Robotic Gastrectomy System with Adherent Marking for Precise Stomach Transection

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Solution Overview

Problem

During bariatric surgical procedures, clinicians face challenges in accurately transecting the stomach along a straight line due to limited maneuverability and steadiness of surgical instruments, which can lead to inadvertent damage to stomach or esophageal tissue.

Innovation Solution

A robotic surgical system is employed to perform bariatric surgery by positioning a gastrectomy device, applying an adherent material along a desired transection line, and using a robotically-controlled surgical instrument to cut the stomach, with optional activation of the adherent material for enhanced visibility and sealing.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If a robotic surgical system is used to perform stomach transection, then manufacturing precision and reliability are improved, but device complexity increases

Engineering Contradiction:
Improvetransection precisionVSAvoidsystem complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The robotic surgical system is divided into multiple independent components: a robotic arm for positioning, a separate marking device for applying adherent material, and a cutting instrument for transection. This segmentation allows each component to be optimized for its specific function while maintaining overall system precision without requiring complete robotic automation of all subsystems.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

An adherent material serves as an intermediary between the marking device and the cutting instrument. The material is applied along the desired transection line to create a visible guide that the robotic system can detect and follow, enabling precise cutting without requiring direct robotic control of every marking and cutting action.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Device complexity

If manual surgical instruments are used for stomach transection, then device complexity is reduced, but manufacturing precision and reliability deteriorate due to lack of maneuverability and steadiness

Engineering Contradiction:
Improveinstrument complexityVSAvoidtransection precision
Core Design Contradiction:
Device complexityVSManufacturing precision

Solution Approach 1:

The marking device applies adherent material along the desired transection line before the cutting instrument is used. This preliminary action creates a stable, visible guide that remains in place during the subsequent cutting process, ensuring precision without requiring the cutting instrument itself to be highly complex or difficult to maneuver.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The adherent material creates a physical copy or template of the desired transection path on the stomach surface. The robotic cutting instrument then follows this copied guide, allowing the system to achieve high precision by tracing a pre-established path rather than requiring complex real-time calculation and execution of the entire cutting trajectory.

Inventive Principle:
Principle #26Copying

3Manufacturing precision

If adherent material is applied to mark the transection line, then manufacturing precision is improved, but loss of substance increases due to material consumption

Engineering Contradiction:
Improvetransection line accuracyVSAvoidadherent material consumption
Core Design Contradiction:
Manufacturing precisionVSLoss of substance

Solution Approach 1:

The adherent material is applied locally only along the specific transection line path rather than broadly across the entire surgical field. This localized application minimizes material consumption while maintaining high precision where it is most needed - along the cutting path. The marking device deposits material in a concentrated linear pattern rather than diffuse coverage.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The system changes the physical state or properties of the adherent material to enhance its visibility and detectability by the robotic system. By activating the material's optical or electromagnetic properties, the system achieves better detection with potentially less material, as the activated material provides stronger signal for the robotic vision system to track the transection line accurately.

Inventive Principle:
Principle #35Parameter changes

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

The robotic system enables precise transection of the stomach along the desired line, reducing the risk of tissue damage and ensuring accurate reconfiguration, while the adherent material aids in sealing the transection line, enhancing the safety and efficacy of the procedure.

Implementation Method 1

activating the adherent material may include applying heat to the adherent material

Methodology Applied
Scientific EffectHeat application: Heating

Implementation Method 2

activating the adherent material may include applying energy to the adherent material

Methodology Applied
Scientific EffectEnergy application:

Implementation Method 3

expanding a sail member of the gastrectomy device relative to an elongated member of the gastrectomy device

Methodology Applied
Scientific EffectExpansion:

Implementation Method 4

applying heat to the tissue along the transection line using the robotically-controlled surgical instrument concurrently with cutting the tissue

Methodology Applied
Scientific EffectHeat application for sealing: Heating

Implementation Method 5

the heat applied to the tissue by the robotically-controlled surgical instrument cures the surgical glue to effect a seal of the tissue along the transection line

Methodology Applied
Scientific EffectHeat sealing:

Implementation Method 6

the robotically-controlled surgical instrument may be an electrosurgical instrument that cuts the stomach along the transection line

Methodology Applied
Scientific EffectElectrosurgical cutting: Electric Arc

Data Source

PatentUS11701095B2Robotic surgical systems and methods of use thereof
Publication Date: 2023.07.18 COVIDIEN LP
  • US11701095B2 patent drawing
  • US11701095B2 patent drawing
  • US11701095B2 patent drawing

AI summary

A method of performing bariatric surgery using a robotic surgical system includes positioning a gastrectomy device in a selected location in a stomach; applying an adherent material to the stomach along a desired transection line; and cutting the stomach along the desired transection line delineated by the adherent material.