WO2011060046A3 - Curved cannula, robotic manipulator and surgical instrument having a passively flexible shaft - Google Patents

Curved cannula, robotic manipulator and surgical instrument having a passively flexible shaft Download PDF

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Publication number
WO2011060046A3
WO2011060046A3 PCT/US2010/056193 US2010056193W WO2011060046A3 WO 2011060046 A3 WO2011060046 A3 WO 2011060046A3 US 2010056193 W US2010056193 W US 2010056193W WO 2011060046 A3 WO2011060046 A3 WO 2011060046A3
Authority
WO
WIPO (PCT)
Prior art keywords
cannulas
disclosed
curved
instruments
support
Prior art date
Application number
PCT/US2010/056193
Other languages
French (fr)
Other versions
WO2011060046A2 (en
Inventor
John Ryan Steger
Craig R. Gerbi
Giuseppe Maria Prisco
Theodore W. Rogers
Original Assignee
Intuitive Surgical Operations, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US12/618,621 external-priority patent/US8623028B2/en
Priority claimed from US12/618,549 external-priority patent/US20110071541A1/en
Application filed by Intuitive Surgical Operations, Inc. filed Critical Intuitive Surgical Operations, Inc.
Priority to EP10781769.4A priority Critical patent/EP2467074B1/en
Priority to CN201080051135.0A priority patent/CN102596062B/en
Priority to JP2012538937A priority patent/JP5824456B2/en
Priority to KR1020127011590A priority patent/KR101772426B1/en
Publication of WO2011060046A2 publication Critical patent/WO2011060046A2/en
Publication of WO2011060046A3 publication Critical patent/WO2011060046A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00149—Holding or positioning arrangements using articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/37—Master-slave robots
    • A—HUMAN NECESSITIES
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    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A—HUMAN NECESSITIES
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    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/73—Manipulators for magnetic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B34/76—Manipulators having means for providing feel, e.g. force or tactile feedback
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    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/92—Identification means for patients or instruments, e.g. tags coded with colour
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0041—Catheters; Hollow probes characterised by the form of the tubing pre-formed, e.g. specially adapted to fit with the anatomy of body channels
    • A—HUMAN NECESSITIES
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    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00193—Optical arrangements adapted for stereoscopic vision
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3474—Insufflating needles, e.g. Veress needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/0084—Material properties low friction
    • A61B2017/00845—Material properties low friction of moving parts with respect to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2904—Details of shaft curved, but rigid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936—Pins in guiding slots
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    • A61B2017/2948—Sealing means, e.g. for sealing the interior from fluid entry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419—Sealing means between cannula and body
    • A—HUMAN NECESSITIES
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    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3429—Access ports, e.g. toroid shape introducers for instruments or hands having a unitary compressible body, e.g. made of silicone or foam
    • A—HUMAN NECESSITIES
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    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A61B2017/3447—Linked multiple cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • A—HUMAN NECESSITIES
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    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A—HUMAN NECESSITIES
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    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49826—Assembling or joining

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Robotics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Manipulator (AREA)

Abstract

A robotic surgical system is configured with rigid, curved cannulas (416a) that extend through the same opening into a patient's body. Surgical instruments (500) with passively flexible shafts (506) extend through the curved cannulas. Force isolation elements (856) within the flexible shafts prevent shaft bending from affecting end effector actuation elements that extends through the shafts. The cannulas are oriented to direct the instruments towards a surgical site. Various port features (1402) that support the curved cannulas within the single opening are disclosed. Cannula support fixtures (1902) that support the cannulas during insertion into the single opening and mounting to robotic manipulators are disclosed. A teleoperation control system that moves the curved cannulas and their associated instruments in a manner that allows a surgeon to experience intuitive control is disclosed.
PCT/US2010/056193 2009-09-23 2010-11-10 Curved cannula instrument WO2011060046A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP10781769.4A EP2467074B1 (en) 2009-11-13 2010-11-10 Curved cannula, robotic manipulator and surgical instrument having a passively flexible shaft
CN201080051135.0A CN102596062B (en) 2009-11-13 2010-11-10 Flex socket, robotic manipulator and there is the operating theater instruments of passive flexible shaft
JP2012538937A JP5824456B2 (en) 2009-11-13 2010-11-10 Surgical instrument having a curved cannula, a robotic manipulator, and a passively flexible shaft
KR1020127011590A KR101772426B1 (en) 2009-11-13 2010-11-10 Curved cannula, robotic manipulator and surgical instrument having a passively flexible shaft

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US24517109P 2009-09-23 2009-09-23
US12/618,621 US8623028B2 (en) 2009-09-23 2009-11-13 Surgical port feature
US12/618,549 2009-11-13
US12/618,549 US20110071541A1 (en) 2009-09-23 2009-11-13 Curved cannula
US12/618,608 2009-11-13

Publications (2)

Publication Number Publication Date
WO2011060046A2 WO2011060046A2 (en) 2011-05-19
WO2011060046A3 true WO2011060046A3 (en) 2011-07-21

Family

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Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2010/056188 WO2011060042A1 (en) 2009-09-23 2010-11-10 Curved cannula and robotic manipulator
PCT/US2010/056193 WO2011060046A2 (en) 2009-09-23 2010-11-10 Curved cannula instrument

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2010/056188 WO2011060042A1 (en) 2009-09-23 2010-11-10 Curved cannula and robotic manipulator

Country Status (3)

Country Link
US (2) US8551115B2 (en)
KR (1) KR101734114B1 (en)
WO (2) WO2011060042A1 (en)

