Remote Centre of Motion Mechanism for Surgical Tool Mounting

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Solution Overview

Problem

Remote centre of motion manipulators face challenges such as limited tool mounting space, potential patient injury due to proximity of motion components, and bulkiness, which complicates minimally invasive surgical procedures and collaboration with other devices.

Innovation Solution

The design incorporates a base link with a local centre of motion, a proximal link connected via a revolute and sliding joint, and a distal link with an inclined orientation to increase tool mounting space, a connecting link to further expand space, and a second motion mechanism to reduce bulkiness and prevent protruding linkages from causing injury or collision.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Area of stationary object

If the tool is mounted in proximity of the distal link to be coaxial with the remote centre of motion, then the tool mounting space is limited, but custom-made tools must be developed to cope with the space requirements

Engineering Contradiction:
Improvetool mounting spaceVSAvoidtool development complexity
Core Design Contradiction:
Area of stationary objectVSEase of manufacture

Solution Approach 1:

The distal link is oriented at an angle between 1° and 89° relative to the tool axis, creating a spatial arrangement that diverges the tool axis from the distal link in a direction away from the remote centre of motion. This angular orientation in a different dimensional direction increases the available mounting space without requiring custom tool development

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Object-affected harmful factors

If the distance between the local centre of motion and the remote centre of motion is increased to prevent patient injury, then the system stiffness is degraded leading to heavier linkages and manipulators

Engineering Contradiction:
Improvepatient injury riskVSAvoidmanipulator weight
Core Design Contradiction:
Object-affected harmful factorsVSWeight of moving object

Solution Approach 1:

The motion mechanism is divided into a proximal link moving about a local centre of motion and a distal link moving about a remote centre of motion, connected through intermediate links. This segmentation allows the local centre to be positioned closer to the patient for safety while the distal link maintains system stiffness through its orientation and connection geometry

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Intermediate links connect the proximal and distal links, acting as mediators that transmit motion while allowing the local and remote centres of motion to be positioned at appropriate distances. This intermediary structure enables patient safety without compromising system stiffness

Inventive Principle:
Principle #24Intermediary (Mediator)

3Volume of stationary object

If the manipulator system is made more compact to avoid collisions with other manipulators, then the space for tool mounting and surgeon access is reduced

Engineering Contradiction:
Improvemanipulator volumeVSAvoidtool mounting area
Core Design Contradiction:
Volume of stationary objectVSArea of stationary object

Solution Approach 1:

The distal link is oriented at an angle relative to the tool axis, utilizing angular dimension to increase tool mounting space without increasing the overall footprint volume. This angular orientation allows tools to be mounted in a direction away from the remote centre of motion, providing adequate mounting area while maintaining a compact manipulator configuration

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Data Source

PatentEP3831543B1Remote centre of motion mechanism
Publication Date: 2023.03.15 KATHOLIEKE UNIV LEUVEN
  • EP3831543B1 patent drawingFigure 1
  • EP3831543B1 patent drawingFigure 2
  • EP3831543B1 patent drawingFigure 3a

AI summary

Apparatus for generating motion around a remote centre of motion is described. The apparatus comprises a base link comprising a local centre of motion, a first motion mechanism comprising a proximal link, a distal link and a first intermediate link pivotally interconnecting the proximal link and the distal link. The proximal link is coupled to the local centre of motion through a revolute joint and a sliding joint allowing the proximal link to translate relative to the local centre of motion and to rotate about the local centre of motion, and the first motion mechanism is configured to copy motion of the proximal link relative to the local centre of motion to an identical motion of the distal link relative to the remote centre of motion. The apparatus further comprises a tool holder fixed to the distal link. The tool holder defines a tool axis intersecting the remote centre of motion. The apparatus is characterised in that the distal link defines a first orientation which is inclined relative to the tool axis.