Robotic surgical devices, systems and related methods

Information

  • Patent Grant
  • 11032125
  • Patent Number
    11,032,125
  • Date Filed
    Thursday, September 6, 2018
    6 years ago
  • Date Issued
    Tuesday, June 8, 2021
    3 years ago
Abstract
Various medical devices and related systems, including robotic and/or in vivo medical devices, and various robotic surgical devices for in vivo medical procedures. Included herein, for example, is a robotic surgical system having a support beam positionable through an incision, and a robotic device having a device body, first and second rotating shoulder components coupled to the device body, and first and second robotic arms coupled to the first and second shoulder components, respectively.
Description
TECHNICAL FIELD

The embodiments disclosed herein relate to various medical devices and related components, including robotic and/or in vivo medical devices and related components. Certain embodiments include various robotic medical devices, including robotic devices that are disposed within a body cavity and positioned using a support component disposed through an orifice or opening in the body cavity. Further embodiments relate to methods of operating the above devices.


BACKGROUND

Invasive surgical procedures are essential for addressing various medical conditions. When possible, minimally invasive procedures such as laparoscopy are preferred. However, known minimally invasive technologies such as laparoscopy are limited in scope and complexity due in part to 1) mobility restrictions resulting from using rigid tools inserted through access ports, and 2) limited visual feedback. Known robotic systems such as the da Vinci® Surgical System (available from Intuitive Surgical, Inc., located in Sunnyvale, Calif.) are also restricted by the access ports, as well as having the additional disadvantages of being very large, very expensive, unavailable in most hospitals, and having limited sensory and mobility capabilities.


There is a need in the art for improved surgical methods, systems, and devices.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 is a diagram showing a system including a robotic device in use inside a body.



FIG. 2A is a perspective view of a modular medical device within a body cavity, according to another embodiment.



FIG. 2B is a perspective view of the modular device of FIG. 2A in a different position.



FIG. 2C is a perspective close-up view of a portion of the device of FIG. 2A.



FIG. 2D is an image of an iron intern used to support the device of FIG. 1A.



FIG. 2E is a perspective close-up view of a portion of the iron intern of FIG. 2D supporting the device of FIG. 2A.



FIG. 3A is a perspective view of a modular medical device, according to another embodiment.



FIG. 3B is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3C is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3D is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3E is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3F is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3G is a cutaway perspective view of a portion of the device of FIG. 3A.



FIG. 3H is a cutaway perspective view of a portion of the device of FIG. 3A.



FIG. 3I is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3J is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 3K is a cutaway close-up view of a portion of the device of FIG. 3A.



FIG. 4A is a perspective view of a modular medical device, according to another embodiment.



FIG. 4B is a cutaway close-up view of a portion of the device of FIG. 4A.



FIG. 4C is a cutaway close-up view of a portion of the device of FIG. 4A.



FIG. 4D is a cutaway close-up view of a portion of the device of FIG. 4A.



FIG. 4E is a perspective view of a portion of the device of FIG. 4A.



FIG. 4F is a perspective view of a modular medical device, according to another embodiment.



FIG. 4G is a close-up view of a modular medical device according to another embodiment.



FIG. 5A is a perspective view of a modular medical device, according to another embodiment.



FIG. 5B is a cutaway close-up front view of a portion of the device of FIG. 5A.



FIG. 5C is a cutaway close-up front view of a portion of the device of FIG. 5A.



FIG. 5D is a cutaway top view of a portion of the device of FIG. 5A.



FIG. 5E is a perspective close-up view of a portion of the device of FIG. 5A.



FIG. 5F is a cutaway close-up front view of a portion of the device of FIG. 5A.



FIG. 5G is a cutaway close-up side view of a portion of the device of FIG. 5A.



FIG. 5H is a cutaway close-up top view of a portion of the device of FIG. 5A.



FIG. 5I is a cutaway close-up side view of a portion of the device of FIG. 5A.



FIG. 5J is a cutaway close-up side view of a portion of the device of FIG. 5A.



FIG. 5K is a bottom isometric close-up view of a portion of the device of FIG. 5A.



FIG. 5L is a cutaway close-up view of a portion of the device of FIG. 5A.



FIG. 5M is a perspective close-up view of a portion of the device of FIG. 5A.



FIG. 5N is a cutaway close-up side view of a portion of the device of FIG. 5A.



FIG. 5O is an isometric interior close-up view of a portion of the device of FIG. 5A.



FIG. 5P is an isometric interior close-up view of a portion of the device of FIG. 5A.



FIG. 5Q is an isometric interior close-up view of a portion of the device of FIG. 5A.



FIG. 5R is an isometric view of a portion of the device of FIG. 5A in one position.



FIG. 5S is an isometric view of a portion of the device of FIG. 5A in another position.





DETAILED DESCRIPTION

The various systems and devices disclosed herein relate to devices for use in medical procedures and systems. More specifically, various embodiments relate to various medical devices, including robotic devices and related methods and systems.


It is understood that the various embodiments of robotic devices and related methods and systems disclosed herein can be incorporated into or used with any other known medical devices, systems, and methods.


For example, the various embodiments disclosed herein may be incorporated into or used with any of the medical devices and systems disclosed in U.S. application Ser. No. 12/192,779 (filed on Aug. 15, 2008 and entitled “Modular and Cooperative Medical Devices and Related Systems and Methods”), Ser. No. 11/932,441 (filed on Oct. 31, 2007 and entitled “Robot for Surgical Applications”), Ser. No. 11/695,944 (filed on Apr. 3, 2007 and entitled “Robot for Surgical Applications”), Ser. No. 11/947,097 (filed on Nov. 27, 2007 and entitled “Robotic Devices with Agent Delivery Components and Related Methods), Ser. No. 11/932,516 (filed on Oct. 31, 2007 and entitled “Robot for Surgical Applications”), Ser. No. 11/766,683 (filed on Jun. 21, 2007 and entitled “Magnetically Coupleable Robotic Devices and Related Methods”), Ser. No. 11/766,720 (filed on Jun. 21, 2007 and entitled “Magnetically Coupleable Surgical Robotic Devices and Related Methods”), Ser. No. 11/966,741 (filed on Dec. 28, 2007 and entitled “Methods, Systems, and Devices for Surgical Visualization and Device Manipulation”), Ser. No. 12/171,413 (filed on Jul. 11, 2008 and entitled “Methods and Systems of Actuation in Robotic Devices”), 60/956,032 (filed on Aug. 15, 2007), 60/983,445 (filed on Oct. 29, 2007), 60/990,062 (filed on Nov. 26, 2007), 60/990,076 (filed on Nov. 26, 2007), 60/990,086 (filed on Nov. 26, 2007), 60/990,106 (filed on Nov. 26, 2007), 60/990,470 (filed on Nov. 27, 2007), 61/025,346 (filed on Feb. 1, 2008), 61/030,588 (filed on Feb. 22, 2008), 61/030,617 (filed on Feb. 22, 2008), U.S. Pat. No. 8,179,073 (issued May 15, 2011, and entitled “Robotic Devices with Agent Delivery Components and Related Methods”), Ser. No. 12/324,364 (filed Nov. 26, 2008, U.S. Published App. 2009/0171373 and entitled “Multifunctional Operational Component for Robotic Devices”), Ser. No. 13/493,725 (filed Jun. 11, 2012 and entitled “Methods, Systems, and Devices Relating to Surgical End Effectors”), all of which are hereby incorporated herein by reference in their entireties.


Certain device and system implementations disclosed in the applications listed above can be positioned within a body cavity of a patient in combination with a support component similar to those disclosed herein. An “in vivo device” as used herein means any device that can be positioned, operated, or controlled at least in part by a user while being positioned within a body cavity of a patient, including any device that is coupled to a support component such as a rod or other such component that is disposed through an opening or orifice of the body cavity, also including any device positioned substantially against or adjacent to a wall of a body cavity of a patient, further including any such device that is internally actuated (having no external source of motive force), and additionally including any device that may be used laparoscopically or endoscopically during a surgical procedure. As used herein, the terms “robot,” and “robotic device” shall refer to any device that can perform a task either automatically or in response to a command.


Certain embodiments provide for insertion of the present invention into the cavity while maintaining sufficient insufflation of the cavity. Further embodiments minimize the physical contact of the surgeon or surgical users with the present invention during the insertion process. Other implementations enhance the safety of the insertion process for the patient and the present invention. For example, some embodiments provide visualization of the present invention as it is being inserted into the patient's cavity to ensure that no damaging contact occurs between the system/device and the patient. In addition, certain embodiments allow for minimization of the incision size/length. Further implementations reduce the complexity of the access/insertion procedure and/or the steps required for the procedure. Other embodiments relate to devices that have minimal profiles, minimal size, or are generally minimal in function and appearance to enhance ease of handling and use.


Certain implementations disclosed herein relate to “combination” or “modular” medical devices that can be assembled in a variety of configurations. For purposes of this application, both “combination device” and “modular device” shall mean any medical device having modular or interchangeable components that can be arranged in a variety of different configurations. The modular components and combination devices disclosed herein also include segmented triangular or quadrangular-shaped combination devices. These devices, which are made up of modular components (also referred to herein as “segments”) that are connected to create the triangular or quadrangular configuration, can provide leverage and/or stability during use while also providing for substantial payload space within the device that can be used for larger components or more operational components. As with the various combination devices disclosed and discussed above, according to one embodiment these triangular or quadrangular devices can be positioned inside the body cavity of a patient in the same fashion as those devices discussed and disclosed above.



FIG. 1 depicts an exemplary system 10 that includes a robotic surgical device 12 disposed within the inflated peritoneal cavity 14 of a patient. It is understood that the various device and system embodiments disclosed herein, including the system 10 of FIG. 1, can be used for a variety of surgical procedures and tasks including, but not limited to, tissue biopsy, tissue dissection, or tissue retraction. For example, as shown in FIG. 1 in accordance with one embodiment, the device 12 can be used to dissect tissue in the peritoneal cavity 14. In this system 10 embodiment, a user (such as, for example, a surgeon) operates a user interface 16 to control the device 12. The interface 16 is operably coupled to the device 12 by a cable 18 or other type of physical connection that provides for electronic and/or electrical communication back and forth between the interface 16 and the device 12. Alternatively, the interface 16 can be operably coupled to the device 12 wirelessly. It is understood that the device embodiments disclosed herein can also be used with any other known system, including any of the systems disclosed in the various patent applications incorporated by reference above and elsewhere herein.



FIGS. 2A-2C depict a robotic medical device 50 positioned within a patient's body cavity 62, in accordance with one implementation. According to one embodiment, the device 50 is an in vivo device 50. This device embodiment 50 as shown includes a body 52 that has two components 52A, 52B, which in this embodiment are cylindrical components 52A, 52B. In the embodiment depicted in FIG. 2C, the two components 52A, 52B are not coupled directly to each other. Alternatively, the two components 52A, 52B can be coupled to each other. In a further alternative, the body 52 (and any body of any device embodiment disclosed herein) can be a single component and further can be any of the device body embodiments disclosed in the various patent applications incorporated by reference above and elsewhere herein.


