Non-force reflecting method for providing tool force information to a user of a telesurgical system

Description

FIELD OF THE INVENTION

The present invention generally relates to telesurgical systems and in particular, to a non-force reflecting method for providing tool force information to a user of a telesurgical system.

BACKGROUND OF THE INVENTION

Telesurgical systems are well-known and commonly used to robotically manipulate objects such as tools in remote or other environments where it is advantageous for a human not to do so in person. One example of such a system is the minimally invasive robotic surgery system described in commonly owned U.S. Pat. No. 6,699,177 entitled “Method and Apparatus for Performing Minimally Invasive Surgical Procedures,” which is incorporated to the extent consistent herein by this reference.

To manipulate the remote object, a human operator or user of the telesurgical system manipulates or otherwise commands a locally provided master manipulator. Such commands to the master manipulator are then translated as appropriate, and sent to a remotely deployed slave manipulator. The slave manipulator then manipulates the object according to the user's commands.

In order to enhance the user's ability to “feel” the effects of his or her control inputs, force reflection is commonly included in telesurgical systems by having the remote slave manipulator feed back force or other motion relative signals to the master manipulator so that the user feels as if he or she is manipulating the controlled object directly by hand.

One problem with such force reflection telesurgical systems, however, is that a large feedback gain and/or signal filtering may cause the closed-loop control system between the master and slave manipulators to go unstable. Without such gain and/or filtering, however, the user may not properly feel objectionable force levels being applied by the manipulated object against obstructions in its path. In a minimally invasive surgical application such insensitivity to tool forces can result in the surgical tool exerting excessive forces so as to, for example, injure the patient or otherwise affect the safety or comfort of the patient in some manner.

OBJECTS AND SUMMARY OF THE INVENTION

Accordingly, one object of aspects of the present invention is a method for providing tool force information to a user of a telesurgical system without affecting the stability of the telesurgical system.

Another object of aspects of the invention is a method for providing tool force information to a user of a telesurgical system without restricting feedback gain or filter values and configurations while maintaining the stability of the telesurgical system.

Still another object of aspects of the invention is a method for providing tool force information to a user of a telesurgical system that effectively warns the user if excessive tool force is being applied against an obstruction in an environment in which the tool is being manipulated.

The embodiments of the invention are summarized by the claims that follow below.

Additional objects, features and advantages of the various aspects of the present invention will become apparent from the following description of its preferred embodiment, which description should be taken in conjunction with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 illustrates a top view of an operating room employing a minimally invasive robotic telesurgical system utilizing aspects of the present invention.

FIG. 2 illustrates a block diagram of a telesurgical system utilizing aspects of the present invention.

FIGS. 3-6 illustrate block diagrams of telesurgical systems using different joint torque values for tool force indication, utilizing aspects of the present invention.

FIG. 7 illustrates a block diagram of an observer useful in the telesurgical system of FIG. 6.

FIG. 8 illustrates a flow diagram of a method for providing force information to a user of a telesurgical system utilizing aspects of the present invention.

FIG. 9 illustrates a flow diagram of a method for providing force information to a user of a telesurgical system with escalating warnings, utilizing aspects of the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

FIG. 1 illustrates, as an example of a telesurgical system, a Minimally Invasive Robotic Surgical (MIRS) system 100 including a Console (“C”) utilized by a Surgeon (“S”) while performing a minimally invasive diagnostic or surgical procedure, usually with assistance from one or more Assistants (“A”), on a Patient (“P”) who is lying down on an Operating table (“O”).

The Console includes a support 102, a monitor 104 for displaying an image of a surgical site to the Surgeon, and one or more control devices 108 (also referred to herein cumulatively as a “master manipulator”). The control devices 108 may include any one or more of a variety of input devices such as joysticks, gloves, trigger-guns, hand-operated controllers, or the like.

The Surgeon performs a procedure by manipulating the control devices 108 which in turn, cause robotic mechanisms 114 (also referred to herein as “slave manipulators”) to manipulate their respective removably coupled instrument or tool assembly 110 (hereinafter simply referred to as a “tool”) through a minimally invasive incision in the body of the Patient while the Surgeon views the surgical site through the monitor 104.

