Surgical system with configurable rail-mounted mechanical arms

Information

  • Patent Grant
  • 10702348
  • Patent Number
    10,702,348
  • Date Filed
    Monday, November 19, 2018
    6 years ago
  • Date Issued
    Tuesday, July 7, 2020
    4 years ago
Abstract
A robotic surgical system comprises a horizontal platform to support a patient, a rail positioned about the horizontal platform, a carriage operatively coupled to and configured to translate along the rail, and a robotic arm operatively coupled to the carriage and translated about the patient by the rail. The robotic arm is configured to operate on the patient in a variety of positions provided by the translating carriage. The rail provides a rounded path for the carriage, such as a U-shaped path. The U-shaped path may comprise a first leg and a second leg, the first leg longer than the second leg. Furthermore, the system may comprise a plurality of carriages operatively coupled to the rail and a plurality of robotic arms. Also, the system may further comprise a central base which the horizontal platform can articulate relative to, such as by translating horizontally or vertically, rotating, or titling.
Description
INCORPORATION BY REFERENCE

All publications and patent applications mentioned in this specification are herein incorporated by reference in their entirety to the same extent as if each individual publication or patent application was specifically and individually indicated to be incorporated by reference.


FIELD OF THE INVENTION

The field of the present invention relates to a robotics platform that may be used in a number of surgical procedures. More particularly, the field of the invention pertains to robotic platforms that enable robotically-controlled tools to perform diagnostic and therapeutic surgical procedures.


BACKGROUND OF THE RELATED ART

Use of robotic technologies presents a number of advantages over traditional, manual surgery procedures. In addition to other advantages, robotic surgeries often allow for greater precision, control, and access. Despite these advantages, however, the pre-existing robotics platforms have built-in limitations that are tied to their structural designs and underpinnings. In the absence of a truly flexible system, hospitals and health care practitioners are forced to acquire a variety of robotic systems in order to robotically perform a variety of procedures. The high capital costs, combined with the relatively specialization of the systems, have slowed adoption of robotics platforms for surgery.


Accordingly, there is a need for a robotics platform that is configurable for a number of procedures.


BRIEF SUMMARY OF THE INVENTION

In general, the present invention provides a medical device that comprises a rail having a rounded path, a carriage configured to translate along the rail, the carriage being operatively coupled to the rail, a robotic arm operatively coupled to the carriage, and a horizontal platform proximate to the rail, wherein the robotic arms are configured to perform medical procedures on a patient on the platform. In one aspect, the rounded path is U-shaped. In one aspect, the U-shaped path comprises of a first leg and a second leg, wherein the first leg is longer than the second leg. In another aspect, the rail is configured around a central base. In one aspect, the central base is shaped like a column.


In another aspect, a horizontal platform is operatively coupled to the top of the base. In one aspect, the rail is disposed below the platform. In one aspect, the rail is around the platform. In one aspect, the arm is configured to be angled over platform.


In another aspect, the platform is a surgical bed, configured to support the weight of a patient. In one aspect, the surgical bed comprises a first part and a second part, wherein the second part is configured to articulate relative to the first part.


In another aspect, the rail is configured around a horizontal platform. In one aspect, the platform is a surgical bed, configured to support the weight of a patient.


In another aspect, the rounded path is circular. In one aspect, the rail is disposed below the platform. In one aspect, the rail is around the platform.





BRIEF DESCRIPTION OF THE DRAWINGS

The invention will be described, by way of example, and with reference to the accompanying diagrammatic drawings, in which:



FIG. 1 illustrates a surgical bed with an oval track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention;



FIG. 2 illustrates a surgical bed with a U-shaped track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention;



FIG. 3 illustrates an alternative robotics platform to system 201 from FIG. 2;



FIG. 4 illustrates a surgical bed with a rounded track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention;



FIG. 5A illustrates a surgical bed with a rounded track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention;



FIG. 5B illustrates the surgical bed with a rounded track from FIG. 5A, consistent with an embodiment of the present invention;



FIG. 5C illustrates the surgical bed with a rounded track from FIGS. 5A, 5B, consistent with an embodiment of the present invention;



FIG. 5D illustrates several views of carriages for mechanical arms used in system 501 from FIGS. 5A, 5B;



FIG. 5E illustrates the surgical bed with a rounded track from FIG. 5A, consistent with an embodiment of the present invention;



FIGS. 6A and 6B illustrate a surgical bed with a rounded track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention;



FIG. 7A illustrates a surgical bed with a rounded track for robotic arms underneath the edge of the bed, consistent with an embodiment of the present invention;



FIG. 7B illustrates the underside of the surgical bed with a rounded track from FIG. 7A;



FIG. 7C illustrates the surgical bed with a rounded track from FIGS. 7A, 7B;



FIG. 7D illustrates the surgical bed with a rounded track from FIGS. 7A, 7B, 7C;



FIG. 7E illustrates the surgical bed with a rounded track from FIG. 7C;



FIG. 7F illustrates the surgical bed with a rounded track from FIG. 7E;



FIG. 7G illustrates the surgical bed with a rounded track from FIGS. 7A-7F; and



FIGS. 8A and 8B illustrate a surgical bed with a rounded track for robotic arms underneath the edge of the bed, consistent with an embodiment of the present invention.





DETAILED DESCRIPTION OF THE DRAWINGS

Although certain preferred embodiments and examples are disclosed below, inventive subject matter extends beyond the specifically disclosed embodiments to other alternative embodiments and/or uses, and to modifications and equivalents thereof. Thus, the scope of the claims appended hereto is not limited by any of the particular embodiments described below. For example, in any method or process disclosed herein, the acts or operations of the method or process may be performed in any suitable sequence and are not necessarily limited to any particular disclosed sequence. Various operations may be described as multiple discrete operations in turn, in a manner that may be helpful in understanding certain embodiments; however, the order of description should not be construed to imply that these operations are order dependent. Additionally, the structures, systems, and/or devices described herein may be embodied as integrated components or as separate components.


