Systems and methods for grip adjustment during energy delivery include an instrument comprising an end effector having a first jaw and a second jaw. Each of the first jaw and the second jaw have a corresponding electrode, The systems and methods further include one or more control units configured to actuate the end effector to grip a material, determine whether a force or torque limit of the actuation is above a first threshold, in response to determining that the force or torque limit is above the first threshold, reduce the force or torque limit, and apply electrical or thermal energy to the material using the electrodes. In some embodiments, the one or more control units are further configured to restore the force or torque limit after application of the electrical or thermal energy to the material is complete. In some embodiments, the force or torque limit is reduced over time.

An instrument for torque controlled tightening of a threaded device, including a handle, an articulable head that is articulably connected to the handle, the articulable head including a drive ratchet configured to rotate relative to the articulable head and to engage with the threaded device or a tool for engaging with the threaded device, an elastic device arranged at the handle, and a pulling mechanism operatively connecting the articulable head with the handle, the pulling mechanism having a ratchet head mechanism to engage with the drive ratchet of the articulable head, and configured to engage with the elastic device at the handle such that the elastic device is compressed or expanded upon an application of a torque to the drive ratchet and simultaneously the ratchet head mechanism blocks the rotation of the drive ratchet.

A computerized method for estimating joint friction in a joint of a robotic wrist of an end effector. Sensor measurements of force or torque in a transmission that mechanically couples a robotic wrist to an actuator, are produced. Joint friction in a joint of the robotic wrist that is driven by the actuator is computed by applying the sensor measurements of force or torque to a closed form mathematical expression that relates transmission force or torque variables to a joint friction variable. A tracking error of the end effector is also computed, using a closed form mathematical expression that relates the joint friction variable to the tracking error. Other aspects are also described and claimed.

A method of operating a surgical tool includes sending a command signal from a computer system to a motor to drive rotation of a drive shaft mounted within a drive housing of the surgical tool, monitoring one or more operational parameters of the motor with one or more monitoring devices in communication with the computer system, and measuring an unexpected change in the operational parameters of the motor with the monitoring devices. The unexpected change includes a measured operational parameter that is inconsistent with the command signal. The unexpected change is reported to the computer system as a bailout signal, and the surgical tool is disabled once the bailout signal is received at the computer system.

A robotic surgical system is configured to determine whether a surgical instrument has been properly mounted to an arm of the surgical system. As the surgical instrument is moved into engagement with the arm, a magnet on the arm exerts an attractive force on a plate on the surgical instrument. As the instrument engages to the arm, load cell measurements and inertial measurement unit (IMU) information from one or more sensors on the arm are monitored to determine the mass of the instrument as well as the acceleration of the instrument as it mates with the instrument engagement interface. The system compares the load cell measurements and IMU information with what those parameters are expected to be when a surgical device assembly or instrument of that type is mounted. If the load cell measurements and IMU information deviates from what is expected, the system provides a notification to the user and prevents use of the manipulator arm until the surgical device assembly or instrument is properly positioned.

An apparatus, method, and system for a steerable medical instrument, configured to be used in conjunction with guided tools and devices under robotically controller medical procedures, including endoscopes, cameras, cutting tools and catheters. In one embodiment, the steerable instrument includes an elongate body (100), a control wire (110) arranged in a channel (104) of the elongate body and displaceable along the channel to bend the elongate body; and a controller (320) to selectively control drive forces applied to the control wire (110) under an actively controlled mode and a passively controlled mode. In the actively controlled mode, the controller actively bends at least part of the elongate body. In the passively controlled mode, the controller (320) decreases an amount of strain or an amount of displacement of the control wire, so that the control wire becomes compliant to external forces.

Methods are provided for handling collisions of a robotic surgical system. Collision handling may include receiving a first handle input and a second input at a controller. Upon receiving the first and second handle input, a desired position of a robotic arm is calculated. A first output signal to move the robotic arm toward the desired position is transmitted in response to calculating the desired position. As the robotic arm moves toward the desired position, a force measurement is received. If the force measurement is greater than a predetermined threshold, the desired position is recalculated.

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.

Certain aspects relate to systems and techniques for docking medical instruments. For example, a medical system can include an instrument drive mechanism having a drive output that rotates and engages a corresponding drive input on a robotic medical instrument, a motor configured to rotate the drive output, and a torque sensor configured to measure torque imparted on the drive output. The robotic medical instrument can include a pre-tensioned pull wire actuated by the drive input. The system can activate the motor associated with the drive output to rotate the drive output in response to a torque signal from the torque sensor associated with the drive output in order to align the drive output with the drive input.

Systems and methods for monitoring one or more cables of surgical tools are provided. The systems generally include a surgical tool with an end effector that has at least one function and a drive system that is operably coupled to the end effector and operably coupled to at least one motor. The drive system has at least one cable, and the drive system is configured to drive the at least one function on the end effector through actuation of the at least one cable. A control system is configured to actuate the at least one motor to drive the drive system and to preemptively detect failure of the at least one cable of the drive system.