The body 52 is coupled to two arms 54, 56. In the implementation shown, the body component 52A is coupled to arm 54 and body component 52B is coupled to arm 56. In addition, the body 52 is also coupled to a support component 58. In this embodiment, the support component 58 is configured to be positioned over two support rods 66A, 66B as best shown in FIGS. 2A and 2B. The component 58 also has a first support leg 60A that is coupled to the first body component 52A and a second support leg 60B that is coupled to the second body component 52B. Alternatively, the support component 58 can be a single, integral component coupled to the body 52.


Each of the arms 54, 56 have a first joint 54A, 56A (each of which can also be referred to as a “shoulder joint”) that is coupled to the body components 52A, 52B. Each first joint 54A, 56A is coupled to a first link 54B, 56B that is rotatably coupled to a second link 54C, 56C. In addition, each arm 54, 56 also has an operational component 54D, 56D coupled to the second link 54C, 56C. It is understood that the operational components 54D, 56D (and any of the operational components on any of the embodiments disclosed herein) can be any known operational components, including any of the operational components disclosed in the various patent applications incorporated by reference above and elsewhere herein.


As mentioned above, the first links 54B, 56B are coupled to the body 52 via shoulder joints 54A, 56A. As shown, each shoulder joint 54A, 56A is a joint having two axes of rotation. For example, joint 54A can rotate as shown by arrow A around axis AA that corresponds to the longitudinal axis of the body 52 while also being coupled to the first link 54B such that the link 54B can further rotate as shown by arrow B around axis BB that is perpendicular to axis AA that corresponds to the longitudinal axis of the body 52. Joint 56A has similar axes of rotation. Alternatively, any known joint can be used to couple the first links 54B, 56B to the body 52.


The operational components 54D, 56D, according to one implementation, are coupled to the second links 54C, 56C, respectively, such that each of the operational components 54D, 56D can rotate. For example, operational component 54D can rotate as shown by arrow C around axis CC corresponding to the longitudinal axis of the link 54C to which the component 54D is attached. Operational component 56D can rotate in a similar fashion. In addition, each of the operational components 54D, 56D can also be actuated to move between at least two configurations, such as an open configuration and a closed configuration. Alternatively, the operational components 54D, 56D can be coupled to the links 54C, 56C such that the operation components can be moved or actuated in any known fashion.


According to one embodiment, the operational components 54D, 56D are also removable from the second links 54C, 56C, such that the components 54D, 56D are interchangeable with other components configured to perform other/different types of procedures. In the embodiment depicted in FIG. 2C, both operational components 54D, 56D are graspers. Alternatively, either or both of the components can be cautery devices, suturing devices, grasping devices, imaging devices, operational arm devices, sensor devices, lighting devices or any other known types of devices or components for use in surgical procedures.


It is understood that the device 50 in this embodiment contains the motors (also referred to as “actuators,” and intended to include any known source of motive force) that provide the motive force required to move the arms 54, 56 and the operational components 54D, 56D. In other words, the motors are contained within the device 50 itself (either in the body 52, the arms 54, 56 or both), rather than being located outside the patient's body.


In use, as best shown in FIGS. 2A and 2B, the device 50 is positioned inside a patient's body cavity. For example, in the schematic depict of FIGS. 2A and 2B, the body cavity is the peritoneal cavity 62. According to one implementation, the device 50 can be inserted through a single orifice by physically separating the device 50 into separate, smaller components and inserting those components through the single orifice. In one example, the device 50 can be separated into two “halves,” in which one component consists of the first body component 52A coupled to the first arm 54 and the other component consists of the second body component 52B coupled to the second arm 56. Alternatively, this device 50 or any device contemplated herein can be separated into any two or more separable components. In the embodiment depicted in FIG. 2C, the device 50 is first separated into the two components as described above and then each of the two components are inserted in consecutive fashion through the orifice into the body cavity. In accordance with one implementation, due to the limitations associated with the amount of space in the cavity, each of the components can form a sequence of various configurations that make it possible to insert each such component into the cavity. That is, each component can be “stepped through” a sequence of configurations that allow the component to be inserted through the orifice and into the cavity.


According to one embodiment as best shown in FIGS. 2A and 2B, the support component 58 (including the support rods 66A, 66B) is configured to maintain the device 50 in the desired positioned within the cavity 62. The component 58, which is coupled to the body 52, is disposed through an orifice or any other kind of opening in the body cavity wall 64 such that the distal portion of the component 58 coupled to the body 52 is disposed within the body cavity 62 while the proximal portion is disposed outside of the patient's body and is attached to an external component 61 so as to provide stability or fixed positioning for the device 50.


More specifically, the two support rods 66A, 66B are coupled to the device 50. That is, the first support rod 66A is coupled to the first body component 52A and the second support rod 66B is coupled to the second body component 52B. Alternatively, the body 52 can be a single component and is coupled to both support rods 66A, 66B. As discussed above, this embodiment also has a support component 58 that is disposed over the support rods 66A, 66B (or alternatively, the support rods 66A, 66B are disposed within the support component 58) and positioned against or coupled to the body 52. As best shown in FIG. 2E, the component 58 defines two lumens 68A, 68B that are disposed through the length of the tube component 58. In some embodiments, an access lumen (not shown) is disposed through a substantially central or middle portion of the component 58, with the two rod lumens 68A, 68B disposed on either side of the access lumen. The rod lumens 68A, 68B are configured to receive the support rods 66A, 66B such that the component 58 can be positioned over the support rods 66A, 66B and against the body 52 of the device. The access lumen is configured to receive and provide access for any tools or endoscopes such that the tools or endoscopes can be inserted through the access lumen and into the body cavity to provide additional functionality in combination with the device 50.


In this embodiment, the support rods 66A, 66B are held in place within the component 58 (or the component 58 is held in place over the support rods 66A, 66B) using two attachment components 72A, 72B, each of which is configured to attach to one of the support rods 66A, 66B, as shown in FIG. 2A. In the specific embodiment shown in FIG. 2A, the attachment components 72A, 72B are threaded nuts, and after the support component 58 is disposed over the two support rods 66A, 66B, the threaded nut 72A is threadably coupled to the support rod 66A and the wing nut 72B is threadably coupled to the support rod 66B to hold the component 58 in place. Alternatively, the attachment components 72A, 72B can be any known attachment components for holding the component 58 in place.



FIGS. 2D-2E depict an external component 61 and port 67 that support device 50 while positioned within a patient's body cavity 62, in accordance with one implementation. According to this implementation, the device 50 is maintained in a desired position or location within the body cavity of the patient using an external component 61 that has a clamp 65 that is removably attached to support component 58. In use, the support legs 60A, 60B and the support component 58 are disposed through an opening in the body cavity wall such that the distal end of the legs 60A, 60B and the distal end of the support component 58 are positioned within the body cavity while the proximal end of the legs 60A, 60B and support component 58 are disposed outside of the patient's body. The external component 61 is coupleable to a proximal portion of the support component 58. In this embodiment, the clamp 65 couples to support component 58 to hold the support component 58 and thus the legs 60A, 60B and device 50 in the desired position. Alternatively, the external component 61 can have any known attachment component that is capable of removably coupling to or attaching to support component 58 and support legs 60A, 60B.


As best shown in FIG. 2D, an external component 61 can be an iron intern (Automated Medical Products Corp.) that includes several sections connected by joints 61A that can be loosened and locked using knobs 61AA to allow the iron intern to be positioned in various orientations. The external component 61 can be attached to rails 63A on any standard surgical table 63 or any other appropriate surface to provide support for device.


In use, according to one embodiment as best shown in FIG. 2E, the device 50 is positioned within the body cavity of the patient and the support legs 60A, 60B and support component 58 are positioned through a port 67 positioned in the hole or opening in the body cavity wall 64. In this embodiment, the port 67 is a gel port 67 through which the legs 60A, 60B and support component 58 can be disposed while still maintaining a fluidic seal that allows for the body cavity of the patient to be inflated. Alternatively, any known port that provides access for the legs 60A, 60B and support component 58 while maintaining a fluidic seal can be used. FIGS. 3A-3L depict another embodiment of a robotic medical device 100. This device embodiment 100 as shown includes a body 102 having two cylindrical components 102A, 102B. The device has two arms 106, 108 that are coupled to the body 102. More specifically, the first arm 106 is rotatably coupled to the first cylindrical component 102A and the second arm 108 is rotatably coupled to the second cylindrical component 102B. The first arm 106 has a first link 106A that is coupled to the first component 102A, a second link 106B that is coupled to the first link 106A, and a third link 106C coupled to the second link 106B. Similarly, the second arm 108 has a first link 108A that is coupled to the second component 102B, a second link 108B that is coupled to the first link 108A, and a third link 108C coupled to the second link 108B. The first arm 106 has an operational component 106D coupled to the third link 106C, and the second arm 108 has an operational component 108D coupled to the third link 108C. In addition, the body 102 is also coupled to a support component 105, which is in turn, connected to support rods 103A and 103B.


The first link 106A is coupled to the first component 102A such that the first link can rotate around an axis parallel to the longitudinal axis of the first component 102A. As best shown in FIG. 3B, first component 102A includes a motor housing 102C that houses motor 101 and actuation mechanism 101A for first joint 101B. In this embodiment, the actuation mechanism 101A includes spur gear 101D that is rigidly attached to output shaft 101C of motor 101. As the motor output shaft 101C turns, spur gear 101D rotates spur gear 107, which is radially constrained with rotational shaft 107A through a flat 107B attached to both 107A and the bore of 107. 107A is supported with two flanged ball bearings 107C and 107D. Flanged ball bearing 107D is seated in the lower cap 102D of housing 102C. Rotational shaft 107A is attached to first link 106A via attachment 110 using, for example, a bolt. First link 108A is similarly coupled to the second component 102B such that the first link can rotate around an axis parallel to the longitudinal axis of the second component 102B.


The second link 106B is coupled to the first link 106A such that the second link 106B can rotate around an axis parallel to the longitudinal axis of first link 106A. As best shown in FIG. 3C, first link 106A includes motor housing half 109 comprising attachment 110. A second motor housing half (not shown) is configured similarly to motor housing half 109 and attaches to motor housing half 109 via attachment 110 using, for example, bolts to form a complete motor housing for first link 106A. The joint between first link 106A and second link 106B is actuated from a motor 112 located inside the motor housing. Encoder 113 provides position information to the interface (not shown) for motor 112. A planetary gearhead 111 is attached to motor 112 by way of mating threading on the motor 112 and planetary gearhead 111. Gearhead 111 is rigidly attached to gear housing 122 by use of epoxy to prevent rotation and translation of the motor assembly. Spur gear 123 is rigidly attached to the output shaft 111A of gearhead 111. As spur gear 123 is rotated by the motor 112, torque is transmitted to spur gear 115, which is rigidly attached to shaft 116. Shaft 116 is supported by ball bearings 117 and 118, housed in gear housing 122, and attaches to second link 106B. A button socket cap bolt 119 is threaded into shaft 116, preventing lateral translation of shaft 116. The second link 108B is similarly configured and coupled to first link 108A.


