INSTRUMENT INTERFACE
A mechanical interface for a robotic medical instrument permits engagement of the instrument and a drive system without causing movement of an actuated portion of the instrument. An instrument interface can include a symmetrical, tapered or cylindrical projection on one of a medical instrument or a drive system and a complementary bore in the other of the drive system or the medical instrument. Symmetry of the projection and the bore allows the projection to be compression fit to the bore regardless of the rotation angle of the drive system relative to the medical instrument.
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Robotically controlled systems such as employed for minimally invasive medical procedures can include large and complex equipment to precisely control and drive relatively small tools or instruments. (As used herein, the terms “robot” or “robotically” and the like include teleoperation or telerobotic aspects.)
Instruments 150 of system 100 can be interchanged by removing one instrument 150 from a drive system 140 and then installing another instrument 150 in place of the instrument removed. The installation process in general requires that the features on disks 153 properly engage complementary features of the drive system 140. However, before installation, the orientations of disks 153 on instrument 150 are generally unknown to patient-side cart 110. Further, equipment such patient-side cart 110 is often covered for a medical procedure by a sterile barrier because of the difficulty in cleaning and sterilizing complex equipment between medical procedures. These sterile barriers can include a sterile adaptor (not shown) that is interposed between docking port 140 and instrument backend 152. For example, above referenced U.S. Pat. No. 7,048,745 and U.S. Pat. No. 7,699,855 to Anderson et al., entitled “Sterile Surgical Adaptor”, which is hereby incorporated by reference in its entirety, describe some exemplary sterile barrier and adaptor systems.
A typical installation process for an instrument 150 involves mounting backend mechanism 152 without regard for the orientations of disks 153 on a drive system 140, possibly with an intervening sterile adaptor. The drive motors in drive system 140 may be then be rotated back and forth multiple times during the installation procedure to ensure that the complementary features mesh with and securely engage each other for operation of the newly installed instrument 150. At some point during the installation process, the drive motors become securely engaged to rotate respective disks 153. However, the instrument 150 being installed may move in an unpredictable manner at times during the installation procedure because the drive motors positively engage respective disks 153 of instrument 150 at different and unpredictable times. Such unpredictable motion is unacceptable when an instrument is inserted in a patient. In general, clear space is required around an instrument 150 to accommodate random movements of the instrument tip during an installation procedure.
SUMMARYIn accordance with an aspect of the invention, a mechanical interface for a robotic medical instrument permits engagement of the instrument and a drive system without causing movement of the tip of the instrument. Accordingly, an instrument can be engaged with the drive system in a patient-side cart after the instrument is manually posed in a desired configuration or even after the instrument has been inserted for a medical procedure. This permits manual insertion of an instrument followed by robotic control of the instrument.
In one embodiment, an instrument interface includes a symmetrical, tapered or cylindrical projection on one of a medical instrument and a drive system (potentially including a sterile barrier) and a complementary bore in the other of the drive system or the instrument. With cylindrical projection and bore, the diameter of the bore can contract, for example, using the tension in a tendon wrapped around the mechanical element containing the bore, to reduce the diameter of the bore and provide the instrument with frictional forces sufficient to transmit driving torque to the medical instrument. In any case, symmetry of the projection and the bore allows the projection to be compression fit into the bore regardless of the rotation angle of the drive system relative to the instrument.
In one specific embodiment of the invention, a system includes a medical instrument and a drive system. The medical instrument includes a rotatable element that when rotated actuates the medical instrument. The drive system has an interface configured to releasably engage the medical instrument, and a first feature of the rotatable element and a second feature of the interface are shaped to engage each other without inducing rotation that actuates the medical instrument.
Another embodiment of the invention is a medical instrument. The medical instrument includes an actuated structure and a mechanical element connected so that rotation of the mechanical element actuates the actuated structure. The mechanical element has an engagement feature shaped such that for any pose of the actuated structure, the engagement feature can engage a complementary engagement feature on a drive system without inducing rotation that actuates the actuated structure.
Yet another embodiment of the invention is a drive system for a medical instrument. The drive system includes a motor; and an interface coupled to the motor and configured to releasably engage the medical instrument so that rotation of the motor actuates the medical instrument. The interface includes an engagement feature shaped such that for any pose of the medical instrument, the engagement feature can engage a complementary engagement feature of the medical instrument without inducing rotation that actuates the medical instrument.
