ROBOTIC SURGICAL SYSTEM

• US 20090228019A1
• Filed: 03/10/2008
• Published: 09/10/2009
• Est. Priority Date: 03/10/2008
• Status: Abandoned Application

• Current Assignee: Dan Sade Hochstadter, Eliahu Eliachar, Nir Lilach, Ofer Yossepowitch, Yosef Gross
• Original Assignee: Dan Sade Hochstadter, Eliahu Eliachar, Nir Lilach, Ofer Yossepowitch, Yosef Gross
• Inventors: Hochstadter, Dan Sade, Lilach, Nir, Eliachar, Eliahu, GROSS, Yosef, Yossepowitch, Ofer
• Application Number:
  US12/045,230
• Publication Number:
  US 20090228019A1
• Time in Patent Office: Days
• US Class Current: 606/130
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/32 operating autonomously
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: G09F 9/33 being semiconductor devices, e.g. diodes

Abstract

It is an object of the present invention to provide an automated, a semi-automated, a surgeon-guided quasi-automated and/or a fully surgeon'"'"'s controlled surgical system surgical system useful for performing a fully automated medical procedure within a body cavity such that faultless and quick medical procedure is obtained. Each of the surgical systems comprises: (a) at least one effecter for performing the medical procedure; (b) at least one maneuverable platform reversibly coupled with the effecter; the platform provides the effecter with a scheduled set of independent displacements selected from a group consisting of up to six (degrees of freedom) DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates, such that the time-resolved spatial position of the effecter is defined by the up to six coordinates (three-dimensional spatial position, 3DSP); and (c) sensing and processing means.

Claims

1. An automated surgical system (100) useful for performing a fully automated medical procedure within a body cavity such that faultless and quick medical procedure is obtained;

said system comprising;

a. at least one effecter (10) performing said medical procedure; and

,

b. at least one maneuverable platform (20) reversibly coupled with said effecter (10);

said platform provides said effecter with a scheduled set of independent displacements selected from a group consisting of up to six (degrees of freedom) DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates, such that the time-resolved spatial position of said effecter is defined by said up to six coordinates (three-dimensional spatial position, 3DSP);

c. sensing and processing means (30), comprising

(i) means (31) for acquiring a continuous real-time image of the body portion to be treated;

(ii) means (32) for acquiring a continuous real-time 3DSP of said effecter;

(iii) means (33) for processing the procedural displacement protocol; and

(iv) means (34) for providing said at least one effecter and said maneuverable platform said scheduled procedural displacement protocol.

17. The surgical system according to claim 1, wherein said sensing means are selected from a group consisting of AC or DC magnetic tracking, Doppler, ultrasonic, RF, conductivity sensors, pressure sensors or any combination thereof.

21. The surgical system according to claim 17, wherein said sensing means are targeted in parallel to the main longitudinal axis of the effecter.

25. The surgical system according claim 1, wherein said effecter is selected from a group consisting of a maneuverable blade, wire combined with and without diathermy system, coagulating member, vacuum device, laser, light emitting, radiation, heat or cold member, suturing mechanism, forceps, high pressure water injection diagnostic means, ultrasound radiation, Doppler or any combination thereof.

29. The surgical system according to claim 25, wherein at least one effecter comprises an outer sheath accommodating a laser fiber, suitable for emitting laser for either coagulation or resection of biological tissues;

said outer sheath is an elongated member having a distal portion and a proximal portion, said distal proton is introduced within said body cavity, and said proximal portion locates outside said body.

33. The surgical system according to claim 1, additionally comprising a visualizing means intercommunicated with said sensing and processing means, said visualizing means adapted to provide the surgeon with a 3DSP of said effecter within the body cavity.

37. The surgical system according to claim 1, wherein said procedural displacement protocol is processed by a computer numerical control (CNC).

2. A semi-automated surgical system (200) for obtaining a quick and faultless medical procedure within a body cavity, said system comprising:

a. at least one effecter (10) performing said medical procedure; and

,

b. at least one maneuverable platform (20) reversibly coupled with said effecter (10);

said platform provides said effecter with independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates, such that the spatial position of said effecter is defined by said up to six coordinates (three-dimensional spatial position, 3DSP);

c. sensing and processing means (30), comprising;

(i) means (31) for acquiring a continuous real-time image of the body portion to be treated;

said body portion comprises a plurality n of (volume of interest) VOIs having ALLOWED portions and NOT-ALLOWED portions;

n is an integer number equal to or higher than 0;

(ii) means (32) for acquiring a continuous real-time 3DSP of said effecter; and

,

(iii) means (35) for (a) actuating &

positioning and/or (b) operating said at least one effecter solely within said ALLOWED portions.

18. The surgical system according to claim 2, wherein said sensing means are selected from a group consisting of AC or DC magnetic tracking, Doppler, ultrasonic, RF, conductivity sensors, pressure sensors or any combination thereof.

22. The surgical system according to claim 18, wherein said sensing means are targeted in parallel to the main longitudinal axis of the effecter.