Families Citing this family (176)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7960935B2 (en) 2003-07-08 2011-06-14 The Board Of Regents Of The University Of Nebraska Robotic devices with agent delivery components and related methods
US8496647B2 (en) 2007-12-18 2013-07-30 Intuitive Surgical Operations, Inc. Ribbed force sensor
US8465474B2 (en) 2009-05-19 2013-06-18 Intuitive Surgical Operations, Inc. Cleaning of a surgical instrument force sensor
US8628518B2 (en) 2005-12-30 2014-01-14 Intuitive Surgical Operations, Inc. Wireless force sensor on a distal portion of a surgical instrument and method
US9820771B2 (en) 2006-03-03 2017-11-21 Axcess Instruments Inc. Apparatus and method for minimally invasive surgery
CA3068216C (en) 2006-06-22 2023-03-07 Board Of Regents Of The University Of Nebraska Magnetically coupleable robotic devices and related methods
US9579088B2 (en) 2007-02-20 2017-02-28 Board Of Regents Of The University Of Nebraska Methods, systems, and devices for surgical visualization and device manipulation
US8679096B2 (en) 2007-06-21 2014-03-25 Board Of Regents Of The University Of Nebraska Multifunctional operational component for robotic devices
US8556807B2 (en) * 2006-12-21 2013-10-15 Intuitive Surgical Operations, Inc. Hermetically sealed distal sensor endoscope
US8814779B2 (en) 2006-12-21 2014-08-26 Intuitive Surgical Operations, Inc. Stereoscopic endoscope
EP3078344B1 (en) 2007-07-12 2020-02-26 Board of Regents of the University of Nebraska Actuation in robotic devices
JP2010536435A (en) 2007-08-15 2010-12-02 ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ Medical inflation, attachment and delivery devices and associated methods
US8561473B2 (en) 2007-12-18 2013-10-22 Intuitive Surgical Operations, Inc. Force sensor temperature compensation
US9204923B2 (en) 2008-07-16 2015-12-08 Intuitive Surgical Operations, Inc. Medical instrument electronically energized using drive cables
US9259274B2 (en) 2008-09-30 2016-02-16 Intuitive Surgical Operations, Inc. Passive preload and capstan drive for surgical instruments
US9339342B2 (en) 2008-09-30 2016-05-17 Intuitive Surgical Operations, Inc. Instrument interface
CN101737603B (en) * 2008-11-10 2011-11-30 鸿富锦精密工业（深圳）有限公司 Universal joint
CA2772523A1 (en) * 2009-07-29 2011-02-03 Transenterix, Inc. Deflectable instrument ports
US8551115B2 (en) * 2009-09-23 2013-10-08 Intuitive Surgical Operations, Inc. Curved cannula instrument
US8623028B2 (en) * 2009-09-23 2014-01-07 Intuitive Surgical Operations, Inc. Surgical port feature
US8465476B2 (en) * 2009-09-23 2013-06-18 Intuitive Surgical Operations, Inc. Cannula mounting fixture
US20110071541A1 (en) 2009-09-23 2011-03-24 Intuitive Surgical, Inc. Curved cannula
US8888789B2 (en) 2009-09-23 2014-11-18 Intuitive Surgical Operations, Inc. Curved cannula surgical system control
US9339341B2 (en) 2010-02-08 2016-05-17 Intuitive Surgical Operations, Inc. Direct pull surgical gripper
US8343045B2 (en) 2010-04-05 2013-01-01 Intuitive Surgical Operations, Inc. Curved cannula
US9055960B2 (en) 2010-11-15 2015-06-16 Intuitive Surgical Operations, Inc. Flexible surgical devices
US20120265214A1 (en) * 2011-03-10 2012-10-18 Bender Nicholas J Locking mechanism for deflectable instrument shafts and method of use
WO2012142482A1 (en) * 2011-04-13 2012-10-18 Curax, Llc Multi-function cannulated surgical device
US20120265175A1 (en) * 2011-04-14 2012-10-18 Medtronic Xomed, Inc. Malleable instrument for laparoscopic procedures
EP3977951B1 (en) 2011-06-10 2023-11-08 Board of Regents of the University of Nebraska Surgical end effector
EP2732344B1 (en) 2011-07-11 2019-06-05 Board of Regents of the University of Nebraska Robotic surgical system
US20130066332A1 (en) * 2011-09-09 2013-03-14 Garnette Sutherland Surgical Tool for Use in MR Imaging
CN107348981B (en) 2011-10-26 2020-11-10 直观外科手术操作公司 Surgical instrument with integral scalpel blade
JP6230541B2 (en) 2011-11-15 2017-11-15 インテュイティブ サージカル オペレーションズ， インコーポレイテッド Surgical instrument with a knife blade
WO2013106569A2 (en) 2012-01-10 2013-07-18 Board Of Regents Of The University Of Nebraska Methods, systems, and devices for surgical access and insertion
US9956042B2 (en) * 2012-01-13 2018-05-01 Vanderbilt University Systems and methods for robot-assisted transurethral exploration and intervention
US9138297B2 (en) 2012-02-02 2015-09-22 Intuitive Surgical Operations, Inc. Systems and methods for controlling a robotic surgical system
US20130225920A1 (en) * 2012-02-23 2013-08-29 Covidien Lp Surgical support assembly
US9539726B2 (en) * 2012-04-20 2017-01-10 Vanderbilt University Systems and methods for safe compliant insertion and hybrid force/motion telemanipulation of continuum robots
WO2013158983A1 (en) 2012-04-20 2013-10-24 Vanderbilt University Robotic device for establishing access channel
US9687303B2 (en) 2012-04-20 2017-06-27 Vanderbilt University Dexterous wrists for surgical intervention
EP4357083A2 (en) 2012-05-01 2024-04-24 Board of Regents of the University of Nebraska Single site robotic device and related systems and methods
CN107212922B (en) 2012-06-01 2020-06-02 直观外科手术操作公司 Redundant axes and degrees of freedom of hardware constrained remote center robotic manipulators
US11786324B2 (en) * 2012-06-21 2023-10-17 Globus Medical, Inc. Surgical robotic automation with tracking markers
EP3680071B1 (en) 2012-06-22 2021-09-01 Board of Regents of the University of Nebraska Local control robotic surgical devices
