Flexible Guide Tube Shape Control for Tool Insertion

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Solution Overview

Problem

Minimally invasive medical procedures face difficulties in inserting or removing tools through flexible guide tubes due to friction and potential damage from sharp bends, requiring excessive force that can harm the tool or guide tube.

Innovation Solution

A robotically controlled medical system that determines the shape of the guide tube and automatically adjusts to a suitable insertion/removal configuration, allowing tools to be inserted or removed without excessive force by retracting the guide tube to a configuration with a less sharp bend, enabling safe and efficient tool deployment and retrieval.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If the guide tube is made flexible enough to follow natural lumens with sharp bends, then the guide tube can reach target sites in convoluted pathways, but the tool insertion and removal becomes difficult due to friction and potential damage from sharp bends

Engineering Contradiction:
Improveguide tube flexibilityVSAvoidtool insertion and removal
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The system dynamically changes the guide tube configuration between two states: a target configuration with sharp bends for reaching difficult locations, and an insertion/removal configuration with reduced bends for easy tool access. The control system automatically transitions between these configurations based on operational needs, making the guide tube adapt its shape rather than being statically flexible or rigid

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The guide tube configuration is segmented into distinct operational modes (target configuration and insertion/removal configuration). Each configuration serves a specific function, and the system transitions between them as needed. This segmentation allows the guide tube to optimize its shape for different operational phases without compromise

Inventive Principle:
Principle #1Segmentation

2Ease of operation

If excessive force is applied to insert or remove tools through sharp bends, then tool insertion and removal becomes possible, but the tool or guide tube may be damaged

Engineering Contradiction:
Improvetool insertion and removalVSAvoidtool and guide tube integrity
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The system performs preliminary action by automatically reconfiguring the guide tube to an insertion/removal configuration with reduced bends before tool insertion or removal is attempted. This preliminary reconfiguration eliminates the need for excessive force during tool manipulation, preventing damage to both the tool and guide tube while ensuring smooth operation

Inventive Principle:
Principle #10Preliminary action

3Ease of operation

If the guide tube is retracted to a configuration with less sharp bends for tool insertion, then tool insertion becomes easier, but the system requires automatic configuration management

Engineering Contradiction:
Improvetool insertionVSAvoidconfiguration management system
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The system performs self-service by automatically detecting when tool insertion or removal is needed and autonomously transitioning the guide tube between configurations. The control system monitors operational state and initiates configuration changes without user intervention, reducing the perceived complexity for the operator while maintaining sophisticated configuration management internally

Inventive Principle:
Principle #25Self-service

Data Source

PatentUS20240415588A1System with guides and tools of different flexibility
Publication Date: 2024.12.19 INTUITIVE SURGICAL OPERATIONS INC
  • US20240415588A1 patent drawing
  • US20240415588A1 patent drawing
  • US20240415588A1 patent drawing

AI summary

A robotic medical system with a flexible guide tube such as a lung catheter can record the shape of the guide tube in a target configuration. If the shape includes a bend that is sharper than a sharpest permitted bend for insertion or removal of a tool such as a biopsy needle, a control system can find any locations of sharp bends and automatically retract the guide tube to a location associated with a sharp bend. With the tip backed up to that location, the needle can be inserted into or removed from the catheter. The control system can automatically move the catheter between the target configuration and the retracted configuration of the guide tube.