Robotic surgical instrument including linear encoders for measuring cable displacement

Information

  • Patent Grant
  • 12262964
  • Patent Number
    12,262,964
  • Date Filed
    Thursday, February 4, 2021
    4 years ago
  • Date Issued
    Tuesday, April 1, 2025
    2 months ago
Abstract
An electromechanical robotic surgical instrument is provided and includes a flexible shaft defining a lumen therethrough; an end effector pivotally supported by the flexible shaft; at least one cable translatably disposed within the lumen of the flexible shaft, wherein a distal end of each cable is operatively connected to the end effector to affect a movement of the end effector in response to translation of the at least one cable, wherein the at least one cable includes metrical markings along an outer surface thereof, which metrical markings are located adjacent to the end effector; and at least one linear encoder supported by the flexible shaft and being in operative registration with the metrical markings of a respective one of the at least one cable, wherein the at least one linear encoder is configured to measure changes in the metrical markings.
Description
BACKGROUND

Robotic surgical systems have been used in minimally invasive medical procedures. Some robotic surgical systems include a console supporting a surgical robotic arm and a surgical instrument having at least one end effector (e.g., a forceps or a stapling device) mounted to the robotic arm. The robotic arm provides mechanical power to the surgical instrument for its operation and movement. Each robotic arm may include an instrument drive unit that is operatively connected to the surgical instrument. The surgical instruments may include cables that are motor driven to operate flexible or articulatable end effectors of the surgical instruments.


One of the difficulties in controlling flexible surgical instruments stems from the fact that there is no 1:1 translation of controller commands to the effected movement at or near an actuator end of the surgical instrument. This effect is also present in straight/rigid instruments and stems primarily from cable tension elongating the cable and, in turn, reducing the desired movement at the actuator end (e.g., end effector). This effect is further amplified in tool control for flexible surgical instruments where changes to the tool position and shape of the flexible neck translate to cable tension changes which amplify a capstan effect friction, and which also increases as the flexible surgical instrument bends. The real nonlinear behavior is caused by the combination of the friction and the cable stretching, which leads to partial motion of the cable along the length of the surgical instrument shaft and/or flexible neck thereof. This effect is compensated for by measuring the cable tension and using heuristics for the required compensation based on the applied tension to the cable(s).


Accordingly, a need exists for a system which reduces the incidences and effects of tension acting on the cables of robotic surgical instruments and the like.


SUMMARY

The present disclosure relates to robotic surgical systems and/or instruments, and methods for operating the same. According to an aspect of the present disclosure, an electromechanical robotic surgical instrument is provided and includes a flexible shaft defining a lumen therethrough; an end effector pivotally supported by the flexible shaft; at least one cable translatably disposed within the lumen of the flexible shaft, wherein a distal end of each cable is operatively connected to the end effector to affect a movement of the end effector in response to translation of the at least one cable, wherein the at least one cable includes metrical markings along an outer surface thereof, which metrical markings are located adjacent to the end effector; and at least one linear encoder supported by the flexible shaft and being in operative registration with the metrical markings of a respective one of the at least one cable, wherein the at least one linear encoder is configured to measure changes in the metrical markings.


The electromechanical robotic surgical instrument may further include a capsule interconnecting the end effector and a distal end of the flexible shaft, wherein the metrical markings of the at least one cable are disposed within the capsule.


The at least one linear encoder may be disposed within the capsule.


The end effector may be in sealed engagement with the capsule.


The distal end of the flexible shaft may be in sealed engagement with the capsule.


The at least one linear encoder may be configured to command a change in a translation of the at least one cable based on changes exhibited by the metrical markings.


According to another aspect of the present disclosure, a nonlinear control and sensing scheme for an electromechanical robotic surgical instrument is provided. The electromechanical robotic surgical instrument may be the electromechanical robotic surgical instrument described above. The nonlinear control and sensing scheme for the electromechanical robotic surgical instrument includes generating, by a motion controller of a robotic surgical system, a desired position of the end effector; sending a signal, containing the desired position of the end effector, to an end effector position controller; comparing the desired position of the end effector to an actual position of the end effector as measured by a displacement sensor; computing a position error between the desired position and the actual position of the end effector; combining the position error with additional control signals inputs for a nonlinear model for the at least one cable, wherein the nonlinear model determines a desired displacement of a proximal end of the at least one cable to overcome at least one of nonlinearities or changes in a length of the at least one cable; and inputting the desired displacement of the proximal end of the at least one cable to an actuator for translating the at least one cable.





BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the present surgical instruments for robotic surgical systems and, together with a general description of the disclosure given above, and the detailed description of the embodiment(s) given below, serve to explain the principles of the disclosure, wherein:



FIG. 1 is a schematic illustration of a robotic surgical system in accordance with the present disclosure;



FIG. 2 is a perspective view of a surgical instrument of the robotic surgical system of FIG. 1 in an unarticulated position;



FIG. 3 is an enlarged, perspective view of the indicated area of detail shown in FIG. 2;



FIG. 4 is an enlarged, longitudinal, cross-sectional view of the indicated area of detail shown in FIG. 2;



FIG. 5 is a top, perspective view of an end effector including a monopolar tool, according to an embodiment of the present disclosure, for use in the robotic surgical system of FIG. 1;



FIG. 6 is a schematic, cross-sectional illustration of a distal end portion of a surgical instrument in accordance with this disclosure;



FIG. 7 is a transverse, cross-sectional view of the distal end portion of the surgical instrument illustrated in FIG. 6, as taken through 7-7 of FIG. 6; and



FIG. 8 is a block diagram of a nonlinear control and sensing scheme in accordance with the present disclosure.





DETAILED DESCRIPTION

Embodiments of the present surgical instruments for robotic surgical systems are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein, the term “distal” refers to structure that is closer to a patient, while the term “proximal” refers to structure farther from the patient.


As used herein, the term “clinician” refers to a doctor, nurse, or other care provider and may include support personnel. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.