In clinical applications, the design of the base of the robotics platform often constrains the types of procedures that may be performed by the system. For example, in a system where robotic appendages are only available around the abdomen, urology procedures are precluded from being performed. Likewise, robotic arms below the abdomen may not be useful for laparoscopic procedures. Accordingly, the present invention provides a flexible design such that robotic arms may be delivered to multiple access points in a patient around a surgical bed.



FIG. 1 illustrates a surgical bed with an oval track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention. As shown in the isometric view 100 of the robotic system 101, the system 101 comprises of a surgical bed 102, a rail 103 for mechanical arms 104, a support stand 105, and a system base 106. The surgical bed allows for a hinge 107 such that a portion 108 of surgical bed 102 may be declined at a different angle from the rest of the bed. This may be desirable for certain operations, such as when performing a procedure that requires access a patient's lower abdomen, such as ureteroscopy or hysteroscopy.


Encircling the surgical bed 102, the rail 103 provides a structure to slidingly translate the mechanical arms 104 to a desired location around the surgical bed 102. The rail 103, which may be referred to as a “track”, and the mechanical arms 104 may be slidingly translated along it in order to facilitate access for the arms. The rail 103 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms 104. The rail 103 may be fully circular and surround all sides of the surgical bed 102.


The mechanical arms 104 may be operatively coupled to the rail 103. The mechanical arms may also be robotic. The translation of the mechanical arms 104 may be actuated either manually or robotically. The mechanical arms 104 may be coupled independently to the rail 103 or in groups via a mechanical carriage that may slide around the rail 103. In addition to providing structural support to the mechanical arms 104, the carriage may be used to convey and receive power, controls, fluidics, and aspiration to and from the arms 104 to the rail 103.


In combination or individually, the support stand 105 and the system base 106 may be used to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 104. Thus, as a robotically-driven platform, system 101 provides for a comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient.



FIG. 2 illustrates a surgical bed with a U-shaped track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention. As shown in the isometric view 200 of the robotic system 201, the system 201 comprises of a surgical bed 202, a rail 203 for mechanical arms 204, a support stand 205, and a system base 206. Like in system 101, the surgical bed 202 allows for a hinge 207 such that a portion 208 of surgical bed 202 may be declined at a different angle from the rest of the bed 202. As discussed earlier, this may be desirable for certain operations, such as when performing a procedure that requires access a patient's lower abdomen, such as ureteroscopy, hysteroscopy, or colonoscopy.


Running along the surgical bed 202, the rail 203 provides a structure to slidingly translate the mechanical arms 204 to a desired location around the surgical bed 202. Unlike rail 103, rail 203 uses a U-shape that enhances access the surgical bed 202. This may provide advantages when position the patient and accessing operative sites on a patient's lower abdomen. The longer leg of the rail 203 allows for the mechanical arms to be aligned to convey a medical instrument into the patient by means of a “virtual rail” such as one discussed in the aforementioned patent applications. As before, the rail 203 may be referred to as a “track”, and the mechanical arms 204 may be slidingly translated along it in order to facilitate access for the arms. The rail 203 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms 204.


In combination or individually, the support stand 205 and the system base 206 may be used to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 204. Thus, as a robotically-driven platform, system 201 provides for an improved, comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient.


As deployed, the mechanical arms 104 from system 101 and mechanical arms 204 and system 201 are positioned to perform endolumenal procedures to access the access points in the lower abdomen (e.g., urology, ureteroscopy, hysteroscopy, or colonoscopy) and upper abdomen (e.g., bronchoscopy, gastro-intestinal).



FIG. 3 illustrates an alternative robotics platform to system 201 from FIG. 2. As shown in isometric view 300, system 301 incorporates all the technologies disclosed with respect to system 201 with the additional vertical translation apparatus 302 that enables control over the vertical height of the rail 303. System 301 thus allows for vertical translation of the rail 303 relative to the support stand 304.



FIG. 4 illustrates a surgical bed with a rounded track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention. As shown in the isometric view 400 of the robotic system 401, the system 401 comprises of a surgical bed 402, a rail 403 (or “track”) for mechanical arms 404, a support stand 405, and a system base 406. The surgical bed 402 may be configured to translate horizontally to position patient 407 relative to mechanical arms 404.


Encircling the surgical bed 402, the rail 403 provides a structure to slidingly translate the mechanical arms 404 to a desired location around the surgical bed 402. The rail 403, which may be referred to as a “track”, and the mechanical arms 404 may be slidingly translated along it in order to facilitate access for the arms. The rail 403 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms 404.


The mechanical arms 404 may be operatively coupled to the rail 403. The mechanical arms 404 may also be robotic. The translation of the mechanical arms 404 may be actuated either manually or robotically. The mechanical arms 404 may be coupled independently to the rail 403 or in groups via a mechanical carriage that may slide around the rail 403. In addition to providing structural support to the mechanical arms 404, the carriage may be used to convey and receive power, controls, fluidics, and aspiration to and from the arms 404 to the rail 403. The ability to translate the arms 404 and translate the bed 402 allows for nearly unlimited access to different portions of the anatomy of patient 407.


In combination or individually, the support stand 405 and the system base 406 may be used to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 404. Thus, as a robotically-driven platform, system 401 provides for a comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient. The support stand 405 may also translate vertically, allowing for easier access to the patient 407 and operative site.


