Telescoping Nose Mechanism for Surgical Boundary Tracking

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Solution Overview

Problem

Existing surgical instruments lack efficient mechanisms for precise control and tracking of surgical instruments, particularly in pencil-style hand-held instruments, to prevent the working end from breaching predefined boundaries during medical procedures.

Innovation Solution

A surgical instrument with a telescoping nose mechanism and a pivoting portion that includes a drive motor, intermediate unit, and leadscrews, allowing for linear translation and rotation of the nose tube, along with a tracking system to maintain the working end within predefined boundaries.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If a telescoping nose mechanism with drive motor and leadscrews is added to enable precise linear translation, then manufacturing precision and control accuracy are improved, but device complexity increases

Engineering Contradiction:
Improveprecision control of working end positionVSAvoidcomplexity of telescoping mechanism
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The nose tube is telescoped by nesting it within the body of the surgical instrument, allowing linear translation along the depth axis while maintaining a compact form factor. The intermediate unit with carriage and leadscrews is nested within the housing, with the nose tube extending from the body when needed.

Inventive Principle:
Principle #7Nested doll (Nesting)

Solution Approach 2:

The mechanical system for linear translation is replaced with a motorized system using a drive motor and leadscrews. The motor converts rotational motion to linear motion through the leadscrew mechanism, providing precise control of the nose tube position along the depth axis.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Measurement precision

If a tracking system with camera and optical markers is implemented to detect instrument position, then measurement precision is improved, but device complexity increases

Engineering Contradiction:
Improveposition and orientation detection accuracyVSAvoidcomplexity of tracking system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The tracking system uses optical markers (such as LEDs) that create a visual representation or copy of the instrument's position and orientation. The camera captures this optical copy to determine the instrument's spatial coordinates, pitch, roll, and yaw without requiring direct physical measurement.

Inventive Principle:
Principle #26Copying

Solution Approach 2:

The camera and optical markers serve as an intermediary system between the surgical instrument and the tracking control system. The markers attached to the instrument transmit position information to the camera, which then processes this data to determine the instrument's location and orientation in three-dimensional space.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If free hand operation without constraining mechanisms is used, then ease of operation is improved, but reliability decreases due to inability to prevent boundary breaching

Engineering Contradiction:
Improvemanual control flexibilityVSAvoidboundary constraint enforcement
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The tracking system continuously monitors the position of the working end relative to the predefined boundary and provides feedback to the control system. When the working end approaches or breaches the boundary, the system can provide visual feedback on a monitor or send signals to actuators to correct the position, ensuring the working end remains within the safe zone.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system uses the tracking data to automatically control actuators that adjust the instrument's position and orientation, enabling the system to self-correct when approaching boundary violations. The control system processes tracking information and autonomously makes adjustments to maintain the working end within the predefined boundary.

Inventive Principle:
Principle #25Self-service

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

Enables precise control and tracking of surgical instruments, ensuring the working end remains within defined boundaries, enhancing surgical precision and safety.

Implementation Method 1

The intermediate unit includes a plurality of leadscrews each being threaded and having a driven gear at one end

Methodology Applied
Scientific EffectScrew: Screw

Implementation Method 2

The drive gear is configured to interface with each of the driven gears to enable rotation of each of the leadscrews

Methodology Applied
Scientific EffectElectromagnetic induction: Electromagnetic Induction

Data Source

PatentEP4321106B1Surgical instrument with telescoping nose mechanism
Publication Date: 2025.12.24 STRYKER CORP
  • EP4321106B1 patent drawingFigure 1A
  • EP4321106B1 patent drawingFigure 1B
  • EP4321106B1 patent drawingFigure 1C

AI summary

A surgical instrument (1200) comprises a pivoting portion (1202), a shaft (1224) disposed in said pivoting portion (1202), a first drive motor (1216) disposed in said pivoting portion (1202) and being configured to rotate said shaft (1224), and a second drive motor (1226) disposed in said pivoting portion (1202) and being configured to linearly translate said shaft (1224). Said second drive motor (1226) includes a rotor (1230) and a drive gear (1236) each defining an aperture (1232) extending therethrough to receive said shaft (1224) and to enable said shaft (1224) to freely rotate and linearly translate therethrough.