The present disclosure generally relates to a multi-arm robotic surgical system for minimally invasive surgery, and more particularly, the disclosure relates to a system and method for pre-operative planning for a multi-arm robotic surgical system.
This section is intended to introduce the reader to various aspects of art that may be related to various aspects of the present disclosure, which are described below. This disclosure is believed to be helpful in providing the reader with background information to facilitate a better understanding of the various aspects of the present disclosure. Accordingly, it should be understood that these statements are to be read in this light, and not just as an admissions of prior art.
Robotically assisted surgical systems have been adopted worldwide to replace conventional surgical procedures to reduce number of extraneous tissue(s) that may be damaged during surgical or diagnostic procedures, thereby reducing patient recovery time, patient discomfort, prolonged hospital tenure, and particularly deleterious side effects. In robotically assisted surgeries, the surgeon typically operates a hand controller/master controller/surgeon input device at a surgeon console to seamlessly capture and transfer complex actions performed by the surgeon giving the perception that the surgeon is directly articulating surgical tools/surgical instruments to perform the surgery. The surgeon operating on the surgeon console may be located at a distance from a surgical site or may be located within an operating theatre where the patient is being operated.
The robotically assisted surgeries have revolutionized the medical field and are one of the fastest growing sectors in the medical device industry. However, the major challenge in robotically assisted surgeries is to ensure safety and precision during the surgery. One of the key areas of robotically assisted surgeries is the development of surgical robots for minimally invasive surgery. Over the last couple of decades, surgical robots have evolved exponentially and have been a major area of innovation in the medical device industry.
In robotic surgeries, a pre-operative planning and precise placement of the surgical ports is essential so that a surgical tool can comfortably access the workspace at the surgical site. The main challenge with the existing robotically assisted surgical systems is the unavailability of any pre-operative planning technique. Another challenge is that, in the existing multi-arm robotic surgical systems, it is very difficult to determine the optimum location of entry ports on the patient's body. Further, another challenge is that this poor port placement may lead to collision between robotic arms.
In the light of aforementioned challenges, there is a need for a pre-operative planning for a multi-arm robotic surgical system which will solve the above-mentioned problems related to robotic assisted surgeries.
Some or all of the above-mentioned problems related to providing training to the surgeons and OT staff are proposed to be addressed by certain embodiments of the present disclosure.
In one aspect, an embodiment of the present disclosure provides a method for pre-operative planning for a multi-arm robotic surgical system comprising a plurality of robotic arms each mounted on one of a plurality of robotic carts, an endoscopic camera coupled to a robotic arm out of the plurality of robotic arms, a plurality of surgical instruments each detachably coupled to a distal end of a robotic arm out of the remaining robotic arms, an operating table, and a patient lying on the operating table, whereby the plurality of robotic carts are arranged along the operating table, the method comprising: storing, using a server, in a database, at least one of various human anatomical data and body habitus; creating, using the server, a set of models indicating placement of ports on the body of the patient, based on the stored human anatomical data and body habitus; receiving, using a graphical user interface, a required patient data and details of a surgical procedure to be performed; analysing, using a processor, the received patient data and details of the surgical procedure to be performed with respect to the set of models; identifying, using the processor, an appropriate model out of the set of models indicating an optimum placement of ports on the body of the patient; detecting, using a tracker, a location of the plurality of robotic carts each having a surgical instrument, with respect to the robotic cart having the camera; displaying, using the graphical user interface, the detected location of the plurality of robotic carts; calculating, using the processor, an optimum configuration of each of the robotic arm and a desired location of each of the plurality of robotic carts, based on the identified model and the detected location of the plurality of robotic carts; placing, the plurality of robotic carts, at the desired location of the plurality of robotic carts having the optimum configuration of each of the robotic arm; manipulating, the distal end of the plurality of robotic arms according to the identified optimum placement of ports on the body of the patient; docking, the plurality of robotic arms; and configuring, the plurality of robotic arms, in the best optimum position with respect to a remote centre of motion.
Optionally, the server comprises at least one of a local database or a cloud-based database.
Optionally, the patient data may include at least one of anatomy of the patient, name, age, sex, body mass index, height etc.
Optionally, the details of a surgical procedure to be performed may include the name of the procedure.
Optionally, the tracker (310) may be any one of an optical tracker, a laser based tracker, or a RFID based tracker, and the like.
Optionally, the tracker can detect the location of the plurality of robotic carts with respect to at least one of a robotic cart having the camera, an operating table, and the like.
Optionally, the tracker sends the detected location of the plurality of robotic carts to the processor.
Optionally, the surgical procedure to be performed may be Prostatectomy, Hysterectomy, Nephrectomy, Coronary artery bypass graft, Mitral valve repair, and the like.
Optionally, the placing of the plurality of robotic carts at the desired location may be done either automatically or manually.
Optionally, the graphical user interface displays surgical instruments which can be used for the surgical procedure to be performed, position of the patient lying on the operating table, and the placement of ports on the body of the patient.
