Bracing of bundled medical devices for single port entry, robotically assisted medical procedures

• US 8,029,516 B2
• Filed: 06/13/2007
• Issued: 10/04/2011
• Est. Priority Date: 06/13/2006
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Larkin, David Q., Schena, Bruce, Mohr, Catherine J.
• Primary Examiner(s): Jackson; Gary
• Assistant Examiner(s): DOWE, KATHERINE MARIE
• Application Number:
  US11/762,222
• Publication Number:
  US 20070283970A1
• Time in Patent Office: 1,574 Days
• Field of Search: 606/130, 606/129, 600/201, 600/204, 600/210, 600227-234, 600/386, 744/900.1, 700/245
• US Class Current: 606/130
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 2090/371 with simultaneous use of two cameras
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/72 Micromanipulators
• CPC Class Codes: A61B 90/14 Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

Medical devices robotically manipulated by a medical robotic system for performing a medical procedure on a patient are bundled together as a bundled unit and inserted into the patient through a single entry port. Bracing of the bundled unit at the surgical site so as to be constrained in one or more degrees of freedom of movement may be performed using an anchor secured to an anatomic structure at the surgical site and physically coupled to the bundled unit, or using a tool extending out of a distal end of the bundled unit that extends out to an anatomic structure at the surgical site.

Claims

1. A method for bracing a bundled unit of medical devices used to perform a medical procedure at a surgical site within a patient, comprising:

manipulating a tool included in the bundled unit so as to secure an anchor held by the tool to an anatomical structure at the surgical site; and

coupling the bundled unit to the secured anchor so as to constrain at least one degree of freedom of movement of the bundled unit during performance of the medical procedure.

2. The method according to claim 1, wherein the medical procedure is to be performed on a target tissue at the surgical site, and the anatomical structure is adjacent to the target tissue.

3. The method according to claim 1, wherein the medical procedure is to be performed on a target tissue at the surgical site, and the anatomical structure is the target tissue.

4. The method according to claim 1, wherein the anchor comprises a coupling element for coupling the anchor to the bundled unit, and an attaching element for securing the anchor to the anatomical structure.

5. The method according to claim 4, wherein the coupling element is an eyelet.

6. The method according to claim 5, wherein the coupling of the bundled unit to the secured anchor comprises:

inserting a male member of the bundled unit into the eyelet of the anchor.

7. The method according to claim 6, wherein the eyelet and the male member are shaped so as to constrain at least one rotational movement of the male member when inserted in the eyelet.

8. The method according to claim 6, wherein the inner wall of the eyelet and the outer surface of the male member are configured so as to constrain at least one rotational movement of the male member when inserted in the eyelet.

9. The method according to claim 6, wherein the male member is controllably extendable out of a distal end of the bundled unit.

10. The method according to claim 6, wherein the male member is a hook structure attached to an outer surface of the bundled unit.

11. The method according to claim 4, wherein the coupling element is a tether.

12. The method according to claim 11, wherein the robotic coupling of the bundled unit to the secured anchor comprises:

manipulating a tool in the bundled unit so as to grasp the tether.

13. The method according to claim 4, wherein the coupling element is a material characterized by being attracted to a magnet.

14. The method according to claim 13, wherein the robotic coupling of the bundled unit to the secured anchor comprises:

energizing an electromagnetic tip of a tool inserted in the bundled unit so as to magnetically attract the coupling element.

15. The method according to claim 13, wherein the robotic coupling of the bundled unit to the secured anchor comprises:

energizing an electromagnetic element disposed on the bundled unit so as to magnetically attract the coupling element.

16. The method according to claim 4, wherein the attaching element is a screw.

17. The method according to claim 16, wherein the manipulating of the tool included in the bundled unit so as to secure an anchor held by the tool to the anatomical structure at the surgical site, comprises:

manipulating the tool so that it rotates and exerts a force against the screw sufficient to screw the screw into the anatomic structure.

18. The method according to claim 4, wherein the attaching element includes retractable and expandable wings.

19. The method according to claim 18, further comprising:

manipulating a drill included in the bundled unit so as to drill a hole in the anatomic structure where the anchor be secured;

wherein the manipulation of the tool used to secure the anchor held by the tool to the anatomical structure at the surgical site comprises inserting the wings of the attaching element in their retracted position into the hole, causing the wings to be placed in their expanded position after exiting the hole on an opposite of entry, and securing the wings in their expanded position so as to secure the anchor to the anatomic structure.

20. The method according to claim 1, further comprising prior to manipulating the tool:

inserting the bundled unit through a port into the patient.

21. The method according to claim 20, wherein the port is a minimally invasive incision and the medical procedure is a minimally invasive surgical procedure.

22. The method according to claim 20, wherein the port is a natural body orifice.

23. The method according to claim 1, wherein the bundled unit comprises at least one tool for performing the medical procedure and an image capturing device for viewing the medical procedure at the surgical site.

24. The method according to claim 1, wherein the manipulation of the tool comprises:

robotically manipulating the tool so as to secure the anchor held by the tool to the anatomical structure.

25. The method according to claim 1, wherein the coupling of the bundled unit to the secured anchor comprises:

robotically coupling the bundled unit to the secured anchor so as to constrain at least one degree of freedom of movement of the bundled unit during performance of the medical procedure.