To manipulate the tools 110, each of the slave manipulators 114 is conventionally formed of linkages that are coupled together and manipulated through motor controlled joints. Since the construction and operation of such robotic manipulators are well known, their details need not be repeated here. For example, general details on robotic manipulators of this type can be found in John J. Craig, Introduction to Robotics Mechanics and Control, 2^ndedition, Addison-Wesley Publishing Company, Inc., 1989.

The number of surgical tools 110 used at one time and consequently, the number of robotic mechanisms 114 in the system 100 will generally depend on the diagnostic or surgical procedure and the space constraints within the operating room among other factors. If it is necessary to change one or more of the tools 110 being used during a procedure, the Assistant may remove the tool 110 no longer being used at the time from its robotic mechanism 114, and replace it with another tool 110 from a tray (“T”) in the operating room.

The Surgeon's Console is usually located in the same room as the Patient so that the Surgeon may directly monitor the procedure, is physically available if necessary, and is able to speak to the Assistant(s) directly rather than over the telephone or other communication medium. However, it will be understood that the Surgeon can also be located in a different room, a completely different building, or other remote location from the Patient allowing for remote surgical procedures.

Preferably, control devices 108 will be provided with the same degrees of freedom as their associated tools 110 to provide the Surgeon with telepresence, or the perception that the control devices 108 are integral with the tools 110 so that the Surgeon has a strong sense of directly controlling the tools 110. To this end, position, force, and tactile feedback sensors are preferably employed on the tools 110 to transmit position, force, and tactile sensations from the tools 110 back to the Surgeon's hands as he/she operates the control devices 108.

A monitor 104 is suitably coupled to a viewing scope assembly 112, including one or more cameras, through a processor 101, and positioned on the support 102 of the Console such that an image of the surgical site is provided near the Surgeon's hands. Preferably, the monitor 104 will display a projected image on a display 106 that is oriented so that the surgeon feels that he or she is actually looking directly down onto the operating site. To that end, an image of the tools 110 appear to be located substantially where the operator's hands are located even though the observation points (i.e., the endoscope or viewing camera) may not be from the point of view of the image.

In addition, the real-time image is preferably projected into a perspective image such that the operator can manipulate the end effector of a tool 110 through its corresponding control device 108 as if viewing the workspace in substantially true presence. By true presence, it is meant that the presentation of an image is a true perspective image simulating the viewpoint of an operator that is physically manipulating the tools 110. Thus, the processor 101 (or another processor in the Console) transforms the coordinates of the tools 110 to a perceived position so that the perspective image is the image that one would see if the viewing scope assembly 112 was located directly behind the tools 110.

The processor 101 performs various functions in the system 100. One important function that it performs is to translate and transfer the mechanical motion of control devices 108 to robotic mechanisms 114 through control signals such as CS1 and CS2 so that the Surgeon (“S”) can effectively manipulate the tools 110. Another important function is to provide force information to one or more force indicators so that the Surgeon and/or Assistant(s) may be informed, for example, if excessive force is being applied by a monitored tool that may harm or cause discomfort to the Patient. In providing such force information, it is important that it is done in such a manner so as to not significantly affect the stability of the telesurgical system 100. In particular, it should not drive the telesurgical system 100 unstable.

The force indicators, for example, may be integrated or attached to the support 102, and/or displayed on the monitor 104. Force indicators may also be activated on the control devices 108 in the form of vibration or viscous feel as described herein, provided the control devices 108 are equipped for such tactile sensations. Force indicators may also be placed so as to be proximate to or positioned on their respective slave manipulators 114.

The force information, for example, may be derived from strain gauge measurements on linkages in the slave manipulator manipulating the tool that is being monitored, or it may be derived from encoders associated with joints in the slave manipulator manipulating the tool that is being monitored. Typical processing to generate the force information may include filtering and/or gain adjustments.

The processor 101 may be separate from or integrated as appropriate into the robotic mechanisms 114 and 115, it may be or be part of a stand-alone unit, or it may be integrated in whole or in part into the Console serving as its processor or as a co-processor to its processor. Although described as a processor, it is to be appreciated that the processor 101 may be implemented in practice by any combination of hardware, software and firmware. Also, its functions as described herein may be performed by one unit, or divided up among different components, each of which may be implemented in turn by any combination of hardware, software and firmware.

FIG. 2 illustrates, as an example, a block diagram of a telesurgical system 200 used in manipulating one of the tools 110 through its respective slave manipulator 114 in the MIRS system 100. The user 201 in this case is the Surgeon (“S”) since it is the Surgeon (“S”) who manipulates the master manipulator 108 in the MIRS system 100.