The second link 106B is configured such that, in addition to rotating around an axis parallel to the longitudinal axis of first link 106A, it can rotate around an axis perpendicular to the longitudinal axis of first link 106A. As best shown in FIGS. 3D and 3E, second link 106B comprises mirrored motors 130A and 130B and associated gears and shafts. Motor 130A and its associated gears and shafts are configured to rotate second link 106B in an axis perpendicular to the longitudinal axis of first link 106A. Shaft 116 from first link 106A includes a bore through which rotational shaft 133A of second link 106B inserts and attaches. Rotational shaft 133A and the bore of shaft 116 are constrained such that the rotation of rotational shaft 133A is fixed relative to shaft 116. Ball bearings 136A and 137A, which are housed in the motor housing 134, support rotational shaft 133A. A spur gear 131A is rigidly attached to shaft 133A and bolt 138A constrains rotational shaft 133A axially. Rotational shaft 133A is rotated as motor 130A is actuated, rotating spur gear 132A, which is rigidly attached to output shaft 135A of motor 130A. Motor 130A is constrained relative to housing 134 using, for example, bolts which go through housing 134. Gear cover 139A covers the moving gears to prevent outside objects from contacting the moving gears 131A, 132A.


The third link 106C is coupled to the second link 106B such that the third link can rotate around an axis perpendicular to the longitudinal axis of second link 106B. Motor 130B and its associated gears and shafts are configured to rotate shaft 140, which attaches to third link 106C, in an axis perpendicular to the longitudinal axis of second link 106B. As best shown in FIG. 3E, motor 130B is configured to actuate its associated gears and shafts in a manner similar to motor 130A and its associated gears and shafts.


According to the implementation shown in FIG. 3A, operational component 106D has a cautery tool, and operational component 108D has a grasper. In this embodiment, each of the operational components 106D, 108D is configured to be rotatable around an axis parallel to the longitudinal axis of each of the components 106D, 108D. As best shown in FIGS. 3F and 3G, operational component 106D is a cautery tool comprising a cautery housing 158 and a cautery component 157. Cautery housing 158 and cautery tool 157 are attached to cautery component rotational gear 159, which is rotatably coupled with spur gear 153 housed in third link 106C. The spur gear 153 is actuated by a motor 154 through gearhead 156 coupled to the motor 154. Actuation of the motor 154 and gearhead 156 causes rotation of the spur gear 153, and thus the cautery rotational gear 159, cautery housing 158, and cautery component 157. Encoder 155 provides position information to the interface (not shown) for motor 154. The cautery housing 158 is further coupled to two bearing elements 161, 169 proximal to the cautery rotational gear 159, which support motor housing 152 and reduce rotational friction thereof. Motor housing 152 is further supported by attachment to third link upper housing 150 and third link lower housing 151. The cautery housing 158 and proximal bearing 169 are further coupled to a cautery shaft nut 160 that limits translation of the cautery housing 158 and provides a preload (i.e., a clamping force as a result of tightening the nut) for the two bearing elements 161, 169 to aid in reducing friction during rotation of the cautery shaft. Washer 162 prevents preload nut 160 and cautery rotational gear 159 from contacting ball bearings 161, 169.


As best shown in FIGS. 3H-3K, operational component 108D is a grasper tool comprising grasper housing 171, grasper drive pin 172, and grasper jaws 182A, 182B. As best shown in FIG. 3I, grasper housing 171 is attached and rotationally constrained to spur gear 163A, which is rotatably coupled with the spur gear 163 within third link 108C. Actuation of the rotational motor 166 and gearhead 166A causes rotation of the spur gear 163, and thus causes rotation of the grasper housing 171 and operational component 108D. The grasper housing 171 is further coupled to two bearing elements 173A, 173B, which provide support for and reduce rotational friction of the grasper housing 171, distal hex preload nut 189A that limits lateral translation of the grasper housing 171 and provides a preload (i.e., clamping force applied by the nut to reduce friction in the bearings and prevent translation of the bearings) for the bearings 173A, 173B to help reduce friction during rotation of the grasper housing 171. A beveled washer 190A is located between the ball bearing 173B and hex preload nut 189A.


As best shown in FIG. 3J, motor 170 is rigidly coupled to motor housing 177 using, for example one or more bolts, to constrain the translation and rotation motion of the motor 170 to the motor housing 177. Actuation motor 170 is rigidly coupled to the actuation spur gear 175. Actuation of motor 170 causes rotation of spur gear 175, which translates to rotation of spur gear 176. Spur gear 176 is rigidly coupled to the driveshaft housing 180 which is, in turn, rigidly coupled to the grasper driveshaft 172. Rotation of spur gear 176 via actuation of the motor 170 therefore results in rotation of the driveshaft housing 180 and the translation of the grasper driveshaft 172 due to it being constrained radially by 182A and 182B. Best shown in FIG. 3K, a grasper rotation bolt 181 threads through one side of the grasper housing 171 and goes through a hole in both graspers 182A, 182B. A pin 174 machined into the grasper drive pin 172 rides in grooves of 182A, 182B. As the grasper drive pin 172 is translated, the pin 174 moves along the grooves of 182A and 182B, causing the graspers to open and close. In one embodiment, rotation of the grasper driveshaft 180 is aided by a proximal hex preload nut 189B, beveled washers 190B 190C, 190D and bearing elements 173C, 173D. The driveshaft housing 180 is further rigidly coupled to a driveshaft housing screw 179 that constrains translation of the driveshaft housing 180 to the proximal bearing 173D.


According to one embodiment, each operational component 106D, 108D can have two tools with each of the operational components 106D, 108D being configured to be rotatable around an axis parallel to the longitudinal axis of each of the components 106D, 108D. For example, in one embodiment, each operational component 106D, 108D has two configurations—a grasper configuration and a cautery tool configuration. In the grasper configuration, the operational component 106D, 108D has been rotated such that the grasper is positioned substantially along the longitudinal axis of the third link 106D, 108D and thus is operational. In contrast, in the cautery tool configuration, the operational component 106D, 108D has been rotated such that the cautery tool is positioned substantially along the longitudinal axis of the third link 106D, 108D and thus is operational. In this embodiment, each of the two tools can be configured to operate similarly to the embodiments with a single tool at operational components 106D, 108D above.


It is understood that operational components 106D, 108D are completely independent such that the two configurations of each such component 106D, 108D are independent as well. That is, while the operational component of one arm is in the grasper configuration, the operational component of the other arm can be in either configuration, and vice versa. Other operational components may also be substituted, as described herein.


In this embodiment, the body 102 is made up of two cylindrical components 102A, 102B that are coupled together, as described above. Alternatively, the body 102 can be a single component and further can be any of the device body embodiments disclosed in the various patent applications incorporated by reference above and elsewhere herein.



FIGS. 4A-4F depict another embodiment of a robotic medical device 250. As best shown in FIGS. 4A and 4F, device embodiment 250 includes a body 252 having two cylindrical components 252A, 252B that are coupled to each other at a connection point 254. The device has two arms 256, 258 that are coupled to the body 252. More specifically, the first arm 256 is rotatably coupled to the first cylindrical component 252A and the second arm 258 is rotatably coupled to the second cylindrical component 252B. The first arm 256 has a first link 256A that is coupled to the first component 252A, a second link 256D that is coupled to the first link 256A, and a third link 256B that is coupled to second link 256D. Similarly, the second arm 258 has a first link 258A that is coupled to the second component 252B, a second link 258D that is coupled to the first link 258A, and a third link 258B that is coupled to second link 258D. The first arm 256 has an operational component 256C coupled to the third link 256B, and the second arm 258 has an operational component 258C coupled to the third link 258B. FIG. 4F is an image of device 250 with support rod attached. Each body component 252A, 252B is connected to a control rod 295A, 295B. The control rods 295A, 295B can be used to manipulate the position of the device 250 during insertion into the body. Once the device 250 is positioned, a custom mating support rod 260 can be introduced. Once mated, the support rod 260 constrains gross position of the arms 256, 258 with respect to each other. The support rod 260 is constrained to the control rods 295A, 295B by nuts 296A, 296B on the top and a specific mating geometry on the bottom. In some embodiments, as best shown in FIG. 4A, device 250 includes vision system 261. Vision system 261 can include a small camera 261A and ultra-bright light emitting diodes 261B.


As best shown in FIG. 4E, the first link 256A is coupled to the first component 252A such that the first link 256A can rotate around an axis parallel to the longitudinal axis of the first component 252A. In addition, the first link 256A can also rotate in direction D around an axis perpendicular to the longitudinal axis of the first component 252A. Similarly, the first link 258A is coupled to the second component 252B such that the first link can rotate around an axis parallel to the longitudinal axis of the second component 252B. In addition, the first link 258A can also rotate around an axis perpendicular to the longitudinal axis of the second component 252B. The second link 256D is coupled to the first link 256A such that the second link 256D can rotate in direction E around an axis perpendicular to the longitudinal axis of the first link 256A. Similarly, the second link 258D is coupled to the first link 258A such that the second link 258D can rotate around an axis perpendicular to the longitudinal axis of the first link 258A. The third link 256B is coupled to the second link 256D such that the third link 256B can rotate in direction F around an axis perpendicular to the longitudinal axis of the second link 256D. Similarly, third link 258B is coupled to the second link 258D such that the third link 258B can rotate around an axis perpendicular to the longitudinal axis of the second link 258D. Operational component 256C is coupled to the third link 256B such that the operational component 256C can rotate around an axis parallel to the longitudinal axis of the third link 256B. Similarly, operational component 258C is coupled to the third link 258B such that the operational component 258C can rotate around an axis parallel to the longitudinal axis of the third link 258B.


First component 252A, as best shown in FIG. 4B, comprises a torso motor housing 262 that holds the motor 263 and actuation mechanism. The actuation mechanism includes a spur gear 264A rigidly attached to the output shaft 263A of the motor 263. As the motor output shaft 263A turns, spur gear 264A rotates spur gear 264B, which is radially constrained with the torso rotational shaft 267 by a flat placed on both spur gear 264B and shaft 267. The rotational shaft 267 is supported with two flanged ball bearings 265A, 265B. The torso rotational shaft 267 is constrained to the first link 256A by a screw 268. Shaft 267 is also axially constrained to the first link 256A by screw 266. Second component 252B is similarly configured to first component 252A.


First link 256A, as best shown in FIG. 4C, comprises an upper arm motor housing 271 that holds the motor 273 and actuation mechanism. The actuation mechanism includes a spur gear 274B rigidly attached to the output shaft 273A of the motor 273. As the motor output shaft 273A turns, spur gear 274B rotates spur gear 274A, which is radially constrained with the output rotational shaft 275 by a flat placed on both spur gear 274A and shaft 275. The output rotational shaft 275 is supported with two ball bearings 276A, 276B. The output rotational shaft 275 is constrained to the output link 279 by a flat placed on both shaft 275 and output link 279. Output rotational shaft 275 is also axially constrained by a screw 277. Washers 278 are used to maintain spacing and to preload the bearings. A gear cap 270 and a wiring cap 272 connect to the motor housing 271. First link 258A and second links 256D, 258D are configured similarly to first link 256A.


