Single-port surgical procedure using image guided articulated robot

Patent metadata

Field	Value
Publication number	US-11259876-B2
Application number	US-201615762365-A
Country	US
Kind code	B2
Filing date	Sep 16, 2016
Priority date	Sep 28, 2015
Publication date	Mar 1, 2022
Grant date	Mar 1, 2022

Abstract

A robotic surgical system employing a treatment catheter ( 30 ) (e.g., a thermoablation catheter or a cyroablation catheter), and an articulated robot ( 40 ) including a the linkages for navigating the treatment catheter ( 30 ) within an anatomical region. The robotic surgical system further employs a robot controller ( 41 ) for controlling a navigation by the articulated robot ( 40 ) of the treatment catheter ( 30 ) along a intraoperative treatment path within the anatomical region relative to the anatomical structure derived from a planned treatment path within the anatomical region relative to the anatomical structure based on a registration between the articulated robot ( 40 ) and a preoperative image ( 21 a ) illustrative of the planned treatment path within the anatomical region relative to the anatomical structure.

First claim

The invention claimed is:

1. A robotic surgical system for executing a procedural treatment of an anatomical structure within an anatomical region, the robotic surgical system comprising:
a treatment catheter;
an articulated robot comprising a plurality of linkages and at least one joint interconnecting the plurality of linkages, wherein at least one of the plurality of linkages and the at least one joint are adapted to be inserted within the anatomical structure, and to navigate the treatment catheter within the anatomical region; and
a robot controller in communication with the at least one joint and adapted to control a navigation by the articulated robot of the treatment catheter along an intraoperative treatment path within the anatomical region relative to the anatomical structure derived from a planned treatment path within the anatomical region relative to the anatomical structure based on a registration between an intraoperative image illustrative of the articulated robot within the anatomical region relative to the anatomical structure and a preoperative image illustrative of the planned treatment path within the anatomical region relative to the anatomical structure.

2. The robotic surgical system of claim 1 ,
wherein the treatment catheter is one of a thermoablation catheter and a cyroablation catheter.

3. The robotic surgical system of claim 1 , further comprising:
a camera catheter,
wherein the articulated robot is adapted to simultaneously navigate the treatment catheter and the camera catheter within the anatomical structure, and
wherein the robot controller is adapted in communication with the at least one joint to control a simultaneous navigation by the articulated robot of the treatment catheter and the camera catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure.

4. The robotic surgical system of claim 1 , further comprising:
a camera catheter,
wherein the articulated robot is adapted to alternatively navigate the treatment catheter and the camera catheter within the anatomical region, and
wherein the robot controller is adapted in communication with the at least one joint to control an alternative navigation by the articulated robot of the treatment catheter and the camera catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure.

5. The robotic surgical system of claim 1 ,
wherein the at least one of the plurality of linkages comprises a proximal linkage and a distal linkage.

6. The robotic surgical system of claim 5 ,
wherein the at least one of the plurality of linkages further comprises at least one intermediate linkage between the proximal linkage and the distal linkage.

7. The robotic surgical system of claim 5 ,
wherein the at least one joint is adapted to generate pose data informative of a pose of the distal linkage relative to the proximal linkage; and
wherein the robot controller is adapted, responsive to a generation of the pose data by the at least one joint, to control the navigation by the articulated robot of the treatment catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure.

8. The robotic surgical system of claim 5 ,
wherein the articulated robot further comprises a pivot base connected to the proximal linkage.

9. The robotic surgical system of claim 8 ,
wherein the at least one joint is adapted to generate pose data informative of a pose of the distal linkage of the articulated robot relative to the pivot base; and
wherein the robot controller is adapted, responsive to a generation of the pose data by the at least one joint, to control the navigation by the articulated robot of the treatment catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure.

10. The robotic surgical system of claim 8 ,
wherein the at least one joint and the pivot base are adapted to generate pose data informative of a pose of the distal linkage relative to the proximal linkage; and
wherein the robot controller is adapted, responsive to a generation of the pose data by the at least one joint and the pivot base, to control the navigation by the articulated robot of the treatment catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure.

11. The robotic surgical system of claim 8 ,
wherein the at least one joint and the pivot base are adapted to generate pose data informative of a pose of a distal linkage relative to the pivot base; and
wherein the robot controller is adapted, responsive to a generation of the pose data by the at least one joint and the pivot base, to control the navigation by the articulated robot of the treatment catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure.

12. The robotic surgical system of claim 1 , further comprising:
a path planning control module adapted, responsive to a reception of the preoperative image, to control a delineation within the preoperative image of the planned treatment path relative to the anatomical structure.

13. The robotic surgical system of claim 1 , further comprising:
a registration control module adapted, responsive to a reception of the preoperative image and a reception of the intraoperative image registered to the articulated robot, to control an image registration between the preoperative image and the intraoperative image based on a delineation of the anatomical structure as illustrated within the preoperative image and the intraoperative image.

14. The robotic surgical system of claim 1 , further comprising:
a transformation control module adapted, responsive to an image registration between the preoperative image and the intraoperative image, to control a transformation of the planned treatment path relative to the anatomical structure as illustrated within the preoperative image into the intraoperative treatment path within the anatomical region relative to the anatomical structure.

15. The robotic surgical system of claim 1 , further comprising:
an image feedback control module adapted, responsive to a control by the robot controller of the navigation by the articulated robot of the treatment catheter along the intraoperative treatment path within the anatomical region relative to the anatomical structure, to control a display within the preoperative image of a virtual navigation by the articulated robot of the treatment catheter along the planned treatment path within the anatomical region relative to the anatomical structure.

Assignees

• Koninklijke Philips Nv

Inventors

• Popovic Aleksandra
• Noonan David Paul

Classifications

• A61B34/32 Primary

  operating autonomously · CPC title

• A61B2018/00577

  Ablation · CPC title

• A61B18/02

  by cooling, e.g. cryogenic techniques · CPC title

• A61B6/12

  Arrangements for detecting or locating foreign bodies · CPC title

• A61B2034/301

  for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes · CPC title