Referring initially to FIG. 1, a surgical system, such as, for example, a robotic surgical system 1, generally includes one or more surgical robotic arms 2, 3, a control device 4, and an operating console 5 coupled with control device 4. Any of the surgical robotic arms 2, 3 may have a robotic surgical assembly 100 and an electromechanical surgical instrument 200 coupled thereto. Electromechanical surgical instrument 200 includes an end effector 300, in the form of a surgical stapler, disposed at a distal portion thereof. In some embodiments, robotic surgical assembly 100 may be removably attached to a slide rail 40 of one or more of surgical robotic arms 2, 3. In certain embodiments, robotic surgical assembly 100 may be fixedly attached to slide rail 40 of one or more of surgical robotic arms 2, 3.


Operating console 5 of robotic surgical system 1 includes a display device 6, which is set up to display three-dimensional images; and manual input devices 7, 8, by means of which a clinician (not shown), is able to telemanipulate the robotic arms 2, 3 of robotic surgical system 1 in a first operating mode, as known in principle to a person skilled in the art. Each robotic arm of robotic arms 2, 3 may be composed of any number of members, which may be connected through any number of joints. Robotic arms 2, 3 may be driven by electric drives (not shown) that are connected to control device 4. Control device 4 (e.g., a computer) of robotic surgical system 1 is set up to activate the drives, for example, by means of a computer program, in such a way that robotic arms 2, 3, the attached robotic surgical assembly 100, and thus electromechanical surgical instrument 200 (including end effector 300) of robotic surgical system 1 execute a desired movement according to a movement defined by means of manual input devices 7, 8. Control device 4 may be set up in such a way that it regulates movement of robotic arms 2, 3 and/or of the drives.


Robotic surgical system 1 is configured for use on a patient “P” positioned (e.g., lying) on a surgical table “ST” to be treated in a minimally invasive manner by means of a surgical instrument, e.g., electromechanical surgical instrument 200 and, more specifically, end effector 300 of electromechanical surgical instrument 200. Robotic surgical system 1 may include more than two robotic arms 2, 3, the additional robotic arms are likewise connected to control device 4 and telemanipulatable by means of operating console 5. A surgical instrument, for example, electromechanical surgical instrument 200 (including end effector 300 thereof), may also be attached to any additional robotic arm(s).


Control device 4 of robotic surgical system 1 may control one or more motors (not shown), each motor configured to drive movement of robotic arms 2, 3 in any number of directions. Control device 4 may control an instrument drive unit 110 including one or more motors 50 (or motor packs). Motors 50 drive various operations of end effector 300 of electromechanical surgical instrument 200. Motors 50 may include a rotation motor, such as, for example, a canister motor. One or more of motors 50 (or a different motor, not shown) may be configured to drive a rotation of electromechanical surgical instrument 200, or components thereof, relative to a longitudinal axis “L-L” thereof. The one or more motors can be configured to effect operation and/or movement of electromechanical end effector 300 of electromechanical surgical instrument 200.


Turning now to FIG. 2, electromechanical surgical instrument 200 of robotic surgical system 1 includes a housing 202 at a proximal end portion thereof and an elongated shaft 204 that extends distally from housing 202. Elongated shaft 204 includes a wrist assembly 206 supported on a distal end portion of elongated shaft 204 that couples end effector 300 to elongated shaft 204.


Housing 202 of electromechanical surgical instrument 200 is configured to selectively couple to instrument drive unit 110 of robotic surgical assembly 100, for example, via side loading on a sterile interface module 112 of robotic surgical assembly 100, to enable motors 50 of instrument drive unit 110 of robotic surgical assembly 100 to operate end effector 300 of electromechanical surgical instrument 200. Housing 202 of electromechanical surgical instrument 200 supports a drive assembly 203 (FIG. 3) that mechanically and/or electrically cooperates with motors 50 of instrument drive unit 110 of robotic surgical assembly 100.


Drive assembly 203 of electromechanical surgical instrument 200 can include any suitable electrical and/or mechanical component to effectuate driving force/movement, and which components may be similar to components of the drive assembly described in commonly owned International Application Publication No. WO2017053358, filed Sep. 21, 2016, the entire disclosure of which is incorporated by reference herein. In particular, as seen in FIGS. 3 and 4, drive assembly 203 of electromechanical surgical instrument 200 includes a cable drive assembly 203a and a firing assembly 203b. The cable drive assembly 203a is similar to that described in commonly owned U.S. Patent Application Publication No. 2015/0297199, filed Oct. 22, 2015 and entitled “Adapter Assembly with Gimbal for Interconnecting Electromechanical Surgical Devices and Surgical Loading Units, and Surgical Systems Thereof,” the entire disclosure of which is incorporated by reference herein.


As seen in FIGS. 3 and 4, cable drive assembly 203a of electromechanical surgical instrument 200 includes cables 205, such as cables 205a, 205b, 205c, and 205d, which are coupled to a respective driven member (not shown) of electromechanical surgical instrument 200 at a proximal end portion thereof. Cables 205 of cable drive assembly 203a extend distally to distal end portions thereof, and may include ferrules (not shown) that couple to wrist assembly 206 of elongated shaft 204 at circumferentially spaced apart locations (e.g., angularly displaced) about the longitudinal axis “L-L” to enable cables 205 to effectuate an articulation/rotation/pitch/yaw of wrist assembly 206 of electromechanical surgical instrument 200 and end effector 300 of electromechanical surgical instrument 200 upon actuation of one or more of cables 205. Cable drive assembly 203a can include one or more pulleys, friction wheels, gears, couplers, rack and pinion arrangements, etc. coupled directly or indirectly to the driven members and/or cables 205 to facilitate driving movement imparted through the driven members and/or cables 205. The cables 205 can be arranged such that diagonal cables (e.g. cables 205d, 205b or cables 205a, 205c; see FIGS. 3 and 4) can be positioned to be driven in opposite directions in order to provide articulation in multiple axes (e.g. two). Although only four cables are shown, cable drive assembly 203a can include any number of cables, for example, to provide additional functionality at the end effector 300.


