Telescoping Insertion Axis for Robotic Surgery

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Solution Overview

Problem

Current minimally invasive robotic surgical systems face limitations in insertion axis stiffness, strength, range of motion, and form factor, which hinder surgical dexterity and visibility, and can lead to interference between manipulator arms during procedures.

Innovation Solution

A telescoping insertion axis system utilizing cables, pulleys, and linear bearings is introduced, allowing for greater stiffness and strength, a larger range of motion, and a narrower form factor, enabling one-handed instrument clutching and improved surgical field visibility.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If a traditional rigid insertion axis is used, then structural strength is maintained, but the range of motion and dexterity are limited

Engineering Contradiction:
Improverange of motionVSAvoidinsertion axis strength
Core Design Contradiction:
Adaptability or versatilityVSStrength

Solution Approach 1:

The insertion axis is divided into multiple telescoping segments that can extend and retract independently. Each segment maintains structural integrity while the overall assembly achieves greater range of motion through relative movement between segments.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The insertion axis transitions from a static rigid structure to a dynamic telescoping mechanism that can adjust its length and configuration during operation, enabling both strength and adaptability.

Inventive Principle:
Principle #15Dynamics

2Strength

If a larger form factor is used, then structural strength is improved, but surgical field visibility and accessibility are reduced

Engineering Contradiction:
Improveinsertion axis strengthVSAvoidform factor
Core Design Contradiction:
StrengthVSArea of stationary object

Solution Approach 1:

The telescoping segments are nested within each other, allowing the insertion axis to maintain a compact form factor when retracted while providing extended reach and strength when deployed. The nested structure eliminates the need for a large external housing.

Inventive Principle:
Principle #7Nested doll (Nesting)

3Adaptability or versatility

If multiple manipulator arms are used, then surgical capability is enhanced, but interference between arms increases

Engineering Contradiction:
Improvesurgical capabilityVSAvoidarm interference
Core Design Contradiction:
Adaptability or versatilityVSObject-affected harmful factors

Solution Approach 1:

The telescoping insertion axis allows manipulator arms to dynamically adjust their reach and positioning, enabling better spatial distribution of multiple arms during surgery and reducing interference between them.

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

The telescoping insertion axis system enhances surgical dexterity, reduces the likelihood of instrument arm interference, and facilitates more complex procedures like two-quadrant surgeries with a single setup, while improving responsiveness and patient safety.

Implementation Method 1

A telescoping insertion axis controlled and coupled by cables, pulleys, and linear bearings

Methodology Applied
Scientific EffectMechanical Advantage: Mechanical Advantage

Implementation Method 2

A telescoping insertion axis controlled and coupled by cables, pulleys, and linear bearings

Methodology Applied
Scientific EffectFriction: Friction

Data Source

PatentUS9480533B2Telescoping insertion axis of a robotic surgical system
Publication Date: 2016.11.01 INTUITIVE SURGICAL OPERATIONS INC
  • US9480533B2 patent drawing
  • US9480533B2 patent drawing
  • US9480533B2 patent drawing

AI summary

A telescopic insertion axis, a robotic surgical system including the telescopic insertion axis, and a method of instrument insertion are provided. In one embodiment, a telescopic insertion axis includes a base link operably coupled to a distal end of a manipulator arm, and a carriage link movably coupled to the base link along a lengthwise axis, the carriage link including an instrument interface.