IP Library Granted Patent US 12,256,891
Granted Patent B2
US 12,256,891 · App. 16/536,868 · Granted Mar 25, 2025

Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope

Inventors: Robert Eno (Mountain View, CA); Amir Belson (Los Altos, CA); David Blaha (Sunnyvale, CA); David Mintz (Mountain View, CA); Bruce R. Woodley (Palo Alto, CA)
Assignee: INTUITIVE SURGICAL OPERATIONS, INC.
A61B1/00045A61B1/00042A61B1/0053A61B1/0055A61B1/0057A61B1/008A61B5/06A61B5/743A61B5/7435
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Quick Facts
Patent No.
US 12,256,891
App. No.
16/536,868
Granted
Mar 25, 2025
Kind
B2
Abstract

A method for controlling an orientation of a steerable distal portion of an elongate instrument, said instrument comprising at least one tensioning member attached to said steerable distal portion may include receiving an input command at a controller for articulation of said steerable distal portion, the articulation correlating to an approximate y-bend and an approximate x-bend of said steerable distal portion; calculating an approximate overall bend from said approximate y-bend and said approximate x-bend; and setting a limit of said approximate overall bend beyond which said steerable distal portion is not permitted to achieve. The method may further include one of: causing actuation of said at least one tensioning member to achieve said y-bend and said x-bend on a condition of said calculated approximate overall bend being equal to or less than said limit, and repeating the receiving, calculating, and setting steps on a condition of said calculated approximate overall bend being greater than said limit.

Claims (53)

1. A method for controlling an orientation of a steerable distal portion of an elongate instrument, said steerable distal portion comprising a plurality of segments coupled in series by one or more joints between adjacent segments such that respective segments of the plurality of segments articulate about either the x-axis or the y-axis, said instrument comprising a plurality of tensioning members attached to said steerable distal portion, said method comprising:

receiving an input command at a controller for a commanded articulation of said steerable distal portion, the commanded articulation correlating to an overall commanded y-bend and an commanded overall x-bend of the respective segments of said steerable distal portion;

in response to receiving the input command:

calculating, based on the commanded articulation, a commanded overall bend magnitude based on a combination of:

a magnitude of the commanded overall y-bend of segments of the steerable distal portion configured to articulate about the y-axis, and

a magnitude of the commanded overall x-bend of segments of the steerable distal portion configured to articulate about the x-axis,

wherein the magnitude of each of the commanded overall y-bend and the commanded overall x-bend is a non-zero value and the commanded overall bend magnitude is the approximate overall angle by which the steerable distal portion is bent relative to a longitudinal axis of the instrument proximal of the steerable distal portion; and

one of:

causing actuation of one or more of said plurality of tensioning members to achieve said articulation of said steerable distal portion corresponding to the commanded articulation on a condition of said calculated commanded overall bend magnitude being equal to or less than a preset limit, or

preventing actuation of the one or more of said plurality of tensioning members from achieving said articulation of said steerable distal portion corresponding to the commanded articulation on a condition of said calculated commanded overall bend magnitude being greater than said preset limit.

2. The method of claim 1 further comprising displaying on a graphical user interface an icon representing an approximate orientation of said steerable distal portion.

3. The method according to claim 2 , further comprising displaying on said graphical user interface a cross-hair through an approximate center of at least one circle representing an angular measurement correlating to the commanded overall bend magnitude.

4. The method according to claim 3 , wherein said at least one circle comprises a plurality of concentric circles.

5. The method according to claim 4 , wherein an inner one of the concentric circles represents an angular measurement of 90 degrees of overall bend magnitude and an outer one of the concentric circles represents an angular measurement of 180 degrees of overall bend magnitude.

6. The method according to claim 1 , wherein calculating the commanded overall bend magnitude further comprises calculating the commanded overall bend magnitude using √{square root over ((y-bend) 2 +(x-bend) 2 )}.

7. The method according to claim 1 , further comprising:

displaying on a graphical user interface an icon representing an orientation of said steerable distal portion, wherein said graphical user interface comprises a cross-hair through the approximate center of a plurality of concentric circles, wherein the location of said icon relative to each of said plurality of concentric circles represents the approximate angular measurement of said commanded overall bend magnitude, and wherein the location of said icon along horizontal and vertical axes of said cross-hair represent the commanded overall x-bend and commanded overall y-bend, respectively, of said steerable distal portion.

8. The method of claim 1 , further comprising:

detecting tension in said plurality of tensioning members,

wherein said causing actuation is based on the tension.

9. The method of claim 1 , further comprising receiving, from a sensor located on said steerable distal portion, a signal indicative of an overall bend magnitude of the steerable distal portion articulated to the commanded articulation.

10. The method according to claim 1 , wherein the preset limit is less than an over-saturated articulation of the steerable distal portion, the over-saturated articulation corresponding to an overall magnitude of bend of the plurality of segments that is greater than or equal to an overall x-bend limit of the segments configured to articulate about the x-axis and is greater than or equal to an overall y-bend limit of the segments configured to articulate about the y-axis.

11. The method of claim 8 , wherein detecting the tension in the plurality of tensioning members comprises measuring a pull-distance of said plurality of tensioning members, wherein said pull-distance correlates to the overall x-bend and the overall y-bend of the plurality of segments of the steerable distal portion articulated to the commanded articulation.

