Tele-Surgical Table Registration for Dynamic Manipulator Coordination

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Solution Overview

Problem

Current tele-surgical systems face challenges in localizing and coordinating the movement of multiple manipulators within a surgical environment, particularly when the surgical table is separately positionable, leading to difficulties in efficiently positioning patients and preventing manipulator collisions.

Innovation Solution

The implementation of registration methods and devices that allow for the determination of the spatial relationship between the surgical table and the manipulator assembly, enabling dynamic registration and coordinated movement between the table and manipulators, using features such as contact-based registration, linear encoders, shape sensors, and non-contact sensing technologies.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If the surgical table is separately positionable from the manipulator assembly, then the surgical table can be independently adjusted to various positions and orientations for patient comfort and surgical access, but it becomes difficult to localize and coordinate the movement of manipulators relative to the table

Engineering Contradiction:
Improveindependent positioning capabilityVSAvoidlocalization and coordination complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The patent introduces registration features (markers, sensors, or mechanical references) as intermediaries between the surgical table and manipulator assembly. These features enable the control system to detect and calculate the spatial relationship between the independently positionable table and manipulators, resolving the coordination difficulty without constraining table mobility.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If multiple manipulators are used in the tele-surgical system, then surgical dexterity and functionality are enhanced, but it becomes challenging to prevent collisions and coordinate movement between manipulators

Engineering Contradiction:
Improvesurgical functionalityVSAvoidmanipulator coordination and collision prevention
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The patent implements a control system with sensors that continuously monitor the positions and orientations of multiple manipulators. The system provides real-time feedback to calculate coordinated movements, detect potential collisions, and adjust manipulator trajectories to maintain safe operational distances while preserving surgical functionality.

Inventive Principle:
Principle #23Feedback

3Measurement precision

If registration methods using multiple sensors and features are implemented, then the precision of spatial relationship determination is improved, but the mechanical complexity and setup time increase

Engineering Contradiction:
Improvespatial relationship determination precisionVSAvoidregistration system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent divides the registration system into modular components: fixed registration features on the table, corresponding sensors on the manipulators, and a control system for processing data. This segmentation allows selective implementation of registration features based on surgical needs, reducing unnecessary complexity while maintaining precision.

Inventive Principle:
Principle #1Segmentation

4Adaptability or versatility

If dynamic registration is implemented to allow table movement during procedures, then patient repositioning flexibility is improved, but the complexity of maintaining registration accuracy increases

Engineering Contradiction:
Improvepatient repositioning flexibilityVSAvoidregistration accuracy maintenance
Core Design Contradiction:
Adaptability or versatilityVSMeasurement precision

Solution Approach 1:

The patent implements dynamic registration where the control system continuously updates the spatial relationship between the surgical table and manipulator assembly as the table moves. Sensors detect real-time position changes, and the system recalculates coordination parameters to maintain registration accuracy throughout the procedure, enabling patient repositioning without losing manipulator localization.

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 efficiency and ease of use of tele-surgical systems by allowing precise positioning of the surgical table and manipulators, reducing mechanical complexity, and preventing collisions, thereby improving the overall maneuverability and setup process during minimally invasive procedures.

Implementation Method 1

linear encoders

Methodology Applied
Scientific EffectLinear encoder sensing:

Implementation Method 2

shape sensors

Methodology Applied
Scientific EffectShape sensing:

Implementation Method 3

non-contact sensing technologies

Methodology Applied
Scientific EffectNon-contact sensing:

Data Source

PatentUS11173005B2Methods and devices for tele-surgical table registration
Publication Date: 2021.11.16 INTUITIVE SURGICAL OPERATIONS INC
  • US11173005B2 patent drawing
  • US11173005B2 patent drawing
  • US11173005B2 patent drawing

AI summary

Methods and systems for registering a manipulator assembly and independently positionable surgical table are provided herein. In one aspect, methods include attaching a registration device to a particular location of the surgical table and attaching a manipulator arm of the manipulator assembly to the registration device and determining a position and/or orientation of the surgical table relative the manipulator assembly using joint state sensor readings from the manipulator arm. In another aspect, methods for registration include tracking of one or more optical or radio markers with a sensor associate with the manipulator assembly to determine a spatial relationship between the surgical table and manipulator assembly.