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公开(公告)号:US10709516B2
公开(公告)日:2020-07-14
申请号:US15943226
申请日:2018-04-02
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Giuseppe Maria Prisco , Samuel Kwok Wai Au
IPC: A61B34/37 , A61B17/02 , A61B17/34 , A61M25/00 , A61M25/01 , A61B34/30 , A61B34/00 , A61B90/92 , A61B34/10 , A61B90/00 , A61B17/29 , A61B17/00 , A61B17/04 , A61B90/50 , A61B90/90 , A61B34/20 , A61B1/00 , A61B1/313
Abstract: A robotic system includes a master device and a slave manipulator configured to support an instrument. The instrument includes an instrument shaft having a proximal end and a distal end, and an end effector coupled to the distal end. The instrument shaft is optionally configured to be inserted into an inserted position through a port so as to provide the end effector with access to a site. A control system is operably coupled to the master device and to the slave manipulator. In response to input at the master device, the control system controls the slave manipulator to move the instrument based on modeling the end effector as being positioned along a line coincident with a longitudinal axis of the distal end of the instrument shaft. The line does not intersect the port when the instrument shaft is in the inserted position through the port. Methods relate to robotic systems.
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公开(公告)号:US20200146757A1
公开(公告)日:2020-05-14
申请号:US16735396
申请日:2020-01-06
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Carolyn M. Fenech , Vincent Duindam , Giuseppe Maria Prisco
Abstract: A medical system may comprise a catheter that includes an elongate body and a main lumen extending longitudinally through the elongate body. The medical system may also comprise a vision probe that includes a tube extendable through the main lumen of the catheter and comprising a flexible body having an outermost wall and an innermost wall, the innermost wall defining a central lumen. The flexible body contains a plurality of channels formed within the flexible body of the tube and separated from the central lumen by the innermost wall. The plurality of channels includes oblong channels for irrigation and suction and auxiliary channels. The oblong channels have concentric arc shaped surfaces forming an arcuate channel cross-section. The auxiliary channels have a different shape than the one or more oblong channels. The vision probe also includes an imaging system and illumination fibers running through respective auxiliary channels in the tube.
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公开(公告)号:US10524641B2
公开(公告)日:2020-01-07
申请号:US15074663
申请日:2016-03-18
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Giuseppe Maria Prisco
IPC: A61B1/00 , A61B1/04 , A61B1/005 , A61B6/12 , A61B5/06 , A61B34/20 , A61B1/05 , A61B17/00 , A61B34/10 , A61B34/00 , A61B90/00 , A61B34/30
Abstract: Navigation guidance is provided to an operator of an endoscope by determining a current position and shape of the endoscope relative to a reference frame, generating an endoscope computer model according to the determined position and shape, and displaying the endoscope computer model along with a patient computer model referenced to the reference frame so as to be viewable by the operator while steering the endoscope within the patient.
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公开(公告)号:US20180153578A1
公开(公告)日:2018-06-07
申请号:US15866158
申请日:2018-01-09
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Thomas G. Cooper , Anthony K. McGrogan , Paul E. Lilagan , Daniel H. Gomez , Giuseppe Maria Prisco
CPC classification number: A61B17/3421 , A61B1/00064 , A61B17/3474 , A61B34/30 , A61B90/11 , A61B2017/00278 , A61B2017/003 , A61B2017/00309 , A61B2017/00323 , A61B2017/00362 , A61B2017/3445 , A61B2017/3466
Abstract: A surgical access port comprises an instrument guide. The instrument guide comprises a proximal end, a distal end, a plurality of instrument guide channels between the proximal and distal ends of the instrument guide, and an outside surface that fits closely to an inner wall surface of a cannula into which the instrument guide is inserted. A first guide channel of the plurality of instrument guide channels is configured to support a first surgical instrument at a first defined position within the cannula. A second guide channel of the plurality of instrument guide channels is configured to support a second surgical instrument at a second defined position within the cannula. A first guide channel opening is defined along a length of the first guide channel to be open to the outside surface of the instrument guide and to place a portion of the first surgical instrument supported by the first guide channel of the instrument guide adjacent the inner wall surface of the cannula.
