Surgical Instrument Linear Translation for Precise 3D Tracking

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Solution Overview

Problem

Current surgical instruments lack an efficient mechanism for precise control and tracking of surgical instruments during procedures, particularly in neurosurgery and orthopedic surgeries, which can lead to inaccuracies and potential damage to surrounding tissues.

Innovation Solution

A surgical instrument with a pivoting portion that includes a telescoping nose mechanism, driven by a motor and intermediate unit with leadscrews, allowing for linear translation and rotation, enabling precise control and tracking of the instrument's position and orientation within three-dimensional space.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If a free-hand surgical instrument is used without constraining mechanisms, then ease of operation is improved, but measurement precision and control accuracy deteriorate

Engineering Contradiction:
Improveease of operationVSAvoidposition control accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent replaces traditional mechanical tracking devices with optical markers (LEDs) that are detected by a camera-based tracking system. This substitution allows the surgical instrument to maintain freedom of movement while enabling precise position and orientation tracking through optical detection, thereby resolving the contradiction between ease of operation and measurement precision.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent introduces an intermediate tracking system consisting of optical markers and cameras that mediate between the surgical instrument and the control system. This intermediary layer enables accurate position tracking without requiring mechanical constraints on the instrument, allowing free-hand operation while maintaining measurement precision through the optical tracking mediation.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Manufacturing precision

If a telescoping nose mechanism with motor and leadscrews is added, then manufacturing precision and control accuracy are improved, but device complexity increases

Engineering Contradiction:
Improvecutting precisionVSAvoiddevice complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent segments the surgical instrument into distinct functional modules: a hand-held portion for manipulation, a pivoting portion with telescoping nose mechanism for position adjustment, and a cutting portion for surgical action. This segmentation allows each module to be optimized independently, with the telescoping mechanism providing precise control while keeping the overall device manageable in complexity through modular design.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent incorporates dynamic elements including a telescoping nose mechanism with motor-driven leadscrews for linear translation, and pivoting joints for rotational movement. These dynamic components enable precise positioning and orientation control of the cutting tool, allowing the instrument to adapt to complex surgical trajectories while maintaining manufacturing precision through controlled motion.

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

This solution enhances the precision and safety of surgical procedures by allowing the surgical instrument to accurately follow predefined boundaries, preventing tissue damage and ensuring that the surgical action is confined to the target area, thereby improving surgical outcomes.

Implementation Method 1

The intermediate unit includes a plurality of leadscrews each being threaded and having a driven gear at one end. The intermediate unit includes a carriage being threaded for interfacing with the leadscrews. The drive gear is configured to interface with each of the driven gears to enable rotation of each of the leadscrews such that the carriage linearly translates along the leadscrews

Methodology Applied
Scientific EffectScrew mechanism: Screw

Data Source

PatentUS11607231B2Surgical instrument with linear translation mechanism
Publication Date: 2023.03.21 STRYKER CORP
  • US11607231B2 patent drawing
  • US11607231B2 patent drawing
  • US11607231B2 patent drawing

AI summary

A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes an accessory drive motor, an accessory drive member configured to be driven by the accessory drive motor, a plurality of lead screws, a carriage including a central aperture axially extending through the carriage and configured to interface with and linearly translate along the plurality of lead screws, and a linear drive motor configured to rotate the plurality of lead screws to linearly translate the carriage relative to the hand-held portion with respect to a third degree of freedom. The accessory drive member extends through and is configured to move within the central aperture of the carriage.