MECHANICAL TELEOPERATED DEVICE COMPRISING AN INTERCHANGEABLE DISTAL INSTRUMENT

Abstract

Disclosed is a mechanical teleoperated device comprising i) a handle (30) placed in a proximal part of the device, having a plurality of handle links interconnected by respective handle joints, ii) an end effector (31) placed in a distal part of the device, having a plurality of end-effector links interconnected by respective end-effector joints, iii) a transmission system arranged to kinematically connect the end effector to the handle such that movements of the end effector correspond to movements of the handle, comprising at least one arrangement of a plurality of rotatable elements (41a-d) coaxially mounted together about an axis and arranged to rotate independently from each other, b) first transmission means comprising driving elements (62a-c) which are arranged to actuate in rotation of the plurality of rotatable elements (41a-d) based upon movements of the handle, c) second transmission means comprising driven elements (63a-c) which are arranged to be driven by rotation of the plurality of rotatable elements resulting in movement of the end effector links, wherein the transmission system is configured for removably coupling together the first and second transmission means wherein each driven element is removably coupled to one corresponding rotatable element.

Claims

1. A surgical teleoperated device for performing a surgery on a patient, the surgical teleoperated device comprising: a handle configured to be held by a surgeon; an end effector spaced apart from the handle, the end effector configured to contact tissue of the patient during the surgery; a transmission system that operatively couples the end effector to the handle such that movements of the end effector correspond to movements of the handle, the transmission system comprising one or more driving elements; and a plurality of driven elements arranged to cause movement of the end-effector, the plurality of driven elements removeably coupled to one or more independently rotatable elements, at least one of the one or more independently rotatable elements configured to be rotated via the one or more driving elements responsive to movements of the handle.

2. The surgical teleoperated device of claim 1, wherein a segment of each driven element is removably connected to a corresponding independently rotatable element such that each segment is guided along a path within a plane which is substantially perpendicular to an axis about which the corresponding independently rotatable element is arranged to rotate.

3. The surgical teleoperated device of claim 2, wherein the path extends along a circular trajectory having a center point coincident with the single axis.

4. The surgical teleoperated device of claim 1, wherein each driven element is anchored to a mating receptacle, wherein each corresponding independently rotatable element comprises a complementary mating part configured to be removably mounted to the mating receptacle.

5. The surgical teleoperated device of claim 4, wherein each mating part is mounted on a support coupled to a corresponding independently rotatable element.

6. The surgical teleoperated device of claim 5, wherein the mating receptacles and corresponding mating parts are housed inside a slave housing, the first housing comprising first and second complementary housing parts removably mounted together.

7. The surgical teleoperated device of claim 1, wherein the plurality of independently rotatable elements are arranged into two groups, wherein a first group of independently rotatable elements are coaxially mounted to rotate about a first axis of rotation and a second group of independently rotatable elements are coaxially mounted to rotate about a second axis of rotation.

8. The surgical teleoperated device of claim 7, wherein each driving element is operatively coupled to an independently rotatable element of the first group and to a corresponding independently rotatable element of the second group.

9. The surgical teleoperated device of claim 8, wherein the transmission system further comprises links operatively coupled to an actuable element of the handle.

10. The surgical teleoperated device of claim 1, wherein the surgical teleoperated device has a master-slave configuration, comprising a slave unit, having a plurality of slave links interconnected by respective slave joints, and a master unit having a plurality of master links interconnected by respective master joints.

11. The surgical teleoperated device of claim 10, wherein a kinematic model of plurality of slave links and respective slave joints of the slave unit is identical to the kinematic model of the plurality of master links and respective master joints of the mater unit.

12. The surgical teleoperated device of claim 1, wherein the plurality of driven elements comprises a plurality of cables arranged to be driven by the rotation of each one of the corresponding rotatable elements.

13. The surgical teleoperated device of claim 1, wherein the end-effector comprises a plurality of pulleys, and wherein a plurality of end-effector links are configured to rotate about an axis of the plurality of pulleys when the plurality of pulleys are actuated via the plurality of driven elements.

14. A surgical system comprising the surgical teleoperated device of claim 1 and a second surgical teleoperated device, the second surgical teleoperated device comprising: a second handle configured to be held by the surgeon; a second end effector spaced apart from the second handle, the second end effector configured to contact tissue of the patient during the surgery.

