The present disclosure generally relates to robots utilized during minimally invasive procedures (e.g., cardiac surgery, laparoscopic surgery, natural orifice transluminal surgery, pulmonary/bronchoscopy surgery and diagnostic interventions). The present disclosure specifically relates to a reconfigurable robot architecture adaptable to a correct range of motion during a specific minimally procedure.
Minimally invasive surgery is performed using elongated instruments inserted into the patient's body through small ports. The main visualization method during these procedures is an endoscope. In a standard workflow, the surgeon is holding two (2) surgical instruments while an operating room technician or a nurse are holding the endoscope. This setup can be uncomfortable, as the hands of the doctor and technician/nurse may be overlapped for the duration of procedure and the surgeon needs to continuously communicate endoscope motion to the technician/nurse. For this reason, one (1) or more instruments, including the endoscope, can be held by a robot that is controlled by the surgeon.
More particularly, the small ports that are placed on the patient's body are the only incision points through which the instruments may pass through to access the inside of the patient. As such, the instruments may be operated to rotate around these fulcrum points, but the instruments should not be operated in a manner that imposes translational forces on the ports to prevent any potential injury and harm to the patient. This is especially important for robotic guided surgery.
To the end, some known robots implement what is known as a remote center of motion (RCM) at the fulcrum point whereby a robot enforces an operating principle that only rotation of an instrument can be performed at a port and all translational forces of the instrument at that port are eliminated. This can be achieved by implementing a mechanical design which has a RCM at a specific location in space, and then aligning that point in space with the port. Alternatively, the RCM can be implemented virtually within the software of a robotic system, provided sufficient degrees of freedom exist to ensure the constraints of the RCM can be met.
As practiced, robotic systems have a predefined workspace. In minimally invasive surgery, this means that a specific robotic kinematics can be used only for those types of procedures where the required range of motion of the instrument is within the workspace. This presents a limitation not only on type of the procedure that a particular robot can perform, but also on size of the patient. Generally, to overcome this problem, conventional robotic systems are designed so that their workspace covers all intended uses of the robot. However, a large workspace results in larger robot components which further impacts overall size, weight, and may impact workflow as larger robot may collide with the environment. This problem is emphasized in already constrained environments, such as hybrid operating room, catheterization lab, or computed-tomography/magnetic resonance imaging systems.
The present disclosure provides a reconfigurable robotic system adaptable to a desired range of motion of an instrument (e.g., an endoscope) during a specific minimally invasive procedure while maintaining minimal footprint and remote center of motion of the robot. The present disclosure further provides a method to select an appropriate workspace and appropriate orientation of the robot.
One form of the inventions of the present disclosure is a reconfigurable robot system employing a base actuator, an instrument actuator, an end-effector and a plurality of arm sets. The base actuator is operable to generate a rotational motion along a primary axis. The instrument actuator is operable to generate a rotational motion along a secondary axis. The end-effector is operable to hold the instrument along a longitudinal axis.
Each arm set is operable to successively adjoin the base actuator, the instrument actuator and the end-effector into an arc configuration for moving the instrument as held by the end-effector relative to a remote center of motion responsive to the base actuator generating the rotational motion along the primary axis and/or the instrument actuator generating the rotational motion along the secondary axis.
Each arc configuration defines the remote center of motion as an intersection of the primary axis, the secondary axis and the longitudinal axis, and
The arms sets are at least partially interchangeable for reconfiguring the arc configuration of the base actuator, the instrument actuator and the end-effector.
For purposes of the present disclosure,
A second form of the inventions of the present disclosure is the reconfigurable robot system further employing a robot platform coupled to the base actuator to position (i.e., locate and/or orient) the end-effector as adjoined to the base actuator within a reference coordinate system (e.g., an operating table, a robot coordinate system or a patient coordinate system).
A third form of the inventions of the present disclosure is the reconfigurable robot system employing a robot configuration workstation operable to simulate a workspace relative to the remote center of motion for the instrument as held by the end-effector within each of the arc configurations of the base actuator, the instrument actuator and the end-effector and/or recommend one or more of the arm sets to be adjoined to the base actuator, the instrument actuator and the end-effector as a function of at least one of a specified pitch and a specified yaw of a workspace relative to the remote center of motion for the instrument as held by the end-effector.
