Port control

Patent metadata

Field	Value
Publication number	US-10426558-B2
Application number	US-201615355850-A
Country	US
Kind code	B2
Filing date	Nov 18, 2016
Priority date	Nov 24, 2015
Publication date	Oct 1, 2019
Grant date	Oct 1, 2019

Abstract

A locator of a surgical port of a surgical robot system, the surgical robot system comprising an instrument attached to a robot arm, the instrument having an instrument shaft able to pass through the surgical port to a surgical site, the locator comprising: an interface configured to couple to the surgical port; a mechanism configured to permit relative linear and/or rotational motion of the interface and the instrument shaft; and a controller comprising a processor operable to estimate the position of a part of the robot arm, the controller configured to control the mechanism in dependence on the estimated position of the part of the robot arm such that as the robot arm retracts the instrument from the patient, the locator moves the port away from the robot arm and provides a reaction force to keep the port in place.

First claim

The invention claimed is:

1. A port locator of a surgical port of a surgical robot system, where the surgical robot system includes an instrument attached to a robot arm, the instrument having an instrument shaft configured to pass through the surgical port to a surgical site, the port locator comprising:
an interface configured to couple to the surgical port;
a mechanism coupled to the interface and configured to apply a force to the interface as the interface moves relative to the instrument shaft at the surgical site; and
a controller including a processor configured to estimate the position of a part of the robot arm, the controller configured to control the mechanism in dependence on the estimated position of the part of the robot arm such that as the robot arm moves the instrument, the mechanism provides a force to keep the port in place at the surgical site.

2. A port locator as claimed in claim 1 , further comprising a surgical port attached to the interface.

3. A surgical robot comprising: a robot arm and a port locator coupled to the robot arm;
wherein the port locator includes:
an interface configured to couple to a surgical port;
a mechanism coupled to the interface and configured to apply a force to the interface as the interface moves relative to the instrument shaft at the surgical site; and
a controller including a processor configured to estimate the position of a part of the robot arm, the controller configured to control the mechanism in dependence on the estimated position of the part of the robot arm such that as the robot arm moves the instrument, the mechanism provides a force to keep the port in place at the surgical site.

4. A surgical robot as claimed in claim 3 comprising the instrument attached to the robot arm, wherein a portion of the instrument is arranged to pass through the surgical port.

5. A surgical robot as claimed in claim 4 , wherein the instrument is substantially unsupported by the port locator.

6. A surgical robot as claimed in claim 3 comprising the instrument with the instrument shaft, wherein the port locator is coupled to the robot arm by being coupled to the instrument shaft.

7. A port locator as claimed in claim 1 , wherein:
the port locator comprises a base configured to attach to a portion of a patient support;
the mechanism is a support mechanism linking the base and the interface, the support mechanism permitting at least one of translational and rotational movement of the interface relative to the base; and
the controller is configured to control at least one of the position and orientation of the interface relative to the base in dependence on the position of the robot arm.

8. A port locator as claimed in claim 7 , wherein the support mechanism comprises a lock having:
a locked configuration configured to at least partially restrict movement of the support mechanism, and
an unlocked configuration configured to at least partially permit movement of the support mechanism.

9. A port locator as claimed in claim 7 , wherein the support mechanism comprises at least one of an articulated support arm and a belt.

10. A port locator as claimed in claim 7 , wherein the support mechanism comprises a rotational mechanism permitting rotation of the interface relative to the base.

11. A port locator as claimed in claim 7 , wherein the support mechanism comprises a support mechanism driver configured to alter the configuration of the support mechanism by altering at least one of the translational configuration of the interface relative to the base and the rotational configuration of the interface relative to the base.

12. A port locator as claimed in claim 7 , wherein the support mechanism is arranged to permit motion of the interface in a direction perpendicular to that of a direction of insertion or removal of the instrument shaft through the surgical port.

13. A port locator as claimed 1 , further comprising a seat configured to attach to the robot arm;
wherein the mechanism links the seat and the interface and permits linear relative motion of the seat and the interface;
wherein the controller is configured to control the position of the seat relative to the interface in dependence on the position of the robot arm; and
wherein the mechanism includes one of a single member permitting the linear relative motion and an articulated mechanism.

14. A port locator as claimed in claim 13 , wherein the single member is an extensible member.

15. A port locator as claimed in claim 14 , comprising an extensible member driver configured to alter the configuration of the extensible member.

16. A port locator as claimed in claim 13 , wherein the articulated mechanism comprises a plurality of joints between the seat and the interface.

17. A port locator as claimed in claim 13 , comprising an articulated mechanism driver configured to apply a force between the seat and the interface to alter the configuration of the articulated mechanism.

18. A port locator as claimed in claim 14 , wherein the extensible member includes:
an inlet port configured to allow fluid into an interior of the extensible member, and the extensible member is arranged to extend in response to the inlet of fluid into the interior; and
an outlet fluid path configured to allow fluid to escape from the interior of the extensible member, the outlet fluid path being provided through at least one of the inlet port and an outlet port.

19. A port locator as claimed in claim 1 , wherein:
the mechanism is an engaging mechanism configured to engage with the instrument shaft of the robot arm to permit linear relative motion of the interface and the robot arm; and
the controller is configured to control the position of the interface relative to the robot arm in dependence on the position of the robot arm.

20. A port locator as claimed in claim 19 , wherein the engaging mechanism comprises a frictional coating configured to frictionally engage with the instrument shaft.

Assignees

• Cmr Surgical Ltd
• Cambridge Medical Robotics Ltd

Inventors

• Scholan Andrew Murray
• Chaplin Ben Robert
• Marshall Keith
• Hares Luke David Ronald
• Phoolchund Nikki Priyam Su-Ling
• Jackson Thomas Bates

Classifications

• A61B2034/302

  specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities · CPC title

• A61B34/30 Primary

  Surgical robots · CPC title

• A61B90/50

  Supports for surgical instruments, e.g. articulated arms · CPC title

• A61B2090/061

  for measuring dimensions, e.g. length · CPC title

• A61B17/3423

  Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247) · CPC title