For a more detailed description of components of exemplar end effectors similar to end effector 300, reference can be made to U.S. Patent Application Publication Nos. 2016/0242779 and 2015/0297199, the entire disclosures of each of which are incorporated by reference herein.


With reference to FIG. 5, the electromechanical surgical instrument 200 may be configured to support or actuate an end effector 400, in the form of an electrosurgical tool, for example, a monopolar (shown) or bipolar instrument (not shown). End effector 400 is composed of a wrist assembly 410 and a medical instrument, surgical tool or blade “T.” The wrist assembly 410 is configured to articulate such that the surgical tool “T” may be positioned or moved by control device 4 (FIG. 1). Surgical tool “T” may be a monopolar electrosurgical device (for example, a blade 450) electrically coupled to an electrosurgical generator “G” (FIG. 1) via a power cable. Electrosurgical generator “G” is configured to generate electrosurgical radio frequency energy and transmit the generated electrosurgical radio frequency energy to surgical tool 450 of end effector 400 for treatment of tissue via the power cable. For a more detailed description of components of exemplar end effectors similar to end effector 400, reference can be made to U.S. patent application Ser. No. 16/636,247, filed on Feb. 3, 2020, the entire disclosure of which is incorporated by reference herein.


In accordance with the present disclosure, electromechanical surgical instrument 200 may be configured for insertion through a natural body orifice of the human body (e.g., relatively larger lumen), such as, for example, trans-esophageal or trans-anal, depending on the needs of the surgical procedure. When operating within or through a natural body orifice, it is desirable for the electromechanical surgical instrument to be configured for omni-directional flexing and/or steering in order to navigate through the tortuous pathways of the orifice.


With reference to FIGS. 6 and 7, the electromechanical surgical instrument 200 of the present disclosure is particularly suited for use in natural body orifices (e.g., relatively larger lumens) of the human body. Electromechanical surgical instrument 200 may include an elongate flexible shaft 210 defining a lumen 210a therethrough. Electromechanical surgical instrument 200 is configured to support an end effector or tool 500 at a distal end of the elongate flexible shaft 210. End effector 500 may take the form of a grasper, forceps or the like, including a pair of jaws 550a, 550b. Electromechanical surgical instrument 200 includes a plurality of cables, push/pull rods or a combination thereof 505 slidably extending through the lumen 210a of the flexible shaft 210. As mentioned above, a proximal end of the plurality of cables or push/pull rods 505 may be operatively connected to a respective driven member (not shown) of electromechanical surgical instrument 200, and a distal end of the plurality of cables or push/pull rods 505 may be operatively connected to ferrules (not shown) that couple to a wrist assembly of the electromechanical surgical instrument 500 to effectuate an articulation/rotation/pitch/yaw of the wrist assembly of electromechanical surgical instrument 200 and/or end effector 500 of electromechanical surgical instrument 200 and/or of the pair of jaws 550a, 550b. For a more detailed description of components of exemplar end effectors similar to end effector 500, reference can be made to U.S. Pat. Nos. 10,258,359, 10,390,853, the entire disclosure of each of which being incorporated by reference herein.


It is contemplated that the plurality of cables or push/pull rods 505 may be fabricated from tungsten and/or nitinol (e.g., a nickel-titanium alloy), or the like. While four (4) to twelve (12) cables or push/pull rods 505 are shown, it is contemplated that any number of cables or push/pull rods 505 may be used without departing from the present disclosure. In practice, coordinated, reciprocal translation of four (4) cables or push/pull rods 505 is used to achieve full range of pitch/yaw pivoting for an end effector of one electromechanical surgical instrument; while coordinated, reciprocal translation of eight (8) cables or push/pull rods 505 is used to achieve full range of pitch/yaw pivoting for end effectors of two electromechanical surgical instruments; and coordinated, reciprocal translation of twelve (12) cables or push/pull rods 505 is used to achieve full range of pitch/yaw pivoting for end effectors of three electromechanical surgical instruments; where the electromechanical surgical instruments and/or end effectors may include forceps, graspers, staplers, spatulas, blades, dissectors, energy-based devices (e.g., such as the LIGASURE® Vessel Sealing Generator and forceps/instruments, and the Force Triad® Generator as sold by Covidien), scopes, cameras, and the like.


With continued reference to FIGS. 6 and 7, electromechanical surgical instrument 200 includes a capsule, collar or hub 520 supported on flexible shaft 210, at a location in relative close proximity to end effector 500. Capsule 520 may be rigid, wherein the flexible shaft 210 extends from a proximal and distal end of the capsule 520, or flexible, wherein the flexible shaft 210 may form a part of the capsule 520. It is contemplated that the capsule 520 and the flexible shaft 210 may be sealed (e.g., hermetically sealed) at the interfaces 522a, 522b therebetween, at both the proximal end and the distal end of the capsule 520.


Within capsule 520, each cable or push/pull rod 505 is provided with discrete, uniform length, metrical markings 505a along a length of respective cables or push/pull rods 505. Metrical markings 505a may be uniform in length (e.g., a uniform linear array) or may have varying lengths and/or distributions along a length of respective cables or push/pull rods 505. For example, a frequency of metrical markings 505a may increase while an individual length of metrical markings 505a decrease near a proximal or distal region thereof. As can be appreciated, in accordance with the present disclosure, and in addition to the details to be discussed below, this change in frequency and individual length of metrical markings 505a may communicate certain information to control device 4 of robotic surgical system 1, such as, for example, if the pair of jaws 550a, 550b are approaching a maximum end of pitch/yaw thereof.


In accordance with the present disclosure, electromechanical surgical instrument 200 includes a plurality of linear encoders 560 (e.g., one linear encoder for each cable or push/pull rod 505) supported within capsule 520 and being in registration with respective metrical markings 505a. While four (4) to twelve (12) linear encoders 560 are shown, it is contemplated that any number of linear encoders 560 may be used without departing from the present disclosure.


