WO2015142788A1 - Method for engaging surgical instrument with teleoperated actuator - Google Patents

Method for engaging surgical instrument with teleoperated actuator Download PDF

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Publication number
WO2015142788A1
WO2015142788A1 PCT/US2015/020880 US2015020880W WO2015142788A1 WO 2015142788 A1 WO2015142788 A1 WO 2015142788A1 US 2015020880 W US2015020880 W US 2015020880W WO 2015142788 A1 WO2015142788 A1 WO 2015142788A1
Authority
WO
WIPO (PCT)
Prior art keywords
instrument
drivers
carriage
driver
engagement features
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.)
Ceased
Application number
PCT/US2015/020880
Other languages
English (en)
French (fr)
Inventor
Bruce Michael Schena
Niels SMABY
Gregory W. Dachs Ii
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Intuitive Surgical Operations Inc
Original Assignee
Intuitive Surgical Operations 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 Intuitive Surgical Operations Inc filed Critical Intuitive Surgical Operations Inc
Priority to KR1020167025787A priority Critical patent/KR102377893B1/ko
Priority to JP2016557618A priority patent/JP6554478B2/ja
Priority to US15/121,718 priority patent/US10543051B2/en
Priority to EP15764881.7A priority patent/EP3119327B1/en
Priority to CN201580013607.6A priority patent/CN106102640B/zh
Publication of WO2015142788A1 publication Critical patent/WO2015142788A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
    • 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
    • A61B1/00142—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 with means for preventing contamination, e.g. by using a sanitary sheath
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • 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
    • A61B34/35—Surgical robots for telesurgery
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/40—Drape material, e.g. laminates; Manufacture thereof
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00172—Connectors and adapters therefor
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16H—GEARING
    • F16H1/00—Toothed gearings for conveying rotary motion
    • F16H1/02—Toothed gearings for conveying rotary motion without gears having orbital motion
    • F16H1/20—Toothed gearings for conveying rotary motion without gears having orbital motion involving more than two intermeshing members
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49815—Disassembling
    • Y10T29/49817—Disassembling with other than ancillary treating or assembling
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T403/00—Joints and connections
    • Y10T403/59—Manually releaseable latch type

