Surgical Robot Dynamic Reference Base Positioning

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Solution Overview

Problem

Current robot-assisted surgical systems are error-prone, tedious, and limited in their ability to accurately position surgical instruments due to manual dexterity dependence, lack of mechanical feedback, and restricted movement paths, posing safety hazards during procedures like vertebrae fusion and thoracolumbar pedicle screw insertion.

Innovation Solution

A surgical robot system incorporating a dynamic reference base, local positioning system, and planning software to accurately locate anatomical structures and position surgical instruments relative to pre-op CT scans or fluoroscopy/x-ray images, enabling precise and safe surgical procedures through a robotic arm with enhanced range of motion and feedback mechanisms.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If manual positioning of surgical instruments is used, then surgeon dexterity is required for positioning, but the process is tedious, time-consuming, and error-prone

Engineering Contradiction:
Improvepositioning accuracyVSAvoidsurgery time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The robotic system autonomously positions surgical instruments based on pre-operative imaging data and surgical plans, eliminating the need for continuous manual adjustment by the surgeon. The system self-corrects instrument positions and maintains alignment throughout the procedure, reducing both time and error rates.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces manual mechanical positioning with an automated robotic system that uses computer vision, sensors, and control algorithms to achieve and maintain precise instrument positioning. This substitution eliminates human fatigue and variability while reducing overall procedure time.

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

2Reliability

If conventional robotic systems are used, then hand tremor elimination is achieved, but the systems are expensive, obtrusive, and require cumbersome setup

Engineering Contradiction:
Improvepositioning stabilityVSAvoidsystem setup complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent extracts the essential function of tremor elimination and positioning stability from complex conventional robotic systems. By using a simplified robotic arm with direct drive mechanisms and integrated sensors, the system achieves positioning stability without requiring cumbersome external components or complex setup procedures.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The robotic system is designed to perform multiple functions including tremor elimination, precise positioning, real-time imaging integration, and adaptive trajectory adjustment. This multi-functionality consolidates what would otherwise require multiple separate devices into a single integrated system, reducing overall complexity.

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

3Extent of automation

If current robot assisted systems are used, then surgical instrument positioning is automated, but the path and angle of insertion are limited due to robot arm configuration

Engineering Contradiction:
Improveinstrument positioning automationVSAvoidtrajectory flexibility
Core Design Contradiction:
Extent of automationVSAdaptability or versatility

Solution Approach 1:

The robotic arm employs dynamic joint configurations and real-time trajectory optimization algorithms that allow the system to adapt its movement paths during surgery. The robot can dynamically adjust its kinematics to achieve optimal insertion angles and paths while maintaining automated positioning control.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent introduces additional degrees of freedom through a multi-axis robotic arm with at least six degrees of freedom, enabling movement in three-dimensional space. This allows the system to approach the surgical site from multiple angles and trajectories that would be impossible with conventional fixed-configuration systems.

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

4Productivity

If surgical instruments are submerged within patient anatomy, then treatment is delivered, but mechanical feedback and visual placement are lost resulting in safety hazards

Engineering Contradiction:
Improvesurgical treatment deliveryVSAvoidsafety hazards
Core Design Contradiction:
ProductivityVSObject-affected harmful factors

Solution Approach 1:

The robotic system incorporates real-time sensors, imaging systems, and force feedback mechanisms that continuously monitor instrument position and tissue interaction forces. This feedback is transmitted to the control system, which automatically adjusts instrument positioning and alerts the surgeon to potential safety issues, maintaining both productivity and safety.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The robotic system acts as an intermediary between the surgeon's intentions and the actual instrument-tissue interaction. It provides real-time visual feedback through integrated imaging systems and mechanical feedback through force sensors, allowing the surgeon to maintain awareness of instrument placement even when submerged within anatomy.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS11628039B2Surgical tool systems and methods
Publication Date: 2023.04.18 GLOBUS MEDICAL INC
  • US11628039B2 patent drawing
  • US11628039B2 patent drawing
  • US11628039B2 patent drawing

AI summary

Embodiments of the present disclosure provide a surgical robot system may include an end-effector element configured for controlled movement and positioning and tracking of surgical instruments and objects relative to an image of a patient's anatomical structure. In some embodiments the end-effector and instruments may be tracked by surgical robot system and displayed to a user. In some embodiments, tracking of a target anatomical structure and objects, both in a navigation space and an image space, may be provided by a dynamic reference base located at a position away from the target anatomical structure.