Coupled Control Modes for Medical Robotic Systems

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Solution Overview

Problem

Current medical robotic systems face challenges in effectively accessing surgical sites, particularly when using the da Vinci Surgical System, and struggle with coordinating the movement of instruments and imaging systems within a common guide tube, leading to difficulties in achieving optimal dexterity and reach while maintaining good visualization without instrument interference.

Innovation Solution

The implementation of coupled control modes in medical robotic systems allows for direct control of primary devices while indirectly controlling secondary devices, optimizing workspace and dexterity, and preventing instrument collisions through advanced kinematic control and feedback mechanisms.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Area of moving object

If instruments and imaging systems are coordinated within a common guide tube, then device integration is improved, but workspace and dexterity are reduced

Engineering Contradiction:
ImproveworkspaceVSAvoiddevice integration
Core Design Contradiction:
Area of moving objectVSDevice complexity

Solution Approach 1:

The system segments control into primary and secondary devices, allowing independent control of the primary surgical instrument while the secondary imaging system is automatically positioned based on the primary device's state, resolving the conflict between integrated control and workspace freedom

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

A control system intermediary automatically coordinates the secondary imaging system's position and orientation based on the primary device's configuration, enabling integrated control without restricting the primary instrument's workspace and dexterity

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If direct control of primary devices is implemented, then ease of operation is improved, but automation complexity increases

Engineering Contradiction:
Improveease of operationVSAvoidautomation complexity
Core Design Contradiction:
Ease of operationVSExtent of automation

Solution Approach 1:

The secondary imaging system performs self-positioning and self-orientation based on feedback from the primary device's state, automatically serving its own positioning needs without requiring complex automated control of the entire system

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The control system uses feedback from the primary device's position and orientation to automatically adjust the secondary imaging system's configuration, providing intuitive operation through automatic adaptation rather than complex manual coordination

Inventive Principle:
Principle #23Feedback

3Productivity

If coupled control modes are used, then productivity is improved, but device complexity increases

Engineering Contradiction:
Improvesurgical efficiencyVSAvoidcontrol system complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The control system dynamically adapts between different control modes (direct control of primary device with automatic secondary device positioning), allowing flexible switching that improves surgical efficiency without permanently increasing system complexity

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS20240407873A1Medical robotic system with coupled control modes
Publication Date: 2024.12.12 INTUITIVE SURGICAL OPERATIONS INC
  • US20240407873A1 patent drawing
  • US20240407873A1 patent drawing
  • US20240407873A1 patent drawing

AI summary

A system with coupled control modes includes a first manipulator, a second manipulator, an input device for commanding movement of the first manipulator or the second manipulator, and one or more controllers. The one or more controllers are configured to detect movement of the input device; when movement of the first manipulator is responsive to movement of the input device: determine a commanded movement for the first manipulator from the detected movement of the input device and command the second manipulator to move in response, at least in part, to the commanded movement of the first manipulator; and when movement of the second manipulator is responsive to the movement of the input device: determine a commanded movement for the second manipulator from the detected movement of the input device and command the first manipulator to move in response, at least in part, to the commanded movement of the second manipulator.