EP2869779B1 (en) * 2012-07-03 2019-02-27 KUKA Deutschland GmbH Surgical instrument arrangement
US10186792B2 (en) * 2012-07-18 2019-01-22 Quirky Ip Licensing Llc Wrappable extension cord apparatus and related methods
EP2882331A4 (en) 2012-08-08 2016-03-23 Univ Nebraska Robotic surgical devices, systems, and related methods
US9770305B2 (en) 2012-08-08 2017-09-26 Board Of Regents Of The University Of Nebraska Robotic surgical devices, systems, and related methods
US20140235940A1 (en) * 2012-09-13 2014-08-21 Zhejiang Youyi Medical Apparatus Co., Ltd. S-shaped Visible Hard Intubation Core
US9289223B2 (en) 2012-10-27 2016-03-22 Danamed, Inc. Surgical guide instrument and system for ACL reconstruction and method of using same
US8821509B2 (en) 2012-10-27 2014-09-02 Danamed, Inc. Surgical instrument and method of using same
KR102194979B1 (en) * 2012-12-31 2020-12-28 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Surgical staple cartridge with enhanced knife clearance
WO2014108898A1 (en) * 2013-01-08 2014-07-17 M.S.T. Medical Surgery Technologies Ltd. Support and positioner for an endoscope maneuvering system
US9687302B2 (en) 2013-01-08 2017-06-27 Intuitive Surgical Operations, Inc. Surgical instruments having improved wear resistance, and methods of making the same
JP6321047B2 (en) 2013-02-15 2018-05-09 インテュイティブ サージカル オペレーションズ， インコーポレイテッド System and method for proximal control of surgical instruments
WO2014134304A1 (en) * 2013-02-28 2014-09-04 Intuitive Surgical Operations, Inc. Surgical instrument with curved jaws for surgical system
US9314308B2 (en) 2013-03-13 2016-04-19 Ethicon Endo-Surgery, Llc Robotic ultrasonic surgical device with articulating end effector
US20140296869A1 (en) 2013-03-14 2014-10-02 Intuitive Surgical Operations, Inc. Surgical instrument shaft
US9888966B2 (en) 2013-03-14 2018-02-13 Board Of Regents Of The University Of Nebraska Methods, systems, and devices relating to force control surgical systems
US9743987B2 (en) 2013-03-14 2017-08-29 Board Of Regents Of The University Of Nebraska Methods, systems, and devices relating to robotic surgical devices, end effectors, and controllers
US10667883B2 (en) 2013-03-15 2020-06-02 Virtual Incision Corporation Robotic surgical devices, systems, and related methods
EP2967512B1 (en) 2013-03-15 2019-11-06 Applied Medical Resources Corporation Mechanical gel surgical access device
CN113331951A (en) 2013-03-18 2021-09-03 直观外科手术操作公司 Surgical instrument drive elements, and related devices, systems, and methods
US9387045B2 (en) 2013-05-14 2016-07-12 Intuitive Surgical Operations, Inc. Grip force normalization for surgical instrument
CN108095826B (en) * 2013-05-15 2021-04-30 直观外科手术操作公司 Force transmission mechanism for teleoperated surgical system
JP6479790B2 (en) * 2013-07-17 2019-03-06 ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ Robotic surgical device, system and related methods
US10550918B2 (en) 2013-08-15 2020-02-04 Intuitive Surgical Operations, Inc. Lever actuated gimbal plate
WO2015023772A1 (en) 2013-08-15 2015-02-19 Intuitive Surgical Operations, Inc. Surgical instruments and methods of cleaning surgical instruments
WO2015023888A1 (en) * 2013-08-15 2015-02-19 Intuitive Surgical Operations, Inc. Instrument shaft for computer-assisted surgical system
US10076348B2 (en) 2013-08-15 2018-09-18 Intuitive Surgical Operations, Inc. Rotary input for lever actuation
CN105744909B (en) 2013-08-15 2019-05-10 直观外科手术操作公司 The reusable surgical instrument of end and integrated end covering with single use
US10688284B2 (en) 2013-11-22 2020-06-23 Massachusetts Institute Of Technology Steering techniques for surgical instruments
USD748297S1 (en) * 2013-12-02 2016-01-26 Bonshine Optical Electron Technology Co., Ltd. LED bulb
JP6358811B2 (en) * 2014-02-13 2018-07-18 オリンパス株式会社 Manipulator and manipulator system
KR20230056068A (en) 2014-02-21 2023-04-26 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Articulatable members having constrained motion, and related devices and methods
WO2015127231A1 (en) 2014-02-21 2015-08-27 Intuitive Surgical Operations, Inc. Mechanical joints, and related systems and methods
EP3753509B1 (en) 2014-03-17 2023-11-29 Intuitive Surgical Operations, Inc. Cannula seal assembly
US10456208B2 (en) 2014-03-17 2019-10-29 Intuitive Surgical Operations, Inc. Surgical cannula mounts and related systems and methods
JP6680686B2 (en) 2014-03-17 2020-04-15 インテュイティブ サージカル オペレーションズ， インコーポレイテッド System including surgical drape and surgical drape and mounting sensor
CN110811778B (en) 2014-03-17 2024-03-15 直观外科手术操作公司 Surgical cannula and related systems and methods for identifying surgical cannula
US10441372B2 (en) 2014-03-17 2019-10-15 Intuitive Surgical Operations, Inc. Manipulator arm having connection interface, and related devices and systems
US10285763B2 (en) 2014-04-02 2019-05-14 Intuitive Surgical Operations, Inc. Actuation element guide with twisting channels
CA3193139A1 (en) 2014-05-05 2015-11-12 Vicarious Surgical Inc. Virtual reality surgical device
CN104000637B (en) * 2014-05-29 2016-06-15 清华大学 A kind of in-vivo tissue is directly repaired and the medical system shaped
US11045904B2 (en) 2014-08-08 2021-06-29 Intuitive Surgical Operations, Inc. Surgical cannulas and methods of manufacturing surgical cannulas
KR102443834B1 (en) * 2014-08-15 2022-09-19 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Force transmission mechanism for surgical instrument, and related systems and methods