As the user 201 manipulates the master manipulator 108, the slave controller 203 translates its position from the coordinate frame of the master manipulator 108 to the coordinate frame of the tool 110. The slave controller 203 then determines the joint positions for the slave manipulator 114 that correspond to that tool position, and commands motors corresponding to each of those joints to move their respective joints to those positions using a closed-loop control system for each of the motors. Meanwhile, a master controller 207 feeds back any position error to the master manipulator 108 so that the master manipulator 108 tends to move in tandem along with the slave manipulator 114.

In order to enhance the user's ability to “feel” the effects of his or her control inputs, force information indicative of a force being exerted against the tool 110 is “reflected” back to the master manipulator 108 by the master controller 207. In a first embodiment, force information “F_S” is provided to the master controller 207 from or through the slave manipulator 114. As an example, the force information “F_S” may be provided from position sensors coupled to joints of the slave manipulator 114, which indirectly sense the force being exerted against the tool 110. As another example, the force information “F_S” may be provided by wiring extending through the slave manipulator 114 from a force sensor on the tool 110, which directly measures the force being exerted against the tool 110. In a second embodiment, force information “F_T” is provided to the master controller 207 from the slave controller 203. As an example, the force information “F_T” may be torque values indicated in joint controllers of the slave controller 203. The master controller 207 receives the force information, “F_S” or “F_T”, and generates corresponding signals “C_M” that are provided to actuators in the master manipulator 108, so that the actuators cause corresponding tactile forces felt by user on the master input device 108.

The functions of the slave controller 203 and the master controller 207 are implemented, for example, by programming them into a processor such as the processor 101 in the MIRS system 100. An example showing additional detail for such an implementation will now be described in reference to blocks 301-310 of FIG. 3. Referring to that figure, a closed-loop control system for driving a joint motor in the slave manipulator 114 is shown.

In this example, the closed-loop control includes a proportional, integral, derivative (“PID”) function 305 and a feed-forward (“FFD”) gain 304. Although a PID function is described herein, it is to be appreciated, however, that different control laws may also be implemented and are fully contemplated to be within the full scope of the various aspects of the present invention. As indicated by the sets of arrows 302 and 309, the master manipulator 108 is understood to also be driving other similarly configured closed-loop control systems corresponding to other joints of the slave manipulator 114.

The PID function 305 generates a feedback torque command (“TFBK”) by operating on the joint position error between a commanded joint position from the inverse Jacobian 301 (ignoring coordinate transformations) and the detected joint position “Qx” from the joint encoder. The FFD gain 304 generates a feed-forward torque command (“TFFD”) by operating on the commanded joint position, velocity, and acceleration. The feedback torque (TFBK″) and the feed-forward torque (“TFFD”) are then added together to generate a total torque command (“TJ”) that is applied to the joint motor, whose dynamics are depicted along with those of its joint in block 307, which is labeled JOINT DYNAMICS.

The joint position error is also provided to the master manipulator 108 through a gain (“K”) 308 and transpose Jacobian 310. Although not shown to simplify the example, it is to be appreciated that a coordinate transformation from slave joint space to Cartesian space is also generally performed at this point. Since forces applied to the tool 110 such as a static force experienced when the tool 110 is pressing against an obstruction can create a joint position error, such reflected forces are effectively passed back to the master manipulator 108 by such position error being fed back.

One problem with the part of the telesurgical system described so far with respect to FIG. 2 is that additional filtering and/or gain to increase the sensitivity for detecting certain forces on the tool is difficult, since those changes may drive the joint closed-loop control systems incorporated therein to unstable conditions. As an example, if a relatively low level force is applied for an extended period of time by the tool against an obstruction such as the Patient's rib-cage, it may not be detected through the reflected forces being provided through the position error that is fed back to the master manipulator 108 due to a low value of the gain “K” 308 that is required to maintain system stability. As a consequence, bruising and/or prolonged discomfiture by the Patient during and/or after the minimally invasive surgical procedure may result.

Accordingly, referring back to FIG. 2 now, a force indicator 209 and processing unit 208 are added to the telesurgical system 200 to provide such types of tool force information to the user 201 without affecting the stability of the closed-loop control systems in the telesurgical system 200. In this case, the processing function 208 processes force or torque information received from the slave controller 203 substantially without restriction as to gain or filtering, because it is outside of the closed-loop control systems previously described herein.