Third link 256B, as best shown in FIG. 4D, comprises a forearm body 280 that is made of two symmetric halves that mate. Third link 256B additionally comprises components for rotating operational component 256C around an axis parallel to the longitudinal axis of the third link 256B. Operational component 256 rotation is accomplished using motor system 282. Motor system 282 comprises motor 282B connected to encoder 282A, which provides position information to the interface (not shown) for motor 282B, and planetary gearhead 282C. Motor system 282 is seated within a forward forearm housing 284 that provides appropriate spacing. Spur gear 286B is rigidly attached to the output shaft 282D of the gearhead 282C. As the gearhead output shaft 282D turns, spur gear 286B rotates spur gear 286A, which is radially constrained by epoxy with the output rotational shaft 288. The output rotational shaft 288 is supported with two thin ball bearings 293. Beveled washers 294 are used to maintain spacing and to preload the bearings. A preload nut 292 is used to axially constrain everything on the output shaft.


As best shown in FIG. 4D, third link 256B also comprises components for opening and closing grasping jaws 289A, 289B. The actuation mechanism for opening and closing jaws 289A, 289B includes motor 281, which is seated within a rear forearm housing 283 that keeps proper spacing between all parts. Spur gear 285A is rigidly attached to the output shaft 281A of the motor 281. As the motor output shaft turns, spur gear 285A rotates spur gear 285B, which is radially constrained with pressed pins to the rear output shaft 287. The rear output shaft 287 is supported with two thin ball bearings 293. Beveled washers 294 are used to maintain spacing and to preload the bearings. A preload nut 292 and a screw 291 are used to axially constrain everything on the rear output shaft 287. In order to open/close the jaws 289A, 289B, a drive rod 290 is translated linearly using a screw connection between drive rod 290 and rear output shaft 287. As rear output shaft 287 rotates, the screw interface between rear output shaft 287 and drive rod 290 causes the drive rod 290 to translate within the inner opening 288A of the output rotational shaft 288. Two angled slots 297, one on each of the grippers 289A, 289B, are mated as a sliding fit to a pin in the drive rod 290 to cause the jaws 289A, 289B to open or close as drive rod 290 is translated linearly. Alternatively, as best shown in FIG. 4G, actuation of jaws 289A, 289B can be done using a four bar mechanism. Third link 258B is configured similarly to third link 256B.



FIGS. 5A-5S depict another embodiment of a robotic medical device 300. This device embodiment 300 as shown includes a body 302 having two cylindrical components 302A, 302B that are coupled to each other at a connection point 304. The device has two arms 306, 308 that are coupled to the body 302. More specifically, the first arm 306 is rotatably coupled to the first cylindrical component 302A and the second arm 308 is rotatably coupled to the second cylindrical component 302B. The first arm 306 has a first link 306A that is coupled to the first component 302A, a second link 306B that is coupled to the first link 306A, and a third link 306C that is coupled to the second link 306B. Similarly, the second arm 308 has a first link 308A that is coupled to the second component 302B, a second link 308B that is coupled to the first link 308A, and a third link 308C that is coupled to the second link 308B. The first arm 306 has an operational component 306D coupled to the third link 306C, and the second arm 308 has an operational component 308D coupled to the third link 308C. In addition, the body 302 is also coupled to a support component 310


The first link 306A is coupled to the first component 302A such that the first link 306A can rotate around an axis parallel to the longitudinal axis of the first component 302A. Similarly, the first link 308A is coupled to the second component 302B such that the first link 308A can rotate around an axis parallel to the longitudinal axis of the second component 302B. The second link 306B is coupled to the first link 306A such that the second link 306B can rotate around an axis parallel to the longitudinal axis of the first link 306A. Additionally, the second link 306B can rotate around an axis perpendicular to the longitudinal axis of the first link 306A. Similarly, the second link 308B is couple to the first link 308A such that the second link 308B can rotate around an axis parallel to the longitudinal axis of the first link 308A. Additionally, the second link 308B can rotate around an axis perpendicular to the longitudinal axis of the first link 308A. The third link 306C is coupled to the second link 306B such that the third link 306C can rotate around an axis parallel to the longitudinal axis of the second link 306B. Additionally, the third link 306C can rotate around an axis perpendicular to the longitudinal axis of the second link 306B. Similarly, the third link 308C is coupled to the second link 308B such that the third link 308C can rotate around an axis parallel to the longitudinal axis of the second link 308B. Additionally, the third link 308C can rotate around an axis perpendicular to the longitudinal axis of the second link 308B. The operational component 306D is coupled to the third link 306C such that the operational component 306D can rotate around an axis parallel to the longitudinal axis of the third link 306C. Additionally, the operational component 306D can rotate around an axis perpendicular to the longitudinal axis of the third link 306C.


In this embodiment, the support rods 312A, 312B are held in place within the component 310 (or the component 310 is held in place over the support rods 312A, 312B) using two attachment components 316A, 316B, each of which is configured to attach to one of the support rods 312A, 312B, as shown in FIGS. 5B, 5C, and 5F. In the specific embodiment shown in FIG. 5B, the attachment components 316A, 316B are threaded nuts, and after the support component 310 is disposed over the two support rods 312A, 312B, the threaded nut 316A is threadably coupled to the support rod 312A and the threaded nut 316B is threadably coupled to the support rod 312B to hold the component 310 in place. Alternatively, the attachment components 316A, 316B can be any known attachment components for holding the component 310 in place.


As best shown in FIGS. 5C and 5D, support rod 312A is threadably coupled to support rod attachment 318A. Support rod attachment dove tail 318C is pressed into body pieces 324A, 324B of the first component 302A and by support rod attachment dove tail screws 320A, 320B passing through the support rod attachment dove tail 318C and body pieces 324A, 324B which is then threadably coupled to support rod attachment dove tail nut 322A, 322B. Support rod attachment dove tail nut 322A, 322B is geometrically supported by body pieces 324A, 324B, best shown in FIG. 5E. The coupled system support rod 312A and support rod attachment 318A are coupled to support rod attachment dove tail 318C such that the coupled system, support rod 312A and support rod attachment 318A, can rotate around an axis parallel to the longitudinal axis of the support rod attachment screw 318B.


As best shown in FIGS. 5F, 5G and 5H, first component motor assembly 326 (encoder 326A, motor 326B, and gearhead 326C) is coupled to first component motor housing 334 by adhesion. The first component motor housing 334 is geometrically coupled to body 324A, 324B of the first component 302A and a clamping force is applied to the first component motor housing 334 from body 324A and body 324B. Body 324A and body 324B are constrained by tongue and groove and elastic bands and tape. First motor gear 328A is coupled to first component motor assembly 326 (specifically gearhead 326C) by interference and D-shaped feature such that it is fixed to the output shaft. First motor bearing set 330A, 303B are seated in the first component motor housing 334. First motor output shaft 332 is rotatably coupled to first motor bearing set 330A, 303B and threadably coupled to first motor output gear 328B. First motor output shaft 332 applies a clamping force to first motor bearing set 330A, 303B to reduce bearing friction.


As best shown in FIGS. 5F and 5G, first component 302A and first link 306A are rotatably coupled. First motor output gear 328B is fixed to first link dove tail 338 by first component mating screws 336A, 336B passing through first motor output gear 328B which are threadably coupled to first link dove tail 338. First link dove tail 338 is geometrically coupled and pressed into first link body 346. First link dove tail screw 340 passes through first link dove tail 338 and is threadably coupled to first link body 346 preventing translation of first link dove tail 338. First link motor cap 344 is geometrically coupled to first link body 346 by tongue and groove and is fixed by first link cap screw 342 passing through first link motor cap 344 which is threadably coupled to first link dove tail 338. First link motor assembly 348 (encoder 348A, motor 348B, gearhead 348C) is adhesively coupled to first link motor tab 354. The coupled system, first link motor assembly 348 and first link motor tab 354c is geometrically coupled to first link body 346. First link direct drive output shaft 352 is geometrically coupled to first link motor assembly 348 by D-shaped feature. First link direct drive output shaft screw 356 is threadably coupled to first link direct drive output shaft 352 and fixes first link motor assembly 348 by applying force to the gearhead output shaft 248D. First link direct drive output shaft 352 is rotatably coupled to first link body 346 by mating the first link direct drive output shaft 352 with the outer race of first link bearing set 350A, 350B and mating the first link body 346 with the inner race of first link bearing set 350A, 350B.


As best shown in FIG. 5H, first link direct drive mating link 360 is fixed to first link direct drive output shaft 352 by geometry and by first link direct drive mating screw 358 passing through first link direct drive mating link 360 that is threadably coupled to first link direct drive output shaft 352. First link direct drive output shaft 352 is geometrically coupled to first link direct drive mating link 360 by D-shaped feature and is fixed by first link direct drive set screw 378 mating with indentation on first link direct drive output shaft 352. First link direct drive set screw 378 is threadably coupled to first link direct drive mating link 360. Second link first motor output shaft 368 is geometrically coupled to second link first motor output gear 364B by interference and D-shaped feature. Second link first motor output gear 364B is rotatably coupled to second link first motor gear 364A. Second link first motor gear 364A is geometrically coupled to second link first motor 362 by interference and D- shaped feature. Second link first motor 362 is geometrically coupled to second link first motor body 374 and is fixed by second link first motor screws 376A, 376B passing through second link first motor gear cap 372A and second link first motor body 374 and is threadably coupled to second link first motor 362, best shown in FIG. 5H-5J. Second link first motor bearing set 366A, 366B is seated in second link first motor body 374 and second link first motor wire cap 372B. Second link first motor output shaft 368 is rotatably coupled with the inner race of second link first motor bearing set 366A, 366B. Second link first motor wire cap 372B is coupled to second link first motor body 374 by tongue and groove. Second link first motor output shaft preload screw 370 is threadably coupled to second link first motor output shaft 368 and passed through second link first motor bearing set 366A, 366B (specifically 366B) and second link first motor wire cap 372B and applies a clamping force to second link first motor bearing set 366A, 366B to reduce bearing friction.


As best shown in FIGS. 5J and 5K, second link second motor 380 is geometrically constrained by second link first motor body 374 and second link second motor housing 384. Second link second motor gear 382A is geometrically constrained by interference and D-shaped feature. Second link second motor gear 382A is rotatably coupled to second link second motor output gear 382B. Second link second motor output gear 382B is geometrically coupled to second link second motor link 390 by interference and D-shaped feature. Second link second motor bearing set 388A, 388B is seated in second link second motor housing 384 and second link second motor gear cap 386. Second link second motor link 390 is rotatably coupled to second link second motor bearing set 388A, 388B. Second link second motor preload screw 394 passes through second link second motor bearing 388B and is threadably coupled to second link second motor link 390 and applies a clamping force to second link second motor bearing set 388A, 388B to reduce bearing friction. Second link second motor gear cap 386 is geometrically constrained to second link second motor housing 384 by tongue and groove and by second link second motor screws 396A, 396B passing through second link second motor gear cap 386 and second link second motor housing 384 which are threadably coupled to second link second motor 380.