As deployed in view 400, mechanical arms 404 may be positioned to access the abdomen of patient 407 for laparoscopic procedures.



FIG. 5A illustrates a surgical bed with a rounded track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention. As shown in the isometric view 500 of the robotic system 501, the system 501 comprises of a surgical bed 502, a rail 503 (or “track”) for mechanical arms 504, 505, 506, a support stand 507, and a system base 508. The surgical bed 502 may be configured to translate horizontally to position a patient relative to mechanical arms 504, 505, 506.


Encircling the surgical bed 502, the rail 503 provides a structure to slidingly translate the mechanical arms 504, 505, 506 to a desired location around the surgical bed 502. The rail 503, which may be referred to as a “track”, and the mechanical arms 504, 505, 506 may be slidingly translated along it in order to facilitate access for the arms 504, 505, 506. The rail 503 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms 504, 505, 506.


The mechanical arms 504, 505, 506 may be operatively coupled to the rail 503. The mechanical arms 504, 505, 506 may also be robotic. The translation of the mechanical arms 504, 505, 506 may be actuated either manually or robotically. The mechanical arms 504, 505, 506 may be coupled independently to the rail 503 or individually or in groups via mechanical carriages that may slide around the rail 503. In addition to providing structural support to the mechanical arms 504, 505, 506 a carriage may be used to convey and receive power, controls, fluidics, and aspiration to and from the arms 504, 505, 506 to the rail 503. The ability to translate the arms 504, 505, 506 and translate the bed 502 allows for nearly unlimited access to different portions of the anatomy of a patient.


In combination or individually, the support stand 507 and the system base 508 may be used to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 504, 505, 506. Thus, as a robotically-driven platform, system 501 provides for a comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient. The support stand 507 may also translate vertically, allowing for easier access to the patient and operative site.


As deployed in view 500, mechanical arms 504, 505, 506 may be positioned to access the abdomen of patient for laparoscopic procedures, while the carriages on the other side of rail 503 may be positioned to hold mechanical arms to create a virtual rail for access points in the lower abdomen (e.g., urology, ureteroscopy, or hysteroscopy).



FIG. 5B illustrates the surgical bed with a rounded track from FIG. 5A, consistent with an embodiment of the present invention. Reverse isometric view 509 provides a different perspective of the robotic system 501, surgical bed 502, rail 503 (or “track”) for mechanical arms 504, 505, 506 a support stand 507, and a system base 508.



FIG. 5C illustrates the surgical bed with a rounded track from FIGS. 5A, 5B, consistent with an embodiment of the present invention. Rear view 510 provides a different perspective of the robotic system 501, surgical bed 502, rail 503 (or “track”) for mechanical arms 504, 505, 506, support stand 507, and a system base 508.



FIG. 5D illustrates several views of carriages for mechanical arms used in system 501 from FIGS. 5A, 5B, 5C, consistent with an embodiment of the present invention. Side views 511, 512, 513 provide different perspectives on a mechanically-driven carriage in system 501.



FIG. 5E illustrates the surgical bed with a rounded track from FIG. 5A, consistent with an embodiment of the present invention. View 514 provides a different perspective of the robotic system 501, surgical bed 502, rail 503 (or “track”), support stand 507, and system base 508, absent mechanical arms 504, 505, 506.



FIG. 6A illustrates a surgical bed with a rounded track for robotic arms along the edge of the bed, consistent with an embodiment of the present invention. As shown in the view 600, the system 601 comprises of a surgical bed 602, a rail 603 (or “track”) for mechanical arms 604, 605. The surgical bed 602 may be configured to translate horizontally to position a patient relative to mechanical arms 604, 605. The surgical bed 602 allows for a hinge 606 such that a portion 607 of surgical bed 602 may be declined at a different angle from the rest of the bed 602. As discussed earlier, this may be desirable for certain operations, such as when performing a procedure that requires access a patient's lower abdomen, such as ureteroscopy, hysteroscopy, or colonoscopy.


Underneath the surgical bed 602, the rail 603 provides a structure to slidingly translate the mechanical arms 604, 605 to a desired location around the surgical bed 602. The rail 603, which may be referred to as a “track”, and the mechanical arms 604, 605 may be slidingly translated along it in order to facilitate access for the arms 604, 605. The rail 603 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms 604, 605. As shown in FIG. 6A, there may be a shorter leg and longer leg portion of the U-shape rail 603. In some embodiments, the rail 603 may be fully circular, rather than a U-shaped.


The mechanical arms 604, 605 may be operatively coupled to the rail 603. The mechanical arms 604, 605 may also be robotic. The translation of the mechanical arms 604, 605 may be actuated either manually or robotically. The mechanical arms 604, 605 may be coupled independently to the rail 603 or individually or in groups (as shown) via a mechanical carriage 608 that may slide around the rail 603. In addition to providing structural support to the mechanical arms 604, 605, the carriage 606 may be used to convey and receive power, controls, fluidics, and aspiration to and from the arms 604, 605 to the rail 603. The ability to translate the arms 604, 605 and translate the bed 602 allows for nearly unlimited access to different portions of the anatomy of a patient.


Not shown, system 601 may also incorporate a support stand and the system base to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 604, 605. Thus, as a robotically-driven platform, system 601 provides for a comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient. The support stand may also translate vertically, allowing for easier access to the patient and operative site. The support stand may also support vertical translation of the rail 603 in order to facilitate access to particular anatomical access points.


As deployed in view 600, mechanical arms 604, 605 on carriage 608 may be positioned to access the abdomen of patient for procedures, such as laparoscopy or endoscopy, while a carriage 609 on the other side of rail 603 may be positioned to hold additional mechanical arms.



