Auris Health, Inc.

Han Sen Medical, Inc.

Auris Surgical Robotics, Inc.

Noah Medical Corporation

Enrique Romo

Alan L Yu

David S Mintz

Jeffery B Alvarez

Arkady Kokish

Gene Reis

J Scot Hart, Jr

Frederic H Moll

Gregory J Kintz

Allen Jiang

Joseph Bogusky

Gregory Francis Hirth

Mark A Lown

Leo Centeno

Gregory J Stahler

Christopher K Sramek

Nahid Sidki

Siddharth Oli

Travis Michael Schuh

Neal A Tanner

Sean Paul Walker

Francis T Macnamara

David Michael Schummers

Francis MacNamara

Serena H Wong

Jason Joseph Hsu

Jian Zhang

Travis C Covington

Alexander Tarek Hassan

Christopher M Sewell

Kiran Murthy

Teresa Miller

Aaron M Weiss

Steve Burion

Hendrik Thompson

Leena Kadakia

Casey Lewis

William K Yee

Helen Truong

Steven E Yampolsky

Lisa Heaton

Devon Manuel Daley

Zihan Chen

Richard August Leparmentier

Eric Davidson

Jeffrey B Alvarez

Katherine A Bender

Siddarth Oli

Alan Lau Yu

Joe Bogusky

Katherine Bender

An instrument includes an elongate shaft, a set of pull wire lumens disposed within the elongate shaft, the set of pull wire lumens comprising first, second, third, and fourth pull wire lumens, and a set of pull wire segments comprising first, second, third, and fourth pull wire segments disposed within the first, second, third, and fourth pull wire lumens, respectively, each of the set of pull wire segments having a proximal portion that is configured to be manipulated by a robotic input.

Multiple-pull-wire robotic instrument articulation

Disclosed embodiments pertain to apparatus, systems, and method for facilitating instrument visualization and use in robotic medical devices. In some embodiments, for one or more instruments coupled to a robotic medical device, one or more corresponding instrument positions relative to a current field of view (FOV) of least one image sensor coupled to the robotic medical device may be obtained. Feedback, which may haptic and/or visual, may be initiated for a selected instrument based on a position of the selected instrument relative to the current FOV.

Apparatus, systems, and methods to facilitate instrument visualization

A hybrid vision device is provided. The hybrid vision device comprises: an articulating elongate member comprising a proximal end and a distal end, and a positional sensor is located at the distal end of the articulating elongate member; and a multimodal sensing probe removably coupled to the articulating elongate member, and the multimodal sensing probe comprises an ultrasound transducer and a camera located at a distal portion of the multimodal sensing probe.

Systems for a triple imaging hybrid probe

Certain aspects relate to systems and techniques for endoscopically-assisted percutaneous medical procedures. A method can include inserting a first medical instrument having an elongated shaft and a first position sensor into a treatment region of a patient through a natural orifice of the patient. A first position of the first medical instrument within the treatment region can be determined with the first position sensor. A target location can be defined within the treatment region that is distanced from the determined first position. A second medical instrument can be percutaneously guided toward the target location. The method can be performed on a robotically-enabled medical system.

Robotic systems and methods for concomitant endoscopic and percutaneous medical procedures

A surgical tool having an electromagnetic (EM) sensor component is provided. The surgical tool has a flexible shaft portion. Additionally, the surgical tool has a rigid portion attached to the flexible shaft portion. The rigid portion comprises at least one EM sensor within the rigid portion. The at least one EM sensor comprises an extended core portion surrounded by a coil. Additionally, the at least one EM sensor generates a change in voltage when exposed to an electromagnetic field.

Surgical tools having electromagnetic tracking components

An embodiment of the present invention provides for an elongated medical device with a hypotube backbone running through the device, and a spiral lumen spiraled around the backbone along the length of the backbone. The backbone may be formed from a nitinol alloy for increased bendability without compromising axial stiffness. The device may also incorporate a jacket around the hypotube and spiral lumen formed using either melting, molding, bonding, or casting. The spiral lumen may be configured to accommodate a variety of uses, including actuation members (e.g., pull wires), tools, and means for aspiration, irrigation, image capture, and illumination. Additionally, the present invention provides a method for constructing an elongated medical device with a hypotube backbone running through the device, and a spiral lumen spiraled around the backbone along the length of the backbone.

Tool and method for using surgical endoscope with spiral lumens

A method, apparatus, and system for facilitating bending of an instrument in a surgical or medical robotic environment are provided. In one aspect, a surgical system includes an instrument comprising an end effector, the instrument capable of articulation via a bending section. The bending section includes a body including a first strut and a second strut, and a channel formed through the body. The first strut and the second strut form a gap therebetween, wherein the gap is in communication with the channel formed through the body.