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45.
公开(公告)号:US20180014895A1
公开(公告)日:2018-01-18
申请号:US15719275
申请日:2017-09-28
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Tao Zhao , Giuseppe Maria Prisco , John R. Steger , David Q. Larkin
IPC: B25J9/16
CPC classification number: A61B34/30 , A61B34/37 , A61B90/361 , A61B2034/2065 , B25J9/1689 , B25J9/1697
Abstract: A robotic system includes a camera having an image frame whose position and orientation relative to a fixed frame is determinable through one or more image frame transforms, a tool disposed within a field of view of the camera and having a tool frame whose position and orientation relative to the fixed frame is determinable through one or more tool frame transforms, and at least one processor programmed to identify pose indicating points of the tool from one or more camera captured images, determine an estimated transform for an unknown one of the image and tool frame transforms using the identified pose indicating points and known ones of the image and tool frame transforms, update a master-to-tool transform using the estimated and known ones of the image and tool frame transforms, and command movement of the tool in response to movement of a master using the updated master-to-tool transform.
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46.
公开(公告)号:US20170156806A1
公开(公告)日:2017-06-08
申请号:US15431752
申请日:2017-02-13
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Giuseppe Maria Prisco , David J. Rosa
CPC classification number: A61B34/37 , A61B1/00193 , A61B17/00234 , A61B34/30 , A61B34/35 , A61B34/70 , A61B34/74 , A61B34/76 , A61B90/361 , A61B2017/00115 , A61B2017/00119 , A61B2017/00123 , A61B2034/301 , A61B2034/305 , A61B2034/741 , A61B2034/742 , A61B2034/744 , A61B2090/065 , B25J3/04 , B25J9/1674 , B25J9/1689
Abstract: A medical robotic system has a robotic arm holding a medical device, and a control system for controlling movement of the arm according to operator manipulation of an input device. If the medical device is being commanded to a state exceeding a limitation by a threshold amount, then the control system disengages control of the medical device by the input device, servos the arm so that it remains in its current state, servos the input device so that it is set at a position such that a force being applied on the input device remains at its current level, requests the operator to lighten hold of the input device, sets a parameter associated with the input device upon detecting such lightened hold so that the medical device is commanded to a different state that does not exceed the limitation, and reengages control of the medical device by the input device.
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47.
公开(公告)号:US20170112366A1
公开(公告)日:2017-04-27
申请号:US15397158
申请日:2017-01-03
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Vincent Duindam , Giuseppe Maria Prisco
CPC classification number: A61B1/00147 , A61B1/0051 , A61B1/01 , A61B5/065
Abstract: A controller operates in different operating modes to control movement of a distal tip of a medical instrument when inserting and retracting the medical instrument through linked body passages. When inserting the medical instrument, the controller normally operates in an automatic navigation mode unless manually overridden to operate in a manual mode. When retracting the medical instrument, the controller normally operates in a zero-force mode to allow the distal tip to freely move so that it may comply with the shape of the passages as the medical instrument is being retracted through the linked body unless manually overridden to operate in a manual mode.
