Surgical Telemanipulator Layout for Sterile Integrated Laparoscopy
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Solution Overview
Problem
Existing surgical robotic systems are complex, costly, bulky, and limit surgeon access to the patient, requiring additional sterilization procedures and are not well-suited for minimally invasive surgeries due to high inertia and limited dexterity.
Innovation Solution
A remotely actuated surgical robot system with robotic telemanipulators that are low-cost, integratable into the operating room, allow sterile surgeon access, and enable integrated laparoscopy, featuring a master console with removable handles and a slave console with adjustable links and actuators for precise instrument control.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Object-affected harmful factors
If traditional laparoscopic instrumentation is used, then minimally invasive surgery is achieved, but surgeon dexterity and precision are reduced due to the fulcrum effect and inverted movements
Solution Approach 1:
The robotic system inverts the traditional laparoscopic approach by placing the console near the patient rather than far away. This allows the surgeon to stand close to the patient, eliminating the fulcrum effect and inverted movements while maintaining minimally invasive access through small incisions.
Solution Approach 2:
A robotic arm acts as an intermediary between the surgeon and the surgical instruments. The robotic arm transmits the surgeon's hand movements directly to the instrument tips without the fulcrum effect, preserving dexterity and precision while enabling minimally invasive surgery through small incisions.
2Ease of operation
If robotic surgical systems are used, then surgeon ergonomics and precision are improved, but system complexity, cost, and bulkiness increase
Solution Approach 1:
The patent extracts only the essential robotic components needed to eliminate the fulcrum effect - specifically a robotic arm with a console positioned near the patient. This simplified approach removes unnecessary complexity while retaining the key benefits of improved ergonomics and precision.
Solution Approach 2:
The robotic system is designed to perform multiple surgical functions through a single integrated platform. The robotic arm can accommodate various surgical instruments and the console can be repositioned for different surgical approaches, reducing the need for multiple specialized systems.
3Ease of operation
If robotic arms are positioned far from the patient, then surgeon access is improved, but sterility maintenance becomes difficult requiring additional procedures
Solution Approach 1:
The robotic arm serves as a sterile intermediary that can be positioned close to the patient while the surgeon remains at a controlled distance. The robotic arm maintains sterility through its design and can be easily sterilized, eliminating the need for additional sterilization procedures while allowing surgeon access.
4Object-affected harmful factors
If long and straight instruments are used in laparoscopy, then minimally invasive access is achieved, but surgeon posture becomes uncomfortable and tiring
Solution Approach 1:
The system inverts the traditional setup by positioning the console near the patient rather than far away. This allows the surgeon to stand in a comfortable, natural posture while performing minimally invasive surgery, eliminating the need to work in uncomfortable positions with long straight instruments.
Data Source
AI summary
Surgical robot systems for remote manipulation having robotic telemanipulators are provided. The surgical robot systems are well adapted for use by the surgeon, seamlessly integratable into the operation room, allow for a surgeon to work between the robot and the patient throughout a surgery in a sterile manner, are relatively low cost, and/or permit integrated laparoscopy. The system preferably includes a master console having a plurality of master links interconnected by a plurality of master joints, and a handle coupled to the master console for operating the telemanipulator. The system further includes a slave console operatively coupled to the master console and having a plurality of slave links interconnected by a plurality of slave joints that move responsive to movement at the master console to permit an end-effector to perform surgery.