12. A system, comprising:

an elongate instrument comprising a steerable distal portion, said steerable distal portion comprising a plurality of segments coupled in series by one or more joints between adjacent segments;

a plurality of tensioning members operably coupled to the steerable distal portion; and

a controller configured to:

receive an input command for a commanded articulation of the steerable distal portion, the commanded articulation correlating to an overall commanded y-bend and an commanded overall x-bend of the respective segments of the steerable distal portion;

in response to receiving the input command:

calculate, based on the commanded articulation, a commanded overall bend magnitude based on a combination of:

a magnitude of the commanded overall y-bend of segments of the steerable distal portion configured to articulate about the y-axis, and

a magnitude of the commanded overall x-bend of segments of the steerable distal portion configured to articulate about the x-axis,

wherein the magnitude of each of the commanded overall y-bend and the commanded overall x-bend is a non-zero value and the commanded overall bend magnitude is the approximate overall angle by which the steerable distal portion is bent relative to a longitudinal axis of the instrument proximal of the steerable distal portion; and

one of:

cause actuation of one or more of the plurality of tensioning members to achieve said articulation of said steerable distal portion corresponding to the commanded articulation on a condition of the calculated approximate commanded overall bend magnitude being equal to or less than a preset limit, or

prevent actuation of the one or more of said plurality of tensioning members from achieving said articulation of the steerable distal portion corresponding to the commanded articulation on a condition of said calculated commanded overall bend magnitude being greater than the preset limit.

13. The system of claim 12 , further comprising a graphical user interface, wherein the controller is further configured to cause the graphical user interface to display an icon representing an approximate orientation of the steerable distal portion.

14. The system of claim 13 , wherein the controller is further configured to cause the graphical user interface to display a cross-hair through an approximate center of at least one circle representing an angular measurement correlating to the commanded overall bend magnitude.

15. The system of claim 14 , wherein the at least one circle comprises a plurality of concentric circles.

16. The system of claim 15 , wherein an inner one of the concentric circles represents an angular measurement of 90 degrees of overall bend magnitude and an outer one of the concentric circles represents an angular measurement of 180 degrees of overall bend magnitude.

17. The system of claim 12 , wherein the controller is configured to calculate the commanded overall bend magnitude using √{square root over ((y-bend) 2 +(x-bend) 2 )}.

18. The system of claim 12 , wherein the controller is further configured to:

receive information regarding tension in the plurality of tensioning members; and

cause actuation of the plurality of tensioning members based on receiving the information regarding the tension.

19. The system of claim 18 , wherein the information regarding the tension in the plurality of tensioning members comprises a pull-distance of the plurality of tensioning members, wherein the pull-distance correlates to the overall x-bend and the overall y-bend of the plurality of segments of the steerable distal portion articulated to the commanded articulation.

20. The system of claim 12 , further comprising:

a sensor configured to detect the tension in the plurality of tensioning members,

wherein the controller is further configured to receive the information regarding tension from the sensor.

21. The system of claim 12 , wherein the preset limit is less than an over-saturated articulation of the steerable distal portion, the over-saturated articulation corresponding to an overall magnitude of bend of the plurality of segments that is greater than or equal to an overall x-bend limit of the segments configured to articulate about the x-axis and is greater than or equal to an overall y-bend limit of the segments configured to articulate about the y-axis.

22. The system of claim 12 , wherein the plurality of segments comprise at least two pairs of adjacent segments connected by one or more joints configured to articulate about the x-axis and at least two pairs of adjacent segments connected by one or more joints configured to articulate about the y-axis.

23. The system of claim 22 , wherein each pair of adjacent segments is coupled to at least two actuation members to control articulation of each respective pair of adjacent segments.

24. The method of claim 1 , wherein the plurality of segments comprise at least two pairs of adjacent segments connected by one or more joints configured to articulate about the x-axis and at least two pairs of adjacent segments connected by one or more joints configured to articulate about the y-axis.

25. The method of claim 24 , wherein each pair of adjacent segments is coupled to at least two tensioning members to control articulation of each respective pair of adjacent segments.

Assignments (4)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 31, 2020
From: ENO, ROBERT; BELSON, AMIR; BLAHA, DAVID; MINTZ, DAVID; WOODLEY, BRUCE ROBERT
To: NEOGUIDE SYSTEMS, INC.
Reel/Frame 051685/0230 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 31, 2020
From: INTUITIVE SURGICAL, INC.
To: INTUITIVE SURGICAL OPERATIONS, INC.
Reel/Frame 051685/0322 →
TERMINATION OF SECURITY AGREEMENT Recorded Jan 31, 2020
From: VENTURE LENDING & LEASING IV/V, INC.
To: NEOGUIDE SYSTEMS, INC.
Reel/Frame 051763/0841 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 31, 2020
From: NEOGUIDE SYSTEMS, INC.
To: INTUITIVE SURGICAL, INC.
Reel/Frame 051763/0843 →
Continuity (5)
Division 15156686 · May 17, 2016
Division 14039147 · Sep 27, 2013
Division 11750988 · May 18, 2007
Provisional Application 60747783 · May 19, 2006
Related Publication 20190357858A1 · Nov 28, 2019
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