Definitions

  • Embodiments of the invention relate to the field of mechanical couplers; and more specifically, to couplers that provide a sterile barrier for coupling surgical instruments to teleoperated actuators.
  • the laparoscopic surgical instruments generally include a laparoscope for viewing the surgical field and surgical instruments having end effectors such as surgical tools.
  • Typical surgical tools include clamps, graspers, scissors, staplers, and needle holders, for example.
  • the surgical instruments are similar to those used in conventional (open) surgery, except that the end effector of each surgical instrument is separated from its handle by an approximately 12-inch long extension tube, for example, so as to permit the operator to introduce the end effector to the surgical site and to control movement of the end effector relative to the surgical site from outside a patient's body.
  • the surgical instrument In order to provide improved control of the end effector, it may be desirable to control the surgical instrument with teleoperated actuators.
  • the surgeon may operate controls on a console to indirectly manipulate the instrument that is connected to the teleoperated actuators.
  • the surgical instrument is detachably coupled to the teleoperated actuators so that the surgical instrument can be separately sterilized and selected for use as needed instrument for the surgical procedure to be performed.
  • the surgical instrument may be changed during the course of a surgery.
  • a teleoperated surgical system has an instrument manipulator that
  • Each carriage driver includes a first engagement feature.
  • a surgical instrument includes two instrument drivers that each receive the rotary motion from one of the two carriage drivers. Each instrument driver includes a second engagement feature that engages the first engagement feature to positively couple the carriage driver to the instrument driver. The instrument drivers are rotationally coupled together.
  • a manipulator controller controls rotation of the two carriage drivers and imparts a motion to the second carriage driver that is contrary to the rotation of the first carriage driver until the first engagement features positively engage the second engagement features.
  • the surgical instrument may include an instrument shaft that can rotate indefinitely. The instrument drivers may be rotationally coupled to the instrument shaft.
  • FIG. 2 is a side view of a surgical instrument for use with a teleoperated actuator.
  • object generally refers to a component or group of components.
  • control system portion includes one or more manually- operated input devices, such as a joystick, exoskeletal glove, a powered and gravity-compensated manipulator, or the like. These input devices control teleoperated motors which, in turn, control the movement of the surgical instrument.
  • manually- operated input devices such as a joystick, exoskeletal glove, a powered and gravity-compensated manipulator, or the like.
  • a sterile component such as an instrument sterile adapter (ISA) is placed between the surgical instrument 120 and the teleoperated surgical instrument manipulator 130.
  • ISA instrument sterile adapter
  • the placement of the instrument drivers is not limited to the configuration illustrated in FIG. 6.
  • Two or more of the instrument drivers may be rotationally coupled so that two or more motors may be used to drive a single function of the surgical instrument.
  • rotation of either instrument driver can cause the other instrument drivers to rotate.
  • first instrument driver gear 71 OA and the second instrument driver gear 71 OB each engage the instrument shaft gear 720.
  • rotating either of the first instrument driver 61 OA or the second instrument driver 61 OB will rotate the instrument shaft gear and the coupled elongate tube 21 0 seen in FIG. 1.
  • both the first instrument driver 61 OA and the second instrument driver 61 OB can be rotated cooperatively to apply a greater rotational force to the elongate tube 210.
  • the first instrument driver 61 OA and the second instrument driver 61 OB rotate in one direction while the instrument shaft 620 rotates in the opposite direction.
  • the instrument shaft 620 will rotate counter-clockwise.
  • the first instrument driver 61 OA and the second instrument driver 61 OB may be rotationally coupled to rotate in opposite directions and/or with rotational speed ratios other than 1 :1 .
  • FIG. 8 The cross-sectional views show portions of the surgical instrument 1 20, the ISA 300, and the carriage 310 to illustrate the process of positively engaging the ISA couplers 330 with the corresponding instrument drivers 610
  • the frictional engagement between the instrument drivers and the ISA couplers may be such that both the first and second situations occur alternately before positive engagement of one of the instrument drivers with its corresponding ISA coupler occurs.
  • both instrument drivers 610 Upon positive engagement of the oppositely rotating instrument driver 61 0 with the corresponding ISA coupler 330, both instrument drivers 610 will now rotate in the opposite direction against the frictional force between the unengaged rotating ISA coupler and its corresponding instrument driver.
  • the unengaged ISA coupler 330 which is now rotating in the opposite direction from the instrument drivers 610, will eventually engage the unengaged instrument driver.
  • both instrument drivers 61 0 will be positively engaged with their corresponding ISA couplers.
  • Rotating the ISA couplers 330 in opposite directions ensures that the instrument drivers 610 will successfully engage with the corresponding ISA coupler 330.
  • the positive engagement of both instrument drivers 61 0 with their corresponding ISA couplers 330 is detected.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Manipulator (AREA)
  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • Polymers & Plastics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Materials For Medical Uses (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Computer Hardware Design (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Endoscopes (AREA)
  • Mechanical Engineering (AREA)
PCT/US2015/020880 2014-03-17 2015-03-17 Method for engaging surgical instrument with teleoperated actuator Ceased WO2015142788A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
KR1020167025787A KR102377893B1 (ko) 2014-03-17 2015-03-17 수술 기기를 원격조작 액추에이터와 결합시키는 방법
JP2016557618A JP6554478B2 (ja) 2014-03-17 2015-03-17 手術器具を遠隔操作アクチュエータと係合させる方法
US15/121,718 US10543051B2 (en) 2014-03-17 2015-03-17 Method for engaging surgical instrument with teleoperated actuator
EP15764881.7A EP3119327B1 (en) 2014-03-17 2015-03-17 System and method for engaging surgical instrument with teleoperated actuator
CN201580013607.6A CN106102640B (zh) 2014-03-17 2015-03-17 用于使外科器械与远程操作致动器接合的方法