FIG. 6B illustrates the surgical bed with a rounded track from FIG. 6A. As shown in the view 610, mechanical arms 604, 605 on carriage 608 may be slidingly translated to the long side of the rail 603. View 610 also provides a view of a support base. As deployed in view 610, mechanical arms 604, 605 on carriage 608 may be positioned to form a virtual rail for access to the anatomical lumens in the lower abdomen for various procedures, such as ureteroscopy, hysteroscopy, or colonoscopy. To facilitate access surgical bed 602 has been slidingly translated forwards from the rail 603.



FIG. 7A illustrates a surgical bed with a rounded track for robotic arms underneath the edge of the bed, consistent with an embodiment of the present invention. As shown in the view 700, the system 701 comprises of a surgical bed 702, a rail 703 (or “track”) for mechanical arms 704, 705, 706, 708. The surgical bed 702 may be configured to translate horizontally to position patient 709 relative to mechanical arms 704, 705, 706, 708. The surgical bed 702 may include a hinge such that the lower portion of surgical bed 702 may be declined at a different angle from the rest of the bed 702. As discussed earlier, this may be desirable for certain operations, such as when performing a procedure that requires access a patient's lower abdomen, such as ureteroscopy, hysteroscopy, or colonoscopy.


Underneath the surgical bed 702, the rail 703 provides a structure to slidingly translate the mechanical arms 704, 705, 706, 708 to a desired location around the surgical bed 702. The rail 703, which may be referred to as a “track” and the mechanical arms 704, 705 may be slidingly translated along it in order to facilitate access for the arms 704, 705, 706, 708. The rail 703 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms 704, 705, 706, 708.


The mechanical arms 704, 705, 706, 708 may be operatively coupled to the rail 703. The mechanical arms 704, 705, 706, 708 may also be robotic. The translation of the mechanical arms 704, 705, 706, 708 may be actuated either manually or robotically. The mechanical arms 704, 705, 706, 708 may be coupled independently to the rail 703 or individually or in groups via a mechanical carriage that may slide around the rail 703. In addition to providing structural support to the mechanical arms 704, 705, 706, 708, the carriage may be used to convey and receive power, controls, fluidics, and aspiration to and from the arms 704, 705, 706, 708 to the rail 703. The ability to translate the arms 704, 705, 706, 708 and translate the bed 702 allows for nearly unlimited access to different portions of the anatomy of a patient.


System 701 may also incorporate support stand 710 and system base 711 to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 704, 705, 706, 708. Thus, as a robotically-driven platform, system 701 provides for a comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient. The rail 703 on support stand 710 may also translate vertically, allowing for easier access to the patient and operative site. The support stand may also telescope.


As deployed in view 700, mechanical arms 704, 705, 706, 708 may be positioned to access the abdomen of patient 709 for laparoscopic procedures, using a variety of rigid or semi-rigid laparoscopic instruments.



FIG. 7B illustrates the underside of the surgical bed with a rounded track from FIG. 7A. As shown in the view 712, mechanical arms 704, 705, 706, 708 may be coupled to the rail 703 using carriages 713 and 714, which may be slidingly translated along rail 703. Carriages 713 and 714 may be oriented at various angles from rail 703 to provide an additional access to the patient 709. View 712 also provides a view of a support base 709 which shows structures to vertically translate rail 703 and bed 702.



FIG. 7C illustrates the surgical bed with a rounded track from FIGS. 7A, 7B. As shown in side view 715, carriages 713 and 714 may be positioned along rail 703 such that mechanical arms 704, 705, 706, 708 may be arranged to form a virtual rail to guide an endoscopic device 716 into an anatomical lumen in the lower abdomen of patient 709 for a procedure such as ureteroscopy, hysteroscopy, or colonoscopy.



FIG. 7D illustrates the surgical bed with a rounded track from FIGS. 7A, 7B, 7C. Top view 717 provides a different perspective of the positioning of mechanical arms 704, 705, 706, 708 to form a virtual rail to guide an endoscopic device 716 into an anatomical lumen in the lower abdomen of patient 709 for a procedure such as ureteroscopy, hysteroscopy, or colonoscopy.



FIG. 7E illustrates the surgical bed with a rounded track from FIG. 7C. Isometric view 718 provides an alternative positioning of mechanical arms 704, 705, 706, 708 to form a virtual rail to guide an endoscopic device 714 into an anatomical lumen in the lower abdomen of patient 709 for a procedure such as ureteroscopy, hysteroscopy, or colonoscopy. In view 717, the carriages 713 and 714 may be oriented below rail 703 to position mechanical arms 704, 705, 706, 708 such that the virtual rail is positioned lower than shown in FIGS. 7C and 7D.



FIG. 7F illustrates the surgical bed with a rounded track from FIG. 7E. Side view 719 provides a different perspective of the positioning of carriages 713 and 714 such that mechanical arms 704, 705, 706, 708 form a virtual rail to guide an endoscopic device 716 into an anatomical lumen in the lower abdomen of patient 709 for a procedure such as ureteroscopy, hysteroscopy, or colonoscopy.



FIG. 7G illustrates the surgical bed with a rounded track from FIGS. 7A-7F. View 719 shows stowage of mechanical arms 704, 705, 706, 708 through positioning of carriages 713 and 714 together along rail 703 under surgical bed 702.



FIGS. 8A and 8B illustrate a surgical bed with a rounded track for robotic arms underneath the edge of the bed, consistent with an embodiment of the present invention. As shown in the view 800, the system 801 comprises of a surgical bed 802, a rail 803 (or “track”) for mechanical arms, such as 804, 805. The surgical bed 802 may be configured to translate horizontally to position a patient relative to the mechanical arms. As shown in view 807 from FIG. 8B, the surgical bed 802 may tilted on the support stand 806 to improve physician access to the patient.