As best shown in FIGS. 5L and 5M, second link second motor link 390 is geometrically coupled to third link first motor output shaft 402 by D-shaped feature and is fixed by second link second motor set screw 392 mating with indentation in third link first motor output shaft 402. Second link second motor set screw 392 threadably coupled to second link second motor link 390. Third link first motor 398 is geometrically coupled to third link body halves 412A, 412B and is fixed by third link first motor screws 410A, 410B passing through third link first motor gear cap 400 and third link body halves 412A, 412B and is threadably coupled to third link first motor 398. Third link first motor gear cap 400 is geometrically constrained to third link body halves 412A, 412B by tongue and groove. Third link body halves 412A, 412B are geometrically constrained together by tongue and groove (TG) and elastic bands (EB) and tape, though any appropriate means can be used. Third link first motor gear 408A is geometrically constrained and fixed to the third link first motor 398 by interference and D-shaped feature. Third link first motor gear 408A is rotatably coupled to third link first motor output gear 408B. Third link first motor output gear 408B is geometrically constrained and fixed to third link first motor output shaft 402 by interference and D-shaped feature. Third link first motor bearing set 406A, 406B is seated in third link body half 412A. Third link first motor output shaft 402 is rotatably coupled to third link first motor bearing set 406A, 406B. Third link first motor preload screw 404 passes through third link motor bearing set 406A and is threadably coupled to third link first motor output shaft 402 and applies a clamping force to third link first motor bearing set 406A, 406B to reduce bearing friction.


As best shown in FIG. 5M, third link second motor assembly 414 (314A encoder, 414B motor, 414C gearhead) is coupled to third link second motor housing 422 by adhesion. Third link second motor housing 422 is geometrically coupled to the third link body halves 412A, 412B. Third link second motor gear 420A is geometrically coupled to the third link second motor assembly 414 by interference and D-shaped feature. Third link second motor gear 420A is rotatably coupled to third link second motor output gear/grasper yoke 420B. Third link third motor 416 is geometrically coupled to the third link body halves 412A, 412B. Third link third motor gear 418A is geometrically coupled to third link third motor 416 by interference and D-shaped feature. Third link third motor gear 418A is rotatably coupled to third link third motor output gear/grasper drive mechanism 418B. Third link second motor bearing set 426A, 426B is seated in third link second motor housing 422. Third link second motor output gear/grasper yoke 420B is rotatably coupled to third link second motor bearing set 426A, 426B. Third link second motor preload nut 430 is threadably coupled to third link second motor output gear/grasper yoke 420B and applies a clamping force to third link second motor bearing set 426A, 426B to reduce bearing friction. Third link third motor bearing set 428A, 428B is seated in third link third motor housing 424. As best shown in FIG. 5N, third link third motor housing 424 is geometrically coupled to third link third motor 416 and fixed by third link third motor screws 436A, 436B passing through third link third motor housing 424 and are threadably coupled to third link third motor 416. Third link third motor output gear/grasper drive mechanism 418B is rotatably coupled to third link third motor bearing set 428A, 428B. Third link third motor preload nut 432 and third link third motor preload screw 434 is threadably coupled to third link third motor output gear/grasper drive mechanism 418B and applies a clamping force to third link third motor bearing set 428A, 428B to reduce bearing friction.


As been shown in FIGS. 5N-5Q, third link grasper drive shaft 444 is threadably coupled to third link third motor output gear/grasper drive mechanism 418B. Third link grasper drive shaft 444 is geometrically coupled to third link graspers 438A, 438B preventing rotation. Third link grasper drive pin 442 is pressed into third link grasper drive shaft 444 and mates with the gripper slots of the third link graspers 438A, 438B. Third link grasper rotation pin 440 is geometrically coupled on the top side of the third link second motor output gear/grasper yoke 420B passes through the third link graspers 438A, 438B and is threadably coupled to the bottom side of the third link second motor output gear/grasper yoke 420B. When third link third motor output gear/grasper drive mechanism 418B is rotated third link grasper drive shaft 444 translates due to mate with third link graspers 438A, 438B, causing the third link grasper drive pin 442 to move forward in the slots of the third link graspers 438A, 438B, opening the graspers 438A, 438B.


In use, for insertion of device 300 into the body, each arm is positioned, as best shown in FIG. 5R before the robot is inserted. As each robot arm is inserted individually, the forearm 308C is inserted through the single incision first. The upper arm 308B is then inserted to the respective side of the abdominal wall through the incision. The first half of the torso 308A is inserted to the respective side of the abdominal wall through the incision while the first link second motor assembly 348 is actuated negative 45 degrees from the starting position before the next half of the torso 302B is lowered through the incision, as best shown in FIG. 5S. This process is repeated with the second arm. The support rods 312A, 312B for each of the robotic arms are inserted through the holes in the support rod component 310 until the support rod component 310 mates with each of the torso segments 302A, 302B. A thumb nut 316A, 316B is then threaded onto each support rod 312A, 312B until they become tight against the top of the support rod component 310, locking both arm segments to the support rod component 310.


While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. As will be realized, the invention is capable of modifications in various obvious aspects, all without departing from the spirit and scope of the present invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.


Although the present invention has been described with reference to preferred embodiments, persons skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the invention.

Claims
  • 1. A robotic surgical device comprising: (a) an elongate support beam configured to be positionable through a port into a body cavity of a patient such that a distal portion of the elongate support beam is positioned within the body cavity and a proximal portion of the elongate support beam is positioned outside the body cavity;(b) a first movable segmented robotic arm operably coupled to the elongate support beam via a first shoulder component, the first movable segmented robotic arm comprising: (i) a first arm first link;(ii) a first arm second link;(iii) a first operational component operably coupled to the first arm second link; and(iv) at least one first arm motor associated with the first movable segmented robotic arm; and(c) a second movable segmented robotic arm operably coupled to the elongate support beam via a second shoulder component, the second movable segmented robotic arm comprising: (i) a second arm first link;(ii) a second arm second link;(iii) a second operational component operably coupled to the second arm second link; and(iv) at least one second arm motor associated with the second movable segmented robotic arm.
  • 2. The robotic surgical device of claim 1, wherein the robotic device may be assembled within the body cavity of the patient.
  • 3. The robotic surgical device of claim 1, further comprising a first support rod disposed through a first lumen in the support beam and operably coupled at a distal end of the first support rod with the first shoulder component.
  • 4. The robotic surgical device of claim 3, further comprising a second support rod disposed through a second lumen in the support beam and operably coupled at a distal end of the second support rod with the second shoulder component.
  • 5. The robotic surgical device of claim 4, wherein the elongate support beam further comprises a third lumen configured to receive at least one connection component.
  • 6. The robotic surgical device of claim 1, wherein the first operational component is chosen from a group consisting of a grasping component, a cauterizing component, a suturing component, an imaging component, an operational arm component, a sensor component, and a lighting component.
  • 7. The robotic surgical device of claim 1, wherein the second operational component is chosen from a group consisting of a grasping component, a cauterizing component, a suturing component, an imaging component, an operational arm component, a sensor component, and a lighting component.
  • 8. The robotic surgical device of claim 1, wherein the at least one first arm motor is configured for operation, rotation or movement of at least one of the first shoulder, the first segmented arm, and the first operational component.
  • 9. The robotic surgical device of claim 1, wherein the at least one second arm motor is configured for operation, rotation or movement of at least one of the second shoulder, the second segmented arm, and the second operational component.
  • 10. The robotic surgical device of claim 1, wherein the first and second operational components are rotatable relative to the first and second segmented arms.
  • 11. The robotic surgical device of claim 1, wherein the first and second segmented arms are capable of jointed movement.
  • 12. A method of performing minimally invasive surgery on a patient, the method comprising: providing a robotic surgical system comprising: i) an elongate support beam; andii) a robotic device comprising: A) a first robotic arm operably coupled to the elongate support beam via a first shoulder joint, the first robotic arm comprising first and second links;B) a first operational component operably coupled with the second link of the first arm;C) a second robotic arm operably coupled to the elongate support beam via a second shoulder joint, the second robotic arm comprising first and second links;D) a second operational component operably coupled with the second link of the second arm; andE) at least one motor housed within at least one of the first and second robotic arms;positioning the elongate support beam through a port positioned within an incision in fluid communication with the cavity of the patient such that a distal portion of the elongate support beam is disposed within the cavity and a proximal portion of the elongate support beam is disposed outside of the cavity, such that the robotic device is disposed within the cavity of the patient; andperforming a procedure with the robotic device supported by the elongate support beam and disposed entirely within the cavity of the patient.
  • 13. A robotic surgical system, comprising: a) a support beam configured to be positionable through a port positioned within an incision in fluid communication with a cavity of a patient such that a distal portion of the support beam is disposed within the cavity and a proximal portion of the support beam is disposed outside the cavity; andb) a robotic device sized to be positionable completely within the cavity of the patient, the device comprising: i) a first robotic arm operably coupled to the distal end of the support beam via a first shoulder component, the first robotic arm comprising first and second links;ii) a first operational component operably coupled to the second link of the first robotic arm;iii) a second robotic arm operably coupled to the distal end of the support beam via a second shoulder component, the second robotic arm comprising first and second links;iv) a second operational component operably coupled to the second link of the second robotic arm; andv) at least one actuator housed within the robotic device.
  • 14. The robotic surgical system of claim 13, wherein the at least one actuator is capable of operation, rotation or movement of at least one of the first shoulder, the second shoulder, the first robotic arm, the second robotic arm, the first operational component, and the second operational component.
  • 15. The robotic surgical system of claim 13, wherein the at least one actuator is housed within the group consisting of the first rotating shoulder component, the second rotating shoulder component, the first robotic arm, the second robotic arm, the first operational component, and the second operational component.
  • 16. The robotic surgical system of claim 13, wherein each of the first and second operational components are chosen from a group consisting of a grasping component, a cauterizing component, a suturing component, an imaging component, an operational arm component, a sensor component, and a lighting component.
  • 17. The robotic surgical system of claim 13, wherein the first and second robotic arms are capable of jointed movement.
  • 18. The robotic surgical system of claim 13, wherein the robotic device is assembleable within the body cavity of the patient.
  • 19. The robotic surgical system of claim 13, further comprising: (a) at least two lumens defined in the support beam;(b) a first support rod disposed within one of the at least two lumens; and(c) a first connection component disposed within another of the at least two lumens of the support beam, the first connection component being operably coupled at a distal end to the robotic device.
  • 20. The robotic surgical system of claim 19, further comprising an external controller configured to be positioned outside the cavity of the patient, the external controller being operably coupled to the robotic device via the first connection component.
CROSS REFERENCE TO RELATED APPLICATIONS

This application claims priority as a continuation to U.S. patent application Ser. No. 14/800,423, filed Jul. 15, 2015 and entitled “Robotic Surgical Devices, Systems, and Related Methods;” which claims priority as a continuation to U.S. Pat. No. 9,089,353, issued Jul. 28, 2015 and entitled “Robotic Surgical Devices, Systems and Related Methods,” which claims priority to U.S. Patent Application 61/506,384, filed Jul. 11, 2011, and entitled “Robotic Surgical Devices, Systems and Related Methods,” all of which are hereby incorporated herein by reference in their entireties.