The linear encoders 560 are configured to observe/monitor the metrical markings 505a of respective cable or push/pull rod 505 and communicate or transmit information (e.g., individual lengths of the metrical marks 505a and/or distances between adjacent metrical marks 505a) to control device 4 of robotic surgical system 1. This information is processed by control device 4, and control device 4 may make adjustments to control signals delivered to motors 50 of instrument drive unit 110 of robotic surgical assembly 100, which in turn control axial translation of cables or push/pull rods 505.


In use, as cable or push/pull rod 505 are actuated or translated, a location of the metrical marks 505a and/or a relative displacement of the cables or push/pull rods 505 may be observed, measured and/or recorded by the linear encoders 560. Alternatively or additionally, over time, as cable or push/pull rod 505 are actuated, tensile forces acting on cable or push/pull rod 505 may cause the overall lengths of cable or push/pull rod 505 to increase, which would be reflected in the specific lengths of the metrical marks 505a and/or distances between adjacent metrical marks 505a and/or displacement of the cables or push/pull rods 505. These changes in lengths of the metrical marks 505a and/or distances between adjacent metrical marks 505a, as observed by linear encoders 560, are communicated/transmitted to control device 4 of robotic surgical system 1, and control device 4 may once again, and continuously send adjusted control signals to motors 50 of instrument drive unit 110 of robotic surgical assembly 100 to account for these changes, and to ensure that the pitch/yaw and/or actuation of the end effector remains accurate (or within acceptable tolerances).


With reference to FIG. 8, a nonlinear control and sensing scheme, in accordance with the present disclosure, is illustrated. In accordance with the present disclosure, a desired position of an end effector (e.g., end effector 500) is generated by a high level motion controller (e.g. teleoperated master-slave system or automated motion profile or control device 4). A signal containing this desired end effector position is sent to an end effector position controller 1001 and is compared with an actual end effector position 1011 that is measured by a distal cable displacement sensor 1010. The controller or control device 4 computes a position error and combines, at 1002, the position error with additional control signals that are inputs to a nonlinear model 1003 of a cable drive (e.g., cable or push/pull rod 505). This nonlinear model 1003 of the cable drive determines a desired displacement of a proximal end of a cable drive required to overcome nonlinearities such as backlash, cable stretch, stiction, and changes in length of the cable path due to bending, to effect a desired distal end movement of end effector 500. This desired proximal position of the proximal end of the cable drive is then used or communicated, at 1004, as an input to the actuator controller 1005 which computes commanded current commands, at 1006, for actuator 1007 (e.g., motor(s) 50 of instrument drive unit 110 of robotic surgical assembly 100).


The actuator controller 1005 is typically a position controller using a feedback loop 1008 from the actual position of the actuator 1007 measured by an encoder (e.g., linear encoder 560) in the actuator 1007. The actuator 1007 is connected to a mechanism that pulls on the cables (e.g., cable or push/pull rod 505) in a cable drive 1009 that transmits the motion through the flexible conduit or shaft 210 to the distal end of the device or the electromechanical surgical instrument 200. The distal cable displacement sensor 1010 measures the actual position of the cable (e.g., cable or push/pull rod 505) and is used as an approximation of the actual position 1011 (pitch/yaw) of the end effector 500.


The nonlinear model 1003 of the cable drive greatly improves the performance of the robotic surgical system and/or the electromechanical surgical instrument because the nonlinear model 1003 compensates for any nonlinearities and allows a linear feedback controller (e.g., linear encoder 560) to be used. Closing the feedback loop without this would result in a relatively slower response, inaccuracies, and relatively greater variation in performance as the flexible conduit or shaft 210 changes shape and/or is flexed/bent/steered.


In accordance with the present disclosure, it is further contemplated that vision based algorithms may be used with video captured by an endoscope to close an additional feedback loop to provide additional control accuracy for movements of the end effector 500.


Additionally, the linear encoders 560 and the nonlinear control and sensing scheme described above may be used in addition to or in place of a distal cable displacement sensor.


Further, an adaptive nonlinear control and sensing scheme for the cable drive, that automatically adjust control parameters to compensate for observable parameters (that slowly change over time), may be used to monitor overall curvature changes to the flexible shaft 210.


It is contemplated that a neural network or other artificial intelligence based algorithm may be used to develop and implement the nonlinear control and sensing scheme for the cable drive. The nonlinear control and sensing scheme for the cable drive may be taught based on a robust data-set of commanded motions and observed (e.g., measured) end effector positions.


It is still further contemplated that measured tension on the cable or push/pull rod 505 may be used as an additional input to the controller or control device 4 to provide increased control for the end effector and an increased ability to estimate applied forces and torque acting on tissue by the end effector 500. For example, tension on the cable or push/pull rod 505 may be estimated by comparing a translation of the cable or push/pull rod 505 at a distal end thereof with a translation of the cable or push/pull rod 505 at a proximal end thereof.


Persons skilled in the art will understand that the structures and methods specifically described herein and shown in the accompanying figures are non-limiting exemplary embodiments, and that the description, disclosure, and figures should be construed merely as exemplary of particular embodiments. It is to be understood, therefore, that the present disclosure is not limited to the precise embodiments described, and that various other changes and modifications may be effected by one skilled in the art without departing from the scope or spirit of the disclosure. Additionally, the elements and features shown or described in connection with certain embodiments may be combined with the elements and features of certain other embodiments without departing from the scope of the present disclosure, and that such modifications and variations are also included within the scope of the present disclosure. Accordingly, the subject matter of the present disclosure is not limited by what has been particularly shown and described.

