Surgical robotic systems are currently being used in minimally invasive medical procedures. Some surgical robotic systems include a surgical console controlling a surgical robotic arm and a surgical instrument having an end effector (e.g., forceps or grasping instrument) coupled to and actuated by the robotic arm. Such robotic systems are powered by complex electrical power supply systems with multiple electrical supply rails and backup units. Thus, there is a need for a streamlined power management for surgical robotic systems to control complex electrical power supplies.
The present disclosure provides a surgical robotic system including a plurality of components, namely, a control tower, a console, and one or more surgical robotic arms, each of which is disposed on a movable cart and includes a surgical instrument. The control tower includes a power supply system which distributes power to each of the movable carts and the robotic arms attached thereto. The power supply system includes a plurality of power supplies, each of which powers an individual movable cart. The power supply system includes a controller configured to control the individual power supply based on a connection status of the movable cart and a status of the individual power supply.
According to one embodiment of the present disclosure, a surgical robotic system is disclosed. The surgical robotic system includes at least one movable cart including a robotic arm having a surgical instrument. The surgical robotic system also includes a control tower including a power supply system coupled to the at least one movable cart via a cable. The power supply system includes: a power supply configured to output a voltage signal to power at least one movable cart and at least one status signal; a cable state detection circuit configured to detect a connection signal indicative of a connection status of the cable; and a controller coupled to the cable state detection circuit and the power supply, the controller configured to control the power supply based on the connection status of the cable and the at least one status signal.
According to one aspect of the above embodiment, the power supply includes a power supply connector and a communication connector, each of which is coupled to the controller. The power supply system also includes a power supply isolator coupled to the power supply connector and a communication isolator coupled to the communication connector.
According to another aspect of the above embodiment, the power supply system further includes an isolation barrier galvanically isolating the power supply from the controller.
According to another embodiment of the present disclosure, a surgical robotic system is disclosed. The surgical robotic system includes a plurality of movable carts each including a robotic arm having a surgical instrument and a control tower including a power supply system, which includes a plurality of power supplies each of which is coupled via a cable to one movable cart of the plurality of movable carts and is configured to output a voltage signal to power the one movable cart and at least one status signal; a plurality of cable state detection circuits each of which is configured to detect a connection signal indicative of a connection status of the cable; a plurality of controllers coupled to one cable state detection circuit of the plurality of the cable state detection circuits and one power supply of the plurality of power supplies, the controller configured to control the one power supply based on the connection status of the cable and at least one status signal; and a plurality of isolation barriers galvanically isolating each of the power supplies from each other and from each of the controllers.
According to one aspect of the above embodiment, each of the power supplies includes a power supply connector and a communication connector, each of which is coupled to the corresponding controller. Each of the isolation barriers includes a power supply isolator coupled to power supply connector and a communication isolator coupled to the communication connector.
According to one aspect of any of the above embodiments, the cable state detection circuit includes a debouncer.
According to another aspect of any of the above embodiments, the controller is further configured to terminate the voltage signal of the power supply in response to termination of the connection signal. The controller is further configured to terminate the voltage signal of the power supply in response to the at least one status signal being outside a predetermined parameter.
According to a further embodiment of the present disclosure, a method for controlling a surgical robotic system is disclosed. The method includes outputting a voltage signal from a power supply to power a movable cart including a robotic arm having a surgical instrument and transmitting a connection signal indicative of a connection status of a cable connecting a movable cart to the power supply. The method also includes transmitting at least one status signal from the power supply; and controlling, at a controller, the power supply based on the connection status of the cable and the at least one status signal.
According to one aspect of the above embodiment, the method further includes coupling the power supply to the controller through a power supply connector and a communication connector. The method also includes galvanically isolating the power supply from the controller through an isolation barrier. The method further includes coupling a power supply isolator to the power supply connector and a communication isolator to the communication connector.
According to another aspect of the above embodiment, the method further includes debouncing the connection signal through a debouncer.
According to yet another aspect of the above embodiment, the method further includes terminating the voltage signal of the power supply in response to termination of the connection signal.
According to a further aspect of the above embodiment, the method further includes terminating the voltage signal of the power supply in response to the at least one status signal being outside a predetermined parameter.
Embodiments of the present disclosure are described herein with reference to the accompanying 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 used herein the term “distal” refers to the portion of the surgical robotic system and/or the surgical instrument coupled thereto that is closer to the patient, while the term “proximal” refers to the portion that is farther from the patient.
