CN119403481A - 用于机器人单个端口腹腔镜进入的方法和系统 - Google Patents

用于机器人单个端口腹腔镜进入的方法和系统 Download PDF

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Publication number
CN119403481A
CN119403481A CN202380048741.4A CN202380048741A CN119403481A CN 119403481 A CN119403481 A CN 119403481A CN 202380048741 A CN202380048741 A CN 202380048741A CN 119403481 A CN119403481 A CN 119403481A
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CN
China
Prior art keywords
tool
robotic arm
shaft
laparoscopic
laparoscopic tool
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.)
Pending
Application number
CN202380048741.4A
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English (en)
Chinese (zh)
Inventor
马西耶·J·基图拉基斯
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Individual
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Individual
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00149—Holding or positioning arrangements using articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/37—Leader-follower robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2904—Details of shaft curved, but rigid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2906—Multiple forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2059—Mechanical position encoders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/302—Surgical robots specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
CN202380048741.4A 2022-04-27 2023-04-26 用于机器人单个端口腹腔镜进入的方法和系统 Pending CN119403481A (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US202263335548P 2022-04-27 2022-04-27
US63/335,548 2022-04-27
US18/172,290 US11717149B1 (en) 2022-04-27 2023-02-21 Methods and systems for robotic single-port laparoscopic access
US18/172,290 2023-02-21
PCT/US2023/020034 WO2023212089A1 (en) 2022-04-27 2023-04-26 Methods and systems for robotic single-port laparoscopic access

Publications (1)

Publication Number Publication Date
CN119403481A true CN119403481A (zh) 2025-02-07

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202380048741.4A Pending CN119403481A (zh) 2022-04-27 2023-04-26 用于机器人单个端口腹腔镜进入的方法和系统

Country Status (6)

Country Link
US (3) US11717149B1 (enExample)
EP (1) EP4514197A4 (enExample)
JP (1) JP2025515328A (enExample)
KR (1) KR20250003934A (enExample)
CN (1) CN119403481A (enExample)
WO (1) WO2023212089A1 (enExample)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2021232056A1 (en) * 2020-03-06 2022-10-13 Oshkosh Corporation Lift device innovations
US11717149B1 (en) * 2022-04-27 2023-08-08 Maciej J. Kieturakis Methods and systems for robotic single-port laparoscopic access