15. The surgical system of claim 14, further comprising a display to permit visualization of the surgery.

16. A method for performing a surgery on a patient using a surgical teleoperated device, the method comprising: moving a handle of the surgical teleoperated device; responsive to moving the handle, moving a detachable distal instrument of the surgical teleoperated device, the detachable distal instrument comprising an end effector spaced apart from the handle, responsive to moving the detachable distal instrument, contacting the end effector to tissue of the patient to perform the surgery; and after the surgery, detaching the detachable distal instrument.

17. The method of claim 16, wherein the detachable distal instrument of the surgical teleoperated device moves responsive to movement of the handle via a transmission system that operatively couples the end effector to the handle.

18. The method of claim 17, wherein detaching the distal instrument comprises removing a plurality of driven elements arranged to cause movement of the end-effector from one or more independently rotatable elements operatively coupled to one or mom driving elements of the transmission system.

19. The method of claim 16, further comprising displaying the surgery to permit visualization of the surgery.

20. The method of claim 16, further comprising: moving a second handle of a second surgical teleoperated device; responsive to moving the second handle, moving a second detachable distal instrument of the second surgical teleoperated device, the second detachable distal instrument comprising a second end effector spaced apart from the second handle; and responsive to moving the second detachable distal instrument, contacting the second end effector to tissue of the patient to perform the surgery.

Description

BRIEF DESCRIPTION OF THE FIGURES

[0022] The invention will be better understood according to the following detailed description of several embodiments of the invention with reference to the attached figures, in which:

[0023] FIG. 1 shows a perspective view of a mechanical teleoperated device according to the invention;

[0024] FIG. 2 shows a schematic view of the transmission system of the mechanical teleoperated device of FIG. 1;

[0025] FIG. 3 shows a schematic view of the transmission system of FIG. 1 comprising first, second and third transmission means;

[0026] FIGS. 4,5 and 6 show a schematic view of the transmission system for the transmission of each degree-of-freedom of the handle to the end-effector;

[0027] FIG. 7 shows a perspective view of a detachable distal instrument;

[0028] FIG. 8 shows a perspective view of a lower part of the slave housing of the first arrangement of the transmission system containing mating receptacles;

[0029] FIG. 9 shows a perspective view of the guiding means of the slave housing of FIG. 8;

[0030] FIG. 10 shows an upper part of the slave housing containing complementary mating parts arranged to be removably mounted inside the corresponding mating receptacle of FIG. 8;

[0031] FIGS. 11a, 11b and 11c show three different views of the distal par coupling with the proximal part of the sieve unit of the mechanical teleoperated device of FC. 1, and

[0032] FIG. 12 shows an exemplary embodiment comprising two identical mechanical teleoperated devices of FIG. 1 mounted on an articulated and movable station, namely a mechanical telemanipulator foe surgical procedures.

DETAILED DESCRIPTION OF TIE INVENTION

[0033] A mechanical telemanipulator, which may be used in minimally invasive surgical procedures or in other applications, constructed in accordance with an embodiment of the present invention, is described herein, and is seen generally in FIG. 12. This manipulator comprises preferably two identical mechanical teleoperated devices, as shown for example in FIG. 1, mounted on an articulated and movable station 110 (FIG. 12) and configured to be operated independently from the other. Each mechanical teleoperated device of FIG. 1, as conceptually described in WO2013/014621, comprises, on the one hand, a master-slave configuration, having a slave unit 10 driven by a kinematically equivalent truer unit 20 and, on the other land, mechanical constraint means 90 such that each part of the slave unit 10 mimics the movement of each corresponding par of the mater unit 20 without deviating, during operation of the device, from a remote-center-of-motion (RCM) as shown in FIG. 3. However, in other embodiments of the current invention, the mechanical teleoperated device may not have a remote-center-of-motion (RCM). Given that the two mechanical teleoperated devices are structurally and functionally identical, the description hereafter will refer to one mechanical teleoperated device only as shown particularly in FIG. 1 to 6.