GOVERNMENT SUPPORT

This invention was made with government support under Grant No. W81XWH-08-2-0043 awarded by the U.S. Army Medical Research and Materiel Command within the Department of Defense; Grant No. NNX10AJ26G awarded by the National Aeronautics and Space Administration; and Grant No. DGE-1041000 awarded by the National Science Foundation. The government has certain rights in the invention.

US Referenced Citations (481)
Number Name Date Kind
3870264 Robinson Mar 1975 A
3989952 Timberlake et al. Nov 1976 A
4258716 Sutherland Mar 1981 A
4278077 Mizumoto Jul 1981 A
4538594 Boebel et al. Sep 1985 A
4568311 Miyaki Feb 1986 A
4736645 Zimmer Apr 1988 A
4771652 Zimmer Sep 1988 A
4852391 Ruch et al. Aug 1989 A
4896015 Taboada et al. Jan 1990 A
4922755 Oshiro et al. May 1990 A
4922782 Kawai May 1990 A
4990050 Tsuge et al. Feb 1991 A
5019968 Wang et al. May 1991 A
5172639 Wiesman et al. Dec 1992 A
5195388 Zona et al. Mar 1993 A
5201325 McEwen et al. Apr 1993 A
5271384 McEwen et al. Dec 1993 A
5284096 Pelrine et al. Feb 1994 A
5297443 Wentz Mar 1994 A
5297536 Wilk Mar 1994 A
5304899 Sasaki et al. Apr 1994 A
5307447 Asano et al. Apr 1994 A
5353807 DeMarco Oct 1994 A
5363935 Schempf et al. Nov 1994 A
5382885 Salcudean et al. Jan 1995 A
5441494 Ortiz Jan 1995 A
5388528 Pelrine et al. Feb 1995 A
5436542 Petelin et al. Jul 1995 A
5458131 Wilk Oct 1995 A
5458583 McNeely et al. Oct 1995 A
5458598 Feinberg et al. Oct 1995 A
5471515 Fossum et al. Nov 1995 A
5515478 Wang May 1996 A
5524180 Wang et al. Jun 1996 A
5553198 Wang et al. Sep 1996 A
5562448 Mushabac Oct 1996 A
5588442 Scovil et al. Dec 1996 A
5620417 Jang et al. Apr 1997 A
5623582 Rosenberg Apr 1997 A
5624380 Takayama et al. Apr 1997 A
5624398 Smith et al. Apr 1997 A
5632761 Smith et al. May 1997 A
5645520 Nakamura et al. Jul 1997 A
5657429 Wang et al. Aug 1997 A
5657584 Hamlin Aug 1997 A
5672168 de la Torre et al. Sep 1997 A
5674030 Sigel Oct 1997 A
5728599 Rosteker et al. Mar 1998 A
5736821 Suyama et al. Apr 1998 A
5754741 Wang et al. May 1998 A
5762458 Wang et al. Jun 1998 A
5769640 Jacobus et al. Jun 1998 A
5791231 Cohn et al. Aug 1998 A
5792135 Madhani et al. Aug 1998 A
5797538 Heaton et al. Aug 1998 A
5797900 Madhani et al. Aug 1998 A
5807377 Madhani et al. Sep 1998 A
5808665 Green Sep 1998 A
5815640 Wang et al. Sep 1998 A
5825982 Wright et al. Oct 1998 A
5841950 Wang et al. Nov 1998 A
5845646 Lemelson Dec 1998 A
5855583 Wang et al. Jan 1999 A
5876325 Mizuno et al. Mar 1999 A
5878193 Wang et al. Mar 1999 A
5878783 Smart Mar 1999 A
5895417 Pomeranz et al. Apr 1999 A
5906591 Dario et al. May 1999 A
5907664 Wang et al. May 1999 A
5910129 Koblish et al. Jun 1999 A
5911036 Wright et al. Jun 1999 A
5971976 Wang et al. Oct 1999 A
5993467 Yoon Nov 1999 A
6001108 Wang et al. Dec 1999 A
6007550 Wang et al. Dec 1999 A
6030365 Laufer Feb 2000 A
6031371 Smart Feb 2000 A
6058323 Lemelson May 2000 A
6063095 Wang et al. May 2000 A
6066090 Yoon May 2000 A
6102850 Wang et al. Aug 2000 A
6107795 Smart Aug 2000 A
6132368 Cooper Oct 2000 A
6132441 Grace Oct 2000 A
6139563 Cosgrove, III et al. Oct 2000 A
6156006 Brosens et al. Dec 2000 A
6159146 El Gazayerli Dec 2000 A
6162171 Ng et al. Dec 2000 A
D438617 Cooper et al. Mar 2001 S
6206903 Ramans Mar 2001 B1
D441076 Cooper et al. Apr 2001 S
6223100 Green Apr 2001 B1
D441862 Cooper et al. May 2001 S
6238415 Sepetka et al. May 2001 B1
6240312 Alfano et al. May 2001 B1
6241730 Alby Jun 2001 B1
6244809 Wang et al. Jun 2001 B1
6246200 Blumenkranz et al. Jun 2001 B1
D444555 Cooper et al. Jul 2001 S
6286514 Lemelson Sep 2001 B1
6296635 Smith et al. Oct 2001 B1
6309397 Julian et al. Oct 2001 B1
6309403 Minoret et al. Oct 2001 B1
6312435 Wallace et al. Nov 2001 B1
6321106 Lemelson Nov 2001 B1
6327492 Lemelson Dec 2001 B1
6331181 Tiemey et al. Dec 2001 B1
6346072 Cooper Feb 2002 B1
6352503 Matsui et al. Mar 2002 B1
6364888 Niemeyer et al. Apr 2002 B1
6371952 Madhani et al. Apr 2002 B1
6394998 Wallace et al. May 2002 B1
6398726 Ramans et al. Jun 2002 B1
6400980 Lemelson Jun 2002 B1
6408224 Lemelson Jun 2002 B1
6424885 Niemeyer et al. Jul 2002 B1
6432112 Brock et al. Aug 2002 B2
6436107 Wang et al. Aug 2002 B1
6441577 Blumenkranz et al. Aug 2002 B2
6450104 Grant et al. Sep 2002 B1
6451027 Cooper et al. Sep 2002 B1
6454758 Thompson et al. Sep 2002 B1
6459926 Nowlin et al. Oct 2002 B1
6463361 Wang et al. Oct 2002 B1
6468203 Belson Oct 2002 B2
6468265 Evans et al. Oct 2002 B1
6470236 Ohtsuki Oct 2002 B2
6491691 Morley et al. Dec 2002 B1
6491701 Nemeyer et al. Dec 2002 B2
6493608 Niemeyer et al. Dec 2002 B1
6496099 Wang et al. Dec 2002 B2
6508413 Bauer et al. Jan 2003 B2
6512345 Borenstein Jan 2003 B2
6522906 Salisbury, Jr. et al. Feb 2003 B1
6544276 Azizi Apr 2003 B1
6548982 Papanikolopoulos et al. Apr 2003 B1
6554790 Moll Apr 2003 B1
6565554 Niemeyer May 2003 B1
6574355 Green Jun 2003 B2
6587750 Gerbi et al. Jul 2003 B2
6591239 McCall et al. Jul 2003 B1
6594552 Nowlin et al. Jul 2003 B1
6610007 Belson et al. Aug 2003 B2
6620173 Gerbi et al. Sep 2003 B2
6642836 Wang et al. Nov 2003 B1
6645196 Nixon et al. Nov 2003 B1
6646541 Wang et al. Nov 2003 B1
6648814 Kim et al. Nov 2003 B2
6659939 Moll et al. Dec 2003 B2
6661571 Shioda et al. Dec 2003 B1
6671581 Niemeyer et al. Dec 2003 B2
6676684 Morley et al. Jan 2004 B1
6684129 Salisbury, Jr. et al. Jan 2004 B2
6685648 Flaherty et al. Feb 2004 B2
6685698 Morley et al. Feb 2004 B2
6687571 Byme et al. Feb 2004 B1
6692485 Brock et al. Feb 2004 B1
6699177 Wang et al. Mar 2004 B1
6699235 Wallace et al. Mar 2004 B2
6702734 Kim et al. Mar 2004 B2
6702805 Stuart Mar 2004 B1
6714839 Salisbury, Jr. et al. Mar 2004 B2
6714841 Wright et al. Mar 2004 B1
6719684 Kim et al. Apr 2004 B2
6720988 Gere et al. Apr 2004 B1
6726699 Wright et al. Apr 2004 B1
6728599 Wright et al. Apr 2004 B2
6730021 Vassiliades, Jr. et al. May 2004 B2
6731988 Green May 2004 B1
6746443 Morley et al. Jun 2004 B1
6764441 Chiel et al. Jul 2004 B2
6764445 Ramans et al. Jul 2004 B2
6766204 Niemeyer et al. Jul 2004 B2
6770081 Cooper et al. Aug 2004 B1
6774597 Borenstein Aug 2004 B1
6776165 Jin Aug 2004 B2
6780184 Tanrisever Aug 2004 B2
6783524 Anderson et al. Aug 2004 B2
6785593 Wang et al. Aug 2004 B2
6788018 Blumenkranz Sep 2004 B1
6792663 Krzyzanowski Sep 2004 B2
6793653 Sanchez et al. Sep 2004 B2
6799065 Niemeyer Sep 2004 B1
6799088 Wang et al. Sep 2004 B2
6801325 Farr et al. Oct 2004 B2
6804581 Wang et al. Oct 2004 B2
6810281 Brock et al. Oct 2004 B2
6817972 Snow Nov 2004 B2
6817974 Cooper et al. Nov 2004 B2
6817975 Farr et al. Nov 2004 B1
6820653 Schempf et al. Nov 2004 B1
6824508 Kim et al. Nov 2004 B2
6824510 Kim et al. Nov 2004 B2
6832988 Sprout Dec 2004 B2
6832996 Woloszko et al. Dec 2004 B2
6836703 Wang et al. Dec 2004 B2
6837846 Jaffe et al. Jan 2005 B2
6837883 Moll et al. Jan 2005 B2
6839612 Sanchez et al. Jan 2005 B2
6840938 Morley et al. Jan 2005 B1
6843793 Brock Jan 2005 B2
6852107 Wang et al. Feb 2005 B2
6858003 Evans et al. Feb 2005 B2
6860346 Burt et al. Mar 2005 B2
6860877 Sanchez et al. Mar 2005 B1
6866671 Tiemey et al. Mar 2005 B2
6870343 Borenstein et al. Mar 2005 B2
6871117 Wang et al. Mar 2005 B2
6871563 Choset et al. Mar 2005 B2
6879880 Nowlin et al. Apr 2005 B2
6892112 Wang et al. May 2005 B2
6899705 Niemeyer May 2005 B2
6902560 Morley et al. Jun 2005 B1
6905460 Wang et al. Jun 2005 B2
6905491 Wang et al. Jun 2005 B1
6911916 Wang et al. Jun 2005 B1
6917176 Schempf et al. Jul 2005 B2
6933695 Blumenkranz Aug 2005 B2
6936001 Snow Aug 2005 B1
6936003 Iddan Aug 2005 B2
6936042 Wallace et al. Aug 2005 B2
6943663 Wang et al. Sep 2005 B2
6949096 Davison et al. Sep 2005 B2
6951535 Ghodoussi et al. Oct 2005 B2
6965812 Wang et al. Nov 2005 B2
6974411 Belson Dec 2005 B2
6974449 Niemeyer Dec 2005 B2
6979423 Moll Dec 2005 B2
6984203 Tartaglia et al. Jan 2006 B2
6984205 Gazdzinski Jan 2006 B2
6991627 Madhani et al. Jan 2006 B2
6993413 Sunaoshi Jan 2006 B2
6994703 Wang et al. Feb 2006 B2
6994708 Manzo Feb 2006 B2
6997908 Carrillo, Jr. et al. Feb 2006 B2