CA2961213A1 (en) 2014-09-12 2016-03-17 Board Of Regents Of The University Of Nebraska Quick-release end effectors and related systems and methods
US11357483B2 (en) * 2014-09-26 2022-06-14 Intuitive Surgical Operations, Inc. Surgical instrument with flexible shaft and actuation element guide
KR20170076690A (en) * 2014-09-30 2017-07-04 메사추세츠 인스티튜트 오브 테크놀로지 Instruments for minimally invasive surgical procedures
DE102014219930A1 (en) 2014-10-01 2016-04-07 Richard Wolf Gmbh Medical device
EP3912610B1 (en) 2014-10-27 2023-03-15 Intuitive Surgical Operations, Inc. System for registering to a surgical table
WO2016069659A1 (en) 2014-10-27 2016-05-06 Intuitive Surgical Operations, Inc. System and method for instrument disturbance compensation
EP3212105A4 (en) 2014-10-27 2018-07-11 Intuitive Surgical Operations, Inc. System and method for monitoring control points during reactive motion
JP6644061B2 (en) 2014-10-27 2020-02-12 インテュイティブ サージカル オペレーションズ， インコーポレイテッド Medical device with active brake release control device
WO2016069648A1 (en) 2014-10-27 2016-05-06 Intuitive Surgical Operations, Inc. System and method for integrated surgical table
KR102479015B1 (en) 2014-10-27 2022-12-20 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 System and method for integrated surgical table motion
EP4286104A3 (en) 2014-11-11 2024-02-14 Board of Regents of the University of Nebraska Robotic device with compact joint design and related systems and methods
EP3285676B1 (en) 2015-04-22 2022-07-27 Intuitive Surgical Operations, Inc. Tension regulator for actuation elements, and related remotely actuated instruments, and systems
KR101700885B1 (en) 2015-06-23 2017-02-01 한국과학기술연구원 Robot system for operation using a plurality of tube continuum
JP6961146B2 (en) 2015-08-03 2021-11-05 バーチャル インシジョン コーポレイションVirtual Incision Corporation Robotic surgical devices, systems and related methods
EP3349675B1 (en) 2015-09-15 2020-10-21 Applied Medical Resources Corporation Surgical robotic access system
WO2017156070A1 (en) 2016-03-09 2017-09-14 Intuitive Surgical Operations, Inc. Force transmission mechanism for surgical instrument, and related devices, systems, and methods
JP6902044B2 (en) 2016-03-17 2021-07-14 インテュイティブ サージカル オペレーションズ， インコーポレイテッド Systems and methods for instrument insertion control
JP7176757B2 (en) 2016-05-18 2022-11-22 バーチャル インシジョン コーポレイション ROBOTIC SURGICAL DEVICES, SYSTEMS AND RELATED METHODS
CN114767266A (en) 2016-06-09 2022-07-22 直观外科手术操作公司 Computer-assisted teleoperation surgical system and method
WO2018005636A1 (en) * 2016-07-01 2018-01-04 Intuitive Surgical Operations, Inc. Computer-assisted tele-operated surgery systems and methods
CN109069215B (en) 2016-07-14 2022-07-15 直观外科手术操作公司 System and method for controlling a surgical instrument
WO2018013187A1 (en) 2016-07-14 2018-01-18 Intuitive Surgical Operations, Inc. Instrument release
EP3484406B1 (en) 2016-07-14 2024-02-28 Intuitive Surgical Operations, Inc. Instrument flushing system
WO2018013298A1 (en) 2016-07-14 2018-01-18 Intuitive Surgical Operations, Inc. Geared grip actuation for medical instruments
US11883123B2 (en) 2016-07-14 2024-01-30 Intuitive Surgical Operations, Inc. Mechanism for managing and retaining a surgical drape
WO2018013316A1 (en) 2016-07-14 2018-01-18 Intuitive Surgical Operations, Inc. Geared roll drive for medical instrument
CN109688960B (en) 2016-07-14 2022-04-01 直观外科手术操作公司 Multi-cable medical instrument
WO2018039606A1 (en) 2016-08-25 2018-03-01 Virtual Incision Corporation Quick-release tool coupler and related systems and methods
EP3507065A4 (en) 2016-08-30 2020-04-29 Board of Regents of the University of Nebraska Robotic device with compact joint design and an additional degree of freedom and related systems and methods
CN106137399B (en) * 2016-08-31 2018-09-04 北京术锐技术有限公司 A kind of operating robot integrated control system based on embedded computer
AU2017324450B2 (en) * 2016-09-12 2022-09-29 Applied Medical Resources Corporation Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments
WO2018057690A1 (en) 2016-09-22 2018-03-29 Intuitive Surgical Operations, Inc. Tension regulation of remotely actuated instruments, and related devices, systems, and methods
CN110139592B (en) 2016-11-09 2022-02-01 俐娜医疗国际运营公司 Device for use in hysteroscopy
JP2018075218A (en) * 2016-11-10 2018-05-17 ソニー株式会社 Medical support arm and medical system
US11399886B2 (en) 2016-11-11 2022-08-02 Intuitive Surgical Operations, Inc. Surgical instruments, related systems, and related methods
US11166744B2 (en) 2016-11-14 2021-11-09 Intuitive Surgical Operations, Inc. Electrically conductive reducer device, related systems, and related methods
CN110198681B (en) 2016-11-21 2022-09-13 直观外科手术操作公司 Medical instrument with constant cable length
CN115337111A (en) 2016-11-22 2022-11-15 内布拉斯加大学董事会 Improved coarse positioning apparatus and related systems and methods
CN110462259B (en) 2016-11-29 2022-10-28 虚拟切割有限公司 User controller with user presence detection and related systems and methods
EP3576596A4 (en) 2016-12-02 2021-01-06 Vanderbilt University Steerable endoscope with continuum manipulator
WO2018112199A1 (en) 2016-12-14 2018-06-21 Virtual Incision Corporation Releasable attachment device for coupling to medical devices and related systems and methods
US10624671B2 (en) * 2016-12-21 2020-04-21 Ethicon Llc Trocar attachment devices and methods
US10617858B2 (en) 2017-01-24 2020-04-14 Intuitive Surgical Operations, Inc. Surgical port features with electrically conductive portions, related devices, and related methods