[0034] Referring more particularly to FIG. 3, the slave unit 10 comprises a plurality of slave links 11, 12, 13, 14 interconnected by respective slave joints 16, 17, 18, 19. An articulated end-effector 31 is mounted at the distal and of the slave link 14 which is rotatably connected to the adjoining link 13 through an coaxial joint 19 such that the two adjoining links 13, 14 arm coaxially rotatable with respect to each other about the axis of the axial joint 19. The remaining slave joints 16, 17, 18 of the slave unit 10 are of the type of so-called pivot-joint which connects two adjoining links (e.g. pivot joint 17 connecting link 12 with link 13) in order to be angularly actuable with respect to each other within a plane perpendicular to the axis of rotation of said pivot-joint. The master unit 20 comprises a structural and kinematic configuration identical to the slave unit 10. More particularly, the master unit 20 comprises a corresponding plurality of master links 21, 22, 23, 24 interconnected by respective master joints 26, 27, 28, 29. One of these joins is a coaxial joint 29 while the other joints are pivot-joints 26, 27, 2. An articulated handle 30 is connected at the distal end of a master link 24 of the master unit 20 for operating the mechanical teleoperated device.

[0035] Upward and downward movements applied to the handle 30 by the operator when the mechanical teleoperated device is in the neutral position of FIG. 3 translate the mater link 24 along its longitudinal axis through the mechanical constraint means 90 whereas frontward and backward movements applied on the handle rotate be master link 24 about an axis parallel to the axis of each pivot-joint. Each one of these movements or a combination thereof generates angular displacement of the master joints 26, 27, 28, 29 of the master unit 20 wherein said angular displacement of each master joint causes, through mechanical transmission, an identical angular displacement of the corresponding slave joint 16, 17, 18, 19 of the slave unit 10. The kinematic connection between each pivot-joint 26, 27, 28 of the master unit 20 with the corresponding pivot joint 16, 17, 18 of the slave unit 10, is achieved by pulley-routed cables which are each arranged to be anchored to two corresponding pulleys rotatably mounted around a shaft whose axis is coincident with the axis the corresponding pivot-joint. Kinematic connections between each pivot-joint 16, 17, 18 of the slave unit 10 with the corresponding pivot-Joint 26, 27, 28 of the master unit 20 are described in more details in the aforementioned PCT application (WO2013/014621). In this configuration, the kinematic model of the chain formed by the plurality of slave links 11, 12, 13, 14 and respective slave joints 16, 17, 18, 19 of the slave unit 10 is identical to the kinematic model of the chain formed by the plurality of master links 21, 22, 23, 24 and respective master joint 26, 27, 28, 29 of the mater unit 20.

[0036] As schematically shown in FIG. 2, the handle 30 is configured to actuate three degrees-of-freedom of the end effector 31 by a transmission system adapted to kinematically connect the pulleys 30a, 30b. 30c of the handle 30 with tee corresponding pulley 31a, 31b, 31c of the end-effector 31. In this way, angular displacement of each pulley of the handle 30, when the teleported surgical device is operating, is replicated by the corresponding pulley of the end-effector 31. The latter is configured such that counter-rotation of both pulleys 31a, 31b, 31c in one direction rotates jaws 32a, 32b in opposite direction away from each other to open the grip of the jaws while counter-rotation of both pulleys 31b, 31c in the other direction rotates the jaws 32a, 32b in opposite directions toward each other to lose the grip and maintain a gripping force of the jaws. The working tips of the jaw 32a, 32b have a surface for gripping and may be used, for example, in forceps or cautery applications. Alternately, gripping which closes the jaws may be a cutting action when the tips of the jaws 32a, 32b are blades that cooperatively cut as a scissors. Gripping can thus perform different functions depending the nature of the end-effector 31. This end-effector is further configured to pivot about the axis of Its pulley 31a when the latter is actuated by the cable-driven system according to the invention.

