Retracting Articulated Instruments Into Entry Guide

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Existing medical robotic systems face challenges in efficiently and safely changing the orientation of an entry guide with extended articulated instruments, risking harm to surrounding tissue and requiring cumbersome manual retraction procedures.

Innovation Solution

A medical robotic system and method that enables quick and efficient reorientation of an entry guide by retracting a plurality of articulated instruments in tandem back towards the entry guide, using a coupled control structure to automate the retraction and reconfiguration process, thereby minimizing the risk of tissue damage.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If articulated instruments are extended out of the entry guide to perform medical procedures, then the ability to perform procedures at the surgical site is improved, but the risk of striking and harming surrounding tissue increases when changing entry guide orientation

Engineering Contradiction:
Improveability to perform proceduresVSAvoidrisk of tissue harm
Core Design Contradiction:
Adaptability or versatilityVSObject-affected harmful factors

Solution Approach 1:

The system automatically retracts articulated instruments into the entry guide before changing its orientation, and then re-extends them after repositioning. This preliminary retraction action prevents the instruments from striking surrounding tissue during orientation changes, while still allowing procedure performance when the guide is properly positioned.

Inventive Principle:
Principle #10Preliminary action

2Object-affected harmful factors

If manual retraction procedures are used to retract articulated instruments into the entry guide, then the risk of tissue damage is reduced, but the operator's workload and procedure time increase

Engineering Contradiction:
Improverisk of tissue damageVSAvoidprocedure time
Core Design Contradiction:
Object-affected harmful factorsVSLoss of time

Solution Approach 1:

The system uses coupled control architecture where the entry guide manipulator automatically coordinates with instrument manipulators to retract and re-extend instruments. The system performs the retraction service itself without requiring separate manual operator actions, thereby reducing both operator workload and overall procedure time while maintaining safety.

Inventive Principle:
Principle #25Self-service

3Adaptability or versatility

If the orientation of the entry guide is changed to access different locations within the patient, then the versatility of the surgical approach is improved, but the complexity of coordinating instrument retraction and reconfiguration increases

Engineering Contradiction:
Improveaccess to different locationsVSAvoidcoordination complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The system merges the control functions of the entry guide manipulator with the instrument manipulators through coupled control architecture. This integration allows simultaneous coordination of guide repositioning and instrument retraction/extension, reducing operational complexity despite the need to access multiple locations within the patient.

Inventive Principle:
Principle #5Merging (Combining)

Data Source

PatentUS12295681B2Method and system for retracting an instrument into an entry guide
Publication Date: 2025.05.13 INTUITIVE SURGICAL OPERATIONS INC
  • US12295681B2 patent drawing
  • US12295681B2 patent drawing
  • US12295681B2 patent drawing

AI summary

Techniques for retracting an instrument into an entry guide include an entry guide manipulator configured to support an entry guide and an instrument manipulator configured to support an instrument. The robotic system is configured to receive a command indicating a commanded movement of the entry guide in a direction parallel to an insertion axis of the entry guide; in response to the commanded movement of the entry guide being greater than a threshold distance in the direction parallel to the insertion axis, cause a response comprising one or more actions selected from the group consisting of: movement, using the instrument manipulator, of one or more rotational joints of the instrument external to the entry guide toward a distal end of the entry guide; and actuation of the one or more rotational joints to straighten the instrument so that the instrument can be retracted into the entry guide.