Underneath the surgical bed 802, the rail 803 provides a structure to slidingly translate the mechanical arms 804, 805 to a desired location around the surgical bed 802. The rail 803, which may be referred to as a “track”, and the mechanical arms 804, 805 may be slidingly translated along it in order to facilitate access for the arms. The rail 803 also provides allows for the conveyance and reception of power, controls, fluidics, aspiration to the mechanical arms.


The mechanical arms may be operatively coupled to the rail 803. The mechanical arms may also be robotic. The translation of the mechanical arms 804, 805 may be actuated either manually or robotically. The mechanical arms 804, 805 may be coupled independently to the rail 803 or individually or in groups via a mechanical carriage that may slide around the rail 803. In addition to providing structural support to the mechanical arms 804, 805 the carriage may be used to convey and receive power, controls, fluidics, aspiration to and from the arms 804, 805 to the support base 806. The ability to translate the arms 804, 805 and translate the bed 802 allows for nearly unlimited access to different portions of the anatomy of a patient.


System 801 may also incorporate support stand 806 to house electronics, fluidics, pneumatics, and aspiration. The electronics may be used from control, localization, navigation of the arms 804, 805. Thus, as a robotically-driven platform, system 801 provides for a comprehensive surgical bed and tool solution that may be used to perform any number of procedures around a patient. The rail 803 on support stand 806 may also translate vertically, allowing for easier access to the patient and operative site. The support stand may also telescope.


As deployed in view 800, mechanical arms 804, 805 may be positioned to access the abdomen of a patient for laparoscopic procedures, using a variety of rigid or semi-rigid laparoscopic instruments.


The aforementioned embodiments of the present invention may be designed to interface with robotics instrument device manipulators, tools, hardware, and software such as those disclosed in the aforementioned patent applications that are incorporated by reference. For example, the embodiments in this specification may be configured to be driven by an instrument drive mechanism or an instrument device manipulator that is attached to the distal end of a robotic arm through a sterile interface, such as a drape. As part of a larger robotics system, robotic control signals may be communicated from a remotely-located user interface, down the robotic arm, and to the instrument device manipulator to control the instrument or tool.


For purposes of comparing various embodiments, certain aspects and advantages of these embodiments are described. Not necessarily all such aspects or advantages are achieved by any particular embodiment. Thus, for example, various embodiments may be carried out in a manner that achieves or optimizes one advantage or group of advantages as taught herein without necessarily achieving other aspects or advantages as may also be taught or suggested herein.


Elements or components shown with any embodiment herein are exemplary for the specific embodiment and may be used on or in combination with other embodiments disclosed herein. While the invention is susceptible to various modifications and alternative forms, specific examples thereof have been shown in the drawings and are herein described in detail. The invention is not limited, however, to the particular forms or methods disclosed, but to the contrary, covers all modifications, equivalents and alternatives thereof.