6999852 Green Feb 2006 B2
7025064 Wang et al. Apr 2006 B2
7027892 Wang et al. Apr 2006 B2
7033344 Imran Apr 2006 B2
7039453 Mullick May 2006 B2
7042184 Oleynikov et al. May 2006 B2
7048745 Tierney et al. May 2006 B2
7053752 Wang et al. May 2006 B2
7063682 Whayne et al. Jun 2006 B1
7066879 Fowler et al. Jun 2006 B2
7066926 Wallace et al. Jun 2006 B2
7074179 Wang et al. Jul 2006 B2
7077446 Kameda et al. Jul 2006 B2
7083571 Wang et al. Aug 2006 B2
7083615 Peterson et al. Aug 2006 B2
7087049 Nowlin et al. Aug 2006 B2
7090683 Brock et al. Aug 2006 B2
7097640 Wang et al. Aug 2006 B2
7105000 McBrayer Sep 2006 B2
7107090 Salisbury, Jr. et al. Sep 2006 B2
7109678 Kraus et al. Sep 2006 B2
7118582 Wang et al. Oct 2006 B1
7121781 Sanchez et al. Oct 2006 B2
7125403 Julian et al. Oct 2006 B2
7126303 Farritor et al. Oct 2006 B2
7147650 Lee Dec 2006 B2
7155315 Niemeyer et al. Dec 2006 B2
7169141 Brock et al. Jan 2007 B2
7182025 Ghorbel et al. Feb 2007 B2
7182089 Ries Feb 2007 B2
7199545 Oleynikov et al. Apr 2007 B2
7206626 Quaid, III Apr 2007 B2
7206627 Abovitz et al. Apr 2007 B2
7210364 Ghorbel et al. May 2007 B2
7214230 Brock et al. May 2007 B2
7217240 Snow May 2007 B2
7239940 Wang et al. Jul 2007 B2
7250028 Julian et al. Jul 2007 B2
7259652 Wang et al. Aug 2007 B2
7273488 Nakamura et al. Sep 2007 B2
7311107 Harel et al. Dec 2007 B2
7339341 Oleynikov et al. Mar 2008 B2
7372229 Farritor et al. May 2008 B2
7447537 Funda et al. Nov 2008 B1
7492116 Oleynikov et al. Feb 2009 B2
7566300 Devierre et al. Jul 2009 B2
7574250 Niemeyer Aug 2009 B2
7637905 Saadat et al. Dec 2009 B2
7645230 Mikkaichi et al. Jan 2010 B2
7655004 Long Feb 2010 B2
7670329 Flaherty et al. Mar 2010 B2
7731727 Sauer Jun 2010 B2
7762825 Burbank et al. Jul 2010 B2
7772796 Farritor et al. Aug 2010 B2
7785251 Wilk Aug 2010 B2
7785333 Miyamoto et al. Aug 2010 B2
7789825 Nobis et al. Sep 2010 B2
7794494 Sahatjian et al. Sep 2010 B2
7865266 Moll et al. Jan 2011 B2
7960935 Farritor et al. Jun 2011 B2
8021358 Doyle et al. Sep 2011 B2
8353897 Doyle et al. Jan 2013 B2
9089353 Farritor et al. Jul 2015 B2
9743987 Farritor Aug 2017 B2
20010018591 Brock et al. Aug 2001 A1
20010049497 Kalloo et al. Dec 2001 A1
20020003173 Bauer et al. Jan 2002 A1
20020013601 Nobles et al. Jan 2002 A1
20020026186 Woloszko et al. Feb 2002 A1
20020038077 de la Torre et al. Mar 2002 A1
20020065507 Zadno-Azizi May 2002 A1
20020091374 Cooper Jun 2002 A1
20020103417 Gazdzinski Aug 2002 A1
20020111535 Kim et al. Aug 2002 A1
20020120254 Julian et al. Aug 2002 A1
20020128552 Nowlin et al. Sep 2002 A1
20020140392 Borenstein et al. Oct 2002 A1
20020147487 Sundquist et al. Oct 2002 A1
20020151906 Demarais et al. Oct 2002 A1
20020156347 Kim et al. Oct 2002 A1
20020171385 Kim et al. Nov 2002 A1
20020173700 Kim et al. Nov 2002 A1
20020190682 Schempf et al. Dec 2002 A1
20030020810 Takizawa et al. Jan 2003 A1
20030045888 Brock et al. Mar 2003 A1
20030065250 Chiel et al. Apr 2003 A1
20030089267 Ghorbel et al. May 2003 A1
20030092964 Kim et al. May 2003 A1
20030097129 Davison et al. May 2003 A1
20030100817 Wang et al. May 2003 A1
20030114731 Cadeddu et al. Jun 2003 A1
20030135203 Wang et al. Jun 2003 A1
20030139742 Wampler et al. Jul 2003 A1
20030144656 Ocel et al. Jul 2003 A1
20030167000 Mullick Sep 2003 A1
20030172871 Scherer Sep 2003 A1
20030179308 Zamorano et al. Sep 2003 A1
20030181788 Yokoi et al. Sep 2003 A1
20030229268 Uchiyama et al. Dec 2003 A1
20030230372 Schmidt Dec 2003 A1
20040024311 Quaid Feb 2004 A1
20040034282 Quaid Feb 2004 A1
20040034283 Quaid Feb 2004 A1
20040034302 Abovitz et al. Feb 2004 A1
20040050394 Jin Mar 2004 A1
20040070822 Shioda et al. Apr 2004 A1
20040099175 Perrot et al. May 2004 A1
20040102772 Baxter et al. May 2004 A1
20040106916 Quaid et al. Jun 2004 A1
20040111113 Nakamura et al. Jun 2004 A1
20040117032 Roth Jun 2004 A1
20040138525 Saadat et al. Jul 2004 A1
20040138552 Harel et al. Jul 2004 A1
20040140786 Borenstein Jul 2004 A1
20040153057 Davison Aug 2004 A1
20040173116 Ghorbel et al. Sep 2004 A1
20040176664 Iddan Sep 2004 A1
20040215331 Chew et al. Oct 2004 A1
20040225229 Viola Nov 2004 A1
20040254680 Sunaoshi Dec 2004 A1
20040267326 Ocel et al. Dec 2004 A1
20050014994 Fowler et al. Jan 2005 A1
20050021069 Feuer et al. Jan 2005 A1
20050029978 Oleynikov et al. Feb 2005 A1
20050043583 Killmann et al. Feb 2005 A1
20050049462 Kanazawa Mar 2005 A1
20050054901 Yoshino Mar 2005 A1
20050054902 Konno Mar 2005 A1
20050064378 Toly Mar 2005 A1
20050065400 Banik et al. Mar 2005 A1
20050083460 Hattori et al. Apr 2005 A1
20050095650 Julius et al. May 2005 A1
20050096502 Khalili May 2005 A1
20050143644 Gilad et al. Jun 2005 A1
20050154376 Riviere et al. Jul 2005 A1
20050165449 Cadeddu et al. Jul 2005 A1
20050283137 Doyle et al. Dec 2005 A1
20050288555 Binmoeller Dec 2005 A1
20050288665 Woloszko Dec 2005 A1
20060020272 Gildenberg Jan 2006 A1
20060046226 Bergler et al. Mar 2006 A1
20060119304 Farritor et al. Jun 2006 A1
20060149135 Paz Jul 2006 A1
20060152591 Lin Jul 2006 A1
20060155263 Lipow Jul 2006 A1
20060195015 Mullick et al. Aug 2006 A1
20060196301 Oleynikov et al. Sep 2006 A1
20060198619 Oleynikov et al. Sep 2006 A1
20060241570 Wilk Oct 2006 A1
20060241732 Denker et al. Oct 2006 A1
20060253109 Chu Nov 2006 A1
20060258954 Timberlake et al. Nov 2006 A1
20060261770 Kishi Nov 2006 A1
20070032701 Fowler et al. Feb 2007 A1
20070043397 Ocel et al. Feb 2007 A1
20070055342 Wu et al. Mar 2007 A1
20070080658 Farritor et al. Apr 2007 A1
20070088340 Brock Apr 2007 A1
20070106113 Ravo May 2007 A1
20070123748 Meglan May 2007 A1
20070142725 Hardin et al. Jun 2007 A1
20070156019 Larkin et al. Jul 2007 A1
20070156211 Ferren et al. Jul 2007 A1
20070167955 De La Menardiere et al. Jul 2007 A1
20070225633 Ferren et al. Sep 2007 A1
20070225634 Ferren et al. Sep 2007 A1
20070241714 Oleynikov et al. Oct 2007 A1
20070244520 Ferren et al. Oct 2007 A1
20070250064 Darois et al. Oct 2007 A1
20070255273 Fernandez et al. Nov 2007 A1
20080004634 Farritor et al. Jan 2008 A1
20080015565 Davison Jan 2008 A1
20080015566 Livneh Jan 2008 A1
20080033569 Ferren et al. Feb 2008 A1
20080045803 Williams et al. Feb 2008 A1
20080058835 Farritor et al. Mar 2008 A1
20080058989 Oleynikov et al. Mar 2008 A1
20080103440 Ferren et al. May 2008 A1
20080109014 de la Pena May 2008 A1
20080111513 Farritor et al. May 2008 A1
20080119870 Williams et al. May 2008 A1
20080132890 Woloszko et al. Jun 2008 A1
20080161804 Rioux et al. Jun 2008 A1
20080164079 Ferren et al. Jul 2008 A1
20080183033 Bern et al. Jul 2008 A1
20080221591 Farritor et al. Sep 2008 A1
20080269557 Marescaux et al. Oct 2008 A1
20080269562 Marescaux et al. Oct 2008 A1
20090020724 Paffrath Jan 2009 A1
20090024142 Ruiz Morales Jan 2009 A1
20090048612 Farritor et al. Feb 2009 A1
20090054909 Farritor et al. Feb 2009 A1
20090069821 Farritor et al. Mar 2009 A1
20090076536 Rentschler et al. Mar 2009 A1
20090137952 Ramamurthy et al. May 2009 A1
20090143787 De La Pena Jun 2009 A9
20090163929 Yeung et al. Jun 2009 A1
20090171373 Farritor et al. Jul 2009 A1
20090234369 Bax et al. Sep 2009 A1
20090236400 Cole et al. Sep 2009 A1
20090240246 Devill et al. Sep 2009 A1
20090247821 Rogers Oct 2009 A1
20090248038 Blumenkranz et al. Oct 2009 A1
20090281377 Newell et al. Nov 2009 A1
20090305210 Guru et al. Dec 2009 A1
20100010294 Conlon et al. Jan 2010 A1
20100016659 Weitzner et al. Jan 2010 A1
20100016853 Burbank Jan 2010 A1
20100042097 Newton et al. Feb 2010 A1
20100056863 Dejima et al. Mar 2010 A1
20100069710 Yamatani et al. Mar 2010 A1
20100069940 Miller et al. Mar 2010 A1
20100081875 Fowler et al. Apr 2010 A1
20100139436 Kawashima et al. Jun 2010 A1
20100198231 Manzo et al. Aug 2010 A1
20100245549 Allen et al. Sep 2010 A1
20100262162 Omori Oct 2010 A1
20100292691 Brogna Nov 2010 A1
20100318059 Farritor et al. Dec 2010 A1
20110020779 Hannaford et al. Jan 2011 A1
20110071347 Rogers et al. Mar 2011 A1
20110071544 Steger et al. Mar 2011 A1
20110098529 Ostrovsky et al. Apr 2011 A1
20110224605 Farritor et al. Sep 2011 A1
