Microsurgical Tool Adapters for Retinal Surgery

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Solution Overview

Problem

Current robotic systems for retinal surgery are large, stiff, and lack the ability to compensate for sudden patient movements, posing risks during delicate procedures like membrane peeling and vein cannulation, where human tremor and instrument length variations complicate precision and efficiency.

Innovation Solution

A modular adapter system with piezoelectric stick-slip actuators and a 6-DOF telerobotic manipulator that allows quick exchange of microsurgical tools, maintaining a consistent tool tip distance and compensating for head movements, enabling precise control and reduced tremor impact.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Stability of the object's composition

If robotic systems are made large and stiff for stability, then structural stability is improved, but adaptability to patient movements deteriorates

Engineering Contradiction:
Improvestructural stabilityVSAvoidadaptability to patient movements
Core Design Contradiction:
Stability of the object's compositionVSAdaptability or versatility

Solution Approach 1:

The robotic system is divided into multiple segments: a stable base platform and a flexible articulated arm with multiple joints. This segmentation allows the base to provide structural stability while the articulated segments enable adaptability to patient movements through controlled articulation.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The robotic system transitions from a completely rigid structure to a dynamic system with controlled flexibility. The articulated joints and compliance mechanisms allow the system to adapt its stiffness and movement characteristics in real-time, enabling both stability during operation and adaptability to unexpected patient movements.

Inventive Principle:
Principle #15Dynamics

2Adaptability or versatility

If multiple surgical tools are used with different lengths, then surgical versatility is improved, but positioning precision deteriorates

Engineering Contradiction:
Improvesurgical versatilityVSAvoidpositioning precision
Core Design Contradiction:
Adaptability or versatilityVSMeasurement precision

Solution Approach 1:

An adapter mechanism serves as an intermediary between the robotic end effector and various surgical tools. This adapter includes a setback feature that standardizes the position of tool tips relative to the end effector, ensuring consistent positioning precision regardless of the specific tool being used.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The robotic system employs a universal adapter interface that can accommodate multiple surgical tools with different lengths and configurations. This universal interface maintains a common tip distance for all tools, enabling the system to perform various surgical functions while preserving positioning accuracy.

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Adaptability or versatility

If tool exchange is performed during surgery, then surgical adaptability is improved, but surgical time deteriorates

Engineering Contradiction:
Improvesurgical adaptabilityVSAvoidsurgical time
Core Design Contradiction:
Adaptability or versatilityVSLoss of time

Solution Approach 1:

Multiple surgical tools are pre-loaded into the robotic system before the procedure begins. The adapter mechanism is designed to allow quick exchange of these pre-loaded tools without requiring complex reconfiguration or prolonged interruption of the surgical procedure.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The tool exchange mechanism is designed for dynamic, rapid replacement of surgical tools during the procedure. The adapter interface allows for quick detachment and attachment of different tools, minimizing the time lost during tool exchanges while maintaining surgical adaptability.

Inventive Principle:
Principle #15Dynamics

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enhances surgical precision and efficiency by allowing quick tool changes and compensating for head movements, reducing the risk of complications and improving patient outcomes in retinal surgery.

Implementation Method 1

A modular adapter system with piezoelectric stick-slip actuators

Methodology Applied
Scientific EffectPiezoelectric effect: Piezoelectric Effect

Data Source

PatentUS10271914B2Microsurgical tool adapters, systems and related methods
Publication Date: 2019.04.30 UNIV OF UTAH RES FOUND
  • US10271914B2 patent drawing
  • US10271914B2 patent drawing
  • US10271914B2 patent drawing

AI summary

An adapter system can include a set of adapters operably adapted to a set of microsurgical tools. Each adapter in the set of adapters can be formed for a complimentary surgical tool in the set of surgical tools. Each adapter can have a setback feature designed to orient a corresponding tool tip at a common tip distance. An adapter receptacle can include a joint or joints having a rotary motion and/or translation mechanism and a setback stop feature.