GB2568176A - Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods - Google Patents

Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods Download PDF

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Publication number
GB2568176A
GB2568176A GB1901851.4A GB201901851A GB2568176A GB 2568176 A GB2568176 A GB 2568176A GB 201901851 A GB201901851 A GB 201901851A GB 2568176 A GB2568176 A GB 2568176A
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United Kingdom
Prior art keywords
assembly
instrument
procedures
arm
systems
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GB1901851.4A
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GB2568176B (en
GB201901851D0 (en
Inventor
Yeung Chung-Kwong
Fai Lam Wing
Leung William Cheng Wai
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Bio Medical Eng Hk Ltd
Bio Medical Engineering HK Ltd
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Bio Medical Eng Hk Ltd
Bio Medical Engineering HK Ltd
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Priority claimed from US15/340,660 external-priority patent/US9724168B2/en
Priority claimed from US15/340,699 external-priority patent/US9827058B1/en
Priority claimed from US15/340,678 external-priority patent/US9855108B2/en
Priority claimed from US15/605,864 external-priority patent/US9895200B2/en
Application filed by Bio Medical Eng Hk Ltd, Bio Medical Engineering HK Ltd filed Critical Bio Medical Eng Hk Ltd
Publication of GB201901851D0 publication Critical patent/GB201901851D0/en
Publication of GB2568176A publication Critical patent/GB2568176A/en
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Publication of GB2568176B publication Critical patent/GB2568176B/en
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  • Manipulator (AREA)
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  • Surgical Instruments (AREA)

Abstract

A surgical system (200) having an end-effector assembly (340), first and second arm assemblies (330,360), and an elbow joint assembly (234). The end-effector assembly (340) includes an instrument assembly (237) and a wrist assembly (236). The instrument assembly (237) includes a first instrument (239,342,344). An first arm assembly (330) includes a body, first and second instrument drive assemblies (332, 334), a wrist drive assembly (336), and a first arm drive assembly (339). The first instrument drive assembly (332) is configurable to move the first instrument (239,342,344) relative to a first axis(A). The wrist drive assembly (336) is configurable to move the instrument assembly (237) relative to a second axis (B). The first arm drive assembly (339) is configurable to rotate the end-effector assembly (340) relative to a third axis (F). An elbow joint assembly (234) includes an elbow pitch joint portion (350') configurable to be driven to move the first arm assembly (330) relative to a fourth axis( C'). The elbow joint assembly (234) also includes an elbow sway joint portion (350) configurable to be driven to move the first arm assembly (330) relative to a fifth axis (C).
GB1901851.4A 2016-11-01 2017-05-26 Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures Active GB2568176B (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US15/340,660 US9724168B2 (en) 2014-04-22 2016-11-01 Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US15/340,699 US9827058B1 (en) 2016-11-01 2016-11-01 Surgical robotic devices and systems for use in performing minimally invasive and natural orifice transluminal endoscopic surgical actions
US15/340,678 US9855108B2 (en) 2014-04-22 2016-11-01 Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US15/605,864 US9895200B2 (en) 2014-04-22 2017-05-25 Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
PCT/CN2017/086202 WO2018082294A1 (en) 2016-11-01 2017-05-26 Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems

