Granted Patent B2

US 10,912,544 · App. 15/735,082 · Granted Feb 9, 2021

Inventors: Gabriel F. Brisson (Sunnyvale, CA); Gregory W. Dachs, II (San Mateo, CA); Niels Smaby (Palo Alto, CA); Melody Wu (Sunnyvale, CA)

Assignee: INTUITIVE SURGICAL OPERATIONS, INC

A61B17/00A61B34/35A61B2017/00477A61B2034/302A61B2090/066

Abstract

Claims (57)

1. A method of engaging an instrument with an instrument manipulator, the method comprising:

receiving an indication that a first input coupling of the instrument is positioned adjacent to a first drive output of the manipulator, the first drive output being driven by a first actuating element;

in response to receiving the indication, rotating the first drive output in a first rotational direction;

determining, by one or more processors, whether a first resistance torque is experienced by the first actuating element after rotating the first drive output in the first rotational direction;

rotating the first drive output in a second rotational direction on the condition that the first resistance torque is not experienced by the first actuating element after rotating the first drive output in the first rotational direction; and

determining, by the one or more processors, whether a second resistance torque is experienced by the first actuating element after rotating the first drive output in the second rotational direction.

2. The method of claim 1 further comprising:

repeating the rotating of the first drive output in the first rotational direction on the condition that the second resistance torque is not experienced by the first actuating element after rotating the first drive output in the second rotational direction; and

determining, by the one or more processors, whether the first resistance torque is experienced by the first actuating element after repeating the rotating of the first drive output in the first rotational direction.

3. The method of claim 1 further comprising:

receiving a second indication that a second input coupling of the instrument is positioned adjacent to a second drive output of the manipulator, the second drive output being driven by a second actuating element;

in response to receiving the second indication, rotating the second drive output in the first rotational direction on the condition that: the first resistance torque is experienced by the first actuating element after rotating the first drive output in the first rotational direction or the second resistance torque is experienced by the first actuating element after rotating the first drive output in the second rotational direction; and

determining, by the one or more processors, whether a third resistance torque is experienced by the second actuating element after rotating the second drive output in the first rotational direction.

4. The method of claim 3 further comprising:

rotating the second drive output in the second rotational direction on the condition that the third resistance torque is not experienced by the second actuating element after rotating the second drive output in the first rotational direction; and

determining, by the one or more processors, whether a fourth resistance torque is experienced by the second actuating element after rotating the second drive output in the second rotational direction.

5. The method of claim 3 wherein the instrument includes an elongated shaft and a wrist joint and wherein the first input coupling is configured to drive rotation of the elongated shaft and the second input coupling is configured to drive movement of the wrist joint or rotation of the elongated shaft.

6. The method of claim 1 wherein the instrument includes a shifter for selecting a stapling function and wherein the first input coupling is configured to drive movement of the shifter.

7. The method of claim 1 wherein the first resistance torque or the second resistance torque is experienced by the first actuating element after a projection or a pocket of the first input coupling is physically seated with a respective pocket or projection of the first drive output.

8. The method of claim 1 wherein rotating the first drive output in the first rotational direction includes rotating the first drive output by greater than 360° in the first rotational direction.

9. A computer-assisted device comprising:

one or more processors; and

an instrument manipulator configured to receive an instrument;

wherein the one or more processors is configured to cause engagement of the instrument with the instrument manipulator by:

receiving an indication that a first input coupling of the instrument is positioned adjacent to a first drive output of the manipulator, the first drive output configured to be driven by a first actuating element;

in response to receiving the indication, rotating the first drive output in a first rotational direction;

determining whether a first resistance torque is experienced by the first actuating element in response to rotating the first drive output in the first rotational direction;

rotating the first drive output in a second rotational direction if the first resistance torque is not experienced by the first actuating element in response to rotating the first drive output in the first rotational direction; and

determining whether a second resistance torque is experienced by the first actuating element in response to rotating the first drive output in the second rotational direction.

10. The computer-assisted device of claim 9 wherein the one or more processors is further configured to cause engagement of the instrument with the instrument manipulator by:

again rotating the first drive output in the first rotational direction if the second resistance torque is not experienced by the first actuating element in response to after rotating the first drive output in the second rotational direction; and

determining whether the first resistance torque is experienced by the first actuating element in response to again rotating the first drive output in the first rotational direction.