For purposes of the present disclosure,
A fourth form of the inventions of the present disclosure is each arm set employing an identification marker, particularly for identification purposes by the robot configuration workstation. Examples of an identification marker include, but are not limited to, markers involved in radio-frequency identification, near field communication, resistive or magnetic measurements, and optical encoding and measurement.
The foregoing forms and other forms of the inventions of the present disclosure as well as various features and advantages of the present disclosure will become further apparent from the following detailed description of various embodiments of the present disclosure read in conjunction with the accompanying drawings. The detailed description and drawings are merely illustrative of the present disclosure rather than limiting, the scope of the present disclosure being defined by the appended claims and equivalents thereof.
To facilitate an understanding of the present disclosure, the following description of
Referring to
Base actuator 11 as known in the art is selectively operated to generate a rotational motion along a primary axis PA1.
Instrument actuator 12 as known in the art is selectively operated to generate a rotation motion along a secondary axis SA1.
End-effector 13 as known in the art holds an instrument to be utilized during a minimally invasive procedure. The instrument is held along a longitudinal axis LA1 for facilitating an operation of the instrument. For example, an endoscope may be held by end-effector 13 whereby an axis of an insertion tube of an endoscope symbolized by the X axis is aligned with longitudinal axis LA1.
An intersection of primary axis PA1, secondary axis SA1 and longitudinal axis LA1 defines a remote center of motion 16. A distal section of the instrument extends from the remote center of motion 16 establishes a height of a workspace 17 having a conical shape. Workspace 17 has a pitch range relative to the Y axis and a yaw range relative to a Z axis (not shown) dependent upon a base arch length of θ13 between primary axis PA1 and secondary axis SA1 and further dependent upon an extension arch length of θE between secondary axis SA1 and longitudinal axis LA1.
A reconfigurable robot of the present disclosure further employs a plurality of interchangeable arms sets for establishing different arc configurations, each having a base arch length of θ13 between primary axis PA1 and secondary axis SA1 and an extension arch length of θE between secondary axis SA1 and longitudinal axis LA1.
For example,
By further example,
By further example,
Of importance to note is workspace 17a is larger than workspace 17b in view of a summation of base arch length of θB1 and extension arch length of θE1 being greater than a summation of base arch length of θB1 and extension arch length of θE1, and is larger than workspace 17c due to a summation of base arch length of θB1 and extension arch length of θE1 being greater than a summation of base arch length of θB2 and extension arch length of θE1. Further, workspace 17b and workspace 17c are the same size in view of a summation of base arch length of θB1 and extension arch length of θE2 being equal to a summation of base arch length of θB2 and extension arch length of θE1.
The present disclosure is premised on the arm sets being interchangeable to thereby facilitate a selective increase or decrease in the pitch range and/or the yaw range of the workspace of the reconfigurable robot. To be interchangeable, in practice, support arms and/or instrument arms of the arms sets must be exchangeable. To this end, how each arm is adjoined to the actuators and end-effector determines the degree of interchangeability of the arm sets.
For example, the arm set of
Similarly for example, the arm set of
In practice, support arms 14 and instrument arms 15 may have any shape, may have a fixed or variable length, and may be adjoined at any angular orientation to actuators 11 and 12.
For example,
By further example,
To further facilitate an understanding of the present disclosure, the following description of
Referring to
More particular to the arcs, support arc 31 has a base arc length as symbolized by the arc length therein, and each instrument arc 32 has a different extension arc length as symbolized by the different arcs length therein. As will be further exemplary described herein in connection with
Specifically, workspace 34a encompasses a range of motion of a portion of the instrument 36 extending from the end effector (not shown) affixed to the concentrically coupled instrument arc 32 through remote center of motion 35. In practice for a minimally invasive procedure, surgical or diagnostic, a location of remote center of motion 35 coincides with a patient port as known in the art whereby workspace 34a facilitates pivoting/rotational motion of instrument 36 relative to remote center of motion 35 for purposes of the procedure that impedes, if not eliminates, any harm and damage to the patient. As such, workspace 34 will typically have a conical shape as shown in
Of importance to the present disclosure, dimensions of a surface and a base of a conically shaped workspace 34 is dependent upon the base arc length of support arc 31 and the extension arc length of the corresponding instrument arc 32 as well as the length of the end-effector 39. For the concatenated robot, the base arc length of support arc 31 is fixed whereby the extension arc length of the corresponding instrument arc 32 becomes the predominant factor in a dimensioning of a surface and a base of the conically shaped workspace 34. As shown in
To this end, a robot configuration workstation 40 employs a robot simulator 41 and a monitor 44. For purposes of the present disclosure, terms “workstation” and “monitor” are to be interpreted as understood in the art of the present disclosure and as exemplary described herein, and the term “robot simulator” broadly encompasses a component of a workstation consisting of an electronic circuit and/or an executable program (e.g., executable software and/firmware) for executing a specific application.