Claims
  • 1. A medical system comprising: a base;a stand coupled to the base;a bed supported by the stand, the bed having a first edge and a second edge, the first edge being longer than the second edge;a first rail portion extending along of the first edge of the bed;at least one arm attached to the first rail portion; andcontrol electronics configured to (i) stow the at least one arm by moving the at least one arm towards the second edge and beneath the bed supported by the stand, wherein the at least one arm is stowed within a perimeter defined by the bed when viewed from above, and (ii) raise the at least one arm over the first edge to perform a medical procedure.
  • 2. The medical system of claim 1, further comprising a second rail portion extending along a length of the bed and at least one arm attached to the second rail portion.
  • 3. The medical system of claim 1, wherein the bed is configured to translate horizontally relative to the first rail portion.
  • 4. The medical system of claim 1, wherein the bed comprises a hinge such that a lower portion of the bed can be declined at a different angle from remaining portions of the bed.
  • 5. The medical system of claim 1, wherein the control electronics are configured to stow the at least one arm by slidingly translating the at least one arm along the first rail portion toward the second edge.
  • 6. The medical system of claim 1, wherein the at least one arm attached to the first rail portion comprises two arms forming a virtual rail to guide an endoscopic device.
  • 7. The medical system of claim 1, further comprising a second rail portion extending along a third edge of the bed opposite the first edge, and at least one arm attached to the second rail portion, wherein the control electronics are further configured to control the at least one arm attached to the first rail portion and the at least one arm attached to the second rail portion to extend upwardly over the opposing first and third edges of the bed to perform the medical procedure.
  • 8. The medical system of claim 1, further comprising: a second rail portion extending along a length of the bed; andat least two arms attached to the second rail portion.
  • 9. The medical system of claim 1, wherein the at least one arm attached to the first rail portion comprises at least two arms, and wherein the control electronics are configured to stow the at least two arms by moving the at least two arms together towards the second edge and beneath the bed.
  • 10. The medical system of claim 1, wherein the bed has a longitudinal centerline bisecting the second edge, and wherein the control electronics are configured to stow the at least one arm in a position overlapping the longitudinal centerline and between the second edge and the stand.
  • 11. A medical system comprising: a base;a stand coupled to the base;a bed supported by the stand, the bed having a substantially rectangular shape defining a longitudinal centerline extending over the stand;first and second rail portions extending along the bed on opposing sides of the stand;a first arm attached to the first rail portion;a second arm attached to the second rail portion; andcontrol electronics configured to (i) stow the first arm and the second arm by moving the first arm and the second arm to positions beneath the bed with the first arm overlapping the longitudinal centerline, wherein the first arm and the second arm are stowed within a perimeter defined by the bed when viewed from above, and (ii) raise the first arm and the second arm over the bed to perform a medical procedure.
  • 12. The medical system of claim 11, wherein the first arm and the second arm are each capable of robotic control.
  • 13. The medical system of claim 11, wherein the first rail portion and the second rail portion are capable of vertical translation.
  • 14. The medical system of claim 11, further comprising: a third arm attached to the first portion,wherein the first and third arms form a virtual rail to guide an endoscopic device into an anatomical lumen.
  • 15. The medical system of claim 14, wherein the endoscopic device is a tool used for ureteroscopy, hysteroscopy or colonoscopy.
  • 16. The medical system of claim 11, wherein the first arm is coupled to a carriage that translates along the first rail portion.
  • 17. The medical system of claim 11, wherein the first arm and the second arm are capable of extending upwardly over opposing sides of the bed.
  • 18. The medical system of claim 11, further comprising: a third arm attached to the first rail portion; anda fourth arm attached to the second rail portion,wherein the first to fourth arms are capable of manual and robotic control.
  • 19. A medical system comprising: a base;a stand coupled to the base;a bed supported by the stand;a rail extending along the bed;a first arm attached to the rail;a second arm attached to the rail; andcontrol electronics configured to: drive the first and second arms to move to a first configuration in which the first and second arms are positioned together along the rail for stowage, wherein the first arm and the second arm are stowed within a perimeter defined by the bed when viewed from above, anddrive the first and second arms to move to a second configuration in which the first and second arms are spaced apart along the rail to perform a medical procedure.
  • 20. The medical system of claim 19, further comprising: a first carriage supporting the first arm and slidingly attached to the rail portion; anda second carriage supporting the second arm and slidingly attached to the rail portion,wherein control electronics are further configured to: drive the first and second carriages to slidingly translate to a position together on the rail portion to stow the first and second arms beneath the bed, anddrive the first and second carriages to slidingly translate to a position spaced apart on the rail portion to position the first and second arms for the medical procedure.
  • 21. The medical system of claim 19, wherein the control electronics are further configured to: drive first and second carriages to slidingly translate towards an end of the bed to stow the first and second arms beneath the bed, anddrive the first and second carriages to slidingly translate along a longitudinal side of the bed to perform the medical procedure.
CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No. 15/094,179, filed Apr. 8, 2016, which claims the benefit of U.S. Provisional Application No. 62/145,418, filed Apr. 9, 2015, each of which is incorporated herein by reference. The present invention relates to medical instruments, tools, and methods that may be incorporated into a robotic system, such as those disclosed in U.S. patent application Ser. No. 14/523,760, filed Oct. 24, 2014, U.S. Provisional Patent Application No. 62/019,816, filed Jul. 1, 2014, U.S. Provisional Patent Application No. 62/037,520, filed Aug. 14, 2014, and U.S. Provisional Patent Application No. 62/057,936, filed Sep. 30, 2014, the entire contents of which are incorporated herein by reference.

