Teleoperated Surgery Control System with Automatic Anti-Stagnation

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Solution Overview

Problem

Clinicians experience fatigue and discomfort during prolonged teleoperated surgical procedures due to maintaining a constant position, which can be exacerbated by performing multiple procedures in a single day, leading to increased patient anesthesia time and potential health issues.

Innovation Solution

A teleoperated surgery user control system with a controller that automatically articulates user control components, such as seating and arm rests, in micro-increments to alleviate fatigue and discomfort, allowing for periodic or continuous adjustments during surgical procedures without interrupting the surgeon's operation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If the clinician maintains a constant position at the user control system to operate instruments during a surgical procedure, then operational precision and control are maintained, but physical fatigue and discomfort increase

Engineering Contradiction:
Improveoperational precisionVSAvoidphysical fatigue
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The system dynamically adjusts the position of user control components (such as seating and arm rests) during the surgical procedure. The controller automatically articulates these components in micro-increments to change the clinician's posture and reduce fatigue while maintaining operational precision through continuous control system engagement.

Inventive Principle:
Principle #15Dynamics

2Object-affected harmful factors

If the clinician takes rest breaks to alleviate fatigue and move away from the user control system, then physical discomfort is reduced, but the length of the surgical procedure increases

Engineering Contradiction:
Improvephysical discomfortVSAvoidprocedure length
Core Design Contradiction:
Object-affected harmful factorsVSLoss of time

Solution Approach 1:

The system performs preliminary actions by proactively adjusting user control components before the clinician experiences significant fatigue. The controller automatically articulates seating and arm rests in micro-increments during the procedure, preventing fatigue accumulation without requiring rest breaks, thereby maintaining procedure efficiency.

Inventive Principle:
Principle #10Preliminary action

3Device complexity

If the user control components remain stationary throughout the procedure, then system simplicity is maintained, but clinician fatigue and stagnation worsen

Engineering Contradiction:
Improvesystem simplicityVSAvoidclinician stagnation
Core Design Contradiction:
Device complexityVSObject-affected harmful factors

Solution Approach 1:

The system transitions from a static configuration to a dynamic one by incorporating actuators and controllers that automatically adjust user control components. The controller executes instructions to articulate seating and arm rests in micro-increments, reducing clinician stagnation while maintaining reasonable system complexity through automated control.

Inventive Principle:
Principle #15Dynamics

4Object-affected harmful factors

If the controller articulates user control components in large increments, then fatigue relief is more pronounced, but the clinician perceives motion and procedural efficiency decreases

Engineering Contradiction:
Improvefatigue reliefVSAvoidprocedural efficiency
Core Design Contradiction:
Object-affected harmful factorsVSProductivity

Solution Approach 1:

The system applies partial action by articulating user control components in micro-increments rather than full adjustments. The controller makes small, subtle changes to seating and arm rest positions that accumulate to provide fatigue relief while remaining imperceptible to the clinician, thereby maintaining procedural efficiency.

Inventive Principle:
Principle #16Partial or excessive action

Data Source

PatentUS20230402174A1Medical device user control system with automatic surgeon Anti-stagnation system
Publication Date: 2023.12.14 INTUITIVE SURGICAL OPERATIONS INC
  • US20230402174A1 patent drawing
  • US20230402174A1 patent drawing
  • US20230402174A1 patent drawing

AI summary

An example teleoperated surgery user control system includes a first user control and a controller. The first user control is configured to be used by a user to teleoperate one or more aspects of a surgical system. The first user control includes one or more portions configured to articulate and to support one or more body portions of a user. The controller is communicatively connected to the first user control. The controller is configured to execute instructions to automatically articulate the one or more portions periodically or continually during a surgical procedure teleoperated by the user with the surgical system.