26. The surgical system according claim 2, wherein said effecter is selected from a group consisting of a maneuverable blade, wire combined with and without diathermy system, coagulating member, vacuum device, laser, light emitting, radiation, heat or cold member, suturing mechanism, forceps, high pressure water injection diagnostic means, ultrasound radiation, Doppler or any combination thereof.

30. The surgical system according to claim 26, wherein at least one effecter comprises an outer sheath accommodating a laser fiber, suitable for emitting laser for either coagulation or resection of biological tissues;

said outer sheath is an elongated member having a distal portion and a proximal portion, said distal proton is introduced within said body cavity, and said proximal portion locates outside said body.

34. The surgical system according to claim 2, additionally comprising a visualizing means intercommunicated with said sensing and processing means, said visualizing means adapted to provide the surgeon with a 3DSP of said effecter within the body cavity.

38. The surgical system according to claim 2, wherein said procedural displacement protocol is processed by a computer numerical control (CNC).

3. A surgeon-guided quasi-automated surgical system (300) for obtaining a quick and faultless medical procedure within a body cavity, said system is (i) initially guided by said surgeon, and then (ii) either automatically or semi-automatically operated by said system;

system (300) comprising;

a. at least one effecter (10) performing said medical procedure;

b. at least one maneuverable platform (20) reversibly coupled with said effecter (10);

said platform provides said effecter with independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates, such that the spatial position of said effecter is defined by said up to six coordinates (three-dimensional spatial position, 3DSP); and

,

c. sensing and processing means (30) for projecting a first, second and third images, said means comprising;

(i) means (31) for acquiring a continuous real-time first image of the body portion to be treated;

(ii) means (36) for obtaining from said surgeon, who is manually operating said system (300) said second image comprising spatial positions of a plurality n of (volume of interest) VOIs having ALLOWED portions and NOT-ALLOWED portions;

n is an integer number equal to or higher than 0;

(iii) means (37) for acquiring a continuous real-time third image comprising 3DSP of said effecter; and

,

(iv) means (38) to superimposing said first, second and third images to enable (a) actuating &

positioning and/or (b) operating said at least one effecter solely within said ALLOWED portions.

19. The surgical system according to claim 3, wherein said sensing means are selected from a group consisting of AC or DC magnetic tracking, Doppler, ultrasonic, RF, conductivity sensors, pressure sensors or any combination thereof.

23. The surgical system according to claim 19, wherein said sensing means are targeted in parallel to the main longitudinal axis of the effecter.

27. The surgical system according claim 3, wherein said effecter is selected from a group consisting of a maneuverable blade, wire combined with and without diathermy system, coagulating member, vacuum device, laser, light emitting, radiation, heat or cold member, suturing mechanism, forceps, high pressure water injection diagnostic means, ultrasound radiation, Doppler or any combination thereof.

31. The surgical system according to claim 27, wherein at least one effecter comprises an outer sheath accommodating a laser fiber, suitable for emitting laser for either coagulation or resection of biological tissues;

said outer sheath is an elongated member having a distal portion and a proximal portion, said distal proton is introduced within said body cavity, and said proximal portion locates outside said body.

35. The surgical system according to claim 3, additionally comprising a visualizing means intercommunicated with said sensing and processing means, said visualizing means adapted to provide the surgeon with a 3DSP of said effecter within the body cavity.

39. The surgical system according to claim 3, wherein said procedural displacement protocol is processed by a computer numerical control (CNC).

4. A fully surgeon'"'"'s controlled surgical system (400) for obtaining a quick and faultless medical procedure within a body cavity, said system is fully regulated, restrained and monitored by said surgeon, said system comprising:

a. at least one effecter (10) performing said medical procedure; and

,

b. at least one maneuverable platform (20) reversibly coupled with said effecter (10);

said platform provides said effecter with independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates, such that the spatial position of said effecter is defined by said up to six coordinates (three-dimensional spatial position, 3DSP);

c. sensing and processing means (30), comprising;

(i) means (31) for acquiring a continuous real-time image of the body portion to be treated;

said body portion comprises a plurality n of (volume of interest) VOIs having ALLOWED portions and NOT-ALLOWED portions;

n is an integer number equal to or higher than 0;

(ii) means (32) for acquiring a continuous real-time 3DSP of said effecter; and

,

(iii) means (35) for (a) actuating &

positioning and/or (b) operating said at least one effecter;

(iv) means (39) for restricting said (a) actuating &

positioning and/or (b) operating means of said at least one effecter solely within said ALLOWED portions.

20. The surgical system according to claim 4, wherein said sensing means are selected from a group consisting of AC or DC magnetic tracking, Doppler, ultrasonic, RF, conductivity sensors, pressure sensors or any combination thereof.

24. The surgical system according to claim 20, wherein said sensing means are targeted in parallel to the main longitudinal axis of the effecter.

28. The surgical system according claim 4, wherein said effecter is selected from a group consisting of a maneuverable blade, wire combined with and without diathermy system, coagulating member, vacuum device, laser, light emitting, radiation, heat or cold member, suturing mechanism, forceps, high pressure water injection diagnostic means, ultrasound radiation, Doppler or any combination thereof.

