Teleoperational State Entry and Exit Using Head-Directed Display Detection

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Solution Overview

Problem

Existing teleoperational systems lack reliable mechanisms to determine when a teleoperational instrument should be responsive to operator movement, particularly in scenarios where the operator's attention is diverted from the display, posing safety risks during minimally invasive medical procedures.

Innovation Solution

A teleoperational medical system that includes a processing unit to determine if the operator's head is directed toward a display region, initiating an operator following mode only when the operator's head is correctly positioned, ensuring safe and controlled instrument movement based on controller inputs.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Speed

If the teleoperational system allows instrument movement based on controller inputs, then operational responsiveness is improved, but safety deteriorates when the operator looks away from the display

Engineering Contradiction:
Improveinstrument responsivenessVSAvoidsafety
Core Design Contradiction:
SpeedVSReliability

Solution Approach 1:

The system continuously monitors the operator's head position and gaze direction through sensors (cameras, accelerometers, gyroscopes) and uses this feedback to dynamically control instrument responsiveness. When the operator's head is directed toward the display, the system enables instrument movement; when the head turns away, the system automatically suspends movement, creating a closed-loop safety mechanism that resolves the contradiction between responsiveness and safety

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The teleoperational system transitions between different operational states (responsive vs. suspended) based on real-time operator attention status. The system dynamically adjusts its control mode: in the responsive state, instrument movement follows controller inputs; in the suspended state, movement is blocked regardless of controller inputs. This dynamic state change resolves the contradiction by making safety conditional on operator attention

Inventive Principle:
Principle #15Dynamics

2Reliability

If the system monitors operator head position to ensure safety, then safety is improved, but device complexity increases

Engineering Contradiction:
ImprovesafetyVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system introduces intermediary components (head-mounted sensors, gaze detection cameras, processing algorithms) that mediate between the operator's natural head movements and the teleoperational control system. These intermediaries translate physical head position into digital signals that the control system can process, enabling safety monitoring without requiring direct integration of complex monitoring infrastructure into the core teleoperational mechanism

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The head tracking and gaze detection system serves multiple functions: it determines operator attention status for safety control, provides spatial orientation data for potential ergonomic improvements, and could potentially enable future features like voice-activated controls or automated documentation. This multi-functionality justifies the added complexity by extracting multiple benefits from a single sensor suite

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

Data Source

PatentUS12458458B2Systems and methods for entering and exiting a teleoperational state
Publication Date: 2025.11.04 INTUITIVE SURGICAL OPERATIONS INC
  • US12458458B2 patent drawing
  • US12458458B2 patent drawing
  • US12458458B2 patent drawing

AI summary

A teleoperational system comprises a teleoperational control system and a teleoperational manipulator configured for operating an instrument in an environment. The teleoperational system also comprises an operator controller in communication with the teleoperational control system. The teleoperational control system includes a processing unit including one or more processors. The processing unit is configured to determine whether an operator of the operator controller has a head portion directed toward a display region of a display device and based on a determination that the operator's head portion is directed toward the display region, initiate an operator following mode in which movement of the operator controller provides a corresponding movement to the teleoperational manipulator. The teleoperational system may be a teleoperational medical system.