2020-06-30 Auris Health, Inc. Catheter driver system
US11464586B2 (en) 2009-04-29 2022-10-11 Auris Health, Inc. Flexible and steerable elongate instruments with shape control and support elements
US10363103B2 (en) 2009-04-29 2019-07-30 Auris Health, Inc. Flexible and steerable elongate instruments with shape control and support elements
US10667720B2 (en) 2011-07-29 2020-06-02 Auris Health, Inc. Apparatus and methods for fiber integration and registration
US11419518B2 (en) 2011-07-29 2022-08-23 Auris Health, Inc. Apparatus and methods for fiber integration and registration
US11147637B2 (en) 2012-05-25 2021-10-19 Auris Health, Inc. Low friction instrument driver interface for robotic systems
US10478595B2 (en) 2013-03-07 2019-11-19 Auris Health, Inc. Infinitely rotatable tool with finite rotating drive shafts
US11779414B2 (en) 2013-03-14 2023-10-10 Auris Health, Inc. Active drive for robotic catheter manipulators
US10556092B2 (en) 2013-03-14 2020-02-11 Auris Health, Inc. Active drives for robotic catheter manipulators
US11517717B2 (en) 2013-03-14 2022-12-06 Auris Health, Inc. Active drives for robotic catheter manipulators
US11452844B2 (en) 2013-03-14 2022-09-27 Auris Health, Inc. Torque-based catheter articulation
US10213264B2 (en) 2013-03-14 2019-02-26 Auris Health, Inc. Catheter tension sensing
US10493239B2 (en) 2013-03-14 2019-12-03 Auris Health, Inc. Torque-based catheter articulation
US10687903B2 (en) 2013-03-14 2020-06-23 Auris Health, Inc. Active drive for robotic catheter manipulators
US9326822B2 (en) 2013-03-14 2016-05-03 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US11213363B2 (en) 2013-03-14 2022-01-04 Auris Health, Inc. Catheter tension sensing
US10849702B2 (en) 2013-03-15 2020-12-01 Auris Health, Inc. User input devices for controlling manipulation of guidewires and catheters
US11504195B2 (en) 2013-03-15 2022-11-22 Auris Health, Inc. Active drive mechanism for simultaneous rotation and translation
US11376085B2 (en) 2013-03-15 2022-07-05 Auris Health, Inc. Remote catheter manipulator
US9408669B2 (en) 2013-03-15 2016-08-09 Hansen Medical, Inc. Active drive mechanism with finite range of motion
US10543047B2 (en) 2013-03-15 2020-01-28 Auris Health, Inc. Remote catheter manipulator
US10524867B2 (en) 2013-03-15 2020-01-07 Auris Health, Inc. Active drive mechanism for simultaneous rotation and translation
US11413428B2 (en) 2013-03-15 2022-08-16 Auris Health, Inc. Catheter insertion system and method of fabrication
US11660153B2 (en) 2013-03-15 2023-05-30 Auris Health, Inc. Active drive mechanism with finite range of motion
US10376672B2 (en) 2013-03-15 2019-08-13 Auris Health, Inc. Catheter insertion system and method of fabrication
US10820952B2 (en) 2013-03-15 2020-11-03 Auris Heath, Inc. Rotational support for an elongate member
US10792112B2 (en) 2013-03-15 2020-10-06 Auris Health, Inc. Active drive mechanism with finite range of motion
US10219874B2 (en) 2013-10-24 2019-03-05 Auris Health, Inc. Instrument device manipulator with tension sensing apparatus
US10046140B2 (en) * 2014-04-21 2018-08-14 Hansen Medical, Inc. Devices, systems, and methods for controlling active drive systems
US11278703B2 (en) 2014-04-21 2022-03-22 Auris Health, Inc. Devices, systems, and methods for controlling active drive systems
US11690977B2 (en) 2014-05-15 2023-07-04 Auris Health, Inc. Anti-buckling mechanisms for catheters
US10569052B2 (en) 2014-05-15 2020-02-25 Auris Health, Inc. Anti-buckling mechanisms for catheters
US10398518B2 (en) 2014-07-01 2019-09-03 Auris Health, Inc. Articulating flexible endoscopic tool with roll capabilities
US11350998B2 (en) 2014-07-01 2022-06-07 Auris Health, Inc. Medical instrument having translatable spool
US10499999B2 (en) 2014-10-09 2019-12-10 Auris Health, Inc. Systems and methods for aligning an elongate member with an access site
US11344377B2 (en) 2014-10-09 2022-05-31 Auris Health, Inc. Systems and methods for aligning an elongate member with an access site