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公开(公告)号:US20160302873A1
公开(公告)日:2016-10-20
申请号:US15193524
申请日:2016-06-27
Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
Inventor: Caitlin Q. Donhowe , Vincent Duindam , Giuseppe Maria Prisco
CPC classification number: A61B34/20 , A61B5/062 , A61B34/10 , A61B2034/2051 , A61B2034/2061 , A61B2034/302 , A61M25/0127 , A61M25/0147
Abstract: A medical system comprises a catheter having a first section, a second section and a main lumen extending through the first and second sections. The system also includes an imaging probe sized to extend through the main lumen of the catheter. The system also includes a first electromagnetic sensor extending along a longitudinal sensor axis at a proximal end of the first section and a second electromagnetic sensor extending along the longitudinal sensor axis at a distal end of the first section. The first section between the proximal and distal ends flexibly couples the first and second electromagnetic sensors so that the first electromagnetic sensor is movable with respect to the second electromagnetic sensor. The system also includes a third electromagnetic sensor positioned on the imaging probe and a fiber shape sensor system that extends through the first section between the proximal and distal ends and along the first electromagnetic sensor and the second electromagnetic sensor.
Abstract translation: 医疗系统包括具有延伸穿过第一和第二部分的第一部分,第二部分和主管腔的导管。 该系统还包括尺寸适于延伸穿过导管的主腔的成像探针。 该系统还包括沿着第一部分的近端处的纵向传感器轴线延伸的第一电磁传感器和在第一部分的远端沿着纵向传感器轴线延伸的第二电磁传感器。 近端和远端之间的第一部分柔性地联接第一和第二电磁传感器,使得第一电磁传感器可相对于第二电磁传感器移动。 该系统还包括位于成像探针上的第三电磁传感器和在近端和远端之间以及沿第一电磁传感器和第二电磁传感器延伸穿过第一部分的纤维形状传感器系统。
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49.
公开(公告)号:US20160140875A1
公开(公告)日:2016-05-19
申请号:US15006555
申请日:2016-01-26
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Rajesh Kumar , Brian David Hoffman , Giuseppe Maria Prisco , David Q. Larkin , William C. Nowlin , Frederic H. Moll , Stephen J. Blumenkranz , Gunter D. Niemeyer , J. Kenneth Salisbury, JR. , Yulun Wang , Modjtaba Ghodoussi , Darrin R. Uecker , James W. Wright , Amante A. Mangaser , Ranjan Mauherjee
IPC: G09B23/28
CPC classification number: G09B23/28 , A61B1/00193 , A61B34/30 , A61B34/37 , A61B34/70 , A61B90/361 , A61B90/37 , A61B2017/00017 , Y10S901/16
Abstract: A multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures includes first and second master input devices, a first slave robotic mechanism, and at least one processor configured to generate a first slave command for the first slave robotic mechanism by switchably using one or both of a first command indicative of manipulation of the first master input device by a first user and a second command indicative of manipulation of the second master input device by a second user. To facilitate the collaboration or training, both first and second users communicate with each other through an audio system and see the minimally invasive surgery site on first and second displays respectively viewable by the first and second users.
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50.
公开(公告)号:US20160051332A1
公开(公告)日:2016-02-25
申请号:US14932117
申请日:2015-11-04
Applicant: Intuitive Surgical Operations, Inc.
Inventor: Giuseppe Maria Prisco , David Q. Larkin , William C. Nowlin
CPC classification number: A61B34/30 , A61B34/32 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/75 , A61B90/361 , B25J9/1638 , B25J9/1641 , B25J9/1689 , G05B2219/41213 , G05B2219/41426 , Y10S901/02 , Y10S901/15 , Y10S901/28 , Y10S901/30
Abstract: A robotic control system is placed in clutch mode so that a slave manipulator holding a surgical instrument is temporarily disengaged from control by a master manipulator in order to allow manual positioning of the surgical instrument at a surgical site within a patient. Control systems implemented in a processor compensate for internally generated frictional and inertial resistance experienced during the positioning, thereby making movement more comfortable to the mover, and stabler from a control standpoint. Each control system drives a joint motor in the slave manipulator with a saturated torque command signal which has been generated to compensate for non-linear viscous forces, coulomb friction, cogging effects, and inertia forces subjected to the joint, using estimated joint angular velocities, accelerations and externally applied torques generated by an observer in the control system from sampled displacement measurements received from a sensor associated with the joint.
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