Method, apparatus, and system for facilitating bending of an instrument in a surgical or medical robotic environment

Various exemplary drive apparatuses and associated methods are disclosed for driving an elongated member, e.g., a catheter, sheath, or guidewire. An exemplary drive apparatus may include a first component and a moveable component, each configured to selectively grip the elongated member. In some examples, the first and moveable components may each include a gripping device. The moveable component may be configured to selectively move axially and rotationally with respect to a support surface to effect axial movement and rotation movement, respectively, of the elongated member with respect to the support surface within a range of motion of the moveable component. The moveable component may be configured to move the elongated member across a predetermined movement having a magnitude greater than the range of motion.

Active drive mechanism with finite range of motion

Certain aspects relate to systems and techniques for optical strain sensing in medical instruments. In one aspect, a medical instrument includes an elongated shaft, and at least one pull wire extending from a proximal end of the elongated shaft to the distal end of the elongated shaft. The at least one pull wire is configured to cause actuation of the medical instrument in at least one degree of freedom. The at least one pull wire includes an optical fiber configured to provide an indication of strain along the at least one pull wire.

Systems and methods for optical strain sensing in medical instruments

A method is described for using percutaneous access to a patient to remove an object from a cavity within the patient. The method includes inserting a suction tube into a port created by a percutaneous cut. An endoscope is also advanced into the cavity, however the endoscope passes through a patient lumen rather than through the port. Using a working channel within the endoscope, fluid is irrigated through the cavity. Additionally, a negative pressure is applied to the suction tube, such that the combination of fluid irrigation and negative pressure assist in removing the object from the cavity through the suction tube.

Object removal through a percutaneous suction tube

Systems and methods for moving or manipulating robotic arms are provided. A group of robotic arms are configured to form a virtual rail or line between the end effectors of the robotic arms. The robotic arms are responsive to outside force such as from a user. When a user moves a single one of the robotic arms, the other robotic arms will automatically move to maintain the virtual rail alignments. The virtual rail of the robotic arm end effectors may be translated in one or more of three dimensions. The virtual rail may be rotated about a point on the virtual rail line. The robotic arms can detect the nature of the contact from the user and move accordingly. Holding, shaking, tapping, pushing, pulling, and rotating different parts of the robotic arm elicits different movement responses from different parts of the robotic arm.

Configurable robotic surgical system with virtual rail and flexible endoscope

A method is described for performing a percutaneous operation on a patient to remove an object from a cavity within the patient. The method includes advancing a first alignment sensor into the cavity through a patient lumen. The first alignment sensor provides its position and orientation in free space in real time. The alignment sensor is manipulated until it is located in proximity to the object. A percutaneous opening is made in the patient with a surgical tool, where the surgical tool includes a second alignment sensor that provides the position and orientation of the surgical tool in free space in real time. The surgical tool is directed towards the object using data provided by both the first and the second alignment sensors.

Process for percutaneous operations

An instrument having a flexible and elongated body includes at least a lumen and a flex member disposed within the lumen. The flex member may be capable of providing steering control to a first portion of the elongate body while providing load bearing support to a second portion of the elongate body. A pull wire may be disposed within the flex member, and at least a distal portion of the pull wire may be coupled to the elongate body and a proximal portion of the pull wire may be operatively coupled to a control unit. The control unit may be coupled to a proximal portion of the elongate body. In addition, a control member may be operatively coupled to the control unit such that a distal portion of the control member may be positioned near a proximal portion of the flex member. The control member may be configured to support the flex member and control the movement or displacement of the flex member. Furthermore, the flex member may be configured to selectively decouple articulation or steering forces of a first portion of the elongate body away from a second portion of the elongate body; thereby, preventing compression of the second portion of the elongate body while maintaining elasticity or flexibility of the second portion of the elongate body.

Flexible and steerable elongate instruments with shape control and support elements

Systems, methods, and workflows for concomitant procedures are disclosed. In one aspect, the method includes manipulating a flexible instrument using a first robotic arm of a robotic system, manipulating a rigid instrument using a second robotic arm of the robotic system, displaying feedback from the flexible instrument, and displaying feedback from the rigid instrument.

Systems, methods, and workflows for concomitant procedures

A medical robotic system includes a base having a first opening, and a first protrusion next to the first opening, a first rotary member configured for detachably coupling to a component of the medical robotic system in a manner such that the first rotary member is rotatable relative to the base and at least a part of the first rotary member is located in the first opening of the base when the first rotary member is coupled to the system component, and a cover coupled to the base, wherein the first rotary member comprises a first end, a second end, a body extending between the first and second ends, and a flange disposed circumferentially around a part of the body, the flange having a first circumferential slot for receiving the first protrusion.

Low friction instrument driver interface for robotic systems

Growing community of inventors

Dublin, CA, United States of America

Enrique Romo