As shown in FIGS. 3-6, the force or torque information from the slave controller 203 may be picked-off from several different points in the joint motor control systems. For example, in FIG. 3, the total joint torque (“TJ”) command provided to the joint motor may be picked-off for generating the force information to be provided to the user 201 through the force indicator 209. In FIG. 4, the feedback torque (“TFBK”) generated by the PID function 305 is picked-off for generating the force information. In FIG. 5, the integrator torque (“TL”) from the integrator in the PID function 305 is picked-off for generating the force information. In FIG. 6, an observed disturbance torque “TO” that is generated by an observer 601 is used for generating the force information to be provided to the user 201 through the force indicator 209. An example of the observer 601 is illustrated FIG. 7. Since observers of this type are well-known in robotic control theory, detailed discussion of this figure is deemed unnecessary.

Note that depending upon the force that is to be presented to the user 201, the picked-off force locations may differ for different joints of the slave manipulator 114, and only selected ones of the joints may be tapped for picking off force or torque information. In addition, the gains and filters used for processing the picked-off force or torque values may be different for each of the joints. The processed force information thus picked off the joint control systems for the selected joints are then combined in an appropriate fashion before providing the force information to the user 201 through the force indicator 209.

The force indicator 209 may take any one of many different forms or modalities that is preferably turned-on or activated and turned-off or deactivated according to force threshold criteria. In the following examples, the force information is generated so as to determine a static force produced as the tool is pressed against an obstruction.

In one example of the force indicator 209, the force information may be provided to the user by turning on a user-visible indicator when information of the static force is greater than a first threshold value, and turning off the user-visible indicator when the information of the static force is less than a second threshold value. In this case, the first threshold value would generally be greater than the second threshold value.

One example of the user-visible indicator is a bar graph which may be displayed on the screen 106 of the monitor 104 of the MIRS system 100 so that it is visible to the user of the telesurgical system. In this case, as the static force asserted against the tool increases, the length of the bar graph increases accordingly.

Another example of the user-visible indicator is a blinking icon on the screen 106 of the monitor 104. Similarly, the user-visible indicator may be a flashing light on the support 102 of the Console or on the master manipulator 108 of the MIRS system 100 where the Surgeon would be able to readily see it, or the flashing light may be on or in the proximity of the slave manipulator 114 of the MIRS system 100 where the Surgeon and/or the Assistant(s) may be able to see it.

The color of the user-visible indicator may also change as the static force increases, such as going from green (indicating a safe level of force), to yellow (indicating a warning that the force is getting close to an unsafe or undesirable level), and to red (indicating an unsafe or undesirable level of force has been reached). In addition or alternatively to a change in color, the intensity of the user-visible indicator may change as the static force changes.

Another type of force indicator 209 is a user-audible indicator which preferably increases in intensity as the magnitude of the applied force increases. Another type of force indicator 209 uses haptic or tactile sensation features that may be implemented on the master manipulator 108, such as a haptic “buzz” that provides a buzzing sensation to the Surgeon while manipulating the master manipulator 108 or a haptic “viscosity” that makes operation of the master manipulator 108 feel more sluggish to the Surgeon. In the case of these tactile sensations being activated on the master manipulator 108, the frequency and/or amplitude of the “buzz” or the “viscosity” should be limited so as not to substantially affect the stability of the closed-loop control systems of the telesurgical system.

FIG. 8 illustrates a method for providing force information to the user 201 which is implemented, for example, by the addition of the force indicator 209 and the processing unit 208 to the telesurgical system 200. In 801, torque values are determined for joints employed in the telesurgical system for manipulating a tool. The torque values in this case are determined, for example, by the slave controller 203 processing the movement of the master manipulator 108 as manipulated by the user 201 (to determine TFFD, for example) and the movement of the joints of the slave manipulator 114 (to determine TFBK, for example).

The operation of the closed-loop controls systems and the providing of force information to the user may then take place concurrently. In particular, in 802, the determined joint torque values are used in their respective closed-loop control systems, for example, as described in reference to blocks 301-310 of FIG. 3, while in 803, at least one of the torque values is processed to generate force information for the tool, and in 804, the force information is provided to the user of the telesurgical system in a manner so as not to significantly affect the stability of the joint closed-loop control systems.

