Automated Tool Holding for Medical Instrument Retraction

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Solution Overview

Problem

Minimally invasive medical procedures require complex manual coordination of elongate devices and medical tools, necessitating awkward and difficult control to maintain tool position during retraction and steering, effectively becoming a 'three-handed' operation.

Innovation Solution

A medical system automates the workflow by coordinating the movement of elongate members and medical tools, allowing for simultaneous retraction and extension to maintain tool position, using actuators and sensors to control the backend mechanism and tool holder.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If manual coordination of elongate devices and medical tools is used, then flexibility and adaptability are maintained, but operation complexity increases and control becomes awkward and difficult

Engineering Contradiction:
Improveease of controlVSAvoidcoordination complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

A control system is introduced as an intermediary between the user and the medical instrument components. This control system receives user inputs and automatically coordinates the movement of the elongate device and medical tool, eliminating the need for manual coordination while maintaining operational flexibility.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The manual mechanical coordination system is replaced with an automated control system that uses electronic signals and programmed logic to manage the movement and positioning of instrument components, substituting complex manual mechanical coordination with automated electronic control.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Reliability

If simultaneous retraction and extension of elongate member and tool is performed manually, then tool position can be maintained, but the operation becomes a 'three-handed' operation requiring awkward coordination

Engineering Contradiction:
Improvetool position stabilityVSAvoidoperation simplicity
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The control functions for the elongate device and medical tool are merged into a single integrated control system. This allows simultaneous retraction and extension operations to be coordinated automatically as a unified action sequence, maintaining tool position stability without requiring separate manual coordination of multiple components.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

Position sensors provide real-time feedback on the locations of both the elongate device and medical tool. The control system uses this feedback information to automatically adjust and coordinate movements, ensuring tool position stability while simplifying the operation from a complex three-handed task to a single coordinated action.

Inventive Principle:
Principle #23Feedback

3Measurement precision

If multiple degrees of freedom are managed manually, then precise tool positioning is achieved, but control management becomes complex and time-consuming

Engineering Contradiction:
Improvetool positioning precisionVSAvoidcontrol management time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The control system is pre-programmed with the necessary coordination logic for managing multiple degrees of freedom. This preliminary programming allows the system to automatically execute precise positioning sequences without requiring real-time manual calculation and coordination, thereby achieving high precision while reducing control management time.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS20250268677A1Systems and methods for positioning medical instruments
Publication Date: 2025.08.28 INTUITIVE SURGICAL OPERATIONS INC
  • US20250268677A1 patent drawing
  • US20250268677A1 patent drawing
  • US20250268677A1 patent drawing

AI summary

A backend mechanism of a control system for an elongated medical instrument includes a tool holder to retain and move a tool relative to the elongated medical instrument.