MEDICAL ROBOTICS SYSTEMS IMPLEMENTING AXIS CONSTRAINTS DURING ACTUATION OF ONE OR MORE MOTORIZED JOINTS

• US 20190000576A1
• Filed: 06/18/2018
• Published: 01/03/2019
• Est. Priority Date: 06/28/2017
• Status: Active Grant

• Current Assignee: Intel Corporation, Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Auris Health, Inc. (Johnson & Johnson)
• Inventors: Mintz, David Stephen, Woodley, Bruce R., Schuh, Travis Michael, Huang, Yanan, Williams, Matthew Reagan
• Granted Patent: US 11,026,758 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 10/0233 Pointed or sharp biopsy instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00809 Lung operations
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2059 Mechanical position encoders
• CPC Class Codes: A61B 2034/2065 Tracking using image or pattern recognition
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 2090/3614 using optical fibre
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 2090/508 with releasable brake mechanisms
• CPC Class Codes: A61B 2090/571 for clamping a support arm to a bed or other supports
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/35 for telesurgery
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 90/50 : Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61B 90/57 : Accessory clamps
• CPC Class Codes: A61G 13/02 : Adjustable operating tables; Controls therefor
• CPC Class Codes: A61G 13/04 : tiltable around transverse or longitudinal axis
• CPC Class Codes: A61G 13/10 : Parts, details or accessories surgical drape sheets A61B46/00
• CPC Class Codes: B25J 9/1676 : Avoiding collision or forbidden zones

Abstract

Certain aspects relate to systems and techniques for medical robotic systems that leverage a versatile, open kinematic chain together with a set of medical-procedure-specific software-controlled actuation constraints in order to perform a variety of medical procedures. The robotic system can be operated in a first mode by identifying a remote center and constraining the actuation of motorized joints to maintain intersection of at least an insertion axis with the remote center. The robotic system can be operated in a second mode by identifying a virtual rail position and constraining the actuation of motorized joints to maintain alignment of the insertion axis along the virtual rail.

Claims

1. A robotic system comprising:

a robotic arm configured to control movement of a medical instrument with respect to at least first, second, and third axes, the robotic arm comprising a plurality of linkages serially coupling a plurality of motorized joints, the plurality of motorized joints including;

a first motorized joint comprising a revolute joint, the first motorized joint configured to actuate the movement of the medical instrument about the first axis,

a second motorized joint comprising a prismatic joint configured to linearly translate the medical instrument along the second axis, and

a plurality of additional motorized joints positioned serially between the first and second motorized joints, the plurality of additional motorized joints configured to actuate the movement of the medical instrument about the third axis;

at least one computer-readable memory having stored thereon executable instructions for operating the robotic system; and

at least one processor in communication with the at least one computer-readable memory and configured to execute the instructions to cause the system to operate in a first mode of operation that (i) fixes a location of a remote center such that the second axis is aligned with an opening of a patient and (ii) constrains the motion of the plurality of motorized joints such that the second axis passes through the remote center.

2. The system of claim 1, wherein each of the plurality of motorized joints comprises its own motor.

3. The system of claim 2, wherein each of the plurality of motorized joints further comprises a position sensor configured to determine a position of a rotor of the motor.

4. The system of claim 3, wherein the at least one processor is configured to execute the instructions to cause the system to at least control positioning of the robotic arm in the first mode based at least partly on the position of the rotor of the motor of each of the plurality of motorized joints.

5. The system of claim 1, wherein the at least one processor is configured to execute the instructions to cause the system to at least actuate the second motorized joint to move the medical instrument along a virtual rail in accordance with a second mode of operation.

6. The system of claim 1, wherein the at least one processor is configured to execute the instructions to cause the system to operate in a second mode of operation in addition to the first mode of operation, wherein in the second mode of operation the at least one processor causes the system to at least coordinate actuation of two or more of the plurality of motorized joints to move the medical instrument along a virtual rail.

