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公开(公告)号:US20220354603A1
公开(公告)日:2022-11-10
申请号:US17861530
申请日:2022-07-11
Inventor: Christopher J. Hasser , Russell H. Taylor , Joshua Leven , Michael Choti
Abstract: A LUS robotic surgical system is trainable by a surgeon to automatically move a LUS probe in a desired fashion upon command so that the surgeon does not have to do so manually during a minimally invasive surgical procedure. A sequence of 2D ultrasound image slices captured by the LUS probe according to stored instructions are processable into a 3D ultrasound computer model of an anatomic structure, which may be displayed as a 3D or 2D overlay to a camera view or in a PIP as selected by the surgeon or programmed to assist the surgeon in inspecting an anatomic structure for abnormalities. Virtual fixtures are definable so as to assist the surgeon in accurately guiding a tool to a target on the displayed ultrasound image.
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公开(公告)号:US20220354600A1
公开(公告)日:2022-11-10
申请号:US17835631
申请日:2022-06-08
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Marc E. Tognaccini , Daniel H. Gomez , Nicola Diolaiti , Tabish Mustufa , Probal Mitra , Paul E. Lilagan
Abstract: A medical system comprises an entry guide, a display, and a processor. The processor may be configured to receive state information for an articulatable image capture device controllably extendable out of a distal end of the entry guide. The processor may be configured to generate a view including a graphical representation of a distal end portion of the articulatable image capture device as determined from the received state information and a graphical representation of a field of view of the articulatable image capture device extending distally from the distal end portion of the articulatable image capture device. The processor may also cause the view to be displayed on the display.
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公开(公告)号:US20220354474A1
公开(公告)日:2022-11-10
申请号:US17869045
申请日:2022-07-20
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Harsukhdeep RATIA , Alain SADAKA , Zhou YE
Abstract: A low-friction medical device includes a first link, a second link, and a tension member. The first link is coupled to an instrument shaft and a first guide path is defined in the first link. The second link is rotatable relative to the first link through an angular range. A distal end portion of the second link is rotatably coupled to a tool member. A curved guide path is defined within the second link between the tool member and the first guide path. A curved guide surface of the second link defines a portion of the second guide path. A first portion of the tension member is parallel to a centerline of the first guide path, and a second portion is coupled to the tool member. A third portion of the tension member between the first and second portions is in contact with the curved guide surface throughout a portion of the angular range.
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公开(公告)号:US20220346886A1
公开(公告)日:2022-11-03
申请号:US17851270
申请日:2022-06-28
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Timothy D. Soper , Federico Barbagli , Caitlin Q. Donhowe , Vincent Duindam , Michael D. Paris , Oliver Wagner , Tao Zhao
Abstract: A computer-assisted medical system comprises a fluoroscopic imager having a full scan range in a surgical coordinate space. The system further comprises one or more processors configured to perform a method. The method includes receiving a first fluoroscopic image data set of a patient anatomy. The first fluoroscopic image data set is obtained from the full scan range of the fluoroscopic imager. The method further includes receiving at least one additional fluoroscopic image data set of the patient anatomy from the fluoroscopic imager operating in a constrained range substantially smaller than the full scan range. The method further includes constructing a first planar tomographic image from the first and at least one additional fluoroscopic image data sets.
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公开(公告)号:US20220346790A1
公开(公告)日:2022-11-03
申请号:US17764918
申请日:2020-10-07
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Ashley Wellman
IPC: A61B17/072 , A61B34/30
Abstract: A surgical instrument, such as a tissue sealing instrument, is provided with an end effector having first and second movable jaws that define a gap therebetween in the closed position for clamping, sealing and/or stapling tissue. The jaws are movable relative to each other in the closed position to reduce a thickness of least one portion of this gap. This configuration allows the jaws to be moved closer together to reduce the overall size of the instrument when, for example, the instrument is introduced and retracted through an opening in the patient, or maneuvered within a body cavity. The surgical instrument may also have multiple settings for use with different staple cartridges, while still maintaining a fixed dimension between the two jaws for clamping, stapling and/or sealing tissue, providing a more adaptable surgical instrument that allows the surgeon to use different staple cartridges without having to change surgical instruments.