US11235133B2 (en) 2017-01-24 2022-02-01 Intuitive Surgical Operations, Inc. Surgical instrument ports configured for use with wound retractors, and related devices and methods
WO2018148030A1 (en) * 2017-02-08 2018-08-16 Intuitive Surgical Operations, Inc. Control of computer-assisted tele-operated systems
EP3579736A4 (en) 2017-02-09 2020-12-23 Vicarious Surgical Inc. Virtual reality surgical tools system
US10357321B2 (en) 2017-02-24 2019-07-23 Intuitive Surgical Operations, Inc. Splayed cable guide for a medical instrument
US11076926B2 (en) 2017-03-21 2021-08-03 Intuitive Surgical Operations, Inc. Manual release for medical device drive system
US10568619B2 (en) 2017-06-29 2020-02-25 Ethicon Llc Surgical port with wound closure channels
US11389192B2 (en) 2017-06-29 2022-07-19 Cilag Gmbh International Method of suturing a trocar path incision
WO2019008709A1 (en) 2017-07-05 2019-01-10 オリンパス株式会社 Insertion assisting system
EP4115823A1 (en) 2017-08-11 2023-01-11 Intuitive Surgical Operations, Inc. Medical apparatus with optical sensing
US10967504B2 (en) 2017-09-13 2021-04-06 Vanderbilt University Continuum robots with multi-scale motion through equilibrium modulation
CA3075692A1 (en) 2017-09-14 2019-03-21 Vicarious Surgical Inc. Virtual reality surgical camera system
JP7405432B2 (en) 2017-09-27 2023-12-26 バーチャル インシジョン コーポレイション Robotic surgical device with tracking camera technology and related systems and methods
SG11202004166TA (en) * 2017-11-09 2020-06-29 Endomaster Pte Ltd Endoscopy system
CN111480059B (en) 2017-11-14 2022-10-04 直观外科手术操作公司 Separated bridge circuit force sensor
US10675107B2 (en) 2017-11-15 2020-06-09 Intuitive Surgical Operations, Inc. Surgical instrument end effector with integral FBG
US20200383739A1 (en) 2017-12-14 2020-12-10 Intuitive Surgical Operations, Inc. Medical tools having tension bands
EP3735341A4 (en) 2018-01-05 2021-10-06 Board of Regents of the University of Nebraska Single-arm robotic device with compact joint design and related systems and methods
US11497567B2 (en) 2018-02-08 2022-11-15 Intuitive Surgical Operations, Inc. Jointed control platform
US11118661B2 (en) 2018-02-12 2021-09-14 Intuitive Surgical Operations, Inc. Instrument transmission converting roll to linear actuation
US11439376B2 (en) 2018-03-07 2022-09-13 Intuitive Surgical Operations, Inc. Low-friction, small profile medical tools having easy-to-assemble components
KR102206647B1 (en) * 2018-06-12 2021-01-22 (주)미래컴퍼니 Robot arm structure and manipulator for surgical robot comprising the same
CN109330698B (en) * 2018-07-31 2020-09-08 深圳市精锋医疗科技有限公司 Slave operating device assembly with endoscope and surgical robot
JP6741731B2 (en) 2018-08-28 2020-08-19 株式会社メディカロイド Robot surgical instrument and assembling method thereof
JP7427654B2 (en) 2018-09-17 2024-02-05 オーリス ヘルス インコーポレイテッド Systems and methods for performing associated medical procedures
WO2020102778A1 (en) 2018-11-15 2020-05-22 Intuitive Surgical Operations, Inc. Strain sensor with contoured deflection surface
CA3125742A1 (en) 2019-01-07 2020-07-16 Virtual Incision Corporation Robotically assisted surgical system and related devices and methods
JP6870010B2 (en) * 2019-01-21 2021-05-12 株式会社メディカロイド Surgical system and support device
EP3705074A1 (en) 2019-03-08 2020-09-09 MAKO Surgical Corp. Systems and methods for controlling movement of a surgical tool along a predefined path
CN112386331A (en) * 2019-08-12 2021-02-23 新加坡国立大学 Power support and transmission device
USD938581S1 (en) * 2020-02-20 2021-12-14 Intuitive Surgical Operations, Inc. Tool for installation and/or removal of instrument tip cover
WO2021173541A1 (en) 2020-02-24 2021-09-02 Intuitive Surgical Operations, Inc. Systems and methods for registration feature integrity checking
CN112057172B (en) * 2020-09-10 2022-02-11 苏州大学 Minimally invasive surgery robot
USD1022197S1 (en) 2020-11-19 2024-04-09 Auris Health, Inc. Endoscope
JP2024504932A (en) 2021-01-13 2024-02-02 モンテ ローザ セラピューティクス， インコーポレイテッド isoindolinone compound
CN112890955B (en) * 2021-01-18 2022-08-30 山东大学 Operation arm system of transluminal surgical robot, robot and method
CN113069212B (en) * 2021-04-06 2023-02-03 山东威高手术机器人有限公司 Main operation arm for surgical robot
DE102021119518A1 (en) * 2021-07-28 2023-02-02 Karl Storz Se & Co. Kg Shaft for a medical instrument with a guide profile, medical instrument, robot and method for producing a shank
CN113440262B (en) * 2021-08-12 2023-02-17 吉林大学 Abdominal cavity minimally invasive surgery robot
US20230103005A1 (en) * 2021-09-29 2023-03-30 Cilag Gmbh International Methods for Controlling Cooperative Surgical Instruments
US20230107857A1 (en) 2021-09-29 2023-04-06 Cilag Gmbh International Surgical sealing devices for a natural body orifice
WO2023052931A1 (en) 2021-09-29 2023-04-06 Cilag Gmbh International Surgical sealing systems for instrument stabilization
EP4216846A1 (en) 2021-09-29 2023-08-02 Cilag GmbH International Surgical systems with port devices for instrument control
WO2023052932A1 (en) 2021-09-29 2023-04-06 Cilag Gmbh International Surgical sealing devices for a natural body orifice
US20230100698A1 (en) 2021-09-29 2023-03-30 Cilag Gmbh International Methods for Controlling Cooperative Surgical Instruments
US20230157774A1 (en) * 2021-11-23 2023-05-25 Mazor Robotics Ltd. Multiple end effector interfaces coupled with different kinematics
US20230404692A1 (en) * 2022-06-21 2023-12-21 Mazor Robotics Ltd. Cost effective robotic system architecture