[0037] Still referring to FIG. 2, the transmission system according to this preferred embodiment comprises a first arrangement 40 of three rotatable elements 41a, 41b, 41c coaxially mounted together about the axis 19a of the interface slave joint of the slave unit and a second arrangement 50 of three rotatable elements 51a, 51b, 51c coaxially mounted together about the axis 29a of the interface master joint of the master unit. The rotatable element 41d comprises the driven pulley that actuates the interface slave joint 19 of the slave unit 10, being rigidly attached to the slave link 14. The rotatable element 51d comprises the driving pulley that actuates the interfaces master joint 29 of the master unit 20, being rigidly attached to the master link 24. Rotatable elements 41a, 41b, 41c of the first arrangement 40 an partly bowed inside a slave housing 40 while rotatable elements 51a, 51b, 51c of the second arrangement 50 are partly housed inside a master housing 50. As shown in FIG. 1, the slave and master housings 40, 50 are connected respectively to a distal link 14 of the save unit 10 and to a corresponding master link 24 of the master unit 20. The slave housing 40 is further connected to the rotatable element 41d whereas the master housing 50 a further connected to the corresponding rotatable element Sid.

[0038] The transmission system as shown in FIG. 2 further comprises first transmission means which have three cables 62a, 62b, 62c or similar structure which are each arranged to connect one rotatable element 51a, 51b, 51c of the second arrangement with one corresponding rotatable element 41a, 41b, 41c of first arrangement 40 such that rotation of each rotatable element 51a, 51b, 51c of second arrangement 50 actuates the corresponding cable which rotates in turn the equivalent rotatable element 41a, 41b, 41c of flirt arrangement 40.

[0039] Referring now to FIG. 4 to 6, the transmission system comprises second transmission means which have three driven cables 63a, 63b, 63c or similar structures which are each arranged to be anchored on a corresponding pulley 31a, 31b, 31c of the end-effector 31 to enable angular displacement of these pulleys about their respective pivotal connection. These driven cables extends axially through the slave link 14 to be removably anchored to a corresponding rotatable element 41s, 41b, 41c of the first arrangement 40 of the slave unit 10. The removable connection of each driven cable to the corresponding rotatable element will be described in details subsequently.

[0040] The transmission system further comprises third transmission means which have three cables 61a, 61b, 61c or similar structures which are each arranged to be anchored on a corresponding pulley 30a, 30b, 30c of the handle 30 in order to be driven by angular displacement of these pulleys about their respective pivotal connection generated by the actuation of handle 30. Each of these cables 61a, 61b, 61c extends axially along the master link 24 to be anchored to a corresponding rotatable element 51a, 51b, 51c of the second arrangement 50 of the master unit 20. FIG. 2 partly shows in more details how this type of connection is achieved. Each cable 61a, 61b, 61c (only cables 61a and 61c are visible) are partially guided within a plan which is preferably perpendicular to the axis of the axial joint 29 of the master unit 20 and along a substantially circular path through an angle of less than 120 degrees (on the current embodiment). A segment 75a, 75c (75b Is not visible in FIG. 2) of each cables is attached to a corresponding pointer 76a, 76b, 76c, wherein these pointers are coaxially mounted jointly with respective rotatable element 51a, 51b, 51c, and are superposed and angularly offset from each other.

[0041] According to the configuration of the transmission system, angular displacement of each pulley 30a, 30b, 30c of the handle 30 about their respective pivotal connection, during operation of the mechanical teleoperated device, drives dh corresponding cable 61a, 61b, 61c of the third transmission means which causes the angular displacement of the corresponding rotatable element 51a, 51b, 51c of the second arrangement 50 about the axis of the interface slave joint 29 of the master unit 20. Rotation of each one of these rotatable elements 51a, 51b, 51c drives the corresponding cable 62a, 62b, 62c of the first transmission means which causes the angular displacement of the equivalent relatable element 41a, 41b, 41c of the first arrangement 40 about the axis of the interface slave joint 19 of the slave unit 10. Rotation of each one of these rotatable elements 41a, 41b, 41c causes in turn the angular displacement of the corresponding pulley 31a, 31b, 31c of the end-effector 31 by means of the corresponding driven cable 63a, 63b, 63c of the second transmission means. The remaining two rotatable elements 41d. 51d of respective slave and master units 10, 20 are connected together by means of cable 62d such that axial rotation of the master link 24 rotates the corresponding slave link 14 about its longitudinal axis.

[0042] Due to this particular configuration, the transmission system is advantageously arranged to avoid twisting of the cables, when the master link 24 and the corresponding slave link 14 are coaxially rotating. Wear and tear of the cables resulting from prolonged use of the mechanical teleoperated device am therefore significantly reduced.

