Surgical robotic systems may include a surgical console controlling one or more surgical robotic arms, each having a surgical instrument having an end effector (e.g., forceps or grasping instrument). In operation, a user provides input to the surgical robotic systems through one or more interface devices, which are interpreted by a control tower of a surgical console as movement commands for moving the surgical robotic arm. Based on the user inputs, the surgical console sends movement commands to the robotic arm so that the robotic arm is moved to a position over a patient and the surgical instrument is guided into a small incision via a surgical access port or a natural orifice of a patient to position the end effector at a work site within the patient's body.
This disclosure describes devices, systems, and methods to control a movement or instrument function of a robotic arm of a surgical robotic system. One embodiment of the present disclosure is a device for a surgical robotic system. The device includes a first foot pedal with a button including a bottom side. The device includes a second foot pedal with a button including a bottom side. The device includes a connector. The connector includes a first end, a second end, a top side, and a bottom side. A top side of the first end is attached to the bottom side of the button of the first foot pedal, and the second end is configured to be positioned under the bottom side of the button of a second foot pedal to interlock the first foot pedal with the second foot pedal. When a force moves the button of the second foot pedal to a position, the button of the second foot pedal moves the connector, and the connector moves the button of the first foot pedal to an activation position.
In aspects, the first foot pedal is configured to generate an input signal in response to the first foot pedal being moved to the activation position, the input signal corresponding to at least one of a movement command of an arm of the surgical robotic system or an instrument function.
In aspects, the first foot pedal is further configured to send the input signal to a surgical console configured to remotely control an arm or an instrument function of the surgical robotic system based on the first input signal.
In aspects, the instrument function includes at least one of vessel sealing, bipolar coagulation, tissue cutting, stapling, monopolar power level, or ultrasonic power level.
In aspects, the first foot pedal is configured to generate a physical click in response to the first foot pedal being moved to the activation position.
In aspects, the first foot pedal includes a light, and the light is configured to illuminate in response to the first foot pedal being moved to the activation position.
In aspects, the first foot pedal includes a speaker configured to generate a noise in response to the first foot pedal being moved to the activation position.
In aspects, the connector includes a hook, a clip, a clasp, or a snap, to interlock the connector with a support column of the second foot pedal.
In aspects, the connector is configured to rotate with respect to an axis of the bottom side of the button of the first foot pedal to unlock the first foot pedal from the second foot pedal.
Another embodiment of the present disclosure is system to mechanically interlock a first foot pedal with a second foot pedal. The system includes a first foot pedal including a first button, a first support column, and a first base, and a second foot pedal including a second button, a second column, a second base, and a connector. The connector includes a first end, a second end, a top side, and a bottom side. The first end of the connector is attached to the second button of the second foot pedal and the second end of the connector is configured to be positioned under a bottom side of the first button of the first foot pedal to interlock the second foot pedal with the first foot pedal. When a force moves the first button of the first foot pedal to a position, the first button of the first foot pedal moves the connector, and the connector moves the second button of the second foot pedal to an activation position.
Another embodiment of the present disclosure is a device to mechanically connect a first foot pedal of a surgical robotic system with a second foot pedal of the surgical robotic system. The device includes a connector with a first end, a second end, a top side, and a bottom side. A top side of the first end of the connector is attached to a bottom side of a button of the first foot pedal and the second end of the connector is positioned under a bottom side of a button of the second foot pedal to interlock the first foot pedal with the second foot pedal. When a force moves the button of the second foot pedal to a position, the button of the second foot pedal moves the connector, and the connector moves the button of the first foot pedal to an activation position.
Various embodiments of the present disclosure are described herein with reference to the drawings wherein:
Embodiments of the presently disclosed surgical robotic system are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views.
As will be described in detail below, the present disclosure is directed to a surgical robotic system, which includes a surgical console, a control tower, and one or more mobile carts having a surgical robotic arm coupled to a setup arm. The surgical console receives user input through one or more interface devices, which are interpreted by the control tower as movement commands for moving the surgical robotic arm. The surgical robotic arm includes a controller, which is configured to process the movement command and to generate a torque command for activating one or more actuators of the robotic arm, which would, in turn, move the robotic arm in response to the movement command.
With reference to
The surgical instrument 50 is configured for use during minimally invasive surgical procedures. In embodiments, the surgical instrument 50 may be configured for open surgical procedures. In embodiments, the surgical instrument 50 may be an endoscope, such as an endoscopic camera 51, configured to provide a video feed for the user. In further embodiments, the surgical instrument 50 may be an electrosurgical forceps configured to seal tissue by compressing tissue between jaw members and applying electrosurgical current thereto. In yet further embodiments, the surgical instrument 50 may be a surgical stapler including a pair of jaws configured to grasp and clamp tissue while deploying a plurality of tissue fasteners, e.g., staples, and cutting stapled tissue.