Although the processing function 208 of the telesurgical system 200 is shown as being a simple gain and/or filter in corresponding blocks of FIGS. 3-6, it is to be appreciated that the processing may take on additional sophistication such as illustrated in FIG. 9. In particular, as shown in that figure, various force indications may be activated as the static force asserted on the tool increases. At each level, the force indication may be a different color or intensity as described previously herein, or it may be a different modality. For example, the level 1 force indication may be a user-visible indication, the level 2 force indication may be a user-audible indication, and the level 3 force indication may be a tactile sensation on the master manipulator 108. As in the cases of the slave controller 203 and the master controller 207, the processing function 208 is also implemented in a processor such as the processor 101 in the MIRS system 100.

Although the various aspects of the present invention have been described with respect to a preferred embodiment, it will be understood that the invention is entitled to full protection within the full scope of the appended claims.

Claims

1. A telesurgical system comprising: a slave manipulator adapted to manipulate a tool when the tool is coupled to the slave manipulator;a master manipulator;slave controller means for controlling operation of the slave manipulator in response to input from the master manipulator;master controller means for: receiving first information of a force, which is being exerted against the tool, from the slave controller means;generating a first indication of the force; andproviding the first indication of the force, as a reflected force, to the master manipulator;a force indicator adapted to provide force information in a non-tactile sensory manner; andprocessing means for: receiving second information of the force, which is indicative of a command generated by the slave controller means to actuate an actuator of the slave manipulator to manipulate the tool, from the slave controller means;generating a second indication of the force by amplifying the second information of the force; andproviding the second indication of the force to the force indicator, so that the force indicator provides the second indication of the force, as the force information, to a user of the master manipulator in the non-tactile sensory manner.
2. The telesurgical system according to claim 1, wherein the slave controller means comprises: a feed-forward path providing a feed-forward torque value originating from the master manipulator;a proportional-integral-derivative path providing a feedback torque value generated using a feedback error in the closed-loop control system; anda summing node generating a total torque value by summing the feed-forward torque value and the feedback torque value.
3. The telesurgical system according to claim 2, wherein the second information of the force is generated by using the total torque value of the slave controller means.
4. The telesurgical system according to claim 2, wherein the second information of the force is generated by using the feedback torque value of the slave controller means.
5. The telesurgical system according to claim 2, wherein the second information of the force is generated by using a torque contribution of an integral portion of the proportional-integral-derivative path of the slave controller means.
6. The telesurgical system according to claim 2, wherein the second information of the force is generated by using an external disturbance torque value estimated by an observer by using a torque value associated with the slave controller means.
7. The telesurgical system according to claim 1, wherein the providing of the second indication of the force to the force indicator, by the processing means, is conditioned upon the force being greater than a first threshold level; andwherein the first threshold level is a force level that is harmful to an obstruction which is the cause of the force being exerted against the tool, so that the force indicator provides the second indication of the force to the user so as to warn the user that an excessive force is being applied by the tool against the obstruction.
8. The telesurgical system according to claim 7, wherein the first threshold level is a force level that results in the reflected force, which is being provided to the master manipulator, being tactilely non-detectable by the user of the master manipulator, so that the second indication of the force provides information, which is detectable by the user, of the force being exerted against the tool.
9. The telesurgical system according to claim 8, wherein the force indicator comprises a user-visible indicator.
10. The telesurgical system according to claim 9, wherein the user-visible indicator is turned on when the force being exerted against the tool is greater than the first threshold value and the user-visible indicator is turned off when the force being exerted against the tool is less than a second threshold value, wherein the second threshold level is less than the first threshold level.
11. The telesurgical system according to claim 10, wherein the user-visible indicator increases in intensity as the magnitude of the applied force increases.
12. The telesurgical system according to claim 10, wherein the user-visible indicator is in the form of a bar graph.
13. The telesurgical system according to claim 10, wherein the telesurgical system includes a monitor having a screen visible to the user, and the user-visible indicator is a blinking icon displayed on the screen.
