Guide tube control of minimally invasive surgical instruments

Abstract

A telemanipulatively controlled guide tube acts as a wrist mechanism for a surgical instrument that extends through the guide tube. The instrument may be removed and replaced with another instrument. In some aspects the instruments are commercial, off the shelf minimally invasive surgical instruments.

Description

CROSS REFERENCE TO RELATED APPLICATIONS [0001] This application claims the priority benefit of the following United States Provisional Patent Applications, all of which are incorporated by reference: [0002] U.S. Patent Application No. 60 / 813,028 entitled “Single port system 2” filed 13 Jun. 2006 by Cooper et al.; [0003] U.S. Patent Application No. 60 / 813,029 entitled “Single port surgical system 1” filed 13 Jun. 2006 by Cooper; [0004] U.S. Patent Application No. 60 / 813,030 entitled “Independently actuated optical train” filed 13 Jun. 2006 by Larkin et al.; [0005] U.S. Patent Application No. 60 / 813,075 entitled “Modular cannula architecture” filed 13 Jun. 2006 by Larkin et al.; [0006] U.S. Patent Application No. 60 / 813,125 entitled “Methods for delivering instruments to a surgical site with minimal disturbance to intermediate structures” filed 13 Jun. 2006 by Larkin et al.; [0007] U.S. Patent Application No. 60 / 813,126 entitled “Rigid single port surgical system” filed 13 Jun. 2006 b...

AI Technical Summary

Benefits of technology

The invention provides multiple telemanipulated surgical instruments that can work independently of each other and have at least six actively controlled degrees of freedom in Cartesian space (surge, heave, sway, roll, pitch, yaw). These instruments can be used through a single entry port in a patient and can even pass through intermediate tissue that restricts lateral movement of a rigid instrument body. The invention allows for the use of commercial, off the shelf minimally invasive surgical instruments that are generally inexpensive and allows for greater precision and control in surgical procedures.

Problems solved by technology

Although teleoperative surgery using the da Vinci® Surgical System provides great benefits over, for instance, many hand-held procedures, for some patients and for some anatomical areas the da Vinci® Surgical System is unable to effectively access a surgical site.

In particular, “defective” manipulators have fewer than six independently controlled joints and therefore do not have the capability of fully controlling end effector position and orientation.

Instead, defective manipulators are limited to controlling only a subset of the position and orientation variables.

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