Still another embodiment of the invention is a method for engaging a medical instrument and a drive system. The method includes bringing a first feature on a rotatable element of the medical instrument into contact with a second feature on a drive element of the drive system without rotating either of the elements. An engagement force is then applied to create friction between the rotatable element and the drive element without rotating either of the elements. When thus engaged, the drive system can be operated to actuate the medical instrument, and the friction transfers torque that the drive system applies to the first rotatable element to the second rotatable element and thereby actuates the mechanical instrument.
Use of the same reference symbols in different figures indicates similar or identical items.
DETAILED DESCRIPTIONIn accordance with an aspect of the invention, a medical instrument can be installed on and engaged with a drive system without actuating or otherwise moving the joints or tip of the instrument. Engagement without actuation can be implemented using symmetric mechanical elements that securely engage through compression or friction to maintain the relative orientation of a drive mechanism and the mechanical interface of the instrument. In one embodiment, a symmetric tapered shaft of a drive system or a backend mechanism fits into a symmetric tapered bore or slot in a mechanical element of the backend mechanism or drive system, and friction maintains the orientation of the shaft and the slotted mechanical element. In another specific embodiment, a symmetric shaft can be inserted into a mechanical element containing a bore that contracts in diameter to securely hold the relative orientation of the shaft and the mechanical element. For example, a shaft of a drive motor can fit into a bore within a capstan that is sufficiently flexible that tension in a tendon wrapped around the capstan causes the bore to collapse onto the shaft. The ability to install an instrument without actuating the instrument allows posing of the instrument in a desired configuration before the instrument is installed on a drive system and allows installation of an instrument after the instrument has been inserted into a cannula or even into a patient.
Tapered shafts 230 can be simple, low cost, and robust mechanical elements that are precisely machined using conventional techniques to produce a tapered shape with a circular cross-section. Many types of tapers could be employed on tapered shafts 230. For example, Morse tapers with or without an end tang or guide could be used. Tapered shafts 230 are free to spin on their axis and are symmetric about their respective rotation axes, i.e., have circular cross-sections.
Each tapered shaft 220 is further shaped to fit into a complementary tapered hole 250 or slot in a mechanical element 260 of backend mechanism 210. Mechanical element 260 may be, for example, a hollowed-out spindle having a tapered hole 250 that matches the shape of the corresponding tapered shaft 230 and in particular has circular cross-sections matching those of tapered shafts 220. More generally, tapered holes 250 can be formed in any mechanical elements 260 of instrument backend 210 that are free to spin on their axis, where a mechanical transmission system of backend mechanism 210 converts the rotations of the slotted mechanical elements 260 into movements of tendons 155 and instrument tip 156. For example,
Instrument engagement using the system of
Control of medical instrument 200 after engagement of backend mechanism 210 and drive system 220 can be based on a measurement of the pose (e.g., the positions of joints) of medical instrument 210 and measurements of the rotation angles of each of motors 240. Alternatively, a control process using differences between measured and desired instrument pose or configuration could be employed. U.S. patent application Ser. No. 12/945,734, entitled, “Tension Control in Actuation of Multi-Joint Medical Instruments” and U.S. patent application Ser. No. 12/780,417, entitled “Drive Force Control in Medical Instrument Providing Position Measurements” describe exemplary systems for control of medical instruments and are hereby incorporated by reference in their entirety.
In accordance with another aspect of the invention, a motor in a drive system can operate a mechanical element of a backend mechanism through a frictional engagement created by radial compression of a hole or bore in a mechanical element.
The process of engaging the instrument on a drive system including motor 240 may further begin with tendon 655 being sufficiently relaxed so that shaft 630 (with or without an interposed portion of a sterile barrier) can slide into the bore of mechanical element 660, without any rotation of mechanical element 660. Shaft 630 and the bore of mechanical element 660 can be symmetrical (e.g., have a circular cross-section) so that shaft 630 can be inserted into mechanical element 660 regardless of the relative orientation of shaft 630 and mechanical element 660. A mechanism within the backend mechanism can then increase or apply the pre-tension to tendon 655 to cause the wraps of tendon 655 to clamp flexible mechanical element 660 on shaft 630. For example, displacing a capstan in a proximal direction relative to the body of an instrument can increase the tension in both ends of a tendon extending from the capstan, causing opposing torques on a joint coupled to the ends of tendon 655. As a result, no joint movement occurs when the tension is increased. Alternatively, when only one end of tendon 655 attaches to an articulated joint, pre-tension in tendon 655 can be preset to permit insertion of shaft 630 (with at least one smooth, cylindrical interface between the capstan, sterile barrier, and input shaft) into capstan 660, so that capstan 660 couples more strongly to shaft 630 when driven in a direction that increases tension in tendon 655. Capstan 660 may then be permitted to slip relative to shaft 630 when driven in the reverse direction.