11. The computer-assisted device of claim 9 wherein the one or more processors is further configured to cause engagement of the instrument with the instrument manipulator by:

receiving a second indication that a second input coupling of the instrument is positioned adjacent to a second drive output of the manipulator, the second drive output configured to be driven by a second actuating element;

in response to receiving the second indication, rotating the second drive output in the first rotational direction if: the first resistance torque is experienced by the first actuating element in response to rotating the first drive output in the first rotational direction or the second resistance torque is experienced by the first actuating element in response to rotating the first drive output in the second rotational direction; and

determining whether a third resistance torque is experienced by the second actuating element in response to rotating the second drive output in the first rotational direction.

12. The computer-assisted device of claim 11 wherein the one or more processors is further configured to cause engagement of the instrument with the instrument manipulator by:

rotating the second drive output in the second rotational direction if the third resistance torque is not experienced by the second actuating element in response to rotating the second drive output in the first rotational direction; and

determining whether a fourth resistance torque is experienced by the second actuating element in response to rotating the second drive output in the second rotational direction.

13. The computer-assisted device of claim 9 wherein the instrument includes an elongated shaft and a wrist joint and wherein the first input coupling is configured to drive rotation of the elongated shaft and the second input coupling is configured to drive movement of the wrist joint.

14. The computer-assisted device of claim 9 wherein the instrument includes an elongated shaft and a wrist joint and wherein the first input coupling is configured to drive movement of the wrist joint and the second input coupling is configured to drive rotation of the elongated shaft.

15. The computer-assisted device of claim 9 wherein the instrument includes a shifter for selecting a stapling function and wherein the first input coupling is configured to drive movement of the shifter.

16. The computer-assisted device of claim 9 wherein one of the first input coupling or the first drive output includes a plurality of projections, and wherein the other of the first input coupling or the first drive output includes a plurality of pockets sized to receive the plurality of projections.

17. The computer-assisted device of claim 16 wherein the first resistance torque or the second resistance torque is experienced by the first actuating element after each projection of the plurality of projections is seated in a respective pocket of the plurality of pockets.

18. The computer-assisted device of claim 9 wherein the first drive output is a component of an adaptor and is coupled to a carriage portion of the instrument manipulator.

19. The computer-assisted device of claim 9 wherein rotating the first drive output in the first rotational direction includes rotating the first drive output greater than 360° in the first rotational direction.

20. A non-transitory machine-readable medium comprising a plurality of machine-readable instructions which when executed by one or more processors associated with a computer-assisted medical device are adapted to cause the one or more processors to perform a method comprising:

rotating, in a first rotational direction, a first drive output of a manipulator portion of the computer-assisted medical device, the first drive output driven by a first actuating element;

determining whether a first resistance torque is experienced by the first actuating element after beginning the rotating the first drive output in the first rotational direction;

rotating the first drive output in a second rotational direction on the condition that the first resistance torque is not experienced by the first actuating element after beginning the rotating the first drive output in the first rotational direction; and

determining whether a second resistance torque is experienced by the first actuating element after beginning the rotating the first drive output in the second rotational direction.

21. The non-transitory machine-readable medium of claim 20 wherein the plurality of machine-readable instructions are adapted to cause the one or more processors to perform the method further comprising:

again rotating the first drive output in the first rotational direction if the second resistance torque is not experienced by the first actuating element after beginning the rotating the first drive output in the second rotational direction; and

determining whether the first resistance torque is experienced by the first actuating element after again rotating the first drive output in the first rotational direction.

22. The non-transitory machine-readable medium of claim 20 wherein the plurality of machine-readable instructions are adapted to cause the one or more processors to perform the method further comprising:

rotating, in the first rotational direction, a second drive output of the manipulator portion of the computer-assisted medical device, if the first resistance torque is experienced by the first actuating element after rotating the first drive output in the first rotational direction or the second resistance torque is experienced by the first actuating element after rotating the first drive output in the second rotational direction, wherein the second drive output is driven by a second actuating element; and

determining whether a third resistance torque is experienced by the second actuating element after beginning the rotating the second drive output in the first rotational direction.

Continuity (2)

Cited By (52)

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