20110230894 Simaan et al. Sep 2011 A1
20110237890 Farritor et al. Sep 2011 A1
20110238079 Hannaford Sep 2011 A1
20110238080 Ranjit et al. Sep 2011 A1
20110264078 Lipow et al. Oct 2011 A1
20110270443 Kamiya et al. Nov 2011 A1
20120035582 Nelson et al. Feb 2012 A1
20120078053 Phee Mar 2012 A1
20120109150 Quaid et al. May 2012 A1
20120116362 Kieturakis May 2012 A1
20120179168 Farritor et al. Jul 2012 A1
20120221147 Goldberg Aug 2012 A1
20120253515 Coste-Maniere et al. Oct 2012 A1
20130131695 Scarfogliero et al. May 2013 A1
20130345717 Markvicka et al. Dec 2013 A1
20140039515 Mondry et al. Feb 2014 A1
20140046340 Wilson et al. Feb 2014 A1
20140058205 Frederick et al. Feb 2014 A1
20140303434 Farritor et al. Oct 2014 A1
20150051446 Farritor et al. Feb 2015 A1
20150157191 Phee Jun 2015 A1
Foreign Referenced Citations (48)
Number Date Country
102821918 Dec 2012 CN
102010040405 Mar 2012 DE
1354670 Oct 2003 EP
2286756 Feb 2011 EP
2286756 Feb 2011 EP
2329787 Jun 2011 EP
2563261 Mar 2013 EP
05-115425 May 1993 JP
2006508049 Sep 1994 JP
07-016235 Jan 1995 JP
07-136173 May 1995 JP
7306155 Nov 1995 JP
08-224248 Sep 1996 JP
2001500510 Jan 2001 JP
2001505810 May 2001 JP
2003220065 Aug 2003 JP
2004144533 May 2004 JP
2004-180781 Jul 2004 JP
2004322310 Nov 2004 JP
2004329292 Nov 2004 JP
2006507809 Mar 2006 JP
2009106606 May 2009 JP
2010533045 Oct 2010 JP
2010536436 Dec 2010 JP
2011504794 Feb 2011 JP
2011045500 Mar 2011 JP
2011115591 Jun 2011 JP
199221291 May 1991 WO
2001089405 Nov 2001 WO
2002082979 Oct 2002 WO
2002100256 Dec 2002 WO
2005009211 Jul 2004 WO
2005044095 May 2005 WO
2006052927 Aug 2005 WO
2006005075 Jan 2006 WO
2006079108 Jan 2006 WO
2006079108 Jul 2006 WO
2007011654 Jan 2007 WO
2007111571 Oct 2007 WO
2007149559 Dec 2007 WO
2009023851 Feb 2009 WO
2009144729 Dec 2009 WO
2010050771 May 2010 WO
2011075693 Jun 2011 WO
2011118646 Sep 2011 WO
2011135503 Nov 2011 WO
2013009887 Jan 2013 WO
2014011238 Jan 2014 WO
Non-Patent Literature Citations (39)
Entry
Mack. Minimally Invasive and Robotic Surgery, Google, 2001, p. 568-572 (Year: 2001).
Abbott et al., “Design of an Endoluminal NOTES Robotic System,” from the Proceedings of the 2007 IEEE/RSJ Int'l Conf. on Intelligent Robot Systems, San Diego, CA, Oct. 29-Nov. 2, 2007, pp. 410-416.
Allendorf et al., “Postoperative Immune Function Varies Inversely with the Degree of Surgical Trauma in a Murine Model,” Surgical Endoscopy 1997; 11:427-430.
Ang, “Active Tremor Compensation in Handheld Instrument for Microsurgery,” Doctoral Dissertation, tech report CMU-RI-TR-04-28, Robotics Institute, Carnegie Mellon Unviersity, May 2004, 167pp.
Atmel 8005X2 Core, http://www.atmel.com, 2006, 186pp.
Bailey et al., “Complications of Laparoscopic Surgery,” Quality Medical Publishers, Inc., 1995, 25pp.
Ballantyne, “Robotic Surgery, Telerobotic Surgery, Telepresence, and Telementoring,” Surgical Endoscopy, 2002; 16: 1389-1402.
Bauer et al., “Case Report: Remote Percutaneous Renal Percutaneous Renal Access Using a New Automated Telesurgical Robotic System,” Telemedicine Journal and e-Health 2001; (4): 341-347.
Begos et al., “Laparoscopic Cholecystectomy: From Gimmick to Gold Standard,” J Clin Gastroenterol, 1994; 19(4): 325-330.
Berg et al., “Surgery with Cooperative Robots,” Medicine Meets Virtual Reality, Feb. 2007, 1 pg.
Breda et al., “Future developments and perspectives in laparoscopy,” Eur. Urology 2001; 40(1): 84-91.
Breedveld et al., “Design of Steerable Endoscopes to Improve the Visual Perception of Depth During Laparoscopic Surgery,” ASME, Jan. 2004; vol. 126, pp. 1-5.
Breedveld et al., “Locomotion through the Intestine by means of Rolling Stents,” Proceedings of the ASME Design Engineering Technical Conferences, 2004, pp. 1-7.
Calafiore et al., Multiple Arterial Conduits Without Cardiopulmonary Bypass: Early Angiographic Results,: Ann Thorac Surg, 1999; 67: 450-456.
Camarillo et al., “Robotic Technology in Surgery: Past, Present and Future,” The American Journal of Surgery, 2004; 188: 2S-15.
Cavusoglu et al., “Telesurgery and Surgical Simulation: Haptic Interfaces to Real and Virtual Surgical Environments,” In McLaughliin, M.L., Hespanha, J.P., and Sukhatme, G., editors. Touch in virtual environments, IMSC Series in Multimedia 2001, 28pp.
Dumpert et al., “Stereoscopic In Vivo Surgical Robots,” IEEE Sensors Special Issue on In Vivo Sensors for Medicine, Jan. 2007, 10 pp.
Green, “Telepresence Surgery”, Jan. 1, 1995, Publisher: IEEE Engineering in Medicine and Biology.
Cleary et al., “State of the Art in Surgical Rootics: Clinical Applications and Technology Challenges”, “Computer Aided Surgery”, Jan. 1, 2002, pp. 312-328, vol. 6.
Stoianovici et al., “Robotic Tools for Minimally Invasive Urologic Surgery”, Jan. 1, 2002, pp. 1-17.
Franzino, “The Laprotek Surgical System and the Next Generation of Robotics,” Surg Clin North Am, 2003 83(6): 1317-1320.
Franklin et al., “Prospective Comparison of Open vs. Laparoscopic Colon Surgery for Carcinoma: Five-Year Results,” Dis Colon Rectum, 1996; 39: S35-S46.
Flynn et al, “Tomorrow's surgery: micromotors and microrobots for minimally invasive procedures,” Minimally Invasive Surgery & Allied Technologies, 1998; 7(4): 343-352.
Fireman et al., “Diagnosing small bowel Crohn's desease with wireless capsule endoscopy,” Gut 2003; 52: 390-392.
Fearing et al., “Wing Transmission for a Micromechanical Flying Insect,” Proceedings of the 2000 IEEE International Conference to Robotics & Automation, Apr. 2000; 1509-1516.
Faraz et al., “Engineering Approaches to Mechanical and Robotic Design for Minimaly Invasive Surgery (MIS),” Kluwer Academic Publishers (Boston), 2000, 13pp.
Falcone et al., “Robotic Surgery,” Clin. Obstet. Gynecol. 2003, 46(1): 37-43.
Fraulob et al., “Miniature assistance module for robot-assisted heart surgery,” Biomed. Tech. 2002, 47 Suppl. 1, Pt. 1: 12-15.
Fukuda et al., “Mechanism and Swimming Experiment of Micro Mobile Robot in Water,” Proceedings of the 1994 IEEE International Conference on Robotics and Automation, 1994: 814-819.
Fukuda et al., “Micro Active Catheter System with Multi Degrees of Freedom,” Proceedings of the IEEE International Conference on Robotics and Automation, May, 1994, pp. 2290-2295.
Fuller et al., “Laparoscopic Trocar Injuries: A Report from a U.S. Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH) Systematic Technology Assessment of Medical Products (STAMP) Committe,” U.S. Food and Drug Adminstration, available at http://www.fdaJ:?;ov, Finalized: Nov. 7, 2003; Updated: Jun. 24, 2005, 11 pp.
Dumpert et al., “Improving in Vivo Robot Visioin Quality,” from the Proceedings of Medicine Meets Virtual Realtiy, Long Beach, CA, Jan. 26-29, 2005. 1 pg.
Dakin et al., “Comparison of laparoscopic skills performance between standard instruments and two surgical robotic systems,” Surg Endosc., 2003; 17: 574-579.
Cuschieri, “Technology for Minimal Access Surgery,” BMJ, 1999, 319: 1-6.
Grady, “Doctors Try New Surgery for Gallbladder Removal,” The New York Times, Apr. 20, 2007, 3 pp.
Choi et al., “Flexure-based Manipulator for Active Handheld Microsurgical Instrument,” Proceedings of the 27th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBS), Sep. 2005, 4pp.
Chanthasopeephan et al., (2003), “Measuring Forces in Liver Cutting: New Equipment and Experimenal Results,” Annals of Biomedical Engineering 31: 1372-1382.
Cavusoglu et al., “Robotics for Telesurgery: Second Generation BERKELEY/UCSF Laparoscopic Telesurgical Workstation and Looking Towards the Future Applications,” Industrial Robot: An International Journal, 2003; 30(1): 22-29.
Guber et al., “Miniaturized Instrument Systems for Minimally Invasive Diagnosis and Therapy,” Biomedizinische Technic. 2002, Band 47, Erganmngsband 1: 198-201.
Related Publications (1)
Number Date Country
20190028326 A1 Jan 2019 US
Provisional Applications (1)
Number Date Country
61506384 Jul 2011 US
Continuations (2)
Number Date Country
Parent 14800423 Jul 2015 US
Child 16123619 US
Parent 13546831 Jul 2012 US
Child 14800423 US