[0043] Referring now to FIG. 8, 9 and 10, the transmission system according to the invention comprises a coupling/decoupling mechanism for removably connecting each driven cable 63a, 63b, 63c of the second transmission means with the corresponding cable 62a, 62b, 62c of the first transmission means in order to provide a user-friendly interchangeable an modular tooling system to the mechanical teleoperated device. To this end, lower and upper pasta 40a, 40b of the slave housing 40 are removably secured against each other preferably by means of crews to allow the user so structurally disconnect the distal part 10a (FIG. 7) from the proximal part 10b of the slave unit 10 as particularly shown in FIG. 1.

[0044] With reference to FIG. 9, the coupling/decoupling device of the transmission system comprises guiding means 73a, 73b, 73c within the lower part 40a of u slave housing. Each of these guiding means 73a, 73b, 73c are preferably in the form of a series of rollers arranged to guide a segment 74a, 74b, 74c of each cable 63a, 63b. 63c of the second transmission meats within a plane which is substantially perpendicular to the axis of the interface slave joint 19 of the slave unit 10 and along a substantially circular path through a certain angular range. In other embodiment of the same invention, instead of being composed by a series of rollers, the guiding means may comprise non-moving element or surfaces in order to guide the segment 74a, 74b, 74c of each cable 63a, 63b, 63c of the second transmission means within their path. Each segment 74s, 74b, 74c of each one of these cables is anchored to a mating receptacle 81a, 81b, 81c pivotally mounted about the axis 19a of said interface slave joint 19 of the slave unit 10 as shown in FIG. 8. As can be seen in FIG. 10, a complementary mating part 82a, 82b, 82c, preferably in the form of a connecting pin, is mounted on respective supports 83a, 83b, 83c which am coaxially arranged jointly with respective rotatable element of the first arrangement. Those support 83a, 83b. 83c which are preferably in the form of pointers are superposed and angularly offset front each other. Each connecting pin 82A, 82b, 82c is adapted to removably mounted inside the corresponding mating receptacle 81a, 81b, 81c as particularly shown in FIG. 11c.

[0045] According to the transmission system, the ratio of Rs/Rm (FIG. 2) equates to the ratio of Ds/Dm wherein [0046] i) Rs is the radial distance between the axis of the interface slave joint 19 of the slave unit 10 and one anchored segment 73a, 73b, 73c of one driven cable 63a, 63b. 63c of the second transmission means; [0047] ii) Rm is the radial distance between the axis of the interface slave joint 29 of the master unit 20 and one anchored segment of one cable 61a, 61b, 61c of the third transmission means; [0048] iii) Ds is the diameter of one corresponding pulley 31, 31b, 31c of the end-effector 31; and [0049] iv) Dm is the diameter of one corresponding pulley 30a, 30b, 30c of the handle 30.

[0050] The configuration of the mechanical teleported device according to the invention allows the operator to easily remove the distal part 10a, comprising a its distal cod the end-effector 31, and to replace it with another distal part comprising ay type of end-effector such as scissors, scalpels, cutters, needle holders or any other surgical accessories.

[0051] Although the transmission system as disclosed in this preferred embodiment comprises cables, its particular configuration is not limited to this embodiment. For example, the present invention may also, encompasses other flexible and non-flexible drive elements such as rods, linkages or the like which cold be arranged to achieve the same functionality set forth herein.

[0052] Moreover, although the transmission system of the mechanical teleoperated device according to the preferred embodiment comprises first, second and third transmission means comprising each three cables to actuate three degrees of freedom of the end-effector when the handle is operated, the scope of the invention also covers configurations with first and second transmission means only such that their respective cable circumvents only joint 19 of the slave unit to allow detachment of the distal part 10a tom the proximal part 10b of the slave unit 10. Transmission means in excess of three comprising each a distinct set of cables can also be envisaged to cover embodiments in which the master and slave units comprise each several coaxial joints.

[0053] While this invention has been particularly shown and described with references to particular embodiments thereof, it will be understood by those skilled in the an the various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims. For example the scope of the invention includes configurations where at least the first and the third transmisson means comprise N cables for the transmission of N degrees-of-freedom of the handle to the end-effector, where N can be for example 2, 4 or 3. In addition, the transmission system disclosed according to the embodiments described herein can be adapted to any teleoperated device which does not necessarily comprise a kinematically equivalent master-slave configuration.