Family Cites Families (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6454783B1 (en) 1998-09-15 2002-09-24 Gregory Piskun Laparoscopic instruments and trocar systems for trans-umbilical laproscopic surgery
US6459926B1 (en) * 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6594552B1 (en) * 1999-04-07 2003-07-15 Intuitive Surgical, Inc. Grip strength with tactile feedback for robotic surgery
US6171282B1 (en) 1999-07-23 2001-01-09 Edgar K. Ragsdale Soft cannula and methods for use
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US20020165524A1 (en) 2001-05-01 2002-11-07 Dan Sanchez Pivot point arm for a robotic system used to perform a surgical procedure
US6587750B2 (en) * 2001-09-25 2003-07-01 Intuitive Surgical, Inc. Removable infinite roll master grip handle and touch sensor for robotic surgery
JP2005514145A (ja) 2002-01-09 2005-05-19 ネオガイド システムズ， インコーポレイテッド 内視鏡結腸切除のための装置および方法
US20040176751A1 (en) * 2002-08-14 2004-09-09 Endovia Medical, Inc. Robotic medical instrument system
US7386365B2 (en) * 2004-05-04 2008-06-10 Intuitive Surgical, Inc. Tool grip calibration for robotic surgery
US7763015B2 (en) 2005-01-24 2010-07-27 Intuitive Surgical Operations, Inc. Modular manipulator support for robotic surgery
WO2006100658A2 (en) 2005-03-22 2006-09-28 Atropos Limited A surgical instrument
US9943372B2 (en) * 2005-04-18 2018-04-17 M.S.T. Medical Surgery Technologies Ltd. Device having a wearable interface for improving laparoscopic surgery and methods for use thereof
US9295379B2 (en) * 2005-04-18 2016-03-29 M.S.T. Medical Surgery Technologies Ltd. Device and methods of improving laparoscopic surgery
ATE540634T1 (de) 2005-06-06 2012-01-15 Intuitive Surgical Operations Laparoskopisches ultraschall-robotersystem für chirurgische zwecke
CN101291635B (zh) 2005-10-20 2013-03-27 直观外科手术操作公司 医用机器人系统中的计算机显示屏上的辅助图像显示和操纵
EP1815950A1 (en) * 2006-02-03 2007-08-08 The European Atomic Energy Community (EURATOM), represented by the European Commission Robotic surgical system for performing minimally invasive medical procedures
US20090093752A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Seal anchor for use in surgical procedures
US20110071541A1 (en) 2009-09-23 2011-03-24 Intuitive Surgical, Inc. Curved cannula
EP2594222B1 (en) 2009-11-13 2018-10-03 Intuitive Surgical Operations, Inc. Surgical tool with a compact wrist
US8764647B2 (en) 2009-11-24 2014-07-01 Covidien Lp Foam port device having closed-end lumens
US9339341B2 (en) * 2010-02-08 2016-05-17 Intuitive Surgical Operations, Inc. Direct pull surgical gripper
US8821390B2 (en) 2010-04-12 2014-09-02 Covidien Lp Surgical access method and assembly including sleeve and port
US20110295074A1 (en) 2010-05-28 2011-12-01 Ethicon Endo-Surgery, Inc. Methods and Devices for Providing Multiple Devices Access to a Surgical Site Through a Single Port
KR101822685B1 (ko) 2010-06-25 2018-01-26 마치에 제이. 키에투라키스 좌우로 이격된 가상 삽입 지점을 갖는 단일 포트 복강경의 접근을 위한 기구
WO2012044959A1 (en) 2010-10-01 2012-04-05 Applied Medical Resources Corporation Natural orifice surgery system
US8550992B2 (en) 2010-12-20 2013-10-08 Covidien Lp Two-part access assembly
US20120190933A1 (en) 2011-01-24 2012-07-26 Tyco Healthcare Group Lp Inflatable access assembly
US9549758B2 (en) 2011-03-23 2017-01-24 Covidien Lp Surgical access assembly with adapter
US9017249B2 (en) 2012-03-26 2015-04-28 Covidien Lp Surgical access assembly and method of use therefor
US20150005784A2 (en) * 2012-12-20 2015-01-01 avateramedical GmBH Device for Supporting and Positioning of a Surgical Instrument and/or an Endoscope for Use in Minimal-Invasive Surgery and a Surgical Robotic System
US10251704B2 (en) 2014-09-20 2019-04-09 Maciej J. Kieturakis Single port laparoscopic access system with external tool support
US11504192B2 (en) * 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
CN108882968B (zh) * 2016-06-09 2022-05-13 直观外科手术操作公司 计算机辅助远程操作手术系统和方法
EP4424266A3 (en) * 2017-05-08 2024-11-27 Platform Innovations Inc. Laparoscopic device implantation and fixation system and method
WO2019212583A2 (en) * 2017-08-04 2019-11-07 Intuitive Surgical Operations, Inc. Computer-assisted tele-operated surgery systems and methods
US11311342B2 (en) * 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11564756B2 (en) * 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11291510B2 (en) * 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11424027B2 (en) * 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US20190307474A1 (en) 2018-04-10 2019-10-10 Maciej J. Kieturakis Robotically supported laparoscopic access tools
US11324536B2 (en) 2018-06-19 2022-05-10 Maciej J. Kieturakis Seal for laparoscopic access port
US11369443B2 (en) * 2019-06-27 2022-06-28 Cilag Gmbh International Method of using a surgical modular robotic assembly
JP7600220B2 (ja) * 2019-09-14 2024-12-16 リボルブ サージカル インク． 直接制御及びロボット支援のハイブリッド手術システム
US12564422B2 (en) * 2020-09-30 2026-03-03 Auris Health, Inc. Systems and methods for docking surgical robotic arms
CN118695823A (zh) * 2021-10-15 2024-09-24 威博外科公司 用于术中可视化的装置、系统和方法
US11717149B1 (en) 2022-04-27 2023-08-08 Maciej J. Kieturakis Methods and systems for robotic single-port laparoscopic access

Also Published As

Publication number Publication date
US11717149B1 (en) 2023-08-08
EP4514197A1 (en) 2025-03-05
WO2023212089A1 (en) 2023-11-02
US20240180413A1 (en) 2024-06-06
US12102302B2 (en) 2024-10-01
KR20250003934A (ko) 2025-01-07
JP2025515328A (ja) 2025-05-14
US20250235093A1 (en) 2025-07-24
EP4514197A4 (en) 2026-04-08

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