US11406461B2 (en) * 2015-06-23 2022-08-09 Stryker Corporation Delivery system and method for delivering material to a target site during a medical procedure
US10786329B2 (en) 2015-09-09 2020-09-29 Auris Health, Inc. Instrument device manipulator with roll mechanism
US11771521B2 (en) 2015-09-09 2023-10-03 Auris Health, Inc. Instrument device manipulator with roll mechanism
US10631949B2 (en) 2015-09-09 2020-04-28 Auris Health, Inc. Instrument device manipulator with back-mounted tool attachment mechanism
US11534249B2 (en) 2015-10-30 2022-12-27 Auris Health, Inc. Process for percutaneous operations
US11382650B2 (en) 2015-10-30 2022-07-12 Auris Health, Inc. Object capture with a basket
US11571229B2 (en) 2015-10-30 2023-02-07 Auris Health, Inc. Basket apparatus
US11559360B2 (en) 2015-10-30 2023-01-24 Auris Health, Inc. Object removal through a percutaneous suction tube
US11147950B2 (en) 2016-01-07 2021-10-19 Robocath Robotizable module for driving an elongated flexible medical member, medical robot and system including such a module
US10454347B2 (en) 2016-04-29 2019-10-22 Auris Health, Inc. Compact height torque sensing articulation axis assembly
US10903725B2 (en) 2016-04-29 2021-01-26 Auris Health, Inc. Compact height torque sensing articulation axis assembly
US10463439B2 (en) 2016-08-26 2019-11-05 Auris Health, Inc. Steerable catheter with shaft load distributions
US11701192B2 (en) 2016-08-26 2023-07-18 Auris Health, Inc. Steerable catheter with shaft load distributions
US11241559B2 (en) 2016-08-29 2022-02-08 Auris Health, Inc. Active drive for guidewire manipulation
US10682189B2 (en) 2016-08-31 2020-06-16 Auris Health, Inc. Length conservative surgical instrument
US11564759B2 (en) 2016-08-31 2023-01-31 Auris Health, Inc. Length conservative surgical instrument
US11771309B2 (en) 2016-12-28 2023-10-03 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
US10543048B2 (en) 2016-12-28 2020-01-28 Auris Health, Inc. Flexible instrument insertion using an adaptive insertion force threshold
US11832907B2 (en) 2017-06-28 2023-12-05 Auris Health, Inc. Medical robotics systems implementing axis constraints during actuation of one or more motorized joints
US11026758B2 (en) 2017-06-28 2021-06-08 Auris Health, Inc. Medical robotics systems implementing axis constraints during actuation of one or more motorized joints
US11839439B2 (en) 2017-12-11 2023-12-12 Auris Health, Inc. Systems and methods for instrument based insertion architectures
US10470830B2 (en) 2017-12-11 2019-11-12 Auris Health, Inc. Systems and methods for instrument based insertion architectures
US10779898B2 (en) 2017-12-11 2020-09-22 Auris Health, Inc. Systems and methods for instrument based insertion architectures
US11510736B2 (en) 2017-12-14 2022-11-29 Auris Health, Inc. System and method for estimating instrument location
US10888386B2 (en) 2018-01-17 2021-01-12 Auris Health, Inc. Surgical robotics systems with improved robotic arms
US10820954B2 (en) 2018-06-27 2020-11-03 Auris Health, Inc. Alignment and attachment systems for medical instruments
US10820947B2 (en) 2018-09-28 2020-11-03 Auris Health, Inc. Devices, systems, and methods for manually and robotically driving medical instruments
US11864842B2 (en) 2018-09-28 2024-01-09 Auris Health, Inc. Devices, systems, and methods for manually and robotically driving medical instruments
US11638618B2 (en) 2019-03-22 2023-05-02 Auris Health, Inc. Systems and methods for aligning inputs on medical instruments
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
US11737845B2 (en) 2019-09-30 2023-08-29 Auris Inc. Medical instrument with a capstan
US11439419B2 (en) 2019-12-31 2022-09-13 Auris Health, Inc. Advanced basket drive mode
US11950872B2 (en) 2019-12-31 2024-04-09 Auris Health, Inc. Dynamic pulley system

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US20170071684A1 (en) 2017-03-16
EP2777594B1 (en) 2021-11-17
EP2777594A2 (en) 2014-09-17
US20200129252A1 (en) 2020-04-30
US10524867B2 (en) 2020-01-07
US11504195B2 (en) 2022-11-22
EP2777594A3 (en) 2015-03-11

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