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HK (1) HK1250468A1 (en)
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Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108836480B (en) 2014-04-22 2022-05-13 香港生物医学工程有限公司 Surgical device
US11801099B2 (en) 2014-04-22 2023-10-31 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US11154368B2 (en) 2014-04-22 2021-10-26 Bio-Medical Engineering (HK) Limited Port assembly for use with robotic devices and systems to perform single incision procedures and natural orifice translumenal endoscopic surgical procedures
US11090123B2 (en) 2014-04-22 2021-08-17 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US10500008B2 (en) 2014-04-22 2019-12-10 Bio-Medical Engineering (HK) Limited Surgical arm system with internally driven gear assemblies
US9895200B2 (en) 2014-04-22 2018-02-20 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
WO2020006811A1 (en) * 2018-07-06 2020-01-09 Bio-Medical Engineering (HK) Limited Port assembly for use with robotic devices and systems to perform single incision procedures and natural orifice translumenal endoscopic surgical procedures
CN111714162B (en) * 2019-05-10 2023-03-28 上海微创医疗机器人（集团）股份有限公司 Surgical device and surgical instrument
CN110251165B (en) * 2019-06-05 2020-07-31 赵宗凯 Handheld cavity mirror apparatus
CN112057172B (en) * 2020-09-10 2022-02-11 苏州大学 Minimally invasive surgery robot
CN114652451A (en) * 2022-04-20 2022-06-24 天津大学医疗机器人与智能系统研究院 Instrument arm driving device and instrument arm using same

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995010241A2 (en) * 1993-10-09 1995-04-20 Surgical Innovations Limited Surgical instrument holders
US20130144395A1 (en) * 2011-12-02 2013-06-06 Ethicon Endo-Surgery, Inc. Elbow assembly for surgical devices
WO2014085718A1 (en) * 2012-11-29 2014-06-05 Symmetry Medical, Inc. Linear slide indicator
CN104783844A (en) * 2015-01-22 2015-07-22 天津手智医疗科技有限责任公司 Intelligent minimally-invasive surgery instrument
US20160157948A1 (en) * 2014-04-22 2016-06-09 Bio-Medical Engineering (HK) Limited Robotic Devices and Systems for Performing Single Incision Procedures and Natural Orifice Translumenal Endoscopic Surgical Procedures, and Methods of Configuring Robotic Devices and Systems
US20170042623A1 (en) * 2014-04-22 2017-02-16 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US20170042624A1 (en) * 2014-04-22 2017-02-16 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104688349B (en) * 2006-06-13 2017-05-10 直观外科手术操作公司 Minimally invasive surgical system
US8891924B2 (en) * 2012-04-26 2014-11-18 Bio-Medical Engineering (HK) Limited Magnetic-anchored robotic system
KR102038632B1 (en) * 2012-11-06 2019-10-30 삼성전자주식회사 surgical instrument, supporting device, and surgical robot system adopting the same
CN108836480B (en) * 2014-04-22 2022-05-13 香港生物医学工程有限公司 Surgical device
WO2016169361A1 (en) * 2015-04-22 2016-10-27 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995010241A2 (en) * 1993-10-09 1995-04-20 Surgical Innovations Limited Surgical instrument holders
US20130144395A1 (en) * 2011-12-02 2013-06-06 Ethicon Endo-Surgery, Inc. Elbow assembly for surgical devices
WO2014085718A1 (en) * 2012-11-29 2014-06-05 Symmetry Medical, Inc. Linear slide indicator
US20160157948A1 (en) * 2014-04-22 2016-06-09 Bio-Medical Engineering (HK) Limited Robotic Devices and Systems for Performing Single Incision Procedures and Natural Orifice Translumenal Endoscopic Surgical Procedures, and Methods of Configuring Robotic Devices and Systems
US20170042623A1 (en) * 2014-04-22 2017-02-16 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US20170042624A1 (en) * 2014-04-22 2017-02-16 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
CN104783844A (en) * 2015-01-22 2015-07-22 天津手智医疗科技有限责任公司 Intelligent minimally-invasive surgery instrument

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SG11201805715XA (en) 2018-07-30
WO2018082294A1 (en) 2018-05-11
GB2568176B (en) 2019-11-20
CN107616840B (en) 2022-06-07
CN114931433A (en) 2022-08-23
HK1250468A1 (en) 2018-12-21
SG10201908000SA (en) 2019-10-30
SG10201808087SA (en) 2018-10-30
CN107616840A (en) 2018-01-23
GB201901851D0 (en) 2019-04-03

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