US Referenced Citations (264)
Number Name Date Kind
4878494 Phillips et al. Nov 1989 A
5013018 Sicek May 1991 A
5160106 Monick Nov 1992 A
5259365 Nishikori Nov 1993 A
5555897 Lathrop, Jr. et al. Sep 1996 A
5571072 Kronner Nov 1996 A
5597146 Putman Jan 1997 A
5762458 Wang et al. Jun 1998 A
5814038 Jensen et al. Sep 1998 A
5926875 Okamoto et al. Jul 1999 A
5944476 Bacchi et al. Aug 1999 A
6170102 Kreuzer Jan 2001 B1
6202230 Borders Mar 2001 B1
6620174 Jensen et al. Sep 2003 B2
6676669 Charles et al. Jan 2004 B2
6804581 Wang Oct 2004 B2
7025761 Wang et al. Apr 2006 B2
7074179 Wang et al. Jul 2006 B2
7763015 Cooper et al. Jul 2010 B2
7789874 Yu et al. Sep 2010 B2
7850642 Moll et al. Dec 2010 B2
7963288 Rosenberg et al. Jun 2011 B2
7972298 Wallace et al. Jul 2011 B2
7974681 Wallace et al. Jul 2011 B2
7976539 Hlavka et al. Jul 2011 B2
7979157 Anvari Jul 2011 B2
7996110 Lipow et al. Aug 2011 B2
8005537 Hlavka et al. Aug 2011 B2
8021326 Moll et al. Sep 2011 B2
8052636 Moll et al. Nov 2011 B2
8108069 Stahler et al. Jan 2012 B2
8142420 Schena Mar 2012 B2
8146874 Yu Apr 2012 B2
8172747 Wallace et al. May 2012 B2
8190238 Moll et al. May 2012 B2
8230863 Ravikumar et al. Jul 2012 B2
8257303 Moll et al. Sep 2012 B2
8311626 Hlavka et al. Nov 2012 B2
8343096 Kirschenman et al. Jan 2013 B2
8348931 Cooper et al. Jan 2013 B2
8394054 Wallace et al. Mar 2013 B2
8400094 Schena Mar 2013 B2
8409136 Wallace et al. Apr 2013 B2
8409172 Moll et al. Apr 2013 B2
8414598 Brock et al. Apr 2013 B2
8425404 Wilson et al. Apr 2013 B2
8469945 Schena Jun 2013 B2
8498691 Moll et al. Jul 2013 B2
8506556 Schena Aug 2013 B2
8512353 Rosielle et al. Aug 2013 B2
8515576 Lipow et al. Aug 2013 B2
8617102 Moll et al. Dec 2013 B2
8641698 Sanchez et al. Feb 2014 B2
8801661 Moll et al. Aug 2014 B2
8897920 Wang et al. Nov 2014 B2
8911429 Olds et al. Dec 2014 B2
8926603 Hlavka et al. Jan 2015 B2
8960622 von Pechmann et al. Feb 2015 B2
8968333 Yu et al. Mar 2015 B2
8974408 Wallace et al. Mar 2015 B2
9023060 Cooper et al. May 2015 B2
9078686 Schena Jul 2015 B2
9259281 Griffiths et al. Feb 2016 B2
9314306 Yu Apr 2016 B2
9326822 Lewis et al. May 2016 B2
9358076 Moll et al. Jun 2016 B2
9408669 Kokish et al. Aug 2016 B2
9452018 Yu Sep 2016 B2
9457168 Moll et al. Oct 2016 B2
9504604 Alvarez Nov 2016 B2
9554865 Olds et al. Jan 2017 B2
9561083 Yu et al. Feb 2017 B2
9566201 Yu Feb 2017 B2
9615889 Jensen Apr 2017 B2
9622827 Yu et al. Apr 2017 B2
9629682 Wallace et al. Apr 2017 B2
9636184 Lee et al. May 2017 B2
9713499 Bar et al. Jul 2017 B2
9713509 Schuh et al. Jul 2017 B2
9727963 Mintz et al. Aug 2017 B2
9737371 Romo et al. Aug 2017 B2
9737373 Schuh Aug 2017 B2
9744335 Jiang Aug 2017 B2
9763741 Alvarez et al. Sep 2017 B2
9788910 Schuh Oct 2017 B2
9795454 Seeber et al. Oct 2017 B2
9820819 Olson Nov 2017 B2
9844412 Bogusky et al. Dec 2017 B2
9850924 Vogtherr et al. Dec 2017 B2
9867635 Alvarez et al. Jan 2018 B2
9907458 Schena Mar 2018 B2
9918681 Wallace et al. Mar 2018 B2
9931025 Graetzel et al. Apr 2018 B1
9949749 Noonan et al. Apr 2018 B2
9955986 Shah May 2018 B2
9962228 Schuh et al. May 2018 B2
9980785 Schuh May 2018 B2
9993313 Schuh et al. Jun 2018 B2
9999476 Griffiths Jun 2018 B2
10016900 Meyer et al. Jul 2018 B1
10022192 Ummalaneni Jul 2018 B1
10080576 Romo et al. Sep 2018 B2
10136959 Mintz et al. Nov 2018 B2
10145747 Lin et al. Dec 2018 B1
10149720 Romo Dec 2018 B2
10159532 Ummalaneni et al. Dec 2018 B1
10159533 Moll et al. Dec 2018 B2
10169875 Mintz et al. Jan 2019 B2
10231867 Alvarez et al. Mar 2019 B2
10524866 Srinivasan et al. Jan 2020 B2
20020162926 Nguyen Nov 2002 A1
20020165524 Sanchez et al. Nov 2002 A1
20020170116 Borders Nov 2002 A1
20030191455 Sanchez et al. Oct 2003 A1
20040243147 Lipow Dec 2004 A1
20040261179 Blumenkranz Dec 2004 A1
20050222554 Wallace et al. Oct 2005 A1
20060069383 Bogaerts Mar 2006 A1
20060149418 Anvari Jul 2006 A1
20060200026 Wallace et al. Sep 2006 A1
20080027464 Moll et al. Jan 2008 A1
20080039867 Feussner Feb 2008 A1
20080082109 Moll et al. Apr 2008 A1
20080167750 Stahler Jul 2008 A1
20080195081 Moll et al. Aug 2008 A1
20080218770 Moll et al. Sep 2008 A1
20080245946 Yu Oct 2008 A1
20090036900 Moll Feb 2009 A1
20090062602 Rosenberg et al. Mar 2009 A1
20090163928 Schena Jun 2009 A1
20100185211 Herman Jul 2010 A1
20100204713 Ruiz Aug 2010 A1
20100286712 Won et al. Nov 2010 A1
20110028894 Foley et al. Feb 2011 A1
20110238083 Moll et al. Sep 2011 A1
20110270273 Moll et al. Nov 2011 A1
20120191079 Moll et al. Jul 2012 A1
20120191083 Moll et al. Jul 2012 A1
20120191086 Moll et al. Jul 2012 A1
20120241576 Yu Sep 2012 A1
20120253332 Moll Oct 2012 A1
20120266379 Hushek Oct 2012 A1
20120296161 Wallace et al. Nov 2012 A1
20130041219 Hasegawa et al. Feb 2013 A1