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5402793A (en) * 1993-11-19 1995-04-04 Advanced Technology Laboratories, Inc. Ultrasonic transesophageal probe for the imaging and diagnosis of multiple scan planes
WO1997012557A1 (en) * 1995-10-06 1997-04-10 Kelleher Brian S Steerable, flexible forceps device
WO1997012558A1 (en) * 1995-10-03 1997-04-10 Kelleher Brian S Flexible forceps device
US20010021859A1 (en) * 2000-02-24 2001-09-13 Toshikazu Kawai Forceps and manipulator with using thereof
US6331181B1 (en) * 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US20050182386A1 (en) * 2004-02-17 2005-08-18 Steen Aggerholm Catheter with stiffening element
EP1870043A2 (en) * 2006-06-21 2007-12-26 Ethicon Endo-Surgery, Inc. Rotation actuator for endoscopic devices
US20080065105A1 (en) * 2006-06-13 2008-03-13 Intuitive Surgical, Inc. Minimally invasive surgical system
US20080177283A1 (en) * 2001-02-15 2008-07-24 Hansen Medical, Inc. Robotically controlled medical instrument
US20090062602A1 (en) * 2007-07-30 2009-03-05 Hansen Medical, Inc. Apparatus for robotic instrument having variable flexibility and torque transmission
US20090149936A1 (en) * 2007-12-05 2009-06-11 Cook Incorporated Reinforced delivery catheter
WO2009102102A1 (en) * 2008-02-15 2009-08-20 Meerecompany Coupling structure of surgical instrument
WO2009120944A2 (en) * 2008-03-27 2009-10-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter manipulator assembly