Claims
  • 1. An electromechanical robotic surgical instrument, comprising: a flexible shaft defining a lumen therethrough;an end effector pivotally supported by the flexible shaft;at least one cable translatably disposed within the lumen of the flexible shaft, wherein a distal end of each cable is operatively connected to the end effector to affect a movement of the end effector in response to translation of the at least one cable, wherein the at least one cable includes metrical markings along an outer surface thereof, which metrical markings are located adjacent to the end effector, wherein each metrical marking has a length; andat least one linear encoder supported by the flexible shaft and being in operative registration with the metrical markings of a respective one of the at least one cable, wherein the at least one linear encoder is configured to measure changes in the length of each metrical marking as a respective underlying cable stretches during use.
  • 2. The electromechanical robotic surgical instrument according to claim 1, further comprising a capsule interconnecting the end effector and a distal end of the flexible shaft, wherein the metrical markings of the at least one cable are disposed within the capsule.
  • 3. The electromechanical robotic surgical instrument according to claim 2, wherein the at least one linear encoder is disposed within the capsule.
  • 4. The electromechanical robotic surgical instrument according to claim 2, wherein the end effector is in sealed engagement with the capsule.
  • 5. The electromechanical robotic surgical instrument according to claim 2, wherein the distal end of the flexible shaft is in sealed engagement with the capsule.
  • 6. The electromechanical robotic surgical instrument according to claim 2, wherein the at least one linear encoder is configured to command a change in a translation of the at least one cable based on changes exhibited by the metrical markings.
  • 7. The electromechanical robotic surgical instrument according to claim 1, further comprising a motion controller configured to carry out a nonlinear control and sensing scheme comprising: generating a desired position of the end effector;sending a signal, containing the desired position of the end effector, to an end effector position controller;comparing the desired position of the end effector to an actual position of the end effector as measured by a displacement sensor;computing a position error between the desired position and the actual position of the end effector;combining the position error with additional control signals inputs for a nonlinear model for the at least one cable, wherein the nonlinear model determines a desired displacement of a proximal end of the at least one cable to overcome at least one of nonlinearities or changes in a length of the at least one cable; andinputting the desired displacement of the proximal end of the at least one cable to an actuator for translating the at least one cable.
  • 8. An electromechanical robotic surgical instrument, comprising: a shaft defining a lumen therethrough, wherein the shaft is flexible along at least a proximal portion thereof;an end effector pivotally supported at a distal end of the shaft;at least one cable translatably disposed within the lumen of the shaft, wherein a distal end of each cable is operatively connected to the end effector to affect a movement of the end effector in response to translation of the at least one cable, wherein the at least one cable includes metrical markings along an outer surface thereof, which metrical markings are located adjacent to the end effector and distal of the flexible proximal portion of the shaft, wherein each metrical marking has a length; andat least one linear encoder supported by the shaft at a location between the flexible proximal portion of the shaft and the distal end of the shaft, each linear encoder being in operative registration with the metrical markings of a respective one of the at least one cable, wherein each linear encoder is configured to measure changes in the length of each metrical marking as a respective underlying cable stretches during use.
  • 9. The electromechanical robotic surgical instrument according to claim 8, further comprising a capsule interconnecting the end effector and the distal end of the shaft, wherein the metrical markings of the at least one cable are disposed within the capsule.
  • 10. The electromechanical robotic surgical instrument according to claim 9, wherein the at least one linear encoder is disposed within the capsule.
  • 11. The electromechanical robotic surgical instrument according to claim 9, wherein the end effector is in sealed engagement with the capsule.
  • 12. The electromechanical robotic surgical instrument according to claim 9, wherein the distal end of the shaft is in sealed engagement with the capsule.
  • 13. The electromechanical robotic surgical instrument according to claim 9, wherein the at least one linear encoder is configured to command a change in a translation of the at least one cable based on changes exhibited by the metrical markings.
CROSS-REFERENCE TO RELATED APPLICATIONS

The present application is a U.S. National Stage Application filed under 35 U.S.C. § 371(a) claiming the benefit of and priority to International Patent Application No. PCT/US2021/016497, filed Feb. 4, 2021, which claims the benefit of and priority to U.S. Provisional Patent Application Ser. No. 62/981,735, filed Feb. 26, 2020, the entire disclosures of each of which being incorporated by reference herein.

