Abstract: Provided herein is a surgical instrument comprising a cap having a first and second aperture extending therethrough, a first extendable and retractable member having a distal end coupled to a first coupling, a first arm extending from the first coupling and pivotable with respect to the distal end of the first member, and a second arm connected to the first arm through a second coupling and pivotable, with respect to the first arm, a second extendable and retractable member having a distal end coupled to a third coupling, a third arm extending from the second coupling, the third arm pivotable, with respect to the distal end of the second member, and a fourth arm connected to the third arm through a fourth coupling and pivotable, with respect to the third arm, a first end effector connected to the second arm and a second end effector connected to the fourth arm.

Abstract: Provided herein is a mechanism to controllably move a wire within a flexible tubular member, the wire including opposed wire ends extending outwardly of a proximal end of the flexible tubular member, comprising a drive mechanism and a coupling located between the drive mechanism and the wire end, wherein movement of the coupling in the direction of the wire end results in opposed motion of the wire end.

Abstract: An instrument cart configured to position an instrument controller at a desired location and attitude pitch with respect to an incision location of a patient includes a base, a lift member moveable with respect to the base, a first planar translation member connected to the lift member and arcuately moveable with respect thereto, a second planar translation member connected to the first planar translation member and arcuately moveable with respect thereto, a third planar translation member connected to the second planar translation member and arcuately moveable with respect thereto, an arcuate slide base connected to the third planar translation member and moveable with respect thereto and an arcuate slide coupled to the arcuate slide base, and moveable with respect thereto; and an instrument controller coupling connected to the arcuate slide member, the instrument controller connected thereto and movable with respect thereto.

Abstract: A patient console for a robotic surgical system can include a base, and a positioning assembly attached to the base and configured to position an instrument controller assembly. The positioning assembly includes a remote control device operatively connected to the positioning assembly to control movement of one or more portions of the positioning assembly such that a user is capable of having a direct line-of-sight of a patient when using the remote control device.

Abstract: A controller adapter system for a robotic surgical instrument controller assembly can include an instrument controller having a housing and one or more controller actuators. The housing can be configured to receive a drape opening structure on the housing. The system can include an inner drape adapter configured to mount to the instrument controller and extend distally from the instrument controller. The inner drape adapter can include one or more adapter actuators configured to receive actuation from the one or more controller actuators at a proximal side thereof, and to transmit the actuation to a distal side thereof. The system can include an outer drape adapter configured to axially retain the inner drape adapter to the instrument controller. The outer drape adapter can be configured to sandwich the drape opening structure to the housing of the instrument controller.

Abstract: A method can include inserting a first device into a body lumen having a bend, sliding a first sheath having a first sheath diameter over first device, sliding a second sheath having a second sheath diameter larger than the first sheath diameter over the first device, and navigating the first device through and beyond the bend. The method can also include at least partially straightening the first device to at least partially straighten the bend, removing the first device and the first sheath from the body lumen, leaving the second sheath in place within the at least partially straightened bend, and introducing a second device into the second sheath to navigate the second device through the at least partially straightened bend to an opening of the second sheath.

Abstract: A patient cart for a robot surgical system can include a mobile base having a frame adapted and configured to support a medical robot, one or more motive devices operatively connected to the frame, and one or more motors connected to the motive devices to drive the motive devices to move the frame. The patient cart can include a drive control interface connected to the frame and configured to sense a user input and to operate the one or more motors to move the one or more motive devices as a function of the user input.

Abstract: A patient console for a robotic surgical system can include a base, a vertical lift attached to a top of the base and configured to provide up and down motion in a vertical axis, a yaw rotation device attached to the top of the vertical lift and configured to provide a yaw rotation about the vertical axis, a pitch rotation device attached to the top of the yaw rotation device and configured to provide a pitch rotation about a pitch axis orthogonal to the vertical axis, a translation device attached to the top of the pitch rotation device and configured to provide sliding translation along a translation axis, and a roll rotation device attached to the translation device to roll relative to the translation device about a roll axis to provide a roll to an instrument controller assembly. An angle of the translation axis and the roll axis relative to horizontal can be a function of the pitch rotation provided by the pitch rotation device.

Abstract: A controller system for a robotic surgical system can include a first instrument controller comprising a first plurality of motors configured to steer a first attachable robotically controlled medical device, a second instrument controller comprising a second plurality of motors configured to steer a second attachable robotically controlled medical device, and a camera controller comprising a plurality of motors and configured to steer an attachable robotically controlled endoscopic camera.

Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.

Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.

Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.

Abstract: Provided herein as a steerable surgical robotic system for positioning a catheter comprising a sheath and a guidewire within a patient body, including a sheath driver configured to advance and retract a sheath having a hollow interior along a sheath advance and retract path extending therein, a guidewire driver configured to advance and retract a guidewire along a guidewire advance and retract path extending therein, wherein each of the sheath advance and retract path and the guidewire advance and retract path extend between pairs of rollers in the respective sheath and roller drivers, and the paths are parallel to each another.

Abstract: Provided herein as an end effector for a surgical apparatus including a housing having an outer wall and an opening therein, and opposed first and second walls extending along opposite sides of the opening, a first actuator pivotally coupled to the first wall of the housing, a second actuator pivotally coupled to the second wall of the housing, and a coupling disposed within the opening of the housing and between at least a portion of the first and second actuators, the coupling including opposed first and second ends, each end pivotally coupled to a different one of the first and second actuators.

Abstract: Provided herein is a surgical instrument comprising a cap having a first and second aperture extending therethrough, a first extendable and retractable member having a distal end coupled to a first coupling, a first arm extending from the first coupling and pivotable with respect to the distal end of the first member, and a second arm connected to the first arm through a second coupling and pivotable, with respect to the first arm, a second extendable and retractable member having a distal end coupled to a third coupling, a third arm extending from the second coupling, the third arm pivotable, with respect to the distal end of the second member, and a fourth arm connected to the third arm through a fourth coupling and pivotable, with respect to the third arm, a first end effector connected to the second arm and a second end effector connected to the fourth arm.

Abstract: Provided herein is a mechanism to controllably move a wire within a flexible tubular member, the wire including opposed wire ends extending outwardly of a proximal end of the flexible tubular member, comprising a drive mechanism and a coupling located between the drive mechanism and the wire end, wherein movement of the coupling in the direction of the wire end results in opposed motion of the wire end.

Abstract: Provided herein as an end effector for a surgical apparatus including a housing having an outer wall and an opening therein, and opposed first and second walls extending along opposite sides of the opening, a first actuator pivotally coupled to the first wall of the housing, a second actuator pivotally coupled to the second wall of the housing, and a coupling disposed within the opening of the housing and between at least a portion of the first and second actuators, the coupling including opposed first and second ends, each end pivotally coupled to a different one of the first and second actuators.

Abstract: Provided herein as a steerable surgical robotic system for positioning a catheter comprising a sheath and a guidewire within a patient body, including a sheath driver configured to advance and retract a sheath having a hollow interior along a sheath advance and retract path extending therein, a guidewire driver configured to advance and retract a guidewire along a guidewire advance and retract path extending therein, wherein each of the sheath advance and retract path and the guidewire advance and retract path extend between pairs of rollers in the respective sheath and roller drivers, and the paths are parallel to each another.

Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.