Optionally, the graphical user interface further can display a simulation video based on the received patient data and details of the surgical procedure to be performed.
Optionally, the server is configured to store the patient data and the pre-operative planning for the patient for record keeping and future reference.
Optionally, the patient lying on the operating table can be real or a mannequin used for training purposes.
Optionally, the processor is provided with various parameters to calculate the optimum configuration of each of the robotic arms.
Optionally, the parameters indicate reachability of the plurality of robotic arms, limits of configuration of the plurality of robotic arms, singularities of the plurality of robotic arms, dexterity of the plurality of robotic arms, manipulability of the plurality of robotic arms, and robustness of the plurality of robotic arms.
Other embodiments, systems, methods, apparatus aspects, and features of the invention will become apparent to those skilled in the art from the following detailed description, the accompanying drawings, and the appended claims. It will be appreciated that features of the present disclosure are susceptible to being combined in various combinations without departing from the scope of the present disclosure as defined by the appended claims.
The summary above, as well as the following detailed description of the disclosure, is better understood when read in conjunction with the appended drawings. For the purpose of illustrating the present disclosure, exemplary constructions of the disclosure are shown in the drawings. However, the present disclosure is not limited to specific methods and instrumentalities disclosed herein. Moreover, those skilled in the art will understand that the drawings are not to the scale. Wherever possible, like elements have been indicated by identical numbers.
Embodiments of the present disclosure will now be described, by way of example only, with reference to the following diagrams wherein:
For the purpose of promoting an understanding of the principles of the disclosure, reference will now be made to the embodiment illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the disclosure is thereby intended, such alterations and further modifications in the illustrated system, and such further applications of the principles of the disclosure as illustrated therein being contemplated as would normally occur to one skilled in the art to which the disclosure relates.
It will be understood by those skilled in the art that the foregoing general description and the following detailed description are exemplary and explanatory of the disclosure and are not intended to be restrictive thereof. Throughout the patent specification, a convention employed is that in the appended drawings, like numerals denote like components.
Reference throughout this specification to “an embodiment”, “another embodiment”, “an implementation”, “another implementation” or similar language means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment of the present disclosure. Thus, appearances of the phrase “in an embodiment”, “in another embodiment”, “in one implementation”, “in another implementation”, and similar language throughout this specification may, but do not necessarily, all refer to the same embodiment.
The terms “comprises”, “comprising”, or any other variations thereof, are intended to cover a non-exclusive inclusion, such that a process or method that comprises a list of steps does not include only those steps but may include other steps not expressly listed or inherent to such process or method. Similarly, one or more devices or sub-systems or elements or structures proceeded by “comprises . . . a” does not, without more constraints, preclude the existence of other devices or other sub-systems or other elements or other structures or additional devices or additional sub-systems or additional elements or additional structures.
Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. The device, system, and examples provided herein are illustrative only and not intended to be limiting.
The terms “a” and “an” herein do not denote a limitation of quantity, but rather denote the presence of at least one of the referenced items. Further, the term sterile barrier and sterile adapter denotes the same meaning and may be used interchangeably throughout the description.
Embodiments of the disclosure will be described below in detail with reference to the accompanying drawings.
An entity (606) depicts robot performance index which is sent to the robustness index (610) and further sent to the multi arm robotic surgical system optimization framework (622). An optical tracking system (608) tracks the position of the robotic carts, and the cart registration data (612) is sent to the multi arm robotic surgical system optimization framework (622).
According to an embodiment, a patient data (614) and various surgical procedure data (616) such as gallbladder, Prostatectomy, Hysterectomy, Nephrectomy, Coronary artery bypass graft, Mitral valve repair, and the like, may be sent to entity (618). The entity (618) depicts predicted optimum port placements data based as illustrated previously in
At step (712), a tracker (310) provided in the cart (300) (as shown in
The foregoing description of exemplary embodiments of the present disclosure has been presented for purposes of illustration and description. They are not intended to be exhaustive or to limit the disclosure to the precise forms disclosed, and obviously many modifications and variations are possible in light of the above teaching. The exemplary embodiment was chosen and described in order to best explain the principles of the disclosure and its practical application, to thereby enable others skilled in the art to best utilize the disclosure and various embodiments with various modifications as are suited to the particular use contemplated. It is understood that various omissions, substitutions of equivalents are contemplated as circumstance may suggest or render expedient but is intended to cover the application or implementation without departing from the spirit or scope of the claims of the present disclosure.
Benefits, other advantages, and solutions to problems have been described above with regard to specific embodiments. However, the benefits, advantages, solutions to problems, and any component(s) that may cause any benefit, advantage, or solution to occur or become more pronounced are not to be construed as a critical, required, or essential feature or component of any or all the claims.
While specific language has been used to describe the disclosure, any limitations arising on account of the same are not intended. As would be apparent to a person in the art, various working modifications may be made to the apparatus in order to implement the inventive concept as taught herein.
List of reference numerals:
Number | Date | Country | Kind |
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202211066743 | Nov 2022 | IN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/IN2023/051035 | 11/9/2023 | WO |