PCT Information
Filing Document Filing Date Country Kind
PCT/US2021/016497 2/4/2021 WO
Publishing Document Publishing Date Country Kind
WO2021/173315 9/2/2021 WO A
US Referenced Citations (367)
Number Name Date Kind
6132368 Cooper Oct 2000 A
6206903 Ramans Mar 2001 B1
6246200 Blumenkranz et al. Jun 2001 B1
6312435 Wallace et al. Nov 2001 B1
6331181 Tierney et al. Dec 2001 B1
6394998 Wallace et al. May 2002 B1
6424885 Niemeyer et al. Jul 2002 B1
6441577 Blumenkranz et al. Aug 2002 B2
6459926 Nowlin et al. Oct 2002 B1
6491691 Morley et al. Dec 2002 B1
6491701 Tierney et al. Dec 2002 B2
6493608 Niemeyer Dec 2002 B1
6565554 Niemeyer May 2003 B1
6645196 Nixon et al. Nov 2003 B1
6659939 Moll Dec 2003 B2
6671581 Niemeyer et al. Dec 2003 B2
6676684 Morley et al. Jan 2004 B1
6685698 Morley et al. Feb 2004 B2
6699235 Wallace et al. Mar 2004 B2
6714839 Salisbury, Jr. et al. Mar 2004 B2
6716233 Whitman Apr 2004 B1
6728599 Wang et al. Apr 2004 B2
6746443 Morley et al. Jun 2004 B1
6766204 Niemeyer et al. Jul 2004 B2
6770081 Cooper et al. Aug 2004 B1
6772053 Niemeyer Aug 2004 B2
6783524 Anderson et al. Aug 2004 B2
6793652 Whitman et al. Sep 2004 B1
6793653 Sanchez et al. Sep 2004 B2
6799065 Niemeyer Sep 2004 B1
6837883 Moll et al. Jan 2005 B2
6839612 Sanchez et al. Jan 2005 B2
6840938 Morley et al. Jan 2005 B1
6843403 Whitman Jan 2005 B2
6846309 Whitman et al. Jan 2005 B2
6866671 Tierney et al. Mar 2005 B2
6871117 Wang et al. Mar 2005 B2
6879880 Nowlin et al. Apr 2005 B2
6899705 Niemeyer May 2005 B2
6902560 Morley et al. Jun 2005 B1
6936042 Wallace et al. Aug 2005 B2
6951535 Ghodoussi et al. Oct 2005 B2
6974449 Niemeyer Dec 2005 B2
6991627 Madhani et al. Jan 2006 B2
6994708 Manzo Feb 2006 B2
7048745 Tierney et al. May 2006 B2
7066926 Wallace et al. Jun 2006 B2
7118582 Wang et al. Oct 2006 B1
7125403 Julian et al. Oct 2006 B2
7155315 Niemeyer et al. Dec 2006 B2
7239940 Wang et al. Jul 2007 B2
7306597 Manzo Dec 2007 B2
7357774 Cooper Apr 2008 B2
7373219 Nowlin et al. May 2008 B2
7379790 Toth et al. May 2008 B2
7386365 Nixon Jun 2008 B2
7391173 Schena Jun 2008 B2
7398707 Morley et al. Jul 2008 B2
7413565 Wang et al. Aug 2008 B2
7453227 Prisco et al. Nov 2008 B2
7524320 Tierney et al. Apr 2009 B2
7574250 Niemeyer Aug 2009 B2
7594912 Cooper et al. Sep 2009 B2
7607440 Coste-Maniere et al. Oct 2009 B2
7666191 Orban, III et al. Feb 2010 B2
7682357 Ghodoussi et al. Mar 2010 B2
7689320 Prisco et al. Mar 2010 B2
7695481 Wang et al. Apr 2010 B2
7695485 Whitman Apr 2010 B2
7699855 Anderson et al. Apr 2010 B2
7713263 Niemeyer May 2010 B2
7725214 Diolaiti May 2010 B2
7727244 Orban, III et al. Jun 2010 B2
7741802 Prisco Jun 2010 B2
7756036 Druke et al. Jul 2010 B2
7757028 Druke et al. Jul 2010 B2
7762825 Burbank et al. Jul 2010 B2
7778733 Nowlin et al. Aug 2010 B2
7803151 Whitman Sep 2010 B2
7806891 Nowlin et al. Oct 2010 B2
7819859 Prisco et al. Oct 2010 B2
7819885 Cooper Oct 2010 B2
7824401 Manzo et al. Nov 2010 B2
7835823 Sillman et al. Nov 2010 B2
7843158 Prisco Nov 2010 B2
7865266 Moll et al. Jan 2011 B2
7865269 Prisco et al. Jan 2011 B2
7886743 Cooper et al. Feb 2011 B2
7899578 Prisco et al. Mar 2011 B2
7907166 Lamprecht et al. Mar 2011 B2
7935130 Williams May 2011 B2
7963913 Devengenzo et al. Jun 2011 B2
7983793 Toth et al. Jul 2011 B2
8002767 Sanchez Aug 2011 B2
8004229 Nowlin et al. Aug 2011 B2
8012170 Whitman et al. Sep 2011 B2
8054752 Druke et al. Nov 2011 B2
8062288 Cooper et al. Nov 2011 B2
8079950 Stern et al. Dec 2011 B2
8100133 Mintz et al. Jan 2012 B2
8108072 Zhao et al. Jan 2012 B2
8120301 Goldberg et al. Feb 2012 B2
8142447 Cooper et al. Mar 2012 B2
8147503 Zhao et al. Apr 2012 B2
8151661 Schena et al. Apr 2012 B2
8155479 Hoffman et al. Apr 2012 B2
8182469 Anderson et al. May 2012 B2
8202278 Orban, III et al. Jun 2012 B2
8206406 Orban, III Jun 2012 B2
8210413 Whitman et al. Jul 2012 B2
8216250 Orban, III et al. Jul 2012 B2
8220468 Cooper et al. Jul 2012 B2
8256319 Cooper et al. Sep 2012 B2
8285517 Sillman et al. Oct 2012 B2
8315720 Mohr et al. Nov 2012 B2
8335590 Costa et al. Dec 2012 B2
8347757 Duval Jan 2013 B2
8374723 Zhao et al. Feb 2013 B2
8418073 Mohr et al. Apr 2013 B2
8419717 Diolaiti et al. Apr 2013 B2
8423182 Robinson et al. Apr 2013 B2
8452447 Nixon May 2013 B2
8454585 Whitman Jun 2013 B2
8499992 Whitman et al. Aug 2013 B2
8508173 Goldberg et al. Aug 2013 B2