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公开(公告)号:US11484376B2
公开(公告)日:2022-11-01
申请号:US17178873
申请日:2021-02-18
Applicant: Intuitive Surgical Operations, inc.
Inventor: Thomas Grosvenor Cooper , David Quentin Larkin , David Joseph Rosa
Abstract: A robotic surgical system comprises an instrument chassis assembly including an elongated member extending along a chassis axis, a proximal mounting section, a distal mounting section, and an instrument interface coupled to the proximal mounting section. The robotic surgical system further comprises an actuation system coupled to the proximal mounting section. The robotic surgical system further comprises a linkage system operably coupled between the actuation system and the distal mounting section. The linkage system includes an instrument guide. The robotic surgical system further comprises a surgical instrument including a proximal portion coupled with the instrument interface and a distal portion coupled with the instrument guide. The surgical instrument is pivotable via the instrument guide relative to the chassis axis.
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公开(公告)号:US20220338901A1
公开(公告)日:2022-10-27
申请号:US17764902
申请日:2020-09-30
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Jeffrey R. Roeder , Erasmo A. Lopez Calleros
IPC: A61B17/34
Abstract: Disclosed are medical devices for surgical procedures, especially procedures that involve the manipulation of surgical instrument end effectors close to the skin surface at an incision site. In accordance with some embodiments, an instrument access device is configured to couple to a wound retractor at a distal end of the device and to receive a multiple instrument entry guide in a port at the proximal end of the instrument access device, with an envelope between the distal and proximal ends defining a sealed cavity for maintaining insufflation pressure. Various embodiments provide means for rotating an assistant port in the envelope about a port that receives the instrument entry guide without twisting the envelope. Also disclosed are various envelope shapes. Also disclosed is an instrument entry guide that aligns surgical instrument shafts.
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公开(公告)号:US11478308B2
公开(公告)日:2022-10-25
申请号:US16910818
申请日:2020-06-24
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Brian D. Hoffman , David Q. Larkin , Giuseppe Maria Prisco , Guanghua G. Zhang , Rajesh Kumar
IPC: A61B34/20 , A61B5/06 , A61B1/00 , A61B1/04 , A61B1/313 , A61B34/30 , A61B34/37 , A61B90/00 , A61B34/10 , A61B5/00
Abstract: Methods and system perform tool tracking during minimally invasive robotic surgery. Tool states are determined. using triangulation techniques or a Bayesian filter from either or both non-endoscopically derived and endoscopically derived tool state information, or from either or both non-visually derived and visually derived tool state information. The non-endoscopically derived tool state information is derived from sensor data provided either by sensors associated with a mechanism for manipulating the tool, or sensors capable of detecting identifiable signals emanating or reflecting from the tool and indicative of its position, of external cameras viewing an end of the tool extending out of the body. The endoscopically derived tool state information is derived from image data provided by an endoscope inserted in the body so as to view the tool.
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公开(公告)号:US20220330967A1
公开(公告)日:2022-10-20
申请号:US17856189
申请日:2022-07-01
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Jason DEARDEN , Clayton GRAMES , Larry L. HOWELL , Brian D. JENSEN , Spencer P. MAGLEBY
Abstract: The embodiments described herein can be used in a variety of grasping, cutting, and manipulating operations. In some embodiments, an apparatus includes a first joint member, a second joint member, and a flexure. The first joint member includes a first connection portion and a contact surface. The second joint member including a second connection portion. A first end portion of the flexure is coupled to the first connection portion, and a second end portion of the flexure is coupled to the second connection portion. The flexure is configured to deform elastically when the first joint member and the second joint member move from a first configuration to a second configuration. When in the first configuration, the central portion of the flexure is spaced apart from the contact portion. When in the second configuration, the central portion of the flexure contacting the contact portion.
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公开(公告)号:US20220313379A1
公开(公告)日:2022-10-06
申请号:US17833667
申请日:2022-06-06
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Anthony M. JARC
Abstract: A mechanically ungrounded master control device comprises a rigid chassis for engagement with one or more fingers of a user's hand and at least one pivotable finger engagement device for controlling movement of a tool end effector. The control device also includes at least one sensor for detecting a position and orientation of the rigid chassis in a surgical environment and a switch coupled to the rigid chassis and manipulatable by a finger of the user's hand while another finger of the user's hand is engaged with the at least one pivotable finger engagement device.
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