One of the robotic arms 40 may include the endoscopic camera 51 configured to capture video of the surgical site. The endoscopic camera 51 may be a stereoscopic endoscope configured to capture two side-by-side (i.e., left and right) images of the surgical site to produce a video stream of the surgical scene. The endoscopic camera 51 is coupled to a video processing device 56, which may be disposed within the control tower 20. The video processing device 56 may be any computing device configured to receive video feed from the endoscopic camera 51, perform image processing, and output the processed video stream.
The surgeon console 30 includes a first display 32, which displays a video feed of the surgical site provided by camera 51 of the surgical instrument 50 disposed on the robotic arm 40, and a second display 34, which displays a user interface for controlling the surgical robotic system 10. The first and second displays 32 and 34 are touchscreens allowing for displaying various graphical user inputs.
The surgeon console 30 also includes a plurality of user interface devices, such as foot pedals 36 and a pair of handle controllers 38a and 38b which are used by a user to remotely control robotic arms 40. The surgeon console further includes an armrest 33 used to support clinician's arms while operating the handle controllers 38a and 38b.
The control tower 20 includes a display 23, which may be a touchscreen, and outputs on the graphical user interfaces (GUIs). The control tower 20 also acts as an interface between the surgeon console 30 and one or more robotic arms 40. In particular, the control tower 20 is configured to control the robotic arms 40, such as to move the robotic arms 40 and the corresponding surgical instrument 50, based on a set of programmable instructions and/or input commands from the surgeon console 30, in such a way that robotic arms 40 and the surgical instruments 50 execute a desired movement sequence in response to input from the foot pedals 36 and the handle controllers 38a and 38b.
Each of the control tower 20, the surgeon console 30, and the robotic arm 40 includes a respective computer 21, 31, 41. The computers 21, 31, 41 are interconnected to each other using any suitable communication network based on wired or wireless communication protocols. The term “network,” whether plural or singular, as used herein, denotes a data network, including, but not limited to, the Internet, Intranet, a wide area network, or a local area network, and without limitation as to the full scope of the definition of communication networks as encompassed by the present disclosure. Suitable protocols include, but are not limited to, transmission control protocol/internet protocol (TCP/IP), datagram protocol/internet protocol (UDP/IP), and/or datagram congestion control protocol (DCCP). Wireless communication may be achieved via one or more wireless configurations, e.g., radio frequency, optical, Wi-Fi, Bluetooth (an open wireless protocol for exchanging data over short distances, using short length radio waves, from fixed and mobile devices, creating personal area networks (PANs), ZigBee® (a specification for a suite of high level communication protocols using small, low-power digital radios based on the IEEE 122.15.4-2003 standard for wireless personal area networks (WPANs)).
The computers 21, 31, 41 may include any suitable processor (not shown) operably connected to a memory (not shown), which may include one or more of volatile, non-volatile, magnetic, optical, or electrical media, such as read-only memory (ROM), random access memory (RAM), electrically-erasable programmable ROM (EEPROM), non-volatile RAM (NVRAM), or flash memory. The processor may be any suitable processor (e.g., control circuit) adapted to perform the operations, calculations, and/or set of instructions described in the present disclosure including, but not limited to, a hardware processor, a field programmable gate array (FPGA), a digital signal processor (DSP), a central processing unit (CPU), a microprocessor, and combinations thereof. Those skilled in the art will appreciate that the processor may be substituted for by using any logic processor (e.g., control circuit) adapted to execute algorithms, calculations, and/or set of instructions described herein.
With reference to
The setup arm 61 includes a first link 62a, a second link 62b, and a third link 62c, which provide for lateral maneuverability of the robotic arm 40. The links 62a, 62b, 62c are interconnected at joints 63a and 63b, each of which may include an actuator (not shown) for rotating the links 62b and 62b relative to each other and the link 62c. In particular, the links 62a, 62b, 62c are movable in their corresponding lateral planes that are parallel to each other, thereby allowing for extension of the robotic arm 40 relative to the patient (e.g., surgical table). In embodiments, the robotic arm 40 may be coupled to the surgical table (not shown). The setup arm 61 includes controls 65 for adjusting movement of the links 62a, 62b, 62c as well as the lift 67. In embodiments, the setup arm 61 may include any type and/or number of joints.