Family Cites Families (85)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0115361Y2 (en) 1979-02-10 1989-05-09
US4678459A (en) 1984-07-23 1987-07-07 E-Z-Em, Inc. Irrigating, cutting and aspirating system for percutaneous surgery
US4863430A (en) * 1987-08-26 1989-09-05 Surgical Dynamics, Inc. Introduction set with flexible trocar with curved cannula
US5251611A (en) 1991-05-07 1993-10-12 Zehel Wendell E Method and apparatus for conducting exploratory procedures
US5631973A (en) 1994-05-05 1997-05-20 Sri International Method for telemanipulation with telepresence
JP3583777B2 (en) 1992-01-21 2004-11-04 エス・アール・アイ・インターナシヨナル Teleoperator system and telepresence method
US6963792B1 (en) * 1992-01-21 2005-11-08 Sri International Surgical method
US5269772A (en) * 1992-01-24 1993-12-14 Wilk Peter J Laparoscopic cannula assembly and associated method
US5507758A (en) * 1993-08-25 1996-04-16 Inlet Medical, Inc. Insertable suture grasping probe guide, and methodology for using same
US5957832A (en) 1993-10-08 1999-09-28 Heartport, Inc. Stereoscopic percutaneous visualization system
US5798521A (en) 1996-02-27 1998-08-25 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Apparatus and method for measuring strain in bragg gratings
CA2265752A1 (en) 1996-09-16 1998-03-19 Philip S. Green System and method for endosurgery employing conjoint operation of an endoscope and endosurgical instrument
EP2362285B1 (en) 1997-09-19 2015-03-25 Massachusetts Institute of Technology Robotic apparatus
US7169141B2 (en) 1998-02-24 2007-01-30 Hansen Medical, Inc. Surgical instrument
US6843793B2 (en) * 1998-02-24 2005-01-18 Endovia Medical, Inc. Surgical instrument
US7344547B2 (en) * 1998-09-15 2008-03-18 Phavel Systems, Inc. Laparoscopic instruments and trocar systems and related surgical method
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US8527094B2 (en) 1998-11-20 2013-09-03 Intuitive Surgical Operations, Inc. Multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures
US6770081B1 (en) * 2000-01-07 2004-08-03 Intuitive Surgical, Inc. In vivo accessories for minimally invasive robotic surgery and methods
US6424885B1 (en) 1999-04-07 2002-07-23 Intuitive Surgical, Inc. Camera referenced control in a minimally invasive surgical apparatus
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US8287554B2 (en) 1999-06-22 2012-10-16 Ethicon Endo-Surgery, Inc. Method and devices for tissue reconfiguration
US7594912B2 (en) * 2004-09-30 2009-09-29 Intuitive Surgical, Inc. Offset remote center manipulator for robotic surgery
US6551270B1 (en) 2000-08-30 2003-04-22 Snowden Pencer, Inc. Dual lumen access port
US6716226B2 (en) * 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
US7766894B2 (en) * 2001-02-15 2010-08-03 Hansen Medical, Inc. Coaxial catheter system
US20040054355A1 (en) * 2001-05-31 2004-03-18 Intuitive Surgical, Inc. Tool guide and method for introducing an end effector to a surgical site in minimally invasive surgery
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
WO2003001987A2 (en) 2001-06-29 2003-01-09 Intuitive Surgical, Inc. Platform link wrist mechanism
US6913609B2 (en) * 2001-09-28 2005-07-05 Cardica, Inc. Access port system for anastomosis
JP2003230565A (en) 2002-02-12 2003-08-19 Univ Tokyo Active trocar
AU2003234272A1 (en) * 2002-04-26 2003-11-10 Taut, Inc. Floating seal assembly for a trocar
US7947000B2 (en) 2003-09-12 2011-05-24 Intuitive Surgical Operations, Inc. Cannula system for free-space navigation and method of use
US7988679B2 (en) 2003-03-18 2011-08-02 Navilyst Medical, Inc. Pressure responsive slit valve assembly for a plurality of fluids and uses thereof
US7974681B2 (en) 2004-03-05 2011-07-05 Hansen Medical, Inc. Robotic catheter system
US7781724B2 (en) 2004-07-16 2010-08-24 Luna Innovations Incorporated Fiber optic position and shape sensing device and method relating thereto
US20060013523A1 (en) 2004-07-16 2006-01-19 Luna Innovations Incorporated Fiber optic position and shape sensing device and method relating thereto
US8961407B2 (en) * 2004-07-21 2015-02-24 Covidien Lp Surgical port assembly
US7904202B2 (en) * 2004-10-25 2011-03-08 University Of Dayton Method and system to provide improved accuracies in multi-jointed robots through kinematic robot model parameters determination
US7785252B2 (en) * 2004-11-23 2010-08-31 Novare Surgical Systems, Inc. Articulating sheath for flexible instruments
US7341061B2 (en) 2004-12-15 2008-03-11 Scott Douglas Wood Tracheostomy system
WO2006100658A2 (en) 2005-03-22 2006-09-28 Atropos Limited A surgical instrument
US7752920B2 (en) 2005-12-30 2010-07-13 Intuitive Surgical Operations, Inc. Modular force sensor
US8496647B2 (en) 2007-12-18 2013-07-30 Intuitive Surgical Operations, Inc. Ribbed force sensor
US8375808B2 (en) * 2005-12-30 2013-02-19 Intuitive Surgical Operations, Inc. Force sensing for surgical instruments
US8945095B2 (en) 2005-03-30 2015-02-03 Intuitive Surgical Operations, Inc. Force and torque sensing for surgical instruments
US20060247500A1 (en) 2005-04-08 2006-11-02 Voegele James W Surgical access device
US7930065B2 (en) 2005-12-30 2011-04-19 Intuitive Surgical Operations, Inc. Robotic surgery system including position sensors using fiber bragg gratings
EP1815949A1 (en) 2006-02-03 2007-08-08 The European Atomic Energy Community (EURATOM), represented by the European Commission Medical robotic system with manipulator arm of the cylindrical coordinate type
US9011319B2 (en) 2006-03-03 2015-04-21 Axcess Instruments, Inc. Conical laparoscopic apparatus for minimally invasive surgery
US9820771B2 (en) * 2006-03-03 2017-11-21 Axcess Instruments Inc. Apparatus and method for minimally invasive surgery
US8926506B2 (en) 2009-03-06 2015-01-06 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8425410B2 (en) * 2008-09-30 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical access device with protective element
US20100081883A1 (en) * 2008-09-30 2010-04-01 Ethicon Endo-Surgery, Inc. Methods and devices for performing gastroplasties using a multiple port access device
US8206294B2 (en) * 2008-09-30 2012-06-26 Ethicon Endo-Surgery, Inc. Surgical access device with flexible seal channel
CA2650474A1 (en) * 2006-04-24 2007-11-08 Synecor, Llc Natural orifice surgical system
US20070282266A1 (en) 2006-05-31 2007-12-06 Philip Davidson Bifurcated endoscopy cannula
ES2298051B2 (en) 2006-07-28 2009-03-16 Universidad De Malaga ROBOTIC SYSTEM OF MINIMALLY INVASIVE SURGERY ASSISTANCE ABLE TO POSITION A SURGICAL INSTRUMENT IN RESPONSE TO THE ORDER OF A SURGEON WITHOUT FIXING THE OPERATING TABLE OR PRIOR CALIBRATION OF THE INSERT POINT.
EP3189807B1 (en) 2006-10-06 2019-04-24 Covidien LP Endoscopic vessel sealer and divider having a flexible articulating shaft
US8840621B2 (en) * 2006-11-03 2014-09-23 Innovative Spine, Inc. Spinal access systems and methods
AU2008233166B2 (en) * 2007-03-30 2013-05-16 Covidien Lp Laparoscopic port assembly
US9596980B2 (en) * 2007-04-25 2017-03-21 Karl Storz Endovision, Inc. Endoscope system with pivotable arms
US20080314181A1 (en) 2007-06-19 2008-12-25 Bruce Schena Robotic Manipulator with Remote Center of Motion and Compact Drive
WO2009035663A2 (en) * 2007-09-12 2009-03-19 Synecor, Llc Multi-instrument access devices and systems
WO2009035650A2 (en) * 2007-09-12 2009-03-19 Synecor, Llc. Device for minimally invasive surgical procedures
US20100100043A1 (en) * 2007-10-05 2010-04-22 Racenet Danyel J Flexible Access Device For Use In Surgical Procedure
KR101511497B1 (en) * 2007-10-05 2015-04-13 코비디엔 엘피 Seal anchor for use in surgical procedures
US8561473B2 (en) 2007-12-18 2013-10-22 Intuitive Surgical Operations, Inc. Force sensor temperature compensation
ES2324267B1 (en) 2007-12-20 2010-05-24 Eduardo Sanchez De Badajoz Chamorro SURGICAL APPARATUS OF LAPAROSCOPY AND ENDOSCOPY.
ES2822103T3 (en) * 2008-01-22 2021-04-29 Applied Med Resources Surgical instrument access device
EP2837344B1 (en) * 2008-01-25 2016-07-13 Applied Medical Resources Corporation Insufflating access system
US8858528B2 (en) * 2008-04-23 2014-10-14 Ncontact Surgical, Inc. Articulating cannula access device
US10406026B2 (en) 2008-05-16 2019-09-10 The Johns Hopkins University System and method for macro-micro distal dexterity enhancement in micro-surgery of the eye
US8628539B2 (en) 2008-09-05 2014-01-14 Innovia, Llc Flexible disposable surgical port
KR20100040633A (en) 2008-10-10 2010-04-20 정창욱 Port and port assembly for use with tool for minimally invasive surgery, and method of using same port and port assembly
US8037591B2 (en) * 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8323184B2 (en) * 2009-03-31 2012-12-04 Covidien Lp Surgical access port and associated introducer mechanism
US8317690B2 (en) 2009-03-31 2012-11-27 Covidien Lp Foam port and introducer assembly
US9078695B2 (en) 2009-06-05 2015-07-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity using a surgical access device with modular seal components
US20110028793A1 (en) * 2009-07-30 2011-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8465476B2 (en) * 2009-09-23 2013-06-18 Intuitive Surgical Operations, Inc. Cannula mounting fixture
US20110071541A1 (en) * 2009-09-23 2011-03-24 Intuitive Surgical, Inc. Curved cannula
US8623028B2 (en) 2009-09-23 2014-01-07 Intuitive Surgical Operations, Inc. Surgical port feature
US8888789B2 (en) * 2009-09-23 2014-11-18 Intuitive Surgical Operations, Inc. Curved cannula surgical system control
US8551115B2 (en) 2009-09-23 2013-10-08 Intuitive Surgical Operations, Inc. Curved cannula instrument