20130190741 Moll et al. Jul 2013 A1
20130255425 Schena Oct 2013 A1
20130338679 Rosielle et al. Dec 2013 A1
20140142591 Alvarez et al. May 2014 A1
20140180309 Seeber et al. Jun 2014 A1
20140188132 Kang Jul 2014 A1
20140249546 Shvartsberg et al. Sep 2014 A1
20140276391 Yu Sep 2014 A1
20140276647 Yu Sep 2014 A1
20140276935 Yu Sep 2014 A1
20140277333 Lewis et al. Sep 2014 A1
20140277334 Yu et al. Sep 2014 A1
20140309649 Alvarez et al. Oct 2014 A1
20140357984 Wallace et al. Dec 2014 A1
20140364870 Alvarez et al. Dec 2014 A1
20150038981 Kilroy et al. Feb 2015 A1
20150051592 Kintz Feb 2015 A1
20150119638 Yu et al. Apr 2015 A1
20150164594 Romo et al. Jun 2015 A1
20150164596 Romo Jun 2015 A1
20150335389 Greenberg Nov 2015 A1
20150335480 Alvarez et al. Nov 2015 A1
20160001038 Romo et al. Jan 2016 A1
20160100896 Yu Apr 2016 A1
20160157942 Gombert et al. Jun 2016 A1
20160235946 Lewis et al. Aug 2016 A1
20160270865 Landey et al. Sep 2016 A1
20160279394 Moll et al. Sep 2016 A1
20160287279 Bovay et al. Oct 2016 A1
20160338785 Kokish et al. Nov 2016 A1
20160346052 Rosielle et al. Dec 2016 A1
20160354582 Yu et al. Dec 2016 A1
20160374541 Agrawal et al. Dec 2016 A1
20160374771 Mirbagheri Dec 2016 A1
20170007337 Dan Jan 2017 A1
20170007343 Yu Jan 2017 A1
20170071692 Taylor et al. Mar 2017 A1
20170071693 Taylor Mar 2017 A1
20170086929 Moll et al. Mar 2017 A1
20170100199 Yu et al. Apr 2017 A1
20170105804 Yu Apr 2017 A1
20170119413 Romo May 2017 A1
20170119481 Romo et al. May 2017 A1
20170135771 Auld et al. May 2017 A1
20170165011 Bovay et al. Jun 2017 A1
20170172673 Yu et al. Jun 2017 A1
20170202627 Sramek et al. Jul 2017 A1
20170209073 Sramek et al. Jul 2017 A1
20170209217 Jensen Jul 2017 A1
20170215976 Nowlin et al. Aug 2017 A1
20170215978 Wallace et al. Aug 2017 A1
20170290631 Lee et al. Oct 2017 A1
20170304021 Hathaway Oct 2017 A1
20170325906 Piecuch et al. Nov 2017 A1
20170333679 Jiang Nov 2017 A1
20170340353 Ahluwalia et al. Nov 2017 A1
20170340396 Romo et al. Nov 2017 A1
20170367782 Schuh et al. Dec 2017 A1
20180025666 Ho et al. Jan 2018 A1
20180078439 Cagle et al. Mar 2018 A1
20180078440 Koenig et al. Mar 2018 A1
20180079090 Koenig et al. Mar 2018 A1
20180116758 Schlosser May 2018 A1
20180177383 Noonan et al. Jun 2018 A1
20180177556 Noonan et al. Jun 2018 A1
20180214011 Graetzel et al. Aug 2018 A1
20180221038 Noonan et al. Aug 2018 A1
20180221039 Shah Aug 2018 A1
20180250083 Schuh et al. Sep 2018 A1
20180271616 Schuh et al. Sep 2018 A1
20180279852 Rafii-Tari et al. Oct 2018 A1
20180280660 Landey et al. Oct 2018 A1
20180289243 Landey et al. Oct 2018 A1
20180289431 Draper et al. Oct 2018 A1
20180325499 Landey et al. Nov 2018 A1
20180333044 Jenkins Nov 2018 A1
20180360435 Romo Dec 2018 A1
20190000559 Berman et al. Jan 2019 A1
20190000560 Berman et al. Jan 2019 A1
20190000566 Graetzel et al. Jan 2019 A1
20190000568 Connolly et al. Jan 2019 A1
20190000576 Mintz et al. Jan 2019 A1
20190105776 Ho et al. Apr 2019 A1
20190105785 Meyer Apr 2019 A1
20190107454 Lin Apr 2019 A1
20190110839 Rafii-Tari et al. Apr 2019 A1
20190110843 Ummalaneni et al. Apr 2019 A1
20190151148 Alvarez et al. Apr 2019 A1
20190228528 Mintz et al. Apr 2019 A1
20190167366 Ummalaneni Jun 2019 A1
20190175009 Mintz Jun 2019 A1
20190175062 Rafii-Tari et al. Jun 2019 A1
20190175287 Hill Jun 2019 A1
20190175799 Hsu Jun 2019 A1
20190183585 Rafii-Tari et al. Jun 2019 A1
20190183587 Rafii-Tari et al. Jun 2019 A1
20190216548 Ummalaneni Jul 2019 A1
20190216550 Eyre Jul 2019 A1
20190216576 Eyre Jul 2019 A1
20190223974 Romo Jul 2019 A1
20190228525 Mintz et al. Jul 2019 A1
20190246882 Graetzel et al. Aug 2019 A1
20190262086 Connolly et al. Aug 2019 A1
20190269468 Hsu et al. Sep 2019 A1
20190274764 Romo Sep 2019 A1
20190290109 Agrawal et al. Sep 2019 A1
20190298160 Ummalaneni et al. Oct 2019 A1
20190298460 Al-Jadda Oct 2019 A1
20190298465 Chin Oct 2019 A1
20190328213 Landey et al. Oct 2019 A1
20190336238 Yu Nov 2019 A1
20190365209 Ye et al. Dec 2019 A1
20190365479 Rafii-Tari Dec 2019 A1
20190365486 Srinivasan et al. Dec 2019 A1
20190374297 Wallace et al. Dec 2019 A1
20190375383 Alvarez Dec 2019 A1
20190380787 Ye Dec 2019 A1
20190380797 Yu Dec 2019 A1
20200000530 DeFonzo Jan 2020 A1
20200000533 Schuh Jan 2020 A1
Foreign Referenced Citations (2)
Number Date Country
202314134 Jul 2012 CN
WO 10068005 Jun 2010 WO
Non-Patent Literature Citations (1)
Entry
International search report and written opinion dated Jul. 13, 2016 for PCT/US2016/026783.
Related Publications (1)
Number Date Country
20190083183 A1 Mar 2019 US
Provisional Applications (1)
Number Date Country
62145418 Apr 2015 US
Continuations (1)
Number Date Country
Parent 15094179 Apr 2016 US
Child 16195206 US