The third link 62c may include a rotatable base 64 having two degrees of freedom. In particular, the rotatable base 64 includes a first actuator 64a and a second actuator 64b. The first actuator 64a is rotatable about a first stationary arm axis which is perpendicular to a plane defined by the third link 62c and the second actuator 64b is rotatable about a second stationary arm axis which is transverse to the first stationary arm axis. The first and second actuators 64a and 64b allow for full three-dimensional orientation of the robotic arm 40.
The actuator 48b of the joint 44b is coupled to the joint 44c via the belt 45a, and the joint 44c is in turn coupled to the joint 46b via the belt 45b. Joint 44c may include a transfer case coupling the belts 45a and 45b, such that the actuator 48b is configured to rotate each of the links 42b, 42c and a holder 46 relative to each other. More specifically, links 42b, 42c, and the holder 46 are passively coupled to the actuator 48b which enforces rotation about a pivot point “P” which lies at an intersection of the first axis defined by the link 42a and the second axis defined by the holder 46. In other words, the pivot point “P” is a remote center of motion (RCM) for the robotic arm 40. Thus, the actuator 48b controls the angle θ between the first and second axes allowing for orientation of the surgical instrument 50. Due to the interlinking of the links 42a, 42b, 42c, and the holder 46 via the belts 45a and 45b, the angles between the links 42a, 42b, 42c, and the holder 46 are also adjusted in order to achieve the desired angle θ. In embodiments, some or all of the joints 44a, 44b, 44c may include an actuator to obviate the need for mechanical linkages.
The joints 44a and 44b include an actuator 48a and 48b configured to drive the joints 44a, 44b, 44c relative to each other through a series of belts 45a and 45b or other mechanical linkages such as a drive rod, a cable, or a lever and the like. In particular, the actuator 48a is configured to rotate the robotic arm 40 about a longitudinal axis defined by the link 42a.
With reference to
The robotic arm 40 also includes a plurality of manual override buttons 53 (
With reference to
The computer 41 includes a plurality of controllers, namely, a main cart controller 41a, a setup arm controller 41b, a robotic arm controller 41c, and an instrument drive unit (IDU) controller 41d. The main cart controller 41a receives and processes joint commands from the controller 21a of the computer 21 and communicates them to the setup arm controller 41b, the robotic arm controller 41c, and the IDU controller 41d. The main cart controller 41a also manages instrument exchanges and the overall state of the mobile cart 60, the robotic arm 40, and the instrument drive unit 52. The main cart controller 41a also communicates actual joint angles back to the controller 21a.
The setup arm controller 41b controls each of joints 63a and 63b, and the rotatable base 64 of the setup arm 62 and calculates desired motor movement commands (e.g., motor torque) for the pitch axis and controls the brakes. The robotic arm controller 41c controls each joint 44a and 44b of the robotic arm 40 and calculates desired motor torques required for gravity compensation, friction compensation, and closed loop position control of the robotic arm 40. The robotic arm controller 41c calculates a movement command based on the calculated torque. The calculated motor commands are then communicated to one or more of the actuators 48a and 48b in the robotic arm 40. The actual joint positions are then transmitted by the actuators 48a and 48b back to the robotic arm controller 41c.
The IDU controller 41d receives desired joint angles for the surgical instrument 50, such as wrist and jaw angles, and computes desired currents for the motors in the instrument drive unit 52. The IDU controller 41d calculates actual angles based on the motor positions and transmits the actual angles back to the main cart controller 41a.
The robotic arm 40 is controlled as follows. Initially, a pose of the handle controller controlling the robotic arm 40, e.g., the handle controller 38a, is transformed into a desired pose of the robotic arm 40 through a hand eye transform function executed by the controller 21a. The hand eye function, as well as other functions described herein, is/are embodied in software executable by the controller 21a or any other suitable controller described herein. The pose of the handle controller 38a may be embodied as a coordinate position and role-pitch-yaw (“RPY”) orientation relative to a coordinate reference frame, which is fixed to the surgical console 30. The desired pose of the instrument 50 is relative to a fixed frame on the robotic arm 40. The pose of the handle controller 38a is then scaled by a scaling function executed by the controller 21a. In some instances, the coordinate position may be scaled down and the orientation may be scaled up by the scaling function. In addition, the controller 21a also executes a clutching function, which disengages the handle controller 38a from the robotic arm 40. In particular, the main cart controller 21a stops transmitting movement commands from the handle controller 38a to the robotic arm 40 if certain movement limits or other thresholds are exceeded and in essence acts like a virtual clutch mechanism, e.g., limits mechanical input from effecting mechanical output.