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5402793A (en) * 1993-11-19 1995-04-04 Advanced Technology Laboratories, Inc. Ultrasonic transesophageal probe for the imaging and diagnosis of multiple scan planes
WO1997012558A1 (en) * 1995-10-03 1997-04-10 Kelleher Brian S Flexible forceps device
WO1997012557A1 (en) * 1995-10-06 1997-04-10 Kelleher Brian S Steerable, flexible forceps device
US6331181B1 (en) * 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US20010021859A1 (en) * 2000-02-24 2001-09-13 Toshikazu Kawai Forceps and manipulator with using thereof
US20080177283A1 (en) * 2001-02-15 2008-07-24 Hansen Medical, Inc. Robotically controlled medical instrument
US20050182386A1 (en) * 2004-02-17 2005-08-18 Steen Aggerholm Catheter with stiffening element
US20080065105A1 (en) * 2006-06-13 2008-03-13 Intuitive Surgical, Inc. Minimally invasive surgical system
EP1870043A2 (en) * 2006-06-21 2007-12-26 Ethicon Endo-Surgery, Inc. Rotation actuator for endoscopic devices
US20090062602A1 (en) * 2007-07-30 2009-03-05 Hansen Medical, Inc. Apparatus for robotic instrument having variable flexibility and torque transmission
US20090149936A1 (en) * 2007-12-05 2009-06-11 Cook Incorporated Reinforced delivery catheter
WO2009102102A1 (en) * 2008-02-15 2009-08-20 Meerecompany Coupling structure of surgical instrument
WO2009120944A2 (en) * 2008-03-27 2009-10-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter manipulator assembly

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