7. The system of claim 1, wherein the plurality of additional motorized joints comprise third, fourth, and fifth joints, wherein, to constrain the motion of the plurality of motorized joints when actuated in the first operating mode, the at least one processor is configured to execute the instructions to cause the system to at least:

identify a virtual orientation of a virtual linkage between the remote center and the third joint; and

maintain positioning of a linkage of the plurality of linkages coupling the fourth and fifth joints parallel with the virtual orientation of the virtual linkage.

8. The system of claim 7, wherein the at least one processor is configured to execute the instructions to cause the system to at least change a distance between the remote center and the third joint.

9. The system of claim 7, the at least one processor is configured to execute the instructions to cause the system to at least fix a distance between the remote center and the third joint to be equal to a length of the linkage coupling the fourth and fifth joints.

10. The system of claim 7, wherein each of the third, fourth, and fifth joints comprises an additional revolute joint.

11. The system of claim 10, wherein a first linkage of the plurality of linkages couples the first and third joints, a second linkage of the plurality of linkages couples the third and fourth joints, and a first length of the first linkage is longer than a second length of the second linkage.

12. The system of claim 11, wherein the at least one processor is configured to execute the instructions to cause the system to at least rotate the third and fourth joints such that the fourth joint passes from a first position on a first side of the first linkage past the first joint to a position on a second side of the first linkage.

13. The system of claim 11, wherein a third linkage of the plurality of linkages couples the fourth and fifth joints, with the first, second, and third linkages being configured to be positioned in a substantially parallel fashion with the second linkage positioned between the first and third linkages.

14. The system of claim 13, wherein the at least one processor is configured to position the first, second, and third linkages in the substantially parallel fashion in response to receiving a storage command.

15. The system of claim 1, wherein the at least one processor in communication with the at least one computer-readable memory is configured to execute the instructions to cause the system to operate in at least one of the first mode of operation or a second mode of operation, wherein the second mode of operation comprises (i) identifying a positioning of a virtual rail based on positioning of the second axis when aligned with the opening of the patient and (ii) controlling movement of the medical instrument along the virtual rail.

16. A method, comprising:

receiving a command to operate in one of a first operating mode and a second operating mode of controlling movement of a medical instrument via a robotic arm comprising a plurality of linkages serially coupling a plurality of motorized joints, the plurality of motorized joints including;

a first motorized joint comprising a revolute joint, the first motorized joint configured to rotate about a first axis,

a second motorized joint comprising a prismatic joint configured to linearly translate the medical instrument along a second axis, and

a plurality of additional motorized joints positioned serially between the first and second motorized joints, the plurality of additional motorized joints configured to actuate the movement of the medical instrument about a third axis;

in response to receiving the command to operate in the first operating mode, (i) fixing a location of a remote center based on an opening of a patient, and (ii) constraining the motion of the plurality of motorized joints when actuated in the first operating mode such that the such that the second axis passes through the remote center; and

in response to receiving the command to operate in the second operating mode, aligning a virtual rail coaxial with the second axis with the opening of the patient.

17. The method of claim 16, wherein each of the plurality of motorized joints comprises a motor having a rotor, and wherein the method further comprises controlling positioning of the robotic arm in the first and second operating modes based at least partly on a position of the rotor of the motor of each of the plurality of motorized joints.

18. The method of claim 16, further comprising, in response to receiving a command to operate in the second operating mode, (i) actuating at least some of the plurality of motorized joints to align the second axis with the opening of the patient, (ii) identifying a positioning of a virtual rail based on positioning of the second axis when aligned with the opening of the patient, and (iii) controlling actuation of the medical instrument along the virtual rail.

19. The method of claim 16, further comprising, in response to receiving the command to operate in the first operating mode:

identifying that a cannula is docked to a cannula holder coupled to a linkage of the plurality of linkages with the second motorized joint configured to linearly move along the linkage;

determining the location of the remote center based at least partly on a location of the cannula holder; and

causing the robotic arm to perform at least one null-space movement to align the first axis to pass through the remote center, wherein during the null-space movement one or more of the plurality of motorized joints is actuated and the location of the cannula holder remains fixed.

20. The method of claim 16, further comprising constraining the motion of the plurality of motorized joints in the first operating mode such that the first, second, and third axes pass through the remote center.