The desired pose of the robotic arm 40 is based on the pose of the handle controller 38a and is then passed by an inverse kinematics function executed by the controller 21a. The inverse kinematics function calculates angles for the joints 44a, 44b, and 44c of the robotic arm 40 that achieve the scaled and adjusted pose input by the handle controller 38a. The calculated angles are then passed to the robotic arm controller 41c, which includes a joint axis controller having a proportional-derivative (PD) controller, the friction estimator module, the gravity compensator module, and a two-sided saturation block, which is configured to limit the commanded torque of the motors of the joints 44a, 44b, 44c.
With reference to
Button 80b of foot pedal 36b may be configured to be supported by support column 85b in an open position 36b(0) when no force is applied to button 80b or connector 75. Connector 75 may include a top side 75t, a bottom side 75b a first end 75 (1) and a second end 75 (2). Top side 75t of first end 75 (1) may be attached to a bottom side of button 80b and may move button 80b when connector 75 is moved. Foot pedal 36b may be positioned adjacent to foot pedal 36a so that foot pedal 36b is aligned with foot pedal 36a and second end 75 (2) of connector 75 is positioned underneath button 80a of foot pedal 36a. As described in more detail below, when second end 75 (2) of connector 75 is positioned under button 80a, connector 75 may mechanically interlock foot pedal 36b with foot pedal 36a and connector 75 may be moved by button 80a when button 80a is moved. Foot switch 36b may not generate an input signal when button 80b or connector 75 is not moved and foot switch 36b is in open position 36b(0).
Foot switch 36a may be configured to generate tactile feedback to a user such as a physical click or vibration when button 80a is moved to activation position 36a(1). Foot switch 36a may also generate a noise by a speaker 92a and/or illuminate a light 94a when button 80a is moved to activation position 36a(1). Activation position 36a(1) may be associated with a specific movement or instrument function of surgical robotic system 10. Foot switch 36a may generate a first input signal 36ai(1) when button 80a is moved to activation position 36a(1). Foot switch 36a may send first input signal 36ai(1) to surgical console 30, control tower 20 and/or at least one of the robotic arms 40 of
First input signal 36ai(1), from foot switch 36a, may be utilized by surgical console 30 to remotely control a specific movement or instrument function of surgical robotic system 10. Instrument function, remotely controlled by first input signal 36ai(1) from foot switch 36a, may include vessel sealing, bipolar coagulation, tissue cutting, stapling, monopolar power level, ultrasonic power level, etc. Instrument function, remotely controlled by first input signal 36ai(1) from foot switch 36a, may be for a predetermined period of time, for example, first input signal 36ai(1) may initiate bipolar coagulation, which may be activated for a predetermined amount of time.
When button 80b of foot pedal 36b is moved to activation position 36b(1), foot pedal 36b may generate tactile feedback to a user. Tactile feedback may include a physical click or vibration, a noise by speaker 92b, and/or illuminate light 94b. A noise and/or illumination generated by foot pedal 36b may be different for activation position 36b(1) than for activation position 36a(1) of foot pedal 36a so that a user can easily distinguish between the two foot pedals. For example, foot pedal 36b may illuminate light 94b when button 80b is moved to activation position 36b(1) and foot pedal 36a may generate a buzzer noise by speaker 92a when button 80a is moved to activation position 36a(1). Activation position 36b(1) may be associated with a specific movement or instrument function of robotic arms 40 of
As shown in
A device in accordance with the present disclosure may provide a user with the ability to control more than one movement or instrument function of robotic arms 40 of a robotic surgical system 10 with a first foot pedal mechanically interlocked with a second foot pedal. A device in accordance with the present disclosure may provide a user with the ability to control different movements or instrument functions of robotic arm 40 of robotic surgical system 10 by depressing a first foot pedal to either a first activation position or a second position to activate a second foot pedal mechanically interlocked with the first foot pedal. A device in accordance with the present disclosure may provide a user with the ability to control different movements or instrument functions of the robotic arm of a robotic surgical system by depressing a first foot pedal to either and activation position or a second position to activate a second foot pedal. A device in accordance with the present disclosure may provide a user with indicator when a first or second foot pedal is moved to an activation position.
It will be understood that various modifications may be made to the embodiments disclosed herein. In embodiments, the sensors may be disposed on any suitable portion of the robotic arm. Therefore, the above description should not be construed as limiting, but merely as exemplifications of various embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended thereto.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2023/052763 | 3/21/2023 | WO |
Number | Date | Country | |
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63323115 | Mar 2022 | US |