8528440 Morley et al. Sep 2013 B2
8529582 Devengenzo et al. Sep 2013 B2
8540748 Murphy et al. Sep 2013 B2
8551116 Julian et al. Oct 2013 B2
8562594 Cooper et al. Oct 2013 B2
8594841 Zhao et al. Nov 2013 B2
8597182 Stein et al. Dec 2013 B2
8597280 Cooper et al. Dec 2013 B2
8600551 Itkowitz et al. Dec 2013 B2
8608773 Tierney et al. Dec 2013 B2
8620473 Diolaiti et al. Dec 2013 B2
8624537 Nowlin et al. Jan 2014 B2
8634957 Toth et al. Jan 2014 B2
8638056 Goldberg et al. Jan 2014 B2
8638057 Goldberg et al. Jan 2014 B2
8644988 Prisco et al. Feb 2014 B2
8666544 Moll et al. Mar 2014 B2
8668638 Donhowe et al. Mar 2014 B2
8746252 McGrogan et al. Jun 2014 B2
8749189 Nowlin et al. Jun 2014 B2
8749190 Nowlin et al. Jun 2014 B2
8758352 Cooper et al. Jun 2014 B2
8761930 Nixon Jun 2014 B2
8768516 Diolaiti et al. Jul 2014 B2
8786241 Nowlin et al. Jul 2014 B2
8790243 Cooper et al. Jul 2014 B2
8808164 Hoffman et al. Aug 2014 B2
8816628 Nowlin et al. Aug 2014 B2
8821480 Burbank Sep 2014 B2
8823308 Nowlin et al. Sep 2014 B2
8827989 Niemeyer Sep 2014 B2
8838270 Druke et al. Sep 2014 B2
8852174 Burbank Oct 2014 B2
8858547 Brogna Oct 2014 B2
8862268 Robinson et al. Oct 2014 B2
8864751 Prisco et al. Oct 2014 B2
8864752 Diolaiti et al. Oct 2014 B2
8903546 Diolaiti et al. Dec 2014 B2
8903549 Itkowitz et al. Dec 2014 B2
8911428 Cooper et al. Dec 2014 B2
8912746 Reid et al. Dec 2014 B2
8944070 Guthart Feb 2015 B2
8989903 Weir et al. Mar 2015 B2
9002518 Manzo Apr 2015 B2
9014856 Manzo et al. Apr 2015 B2
9016540 Whitman et al. Apr 2015 B2
9019345 O'Grady et al. Apr 2015 B2
9043027 Durant et al. May 2015 B2
9050120 Swarup et al. Jun 2015 B2
9055961 Manzo et al. Jun 2015 B2
9068628 Solomon et al. Jun 2015 B2
9078684 Williams Jul 2015 B2
9084623 Gomez et al. Jul 2015 B2
9095362 Dachs et al. Aug 2015 B2
9096033 Holop et al. Aug 2015 B2
9101381 Burbank et al. Aug 2015 B2
9113877 Whitman et al. Aug 2015 B1
9138284 Krom et al. Sep 2015 B2
9144456 Rosa et al. Sep 2015 B2
9198730 Prisco et al. Dec 2015 B2
9204923 Manzo et al. Dec 2015 B2
9226648 Saadat et al. Jan 2016 B2
9226750 Weir et al. Jan 2016 B2
9226761 Burbank Jan 2016 B2
9232984 Guthart et al. Jan 2016 B2
9241766 Duque et al. Jan 2016 B2
9241767 Prisco et al. Jan 2016 B2
9241769 Larkin et al. Jan 2016 B2
9259275 Burbank Feb 2016 B2
9259277 Rogers et al. Feb 2016 B2
9259281 Griffiths et al. Feb 2016 B2
9259282 Azizian et al. Feb 2016 B2
9261172 Solomon et al. Feb 2016 B2
9265567 Orban, III et al. Feb 2016 B2
9265584 Itkowitz et al. Feb 2016 B2
9283049 Diolaiti et al. Mar 2016 B2
9301811 Goldberg et al. Apr 2016 B2
9314307 Richmond et al. Apr 2016 B2
9317651 Nixon Apr 2016 B2
9345546 Toth et al. May 2016 B2
9393017 Flanagan et al. Jul 2016 B2
9402689 Prisco et al. Aug 2016 B2
9417621 Diolaiti Aug 2016 B2
9424303 Hoffman et al. Aug 2016 B2
9433418 Whitman et al. Sep 2016 B2
9446517 Burns et al. Sep 2016 B2
9452020 Griffiths et al. Sep 2016 B2
9474569 Manzo et al. Oct 2016 B2
9480533 Devengenzo et al. Nov 2016 B2
9503713 Zhao et al. Nov 2016 B2
9550300 Danitz Jan 2017 B2
9554859 Nowlin et al. Jan 2017 B2
9566124 Prisco et al. Feb 2017 B2
9579164 Itkowitz et al. Feb 2017 B2
9585641 Cooper et al. Mar 2017 B2
9615883 Schena et al. Apr 2017 B2
9623563 Nixon Apr 2017 B2
9623902 Griffiths et al. Apr 2017 B2
9629520 Diolaiti Apr 2017 B2
9662177 Weir et al. May 2017 B2
9664262 Donlon et al. May 2017 B2
9675354 Weir et al. Jun 2017 B2
9687312 Dachs, II et al. Jun 2017 B2
9700334 Hinman et al. Jul 2017 B2
9718190 Larkin et al. Aug 2017 B2
9730719 Brisson et al. Aug 2017 B2
9737199 Pistor et al. Aug 2017 B2
9795446 DiMaio et al. Oct 2017 B2
9797484 Solomon et al. Oct 2017 B2
9801690 Larkin et al. Oct 2017 B2
9814530 Weir et al. Nov 2017 B2
9814536 Goldberg et al. Nov 2017 B2
9814537 Itkowitz et al. Nov 2017 B2
9820823 Richmond et al. Nov 2017 B2
9827059 Robinson et al. Nov 2017 B2
9830371 Hoffman et al. Nov 2017 B2
9839481 Blumenkranz et al. Dec 2017 B2
9839487 Dachs, II Dec 2017 B2
9850994 Schena Dec 2017 B2
9855102 Blumenkranz Jan 2018 B2
9855107 Labonville et al. Jan 2018 B2
9872737 Nixon Jan 2018 B2
9877718 Weir et al. Jan 2018 B2
9883920 Blumenkranz Feb 2018 B2
9888974 Niemeyer Feb 2018 B2
9895813 Blumenkranz et al. Feb 2018 B2
9901408 Larkin Feb 2018 B2
9918800 Itkowitz et al. Mar 2018 B2
9943375 Blumenkranz et al. Apr 2018 B2