36. The surgical system according to claim 4, additionally comprising a visualizing means intercommunicated with said sensing and processing means, said visualizing means adapted to provide the surgeon with a 3DSP of said effecter within the body cavity.

40. The surgical system according to claim 4, wherein said procedural displacement protocol is processed by a computer numerical control (CNC).

5-16. -16. (canceled)

41. A fully automated method for performing medical procedure within a body cavity such that faultless and quick medical procedure is obtained, said method comprising steps of:

a. obtaining at least one displaceable effecter (10) and a maneuverable platform;

b. at least reversibly coupling said platform with said effecter;

c. providing said effecter with a scheduled set of independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates;

d. defining the time-resolved spatial position of said effecter by said up to six coordinates (three-dimensional spatial position, 3DSP);

e. acquiring a continuous real-time image of the body portion to be treated;

f. acquiring a continuous real-time 3DSP of said effecter;

g. processing the procedural displacement protocol;

h. providing said at least one effecter and said maneuverable platform said scheduled procedural displacement protocol; and

,

i. performing said medical procedure by displacing and operating said at least one effecter (10) while maneuvering said at least one platform (20) according to said scheduled procedural displacement protocol;

such that a faultless and quick medical procedure is obtained.

45. The methods according to claim 41, additionally comprising the step of coupling to said effecter sensors selected from a group consisting of AC or DC magnetic tracking.

42. A semi-automated method for performing medical procedure within a body cavity such that faultless and quick medical procedure is obtained, said method comprising steps of:

a. obtaining at least one displaceable effecter (10) and a maneuverable platform;

b. at least reversibly coupling said platform with said effecter;

c. providing said effecter with a scheduled set of independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates;

d. defining the spatial position of said effecter by said up to six coordinates (three-dimensional spatial position, 3DSP);

e. acquiring a continuous real-time image of the body portion to be treated;

said body portion comprises a plurality n of (volume of interest) VOIs having ALLOWED portions and NOT-ALLOWED portions;

n is an integer number equal to or higher than 0;

f. acquiring a continuous real-time 3DSP of said effecter;

g. performing said medical procedure by (a) actuating &

positioning and/or (b) operating said at least one effecter (10) while maneuvering said at least one platform (20) solely within said ALLOWED portions;

such that a faultless and quick medical procedure is obtained.

46. The methods according to claim 42, additionally comprising the step of coupling to said effecter sensors selected from a group consisting of AC or DC magnetic tracking.

49. The method according to claim 42, additionally comprising the step of processing said procedural displacement protocol by a computer numerical control (CNC).

43. A surgeon-guided quasi-automated method for performing medical procedure within a body cavity such that faultless and quick medical procedure is obtained, said method comprising steps of:

a. obtaining at least one displaceable effecter (10) and a maneuverable platform;

b. at least reversibly coupling said platform with said effecter;

c. providing said effecter with a scheduled set of independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates;

d. defining the spatial position of said effecter by said up to six coordinates (three-dimensional spatial position, 3DSP);

e. obtaining a continuous real-time first image of the body portion to be treated;

f. obtaining from the surgeon, who is manually operating said system (300) said second image comprising spatial positions of a plurality n of (volume of interest) VOIs having ALLOWED portions and NOT-ALLOWED portions;

n is an integer number equal to or higher than 0;

g. obtaining a continuous real-time third image comprising 3DSP of said effecter;

h. performing said medical procedure by superimposing said first, second and third images;

thereby enabling (a) actuating &

positioning and/or (b) operating said at least one effecter (10) while maneuvering said at least one platform (20) solely within said ALLOWED portions;

such that a faultless and quick medical procedure is obtained.

47. The methods according to claim 43, additionally comprising the step of coupling to said effecter sensors selected from a group consisting of AC or DC magnetic tracking.

44. A fully surgeon'"'"'s controlled method for performing medical procedure within a body cavity such that faultless and quick medical procedure is obtained, said method comprising steps of:

a. obtaining at least one displaceable effecter (10) and a maneuverable platform;

b. at least reversibly coupling said platform with said effecter;

c. providing said effecter with a scheduled set of independent displacements selected from a group consisting of up to six DOFs, namely linear movement along the X,Y,Z-coordinates, and radial movement around the X,Y,Z coordinates;

d. defining the spatial position of said effecter by said up to six coordinates (three-dimensional spatial position, 3DSP);

e. acquiring a continuous real-time image of the body portion to be treated;

said body portion comprises a plurality n of (volume of interest) VOIs having ALLOWED portions and NOT-ALLOWED portions;

n is an integer number equal to or higher than 0;

f. acquiring a continuous real-time 3DSP of said effecter;

g. performing said medical procedure by (a) actuating &

positioning and/or (b) operating said at least one effecter (10) whilst maneuvering and restricting said at least one platform (20) solely within said ALLOWED portions;

such that a faultless and quick medical procedure is obtained.

48. The methods according to claim 44, additionally comprising the step of coupling to said effecter sensors selected from a group consisting of AC or DC magnetic tracking.