14. The telesurgical system according to claim 10, wherein the user-visible indicator is located in the proximity of the slave manipulator.
15. The telesurgical system according to claim 14, wherein the user-visible indicator is a flashing light.
16. The telesurgical system according to claim 8, wherein the force indicator comprises a user-audible indicator.
17. The telesurgical system according to claim 16, wherein the user-audible indicator provides the second indication of the force to the user so as to increase in intensity as the magnitude of the force being exerted against the tool increases.
18. The telesurgical system according to claim 1, further comprising: a second force indicator for providing the second indication of the force to the user of the master manipulator, wherein the force indicator comprises a user-visible indicator and the second force indicator comprises a user-audible indicator.
19. In a telesurgical system having: a slave manipulator adapted to manipulate a tool when the tool is coupled to the slave manipulator; a master manipulator; a slave controller means for controlling operation of the slave manipulator in response to input from the master manipulator; and a master controller means for: receiving first information of a force that is being exerted against the tool from one of the slave manipulator and the slave controller means, generating a first indication of the force by using the first information of the force, and providing the first indication of the force, as a reflected force, to the master manipulator, so that the master manipulator provides the first indication of the force to a user of the manipulator in a tactile sensory manner; the improvement comprising:a force indicator adapted to provide force information in a non-tactile sensory manner; andprocessing means for: receiving second information of the force, which is indicative of a command generated by the slave controller means to actuate an actuator of the slave manipulator to manipulate the tool, from the slave controller means;generating a second indication of the force by amplifying the second information of the force; andproviding the second indication of the force to the force indicator, so that the force indicator provides the second indication of the force, as the force information, to the user of the master manipulator in the non-tactile sensory manner.
20. A telesurgical system comprising: a slave manipulator adapted to manipulate a tool when the tool is coupled to the slave manipulator;a master manipulator;slave controller means for controlling operation of the slave manipulator in response to input from the master manipulator;master controller means for: receiving first information of a force, which is being exerted against the tool, from one of the slave manipulator and the slave controller means;generating a first indication of the force by using the first information of the force; andproviding the first indication of the force, as a reflected force, to the master manipulator, so that the master manipulator provides the first indication of the force to a user of the manipulator in a tactile sensory manner;a force indicator adapted to provide force information in a non-tactile sensory manner; andprocessing means for: receiving second information of the force, which is indicative of a command generated by the slave controller means to actuate an actuator of the slave manipulator to manipulate the tool, from the slave controller means;generating a second indication of the force by amplifying the second information of the force; andproviding the second indication of the force to the force indicator, so that the force indicator provides the second indication of the force, as the force information, to the user of the master manipulator in the non-tactile sensory manner.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a divisional of U.S. application Ser. No. 11/093,372, filed Mar. 30, 2005, now U.S. Pat. No. 8,944,070, which is a continuation-in-part of U.S. application Ser. No. 10/314,001, filed Dec. 5, 2002, now U.S. Pat. No. 7,107,090, which is a continuation of U.S. application Ser. No. 09/464,455, filed Dec. 14, 1999, now U.S. Pat. No. 6,522,906, which is a continuation-in-part of U.S. application Ser. No. 09/457,406, filed Dec. 7, 1999, now abandoned, all of which are incorporated herein by reference. U.S. application Ser. No. 11/093,372 is also a continuation-in-part of U.S. application Ser. No. 10/644,406, filed Aug. 19, 2003, now abandoned, which is a continuation of Ser. No. 10/163,626, filed Jun. 5, 2002, now U.S. Pat. No. 6,671,581, which is a continuation of U.S. application Ser. No. 09/373,678, filed Aug. 13, 1999, now U.S. Pat. No. 6,424,885, which is an application claiming the benefit of U.S. Application No. 60/128,160, filed Apr. 7, 1999.

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Related Publications (1)

	Number	Date	Country
	20150182287 A1	Jul 2015	US

Provisional Applications (1)

	Number	Date	Country
	60128160	Apr 1999	US

Divisions (1)

	Number	Date	Country
Parent	11093372	Mar 2005	US
Child	14585853		US

Continuations (3)

	Number	Date	Country
Parent	09464455	Dec 1999	US
Child	10314001		US
Parent	10163626	Jun 2002	US
Child	10644406		US
Parent	09373678	Aug 1999	US
Child	10163626		US

Continuation in Parts (3)

	Number	Date	Country
Parent	10314001	Dec 2002	US
Child	11093372		US
Parent	09457406	Dec 1999	US
Child	09464455		US
Parent	10644406	Aug 2003	US
Child	11093372		US

Non-force reflecting method for providing tool force information to a user of a telesurgical system

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