For workstation 40, robot simulator 41 implements a method for recommending or selecting one or more instrument arcs 32 suitable for a particular minimally invasive procedure and/or a particular patient type. To implement the method, robot simulator 41 processes concatenated robot data 41, minimally invasive procedure data 42 and patient data 43 received by and/or stored on workstation 40. As will be exemplary described herein in connection with
In practice, the concatenated robot may be coupled to a static robot platform (not shown) or a configurable robot platform 38 for selectively orienting workspace 34 relative to a reference coordinate system 39 (e.g., an operating table, a robot coordinate system or a patient coordinate system). Robot concatenated data 41a includes information of the arc lengths exclusive of any orientation information via any platform, and robot concatenated data 41b includes information of the arc lengths inclusive of orientation information via a platform 38.
From robot concatenated data 41b, robot simulator 41 generates a display on monitor 44 of a simulated anatomical region 45 having a port 46 and a simulated instrument 47 extending through port 46 into simulated anatomical region 45. In practice, simulated anatomical region 45 may be a graphical object as shown corresponding to the particular minimally invasive procedure and/or the particular patient type or a reconstructed image of the anatomical region, and the simulated instrument 47 may be a graphical object as shown corresponding to the particular minimally invasive procedure and/or the particular patient type or a standard image of instrument 47.
Robot simulator 41 enables a user-manipulation of simulated instrument 47 to select a desired range of motion of simulated instrument 47 in terms of a minimum pitch, a maximum pitch, a minimum yaw and a maximum yaw. Note a roll of simulated instrument 47 is not applicable to the workspace of simulated instrument 47.
In practice, based on the particular minimally invasive procedure and/or the particular patient information, robot simulator 41 may provide a default range of motion of simulated instrument 47 in terms of a minimum pitch, a maximum pitch, a minimum yaw and a maximum yaw that may be user-manipulated as desired.
Upon or during selection of the desired/default range of motion, robot simulator 41 accesses a look-up table associated with the desired range of motion whereby the look-up table will identify one or more instrument arcs 32 having extension arc length(s) for establishing an “sufficient workspace” with the base arc length of support arc 31 as will be exemplary described herein in connection with
In practice, for embodiments incorporating configurable robot platform 38, robot simulator 41 identifies a middle point in the desired workspace in terms of (minimum pitch+maximum pitch)/2 and (minimum yaw+maximum yaw)/2 to obtain an orientation of the desired workspace.
To facilitate a further understanding of the inventive principles of the present disclosure, an exemplary reconfigurable robot system for moving an endoscope within a workspace relative to a remote center of motion will now be described herein in connection with
Referring to
Referring to
Referring to
In practice, instrument arcs 54 may be coupled and decoupled to support arc 53 via actuator 52 in any manner known in the art. Referring to
By commands from actuator controller 37, motor 71 provides rotational energy to gearbox 52 whereby upper shaft 72 and lower shaft 75 are rotated about the rotation axis. Support arc 53 encircles actuator 70 with lower shaft 75 downwardly extending from support arc 53. Instrument arc 34 slides onto lower shaft 75 and is secured thereto by snap-fits as shown, screws, magnets, clasps, or any other releasable mechanical coupling known in the art.
In practice, one (1) or more additional degrees of freedom may be added to concatenated robot 50a (
For example, refereeing to
Referring to
Stage S102 enables user-manipulation of simulated endoscope 112 to select a desired/default range of motion of simulated endoscope 112 in terms of a minimum pitch, a maximum pitch, a minimum yaw and a maximum yaw.