9948852 Lilagan et al. Apr 2018 B2
9949798 Weir Apr 2018 B2
9949802 Cooper Apr 2018 B2
9952107 Blumenkranz et al. Apr 2018 B2
9956044 Gomez et al. May 2018 B2
9980778 Ohline et al. May 2018 B2
10008017 Itkowitz et al. Jun 2018 B2
10028793 Griffiths et al. Jul 2018 B2
10033308 Chaghajerdi et al. Jul 2018 B2
10034719 Richmond et al. Jul 2018 B2
10052167 Au et al. Aug 2018 B2
10085811 Weir et al. Oct 2018 B2
10092344 Mohr et al. Oct 2018 B2
10123844 Nowlin Nov 2018 B2
10188471 Brisson Jan 2019 B2
10201390 Swarup et al. Feb 2019 B2
10213202 Flanagan et al. Feb 2019 B2
10258359 Kapadia Apr 2019 B2
10258416 Mintz et al. Apr 2019 B2
10278782 Jarc et al. May 2019 B2
10278783 Itkowitz et al. May 2019 B2
10282881 Itkowitz et al. May 2019 B2
10335242 Devengenzo et al. Jul 2019 B2
10390853 Kapadia Aug 2019 B2
10405934 Prisco et al. Sep 2019 B2
10433922 Itkowitz et al. Oct 2019 B2
10464219 Robinson et al. Nov 2019 B2
10485621 Morrissette et al. Nov 2019 B2
10500004 Hanuschik et al. Dec 2019 B2
10500005 Weir et al. Dec 2019 B2
10500007 Richmond et al. Dec 2019 B2
10507066 DiMaio et al. Dec 2019 B2
10510267 Jarc et al. Dec 2019 B2
10524871 Liao Jan 2020 B2
10548459 Itkowitz et al. Feb 2020 B2
10575909 Robinson et al. Mar 2020 B2
10592529 Hoffman et al. Mar 2020 B2
10595946 Nixon Mar 2020 B2
10881469 Robinson Jan 2021 B2
10881473 Itkowitz et al. Jan 2021 B2
10898188 Burbank Jan 2021 B2
10898189 Mcdonald, II Jan 2021 B2
10905506 Itkowitz et al. Feb 2021 B2
10912544 Brisson et al. Feb 2021 B2
10912619 Jarc et al. Feb 2021 B2
10918387 Duque et al. Feb 2021 B2
10918449 Solomon et al. Feb 2021 B2
10932873 Griffiths et al. Mar 2021 B2
10932877 Devengenzo et al. Mar 2021 B2
10939969 Swarup et al. Mar 2021 B2
10939973 DiMaio et al. Mar 2021 B2
10952801 Miller et al. Mar 2021 B2
10965933 Jarc Mar 2021 B2
10966742 Rosa et al. Apr 2021 B2
10973517 Wixey Apr 2021 B2
10973519 Weir et al. Apr 2021 B2
10984567 Itkowitz et al. Apr 2021 B2
10993773 Cooper et al. May 2021 B2
10993775 Cooper et al. May 2021 B2
11000331 Krom et al. May 2021 B2
11013567 Wu et al. May 2021 B2
11020138 Ragosta Jun 2021 B2
11020191 Piolaiti et al. Jun 2021 B2
11020193 Wixey et al. Jun 2021 B2
11026755 Weir et al. Jun 2021 B2
11026759 Donlon et al. Jun 2021 B2
11040189 Vaders et al. Jun 2021 B2
11045077 Stern et al. Jun 2021 B2
11045274 Dachs, II et al. Jun 2021 B2
11058501 Tokarchuk et al. Jul 2021 B2
11076925 DiMaio et al. Aug 2021 B2
11090119 Burbank Aug 2021 B2
11096687 Flanagan et al. Aug 2021 B2
11098803 Duque et al. Aug 2021 B2
11109925 Cooper et al. Sep 2021 B2
11116578 Hoffman et al. Sep 2021 B2
11129683 Steger et al. Sep 2021 B2
11135029 Suresh et al. Oct 2021 B2
11147552 Burbank et al. Oct 2021 B2
11147640 Jarc et al. Oct 2021 B2
11154373 Abbott et al. Oct 2021 B2
11154374 Hanuschik et al. Oct 2021 B2
11160622 Goldberg et al. Nov 2021 B2
11160625 Wixey et al. Nov 2021 B2
11161243 Rabindran et al. Nov 2021 B2
11166758 Mohr et al. Nov 2021 B2
11166770 DiMaio et al. Nov 2021 B2
11166773 Ragosta et al. Nov 2021 B2
11173597 Rabindran et al. Nov 2021 B2
11185378 Weir et al. Nov 2021 B2
11191596 Thompson et al. Dec 2021 B2
11197729 Thompson et al. Dec 2021 B2
11213360 Hourtash et al. Jan 2022 B2
11221863 Azizian et al. Jan 2022 B2
11234700 Ragosta et al. Feb 2022 B2
11241274 Vaders et al. Feb 2022 B2
11241290 Waterbury et al. Feb 2022 B2
11259870 DiMaio et al. Mar 2022 B2
11259884 Burbank Mar 2022 B2
11272993 Gomez et al. Mar 2022 B2
11272994 Saraliev et al. Mar 2022 B2
11291442 Wixey et al. Apr 2022 B2
11291513 Manzo et al. Apr 2022 B2
20100211003 Sundar Aug 2010 A1
20130137963 Olson May 2013 A1
20140039519 Inoue Feb 2014 A1
20150297199 Nicholas et al. Oct 2015 A1
20160074120 Farritor Mar 2016 A1
20160242779 Aranyi et al. Aug 2016 A1
20180193100 Larkin Jul 2018 A1
20180193103 Haraguchi Jul 2018 A1
20190021756 Boudreaux Jan 2019 A1
20190142531 Wentworth May 2019 A1
Foreign Referenced Citations (2)
Number Date Country
2013002414 Jan 2013 WO
2017053358 Mar 2017 WO
Non-Patent Literature Citations (1)
Entry
International Search Report mailed May 25, 2021 and Written Opinion completed May 10, 2021 corresponding to counterpart Int'l Patent Application PCT/US2021/016497.
Related Publications (1)
Number Date Country
20230084237 A1 Mar 2023 US
Provisional Applications (1)
Number Date Country
62981735 Feb 2020 US