Intuitive Surgical Operations, Inc.

Intuitive Surgical, Inc.

Michael Ikeda

Anthony K McGrogan

Paul E Lilagan

David W Bailey

Hubert Stein

Thomas G Cooper

Christopher Allen Julian

Craig R Ramstad

Tyler J Morrissette

Andris D Ramans

Margaret M Nixon

Yiming Mei

David Q Larkin

Kent M Anderson

Jeffrey D Brown

Dean F Hoornaert

Margaret M Isaac

Giuseppe Maria Prisco

Daniel T Wallace

Frederic H Moll

William C Nowlin

Robert G Younge

David Joseph Rosa

Thomas R Nixon

Paul Millman

Embodiments of a rotating assistant port device are presented. The assistant port device can be utilized to provide for additional assistant instruments in single port robotic surgery. In some embodiments, the assistant port device can be utilized for skin retraction during single port teleoperated robotic surgery.

Rotating assistant port

A cannula and instrument guide assembly includes a cannula with a proximal portion and a tube. An instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to a distal end of the tube. The proximal portion of the cannula has an insufflation port. The instrument guide provides at least one interior passageway to support a shaft of a surgical instrument that passes through the instrument guide. One or more channels on an outer surface of the instrument guide provide a passage for insufflation gas received from the insufflation port to the distal end of the tube. The one or more channels have a first cross-sectional area at a proximal end and a second, larger cross-sectional area at a distal end. The one or more channels may have the first cross-sectional area along a majority of the length of the channels.

Surgical instrument guide with insufflation channels

A surgical system uses a single entry port in a wide variety of surgeries. To insert multiple surgical instruments into a patient through a single entry port requires that the shaft of at least one of the surgical instruments be bent between the base of the surgical instrument and the point where the shaft contacts a channel in an entry guide. Each surgical instrument is positioned by an instrument manipulator positioning system so that when the shaft is inserted in a channel of the entry guide, any bending of the shaft does not damage the surgical instrument and does not inhibit proper operation of the surgical instrument.

Surgical system with variable entry guide configurations

Techniques for input control visualization include a control console. The control console includes a first input control operable by an operator and outside of a field of view of the operator, a display within the field of view of the operator, and one or more sensors. The one or more sensors acquire information about the first input control and a physical environment surrounding the first input control. A representation of the first input control and the physical environment is generated from the information. The representation is displayed on the display.

Techniques for input control visualization

A control console includes a first input control operable by an operator and outside of a field of view of the operator, a display within the field of view of the operator, and a first image capture device. The first image capture device acquires a first image of a physical environment surrounding the first input control and at least part of the first input control. The first image is output on the display. In some embodiments, a second image of a work site may also be displayed, so that the operator can locate and operate the first input control while continuously viewing the second image of the work site.

Surgical equipment control input visualization field

A slave manipulator manipulates a medical device in response to operator manipulation of an input device through joint control systems. The stiffness and strength of the slave manipulator are adjustable according to criteria such as the mode of operation of the slave manipulator, the functional type of the medical device currently being held by the slave manipulator, and the current phase of a medical procedure being performed using the slave manipulator by changing corresponding parameters of the control system. For safety purposes, such changes are not made until it is determined that it can be done in a smooth manner without causing jerking of the medical device. Further, an excessive force warning may be provided to surgery staff when excessive forces are being commanded on the slave manipulator for more than a specified period of time.

Medical robotic system with dynamically adjustable slave manipulator characteristics

A surgical system uses a single entry port in a wide variety of surgeries. To insert multiple surgical instruments into a patient through a single entry port requires that the shaft (A) of at least one (A) of the surgical instruments be bent between the base of the surgical instrument (A) and the point where the shaft contacts a channel in an entry guide (A). Each surgical instrument (AA) is positioned by an instrument manipulator positioning system (A) so that when the shaft is inserted in a channel of the entry guide (A), any bending of the shaft does not damage the surgical instrument and does not inhibit proper operation of the surgical instrument.

A teleoperated medical device includes a sensor that senses information that represents a position of a control input out of an operator's field of view and displays the information to the operator. The displayed information may be combined with an image of a surgical site, so that the operator can locate and operate the control input while continuously viewing the image of the surgical site.

A rotating assistant port device including a circular elastomeric element, a sleeve coupled to the circular elastomeric element, a sleeve mount coupled to the sleeve opposite the circular elastomeric element, an outer hub removably attached to the sleeve mount, and an inner hub captured between the sleeve mount and the outer hub. The inner hub can include a cannula port. In some embodiments, the assistant port device can be utilized for skin retraction during single port teleoperated robotic surgery.

Minimaily invasive surgical retractors and methods of using the retractors are provided. This retractor may be introduced through a sealed port, controlled by a robotic system, have full articulation, and need not require assembly within the patient's body. As a result, fully endoscopic mitral valve surgery may be performed.

Robotic endoscopic retractor for use in minimally invasive surgery

Minimally invasive surgical retractors and methods of using the retractors are provided. This retractor may be introduced through a sealed port, controlled by a robotic system, have full articulation, and need not require assembly within the patient's body. As a result, fully endoscopic mitral valve surgery may be performed.

Devices, systems and methods related to endoscopic surgery, particularly related to robotic surgical operations, provide a tissue stabilizer for endoscopically stabilizing a target tissue within a patient's body. For stabilizing a beating heart during a closed-chest coronary artery bypass grafting procedure, a stabilizer is inserted through an endoscopic cannula and provides sufficient surface area to contact the heart and effectively stabilize the target tissue area. The stabilizer can straddle a blood vessel, such as a coronary artery, which is targeted for an anastomosis. Vessel occlusion fasteners may occlude the target blood vessel prior to the anastomosis procedure.

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Saratoga, CA, United States of America

Michael Ikeda