Systems and methods for kinematic optimization with shared robotic degrees-of-freedom are provided. In one aspect, a robotic medical system includes a base, an adjustable arm support coupled to the base, and at least one robotic arm coupled to the adjustable arm support. The at least one robotic arm is further configured to be coupled to a medical tool that is configured to be delivered through an incision or natural orifice of a patient. The system further includes a processor configured to adjust a position of the adjustable arm support and the at least one robotic arm while maintaining a remote center of movement of the tool.

An endoluminal punch system including a sheath and dilator. The endoluminal punch may include energy delivery system capable of being transmitted from the proximal end to the distal end of the endoluminal punch to assist with tissue crossing and incisions. The dilator may include selectively deployable cutting mechanism to create incisions in tissue that are larger than their basic external diameter. The system may also be configured to reduce the risk of generating plastic emboli during insertion of the endoluminal punch.

End effector position set point adjustment includes an instrument and a control unit. The instrument includes an end effector and a drive mechanism for actuating the end effector. The control unit is configured to actuate the end effector using the drive mechanism, determine an actual position of the end effector, identify an expected position associated with the determined actual position of the end effector, determine a position offset based on the expected position and the determined actual position of the end effector, adjust a position set point based on the position offset, and actuate the end effector to the adjusted position set point using the drive mechanism.

An instrument system includes an instrument, a drive system, and a controller operably connected to a first drive mechanism and a second drive mechanism of the drive system. The controller is configured to operate the first drive mechanism and the second drive mechanism drive a flexible tensioning member of the instrument to cause movement of an end effector of the instrument while maintaining a tension applied to the flexible tensioning member of the instrument in a tension range.

Embodiments of a system and method for surgical tracking and control are generally described herein. A system may include a robotic arm configured to allow interactive movement and controlled autonomous movement of an end effector, a cut guide mounted to the end effector of the robotic arm, the cut guide configured to guide a surgical instrument within a plane, a tracking system to determine a position and an orientation of the cut guide, and a control system to permit or prevent interactive movement or autonomous movement of the end effector.

A torque transducer for mounting a motor includes a mounting flange, a motor flange, a body, and a strain gauge. The mounting flange is configured to secure the torque transducer to a fixed structure. The motor flange is configured to secure to a motor. The body interconnects the mounting and motor flanges. The body defines a channel about a longitudinal axis of the body and is configured to flex in response to the mounting flange and the motor flange rotating relative to one another in response to torque of the motor. The strain gauge is positioned on the body to measure flexation of the body.

Disclosed is a surgical system that includes a first modular device and aa surgical hub, including a control circuit configured to receive first perioperative data from a second modular device; anonymize the first perioperative data; receives second perioperative data from a third modular device; anonymize the second perioperative data; and adjust at least one setting of the first modular device based on contextual information derived from the anonymized first and second perioperative data.

Disclosed is a surgical system, comprising surgical hubs configured to be communicatively coupled to surgical instruments in surgical procedures; and a cloud computing system, comprising an input/output interface configured for accessing data from the surgical hubs. The cloud computing system is configured to aggregate surgical instrument data and patient outcome date from the surgical hubs; determine a correlation between the surgical instrument data and the patient outcome data; access a live surgical procedure data for a live surgical procedure; and determine an irregularity in the live surgical procedure data based on the correlation.

Disclosed is a cloud computing system for use with surgical hubs communicatively coupled to surgical instruments in surgical procedures. The cloud computing system includes an input/output interface configured for receiving raw data from the surgical hubs, wherein the raw data are generated from operation of the surgical instruments in the surgical procedures. The cloud computing system further includes a data collection and aggregation module configured to: identify patterns in the raw data; generate metadata based on the patterns; aggregate raw data into data sets based on a predetermined classification system; and store aggregated data sets in a database.

Disclosed is a surgical system that includes a surgical hub couplable with inventory items of an institution, and a cloud-based analytics system communicatively coupled to the surgical hub. The cloud-based analytics system is configured to receive a selection of a surgical procedure to be performed; determine a property of a tissue to be treated in the surgical procedure; select from the inventory items a surgical device for use in the surgical procedure based on the tissue property; and suggest using the surgical device in the surgical procedure based on availability of the surgical device in inventory.