Motor shaft 630 and the bore of mechanical element 660 do not have tapering that accommodates misalignment in the same manner as embodiments of the invention using tapered shafts and holes. However, compliance can be provided in shaft 630 or capstan 660 to accommodate initial misalignment of motor 240 and capstan 660 during an engagement process.
Although the invention has been described with reference to particular embodiments, the description is only an example of the invention's application and should not be taken as a limitation. Various adaptations and combinations of features of the embodiments disclosed are within the scope of the invention as defined by the following claims.
Claims
1. A system comprising:
- a medical instrument that includes a rotatable element having a first feature, wherein rotation of the rotatable element actuates the medical instrument; and
- a drive system having an interface configured to releasably engage the medical instrument, wherein the interface includes a drive element with a second feature, and the first and second features are shaped to engage each other without inducing rotation that actuates the medical instrument.
2. The system of claim 1, wherein for any pose of the medical instrument, the first and the second features engage each other without rotation.
3. The system of claim 1, wherein friction between the first engagement feature and the second engagement feature permits the drive system to rotate the rotatable element to actuate the medical instrument.
4. The system of claim 1, further comprising a sensor configured to measure a pose of the medical instrument upon engagement of the medical instrument and the drive system.
5. The system of claim 1, wherein each of the first and the second features has a circular cross-section.
6. The system of claim 5, wherein one of the first and second features comprise a tapered projection and the other of the first and second features comprise a tapered hole in which the tapered projection fits.
7. The system of claim 1, wherein one of the first and second features comprises a cylindrical projection and the other of the first and second features comprises a cylindrical bore.
8. The system of claim 7, wherein the feature including the cylindrical bore is compressible to create friction between the first and second features that permits the drive system to rotate the rotatable element to actuate the medical instrument.
9. The system of claim 1, further comprising a flexible mounting on which one of the first and second features is mounted, wherein the flexible mounting provides compliance that accommodates misalignment of the first and second features during engagement of the medical instrument on the drive system.
10. The system of claim 9, wherein the flexible mounting comprises a floating bearing.
11. The system of claim 9, wherein the flexible mounting comprises a flexible shaft.
12. The system of claim 1, wherein:
- the rotatable element comprises a capstan around which a tendon is wrapped;
- the first feature comprises a bore within the capstan;
- the second feature fits within the bore; and
- the capstan is flexible so that the bore has a diameter that changes with tension in the tendon.
13. The system of claim 1, wherein:
- the medical instrument that includes a plurality of rotatable elements having respective first features, wherein rotation of the rotatable elements actuate the medical instrument; and
- the interface includes a plurality of drive elements having respective second features, wherein the second features are shaped to engage corresponding first features without inducing rotation that actuates the medical instrument.
14. The system of claim 13, wherein at least one of the drive elements and the rotatable elements have flexible mountings configured to provide compliance sufficient to accommodate expected misalignment of the drive system and the medical instrument during engagement of the medical instrument on the drive system and accommodate relative misalignment between axes of the drive elements and axes of the rotatable elements.
15. The system of claim 1, wherein the drive system further comprises a sterile barrier including an adaptor, and the second feature is formed on a surface of the adaptor.
16. A medical instrument comprising:
- an actuated structure; and
- a rotatable element connected so that rotation of the rotatable element actuates the actuated structure, the rotatable element having an engagement feature shaped such that for any pose of the actuated structure, the engagement feature engages a complementary engagement feature on a drive system without inducing rotation that actuates the actuated structure.
17. The instrument of claim 16, wherein the engagement feature has a circular cross-section positioned to engage a corresponding circular cross-section of the complementary engagement feature.
18. The instrument of claim 17, wherein the engagement feature comprises one of a tapered projection, a tapered hole, a cylindrical projection, and a cylindrical bore.