Applications Claiming Priority (16)

Application Number Priority Date Filing Date Title
US201461954571P 2014-03-17 2014-03-17
US201461954502P 2014-03-17 2014-03-17
US201461954557P 2014-03-17 2014-03-17
US201461954497P 2014-03-17 2014-03-17
US201461954595P 2014-03-17 2014-03-17
US61/954,595 2014-03-17
US61/954,571 2014-03-17
US61/954,502 2014-03-17
US61/954,497 2014-03-17
US61/954,557 2014-03-17
US201462019318P 2014-06-30 2014-06-30
US62/019,318 2014-06-30
US201562103991P 2015-01-15 2015-01-15
US62/103,991 2015-01-15
US201562104306P 2015-01-16 2015-01-16
US62/104,306 2015-01-16

Publications (1)

Publication Number Publication Date
WO2015142788A1 true WO2015142788A1 (en) 2015-09-24

Family

ID=54067678

Family Applications (8)

Application Number Title Priority Date Filing Date
PCT/US2015/020880 Ceased WO2015142788A1 (en) 2014-03-17 2015-03-17 Method for engaging surgical instrument with teleoperated actuator
PCT/US2015/020876 Ceased WO2015142785A1 (en) 2014-03-17 2015-03-17 Latch to secure surgical instrument to actuator
PCT/US2015/020886 Ceased WO2015142793A1 (en) 2014-03-17 2015-03-17 Sterile barrier between surgical instrument and teleoperated actuator
PCT/US2015/020882 Ceased WO2015142789A1 (en) 2014-03-17 2015-03-17 Alignment and engagement for teleoperated actuated surgical instruments
PCT/US2015/021020 Ceased WO2015142889A1 (en) 2014-03-17 2015-03-17 Detection pins to determine presence of surgical instrument and adapter on manipulator
PCT/US2015/020888 Ceased WO2015142795A1 (en) 2014-03-17 2015-03-17 Signal connector for sterile barrier between surgical instrument and teleoperated actuator
PCT/US2015/020885 Ceased WO2015142792A1 (en) 2014-03-17 2015-03-17 Mounting datum of surgical instrument
PCT/US2015/020884 Ceased WO2015142791A1 (en) 2014-03-17 2015-03-17 Coupler to transfer motion to surgical instrument from servo actuator

Family Applications After (7)

Application Number Title Priority Date Filing Date
PCT/US2015/020876 Ceased WO2015142785A1 (en) 2014-03-17 2015-03-17 Latch to secure surgical instrument to actuator
PCT/US2015/020886 Ceased WO2015142793A1 (en) 2014-03-17 2015-03-17 Sterile barrier between surgical instrument and teleoperated actuator
PCT/US2015/020882 Ceased WO2015142789A1 (en) 2014-03-17 2015-03-17 Alignment and engagement for teleoperated actuated surgical instruments
PCT/US2015/021020 Ceased WO2015142889A1 (en) 2014-03-17 2015-03-17 Detection pins to determine presence of surgical instrument and adapter on manipulator
PCT/US2015/020888 Ceased WO2015142795A1 (en) 2014-03-17 2015-03-17 Signal connector for sterile barrier between surgical instrument and teleoperated actuator
PCT/US2015/020885 Ceased WO2015142792A1 (en) 2014-03-17 2015-03-17 Mounting datum of surgical instrument
PCT/US2015/020884 Ceased WO2015142791A1 (en) 2014-03-17 2015-03-17 Coupler to transfer motion to surgical instrument from servo actuator

Country Status (7)

Country Link
US (29) US10912616B2 (enExample)
EP (18) EP3119344B1 (enExample)
JP (17) JP6620109B2 (enExample)
KR (12) KR102443416B1 (enExample)
CN (15) CN106132342B (enExample)
ES (2) ES3035773T3 (enExample)
WO (8) WO2015142788A1 (enExample)

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