A stage S104 of flowchart 100 encompasses robot simulator 41 recommending either instrument arc 56a (
For example, as shown in stage S104, a lookup table 113 organizes various pairings of a base arc length θB and extension arc length θE, both lengths having a range [0°<, ≦90°] for a desired range of motion of [−20°, +20°] of yaw and [−50°, +50°] of pitch. Each pairing is classified as either “sufficient workspace” region 114 or “insufficient workspace” region 115. For this example, base arc length θB of support arc 33 (
By further example, as shown in stage S104, a lookup table 116 organizes various pairings of a base arc length θB and extension arc length θE, both lengths having a range [0°<, <90°] for a desired range of motion of [−50°, +50°] of yaw and [−50°, +50°] of pitch. Each pairing is classified as either “sufficient workspace” region 117 or “insufficient workspace” region 118. Again for this example, base arc length θB of support arc 33 (
In practice, robot simulator 41 includes numerous lookup table associated with various range of motion with the actual number of lookup tables dependent upon a desired degree of accuracy.
Also as shown by tables 113 and 116, the “sufficient workspace” region decreases as the range of motion increases across the lookup tables. Thus, the number of support arc/instrument arc pairings within the “sufficient workspace” regions also decrease as the range of motion in terms of yaw degrees and pitch degrees increase across the lookup tables. For any given whereby none of the possible support arc/instrument arc pairings are within a “sufficient workspace” region, robot simulator 41 will recommend the best reachable workspace on the simulated display.
Upon termination of flowchart 100, the recommended or best instrument arc may be concentrically coupled to the support arc for performing the minimally invasive procedure.
Referring to
Furthermore, as one having ordinary skill in the art will appreciate in view of the teachings provided herein, features, elements, components, etc. described in the present disclosure/specification and/or depicted in the
Moreover, all statements herein reciting principles, aspects, and embodiments of the invention, as well as specific examples thereof, are intended to encompass both structural and functional equivalents thereof. Additionally, it is intended that such equivalents include both currently known equivalents as well as equivalents developed in the future (e.g., any elements developed that can perform the same or substantially similar function, regardless of structure). Thus, for example, it will be appreciated by one having ordinary skill in the art in view of the teachings provided herein that any block diagrams presented herein can represent conceptual views of illustrative system components and/or circuitry embodying the principles of the invention. Similarly, one having ordinary skill in the art should appreciate in view of the teachings provided herein that any flow charts, flow diagrams and the like can represent various processes which can be substantially represented in computer readable storage media and so executed by a computer, processor or other device with processing capabilities, whether or not such computer or processor is explicitly shown.
Furthermore, exemplary embodiments of the present disclosure can take the form of a computer program product or application module accessible from a computer-usable and/or computer-readable storage medium providing program code and/or instructions for use by or in connection with, e.g., a computer or any instruction execution system. In accordance with the present disclosure, a computer-usable or computer readable storage medium can be any apparatus that can, e.g., include, store, communicate, propagate or transport the program for use by or in connection with the instruction execution system, apparatus or device. Such exemplary medium can be, e.g., an electronic, magnetic, optical, electromagnetic, infrared or semiconductor system (or apparatus or device) or a propagation medium. Examples of a computer-readable medium include, e.g., a semiconductor or solid state memory, magnetic tape, a removable computer diskette, a random access memory (RAM), a read-only memory (ROM), flash (drive), a rigid magnetic disk and an optical disk. Current examples of optical disks include compact disk read only memory (CD-ROM), compact disk read/write (CD-R/W) and DVD. Further, it should be understood that any new computer-readable medium which may hereafter be developed should also be considered as computer-readable medium as may be used or referred to in accordance with exemplary embodiments of the present disclosure and disclosure.
Having described preferred and exemplary embodiments of novel and inventive reconfigurable robot architecture for minimally invasive procedures, (which embodiments are intended to be illustrative and not limiting), it is noted that modifications and variations can be made by persons having ordinary skill in the art in light of the teachings provided herein, including the
Moreover, it is contemplated that corresponding and/or related systems incorporating and/or implementing the device or such as may be used/implemented in a device in accordance with the present disclosure are also contemplated and considered to be within the scope of the present disclosure. Further, corresponding and/or related method for manufacturing and/or using a device and/or system in accordance with the present disclosure are also contemplated and considered to be within the scope of the present disclosure.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2015/055090 | 7/6/2015 | WO | 00 |
Number | Date | Country | |
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62024527 | Jul 2014 | US |