Surgical system instrument mounting

Patent metadata

Field	Value
Publication number	US-12127807-B2
Application number	US-202217837422-A
Country	US
Kind code	B2
Filing date	Jun 10, 2022
Priority date	May 14, 2010
Publication date	Oct 29, 2024
Grant date	Oct 29, 2024

Abstract

A surgical system comprises a base, an arm assembly operably coupled to the base, and an instrument manipulator assembly coupled to a distal link of the arm assembly. The instrument manipulator assembly comprises an instrument manipulator interface to removably couple with a medical instrument and transfer actuation forces to the medical instrument. The instrument manipulator interface comprises a mounting surface and a plurality of actuator outputs to operably engage with respectively corresponding inputs of the medical instrument. The actuator outputs extend from the mounting surface along directions substantially parallel to a shaft of the medical instrument in a mounted state of the medical instrument to the instrument manipulator interface. In the mounted state of the medical instrument, the instrument manipulator interface and medical instrument are rotatable together about a roll axis of rotation relative to the distal link of the arm assembly.

First claim

What is claimed is:

1. A surgical system, comprising:
a base;
an arm assembly operably coupled to the base, the arm assembly comprising a plurality of links;
an instrument manipulator assembly coupled to a distal link of the plurality of links, the instrument manipulator assembly comprising an instrument manipulator interface configured to removably couple with a medical instrument to place the medical instrument in a mounted state at the instrument manipulator assembly and transfer actuation forces to the medical instrument in the mounted state; and
a sterile drape assembly comprising:
a first drape portion configured to drape the instrument manipulator interface,
a second drape portion configured to drape the arm assembly, and
a rotatable seal rotatably coupling the first drape portion to the second drape portion,

wherein the instrument manipulator interface comprises a mounting surface and a plurality of actuator outputs configured to operably engage with respectively corresponding inputs of the medical instrument in the mounted state of the medical instrument at the instrument manipulator assembly, the plurality of actuator outputs extending from the mounting surface along directions substantially parallel to a shaft of the medical instrument in the mounted state of the medical instrument at the instrument manipulator assembly; and
wherein in the mounted state of the medical instrument at the manipulator assembly, the instrument manipulator interface and medical instrument are rotatable together about a roll axis of rotation relative to the distal link of the arm assembly.

2. The surgical system of claim 1 , wherein in the mounted state of the medical instrument at the instrument manipulator assembly, the roll axis of rotation intersects with a remote center of motion of the arm assembly, and wherein the instrument manipulator assembly is rotatable to rotate the instrument manipulator interface and medical instrument together about the roll axis of rotation.

3. The surgical system of claim 2 , wherein the rotation of the medical instrument about the roll axis of rotation causes a shaft of the medical instrument to rotate relative to a cannula through which the shaft extends.

4. The surgical system of claim 1 , further comprising a cannula mount configured to removably mount a cannula to the surgical system such that a central axis of the cannula is coincident with the roll axis of the instrument manipulator assembly.

5. The surgical system of claim 4 , wherein the cannula mount is coupled to the arm assembly.

6. The surgical system of claim 5 , wherein the cannula mount is coupled to the distal link.

7. The surgical system of claim 1 , wherein the roll axis of rotation intersects with a remote center of motion of the arm assembly.

8. The surgical system of claim 1 , wherein the instrument manipulator interface is movable in translation relative to the distal link.

9. The surgical system of claim 1 , further comprising a telescoping insertion mechanism configured to translate the instrument manipulator interface along a direction parallel to the roll axis of rotation.

10. The surgical system of claim 1 , wherein the instrument manipulator interface comprises:
an outer shell and an inner frame comprising the mounting surface, the inner frame being movably coupled to the outer shell;
an instrument support feature coupled to the outer shell, the instrument support feature configured to support the medical instrument in the mounted state of the medical instrument at the instrument manipulator assembly; and
a latching mechanism, the latching mechanism configured to move one or both of the inner frame and the outer shell relative to one another, so as to operably engage the plurality of actuator outputs with a plurality of actuator inputs of the medical instrument in the mounted state of the medical instrument by the instrument support feature.

11. The surgical system of claim 1 , wherein the rotatable seal comprises:
a roll cover portion coupled to the second drape portion and configured to be coupled to the distal link, and
a base comb portion coupled to the first drape portion and configured to be coupled to the instrument manipulator assembly,
wherein the roll cover portion and base comb portion are rotatable relative to one another.

12. The surgical system of claim 11 , wherein, in an installed state of the sterile drape assembly on the arm assembly and the instrument manipulator interface, rotation of the instrument manipulator assembly causes the base comb portion and the first drape portion to rotate about the roll axis of rotation relative to the roll cover portion and second drape portion.

13. The surgical system of claim 1 , wherein the plurality of actuator outputs are positioned circumferentially about the roll axis of rotation.

14. A method of operating a surgical system comprising an arm assembly and an instrument manipulator assembly coupled to a distal link of the arm assembly, the instrument manipulator assembly having a roll axis of rotation and comprising an instrument manipulator interface configured to removably couple with an instrument to transfer actuation forces to the instrument, the method comprising:
mounting a medical instrument to a mounting surface of the instrument manipulator interface and operably engaging a plurality of actuator outputs of the instrument manipulator interface with respectively corresponding inputs of the medical instrument, the plurality of actuator outputs extending from the mounting surface along directions substantially parallel to a shaft of the medical instrument in a mounted state of the medical instrument at the instrument manipulator interface; and
rotating the instrument manipulator interface with a medical instrument coupled to the instrument manipulator interface about the roll axis of rotation and relative to the distal link of the arm assembly,

wherein:
a first drape portion of a sterile drape assembly drapes the instrument manipulator interface, a second drape portion of the sterile drape assembly drapes the arm assembly, and a rotatable seal rotatably couples the first drape portion with second drape portions; and
the rotating of the instrument manipulator interface causes the first drape portion to rotate relative to the second drape portion about the roll axis of rotation.

15. The method of claim 14 , wherein rotating the instrument manipulator interface with the medical instrument coupled to the instrument manipulator interface causes the medical instrument to rotate about the roll axis of rotation.

16. The method of claim 14 , wherein:
the shaft of the medical instrument is inserted through a cannula; and
rotating the instrument manipulator interface causes the shaft of the medical instrument to rotate relative to the cannula.

17. The method of claim 16 , further comprising translating the shaft of the medical instrument relative to the cannula along an insertion axis through the cannula, wherein the insertion axis through the cannula is coincident with the roll axis of rotation.

18. The method of claim 14 , wherein:
the arm assembly has a remote center of motion and the roll axis of rotation intersects with the remote center of motion of the arm assembly, and
the method further comprises changing a pose of the arm assembly about the remote center of motion.

19. The method of claim 14 , wherein the method further comprises translating the instrument manipulator interface relative to the distal link.

20. The method of

Assignees

• Intuitive Surgical Operations

Inventors

• Gomez Daniel H
• Brown Jeffrey D
• Cooper Thomas G
• Duval Eugene F
• Holop Robert E
• Mcgrogan Anthony K
• Ramstad Craig R
• Rogers Theodore W
• Solomon Todd R

Classifications

• A61B2090/5025

  with a counter-balancing mechanism · CPC title

• A61B2017/3445

  used as instrument channel for multiple instruments · CPC title

• A61B2034/302

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

• A61B2034/306

  Wrists with multiple vertebrae · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title