A tissue perforation device and method. The device preferably includes a housing having a housing pass-through, a penetrator device securely and sealably positioned so that the penetrator device passes through the housing pass-through, and a vacuum system comprising a vacuum source securely and sealably attached through the housing for advancing a patient's tissue onto the penetrator device.
Vacuum-Actuated Tissue Perforation Device For Establishing Pneumoperitoneum
A tissue perforation device and method. The device preferably includes a housing having a housing pass-through, a penetrator securely and sealably positioned so that the penetrator device passes through the housing pass-through, and a vacuum system comprising a vacuum source securely and sealably attached through the housing for advancing a patient's tissue onto the penetrator device.
Augmented Stereoscopic Visualization For A Surgical Robot Using Time Duplexing
David Scott - Oakland CA, US Wenyi Zhao - Mountain View CA, US Christopher J. Hasser - Los Altos CA, US Brian D. Hoffman - Sunnyvale CA, US Ian McDowall - Woodside CA, US Catherine J. Mohr - Mountain View CA, US John D. Stern - Menlo Park CA, US
Assignee:
Intuitive Surgical Operations, Inc. - Sunnyvale CA
International Classification:
A61B 1/06 A61B 1/04 A61B 1/00
US Classification:
600160, 600109, 600166
Abstract:
An endoscope with a stereoscopic optical channel is again held and positioned by a robotic surgical system. A capture unit captures (1) at a first time, a first image from light from the channel; and (2) at a second time different from the first time, a second image from the light. Only one of the first image and the second image includes a combination of a fluorescence image and a visible image. The other of the first image and the second image is a visible image. An intelligent image processing system generates an artificial fluorescence image using the captured fluorescence image. An augmented stereoscopic display system outputs an augmented stereoscopic image of at least a portion of the tissue comprising the artificial fluorescence image.
Augmented Stereoscopic Visualization For A Surgical Robot
David Scott - Oakland CA, US Wenyi Zhao - Mountain View CA, US Christopher J. Hasser - Los Altos CA, US Brian D. Hoffman - Sunnyvale CA, US Paul Lilagan - Sunnyvale CA, US Ian McDowall - Woodside CA, US Catherine J. Mohr - Mountain View CA, US John D. Stern - Menlo Park CA, US Tao Zhao - Sunnyvale CA, US
Assignee:
Intuitive Surgical Operations, Inc. - Sunnyvale CA
International Classification:
H04N 13/00 G06F 12/00
US Classification:
348 51, 348 45
Abstract:
A robotic surgical system positions and holds an endoscope. A visible imaging system is coupled to the endoscope. The visible imaging system captures a visible image of tissue. An alternate imaging system is also coupled to the endoscope. The alternate imaging system captures a fluorescence image of at least a portion of the tissue. A stereoscopic video display system is coupled to the visible imaging system and to the alternate imaging system. The stereoscopic video display system outputs a real-time stereoscopic image comprising a three-dimensional presentation of a blend of a fluorescence image associated with the captured fluorescence image, and the visible image.
David Q. Larkin - Menlo Park CA, US Thomas G. Cooper - Menlo Park CA, US Catherine J. Mohr - Mountain View CA, US
Assignee:
Intuitive Surgical Operations, Inc. - Sunnyvale CA
International Classification:
A61B 1/00 A61B 17/00
US Classification:
600104, 600106, 606 1, 901 14, 901 15, 901 16
Abstract:
A surgical instrument is inserted through a guide tube. A telemanipulation system moves the distal end of the surgical instrument in all six Cartesian degrees of freedom independently of any guide tube movements.
Nicola Diolaiti - Palo Alto CA, US David Q. Larkin - Menlo Park CA, US Catherine J. Mohr - Mountain View CA, US
Assignee:
Intuitive Surgical Operations, Inc. - Sunnyvale CA
International Classification:
G06F 19/00
US Classification:
700245, 700247, 700248, 600407, 600424, 901 46
Abstract:
In a coupled control mode, the surgeon directly controls movement of an associated slave manipulator with an input device while indirectly controlling movement of one or more non-associated slave manipulators, in response to commanded motion of the directly controlled slave manipulator, to achieve a secondary objective. By automatically performing secondary tasks through coupled control modes, the system's usability is enhanced by reducing the surgeon's need to switch to another direct mode to manually achieve the desired secondary objective. Thus, coupled control modes allow the surgeon to better focus on performing medical procedures and to pay less attention to managing the system.
Camran Nezhat - Palo Alto CA, US Catherine Mohr - Mountain View CA, US
International Classification:
A61M 5/00
US Classification:
604115
Abstract:
A vacuum-actuated tissue lifting medical device for creating an operative space in a patient for a surgical procedure is disclosed. The device includes a housing having an opening for resting on a tissue surface of a patient. The housing defines an expansion space between the housing and the tissue surface for application of a negative pressure in the expansion space. A penetrator device located within the housing can penetrate into the tissue surface of the patient. A vacuum system is in fluid communication with the housing for creating a negative pressure in the expansion space for advancing the tissue surface onto the penetrator device such that an operative work space is created beneath the tissue surface. A regulator controls the negative pressure in the housing when (i) the negative pressure in the expansion space exceeds a value; (ii) the pressure in the operative work space exceeds a value; or (iii) a combination of (i) and (ii).
Guide Tube Control Of Minimally Invasive Surgical Instruments
David Larkin - Menlo Park CA, US Bruce Schena - Menlo Park CA, US Catherine Mohr - Mountain View CA, US
Assignee:
Intuitive Surgical, Inc. - Sunnyvale CA
International Classification:
A61B 1/00
US Classification:
600104000, 128898000, 606130000
Abstract:
A telemanipulatively controlled guide tube acts as a wrist mechanism for a surgical instrument that extends through the guide tube. The instrument may be removed and replaced with another instrument. In some aspects the instruments are commercial, off the shelf minimally invasive surgical instruments.