The term “application” may include a computer program designed to perform functions, tasks, or activities for the benefit of a user. Application may refer to, for example, software running locally or remotely, as a standalone program or in a web browser, or other software which would be understood by one skilled in the art to be an application. An application may run on a controller, or on a user device, including, for example, a mobile device, an IOT device, or a server system.
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 movable 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.
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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 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 compression 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 whilst deploying a plurality of tissue fasteners, e.g., staples, and cutting stapled tissue.
Each of the robotic arms 40 may include a camera 51 configured to capture video of the surgical site. The camera 51 may be a stereoscopic camera and may be disposed along with the surgical instrument 50 on the robotic arm 40. The surgical 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 arms 40, and a second display device 34, which displays a user interface for controlling the surgical robotic system 10. The surgical 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 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 surgical 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 surgical console 30, in such a way that robotic arms 40 and the surgical instrument 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 surgical 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 networks, 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 802.15.4-2003 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 62 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 62 includes controls 65 for adjusting movement of the links 62a, 62b, 62c as well as the lift 61.
The third link 62c includes 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 robotic arm 40 also includes a plurality of manual override buttons 53 disposed on instrument drive unit 52 and the setup arm 62, which may be used in a manual mode. The user may press one of the buttons 53 to move the component associated with the button 53.
With reference to
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.
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 46c 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 the 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. 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.
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 movable 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 one 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 embodiments, the coordinate position is scaled down and the orientation is 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 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, 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.
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With continued reference to
The TPSC 210 includes an individual isolation barrier 220 for each of the movable carts 60. Each of the isolation barrier 220 are independent from one another, and independent of the rest of the PCBA 250, if any single fault occurs, up to one Power supply 212a-d is impacted. If any failure of the PCBA 250 occurs, such as power supply failure on the PCBA 250, loss of power, or complete software cessation, the output state of the power supply 212a that existed prior to the failure is lost. Further, disconnecting the cable 72 connecting the movable cart 50 to the TPSC 210 will shut off the output of the power supply 212a.
The isolation barrier 320 includes an input/output expander 316, which is coupled to the cable state detection circuit 323 having the debouncer 324 for receiving the cable state signal from the movable cart 60. The debouncer 324 prevents intermittent connection or noise of the cable state signal from shutting off the output of the power supply 212a. The input/output expander 316 is also coupled to the power supply control connector 314 and the communication connector 315 in parallel. The input/output expander 316 is coupled to the TPSC controller 322 through a communication bus isolator 318 and an optocoupler 319, which provide for galvanic separation. The input/output expander 316 enables the TPSC controller 322 to read the status signals, the output voltage, current, and temperature of the power supply 212a, which are used by the TPSC controller 322 to control the output of the power supply 212a. In particular, the TPSC controller 322 controls the output of the power supply 212a by outputting on PS_EN signal.
Peripheral output of the power supply 212a provides power for the isolation barrier 320, which is supplied through the power supply control connector 314a. The peripheral output may be at a first voltage level e.g., about 12 VDC, and may be regulated to a lower voltage, e.g., about 3.3 VDC, to power the input/output expander 316 and the communication bus isolator 318.
When the cable state signal indicates the movable cart 60 is attached to the TPSC 210, the TPSC controller 322 activates the power supply 212a by controlling the output state of a signal driven by the input/output expander 316. Therefore, the state of the PS_EN signal depends on both the cable state signal and the software running on the TPSC controller 322. If the cable between the movable cart 60 and the TSPC 210 is disconnected, the output of the power supply 212a is turned off automatically. Even if the TPSC controller 322 ceases operation, the software programmed value for determining the state of the PS_EN signal remains unchanged and the power supply 212a continues to supply power to the attached movable cart 60.
In embodiments, the input/output expander 316 may include an interrupt output that is activated if any of the digital inputs supplied to the input/output expander 316 change state. This configuration may be used provide TPSC controller 322 with an alternative to polling for monitoring the status signals of the power supply 212a. In further embodiments, the input/output expander 316 may be replaced by a microcontroller. The functionality of the input/output expander 316 may be replicated by the software running on the microcontroller, which may also be used to offer additional functionality.
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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/US2021/014873 | 1/25/2021 | WO |
Number | Date | Country | |
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62970776 | Feb 2020 | US |