Generally, a sterile adapter for use in robotic surgery may include a frame configured to be interposed between a tool driver and a surgical tool, a plate assembly coupled to the frame, and at least one rotatable coupler supported by the plate assembly and configured to communicate torque from an output drive of the tool driver to an input drive of the surgical tool.

The present invention proposes a sensory perception system for robot-assisted laparoscopic surgery. The invention comprises an electrosurgical forceps coupled to a surgical tool, an electrocautery radiofrequency signal generator and an impedance measurement circuit. The latter includes a measurement sensor for measuring a signal indicative of a magnitude corresponding to the value of contact impedance between the forceps and a patient's tissue; an oscillator; a first electrical circuit with resistors and a voltage limiter for protecting the measurement sensor and the oscillator; and a second electronic circuit with switches. The sensor and the oscillator are connected to the forceps by means of a power cable of the surgical tool. A processor connected to the measurement circuit receives said measured signal and converts same into a force vector, the modulus of which is a function of the contact impedance being measured and the argument is a function of the trajectory being followed.

A surgical device controllable by a surgical robotic system is provided. The surgical device includes a housing capable of being coupled to the surgical robotic system; a drive system at least partially mounted in the housing; and a shaft rotatably coupled to the drive system at a first end of the shaft. The surgical device further includes a tissue-removal assembly coupled to the second end of the shaft. The tissue-removal assembly includes a first cutting member having a plurality of rotatable blades. The first cutting member is coupled to a second end of the shaft. The tissue-removal assembly further includes a second cutting member, one or more support elements slidably or fixedly coupled to the second cutting member, and one or more extendable elements slidably or fixedly coupled to the second cutting member.

Robotic surgical systems and methods of operating robotic surgical systems are included. The methods include directing light at an optical element configured to be detected by an image capture device of the robotic surgical system, the optical element configured to reflect light having a wavelength within a predetermined range, detecting, using an image capture device capturing images of the optical element, an absence or a presence of the reflected light from the optical element, and providing a notification, in response to the detection by the image capture device of the absence of the reflected light from the optical element.

Devices, systems, and methods are provided for image-guided interventional procedures and other uses. Nested articulated catheter shaft systems may have an imaging catheter with an ultrasound transducer supported by a fluid-driven articulated sheath portion. Drive fluid can be transmitted distally along an asymmetric sheath via eccentric passages to an articulated portion of the imaging catheter distal of a port. An articulated shaft supporting a therapeutic tool can be advanced within a working lumen of the imaging sheath to the port so that the tool is within a field of view of the transducer. The fluid transmission channels may take much less cross-sectional area of the sheath than a mechanical pull-wire system, allowing the nested sheath/shaft system to provide safer access to a chamber of the heart and to facilitate precise independent control over 3D ultrasound imaging and image-guided structural heart therapies or the like.

Drive systems and methods of use are disclosed herein for performing medical procedures on a patient. The drive systems include various handle types and triggers for controlling catheters and end effectors. The various handle types include a flexible handle and ambidextrous handles that can alter the handedness of the handle for particularized use. The handles drive articulation sections of the catheter and end effectors with various degrees of freedom, and include locks for holding the catheter and/or end effector in place. The catheter systems include structures for allowing degrees of freedom, such as notches, mechanical interlocks, and articulation joints. In addition, the catheters articulate via cables or fluids.

A surgical instrument connectable to a surgical energy module that is configured to provide a first drive signal at a first frequency range for driving a first energy modality and a second drive signal at a second frequency range for driving a second energy modality is provided. The surgical instrument can comprise a surgical instrument component configured to receive power from a direct current (DC) power source, an end effector, and a circuit. The circuit can be configured to convert the first electrical signal to a DC voltage, apply the DC voltage to the surgical instrument component, and deliver the second energy modality to the end effector according to the second drive signal. Alternatively, the circuit can be disposed within a cable assembly configured to connect the surgical instrument to the surgical energy module.

A modular energy system including a header module configured to removably connect to an energy module. The energy module can comprise a port configured to deliver one or more energy modalities to a surgical instrument connected thereto. The header module can comprise a display screen configured to display a user interface. The header module can further include a control circuit configured to detect attachment of energy modules to the modular energy system and control the display of the user interface to display UI portions for each connected module and reconfigure the displayed UI portions to accommodate the new UI portions as additional energy modules are connected to the modular energy system.

Disclosed herein are methods to detect a free-falling or other non-surgical motions of the user interface device (UID) of a surgical robotic system so that the surgical robotic system may pause the robotic arm controlled by the UID to prevent the robotic arm from mimicking the unintentional movement of the UID. Contact sensors embedded in the UID may be used to detect conditions indicating that a user does not possess full control of the UID. After determining that the user does not have full control of the UID, the UID may detect if the UID is experiencing non-surgical motions using motion sensors such as inertial sensors. By conditioning analysis of the data from the motion sensors by the initial determination that the UID is not being held based on the contact sensors, the method increases the robustness of the detection of non-surgical motions and reduces the probability of false positives.

The disclosed embodiments relate to systems and methods for a surgical tool or a surgical robotic system. A tool driver is coupled to a distal end of a robotic arm and includes a roll drive disk driven by a rotary motor. One or more processors are configured to detect an attachment of a surgical tool to the tool driver. The surgical tool includes a roll tool disk to be engaged with the roll drive disk of the tool driver, actuate of the roll drive disk through the rotary motor, determine that a measured torque of the rotary motor exceeds a preset torque threshold for a preset period of time since the actuation, and report a successful engagement between the roll drive disk and the roll tool disk.