Variable Remote Center Distance for Robotic Cannula Navigation

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Solution Overview

Problem

Existing medical robotic systems face challenges in efficiently navigating medical instruments through complex anatomical pathways while maintaining a stable remote center of motion, leading to increased friction and difficulty in accessing target sites during procedures like laparoscopy and endoscopy.

Innovation Solution

A robotically-enabled medical system with independently controllable robotic arms and instrument drivers that allow for telescopic extension and independent manipulation of medical instruments, combined with a virtual rail system for precise navigation and reduced friction, enabling enhanced access to target sites while maintaining a remote center of motion.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If a robotically-enabled medical system enforces a remote center of motion for instrument rotation, then the medical instrument can be precisely manipulated through the cannula, but the system complexity increases due to the need for multiple degrees of freedom in robotic linkages

Engineering Contradiction:
Improveprecision of instrument manipulationVSAvoidcomplexity of robotic linkage system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system dynamically adjusts the remote center distance parameter based on the specific surgical procedure and anatomical requirements. The robotic arm can modify its kinematic constraints in real-time, transitioning between different remote center distances to optimize both precision and accessibility for various surgical tasks

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent implements variable remote center distance as a controllable parameter. By changing the remote center distance parameter, the system adapts its degrees of freedom to match the specific procedural needs, allowing precise instrument manipulation while reducing unnecessary mechanical complexity

Inventive Principle:
Principle #35Parameter changes

2Adaptability or versatility

If the remote center distance is fixed, then the robotic arm structure is simplified, but the ability to access different target sites and navigate complex anatomical pathways is reduced

Engineering Contradiction:
Improveaccess to different target sitesVSAvoidcomplexity of robotic arm structure
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The remote center distance is implemented as a dynamic parameter that can be adjusted during surgical procedures. This allows the robotic arm to adapt its kinematic configuration for different target sites and anatomical pathways without requiring permanently complex mechanical structures

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The robotic arm is designed with universal adaptability through variable remote center distance capability, enabling a single robotic system to perform multiple surgical tasks and access various target sites by reconfiguring its kinematic constraints rather than requiring multiple specialized robotic arms

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

3Length of moving object

If telescopic extension is used to reach deeper target sites, then the maximum insertion distance is increased, but the friction and difficulty in navigating the instrument through the cannula increases

Engineering Contradiction:
Improvemaximum insertion distanceVSAvoidease of instrument manipulation
Core Design Contradiction:
Length of moving objectVSEase of operation

Solution Approach 1:

The system dynamically optimizes the remote center distance based on the insertion depth and target location. As the instrument extends deeper into the patient, the robotic arm adjusts the remote center parameter to maintain optimal manipulation characteristics, reducing friction and easing operation throughout the insertion process

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

By changing the remote center distance parameter in response to insertion depth, the system maintains ease of operation across the full range of motion. This parameter adjustment compensates for the increased friction associated with deeper insertion, allowing smooth instrument manipulation regardless of extension length

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentEP4007678B1Systems and methods for adjusting remote center distances in medical procedures
Publication Date: 2026.03.04 AURIS HEALTH INC
  • EP4007678B1 patent drawingFigure 1
  • EP4007678B1 patent drawingFigure 2
  • EP4007678B1 patent drawingFigure 3

AI summary

Systems and methods for adjusting remote center distances in medical procedures are provided. In one aspect, a robotic medical system includes a first robotic arm including a first instrument driver, wherein the first instrument driver is configured to manipulate a first tool that passes through a first cannula, and a second robotic arm including a second instrument driver, wherein the second instrument driver is configured to manipulate a second tool that passes through a second cannula. The first tool is configured to rotate about a first remote center of motion and the second tool is configured to rotate about a second remote center of motion. A first remote center distance between the first robotic arm and the first remote center of motion is different from a second remote center distance between the second robotic arm and the second remote center of motion.