19. The instrument of claim 16, wherein:
- the rotatable element comprises a capstan around which a tendon is wrapped;
- the engagement feature comprises a bore within the capstan; and
- capstan is flexible so that a diameter of the bore changes with tension in the tendon.
20. The instrument of claim 16, further comprising a flexible mounting on which the rotatable element is mounted, wherein the flexible mounting provides compliance that accommodates misalignment of the medical instrument during engagement of the medical instrument on the drive system.
21. The instrument of claim 20, wherein the flexible mounting comprises a floating bearing.
22. The instrument of claim 20, wherein the flexible mounting comprises a flexible shaft.
23. The instrument of claim 16, further comprising a plurality of rotatable elements having respective engagement features shaped such that for any pose of the actuated structure, the engagement features engage complementary engagement features on the drive system without inducing rotation that actuates the actuated structure.
24. The instrument of claim 23, further comprising flexible mountings respectively coupled to the rotatable elements, wherein the flexible mountings are configured to provide compliance sufficient to accommodate expected misalignment of the drive system and the medical instrument during engagement of the medical instrument on the drive system and accommodate relative misalignment between axes of the rotatable elements and respective axes of drive elements in the drive system.
25. A drive system for a medical instrument comprising:
- a motor; and
- an interface that is coupled to the motor and configured to releasably engage the medical instrument so that when the interface engages the medical instrument, rotation of the motor actuates the medical instrument, the interface including a drive element with an engagement feature shaped such that for any pose of the medical instrument, the engagement feature engages a complementary engagement feature of the medical instrument without inducing rotation that actuates the medical instrument.
26. The system of claim 25, wherein the engagement feature has a circular cross-section positioned to engage a corresponding circular cross-section of the complementary engagement feature.
27. The system of claim 26, wherein the engagement feature comprises one of a tapered projection, a tapered hole, a cylindrical projection, and a cylindrical bore.
28. The system of claim 25, further comprising a flexible mounting on which the engagement feature is mounted, wherein the flexible mounting provides compliance that accommodates misalignment of the drive system during engagement of the medical instrument on the drive system.
29. The system of claim 28, wherein the flexible mounting comprises a floating bearing.
30. The system of claim 28, wherein the flexible mounting comprises a flexible shaft.
31. The system of claim 25, further comprising a plurality of drive elements having respective engagement features shaped such that for any pose of the medical instrument, the engagement features engage complementary engagement features on the medical instrument without inducing rotation that actuates the medical instrument.
32. The system of claim 31, further comprising flexible mountings respectively coupled to the drive elements, wherein the flexible mountings are configured to provide compliance sufficient to accommodate expected misalignment of the drive system and the medical instrument during engagement of the medical instrument on the drive system and accommodate relative misalignment between axes of the drive elements and respective axes of rotatable elements in the drive system.
33. The system of claim 25, further comprising a sterile barrier including an adaptor that forms part of the drive element, where the second feature is formed on a surface of the adaptor.
34. A method for engaging a medical instrument and a drive system, comprising:
- bringing a first feature on a rotatable element of the a medical instrument into contact with a second feature on a drive element of the drive system without rotating either of the elements;
- applying an engagement force to create friction between the first and second features without rotating either of the elements; and
- operating the drive system to actuate the medical instrument, wherein the friction transfers torque that the drive element applies to the rotatable element to thereby actuate the mechanical instrument.
35. The method of claim 34, further comprising determining a pose of the medical instrument after engaging the medical instrument and the drive system.
36. The method of claim 34, wherein:
- one of the first and second features comprises a tapered projection;
- another of the first and second features comprise a tapered hole in which the tapered projection fits; and
- applying the engagement force comprises pressing a tapered projection into the tapered hole.
37. The method of claim 34, wherein:
- one of the first and second features comprises a bore in a capstan around which a tendon is wrapped;
- another of the first and second features fits within the bore; and
- applying the engagement force comprises applying tension to the tendon so that a diameter of the bore decreases.
Type: Application
Filed: Jan 27, 2012
Publication Date: Dec 12, 2013
Patent Grant number: 9339342
Applicant: Intuitive Surgical Operations, Inc. (Sunnyvale, CA)
Inventors: Giuseppe Maria Prisco (Mountain View, CA), Theodore W. Rogers (Alameda, CA), John Ryan Steger (Sunnyvale, CA)
Application Number: 13/360,395
International Classification: A61B 19/00 (20060101);