Soft surgical tools

{
  "publication_number": "US11135028B2",
  "country": "US",
  "kind": "B2",
  "title": "Soft surgical tools",
  "abstract": "A method is provided for making an appendage of a soft surgical tool, including: receiving a set of mechanical constraints for a surgical procedure; calculating a set of articulation states based on the set of mechanical constraints; generating a plurality of print commands for printing an appendage configured to form the set of articulation states based on the calculation; and printing an appendage based on the plurality of print commands. Multiple printed appendages can be formed into an orienting assembly.",
  "claims": [
    "1. A soft surgical tool for use in a surgical procedure, comprising: at least one reservoir configured to hold a fluid having a corresponding viscosity; at least one appendage having a plurality of appendage segments forming an articulation shape, the at least one appendage having a length and an internal channel that is continuous through the plurality of appendage segments and substantially cylindrical along the length of the at least one appendage; and at least one pump configured to pressurize the fluid held within the at least one reservoir, and provide the pressurized fluid to the internal channel of the at least one appendage, wherein each of the plurality of appendage segments has at least one compliant wall configured such that, when the at least one appendage is inflated by the pressurized fluid provided to the internal channel, the least one compliant wall actuates the at least one appendage based on the corresponding viscosity of the pressurized fluid.",
    "2. The soft surgical tool of claim 1, further comprising a sheath configured to house the at least one appendage.",
    "3. The soft surgical tool of claim 1, wherein the at least one appendage further comprises a sensor configured to sense a contact pressure of the at least one appendage with respect to a tissue of a patient.",
    "4. The soft surgical tool of claim 1, wherein the articulation shape is based on a preoperative image of a patient.",
    "5. The soft surgical tool of claim 1, wherein a selection of the at least one appendage is based on a preoperative image of a patient.",
    "6. The soft surgical tool of claim 1, further comprising processing circuitry configured to control the at least one pump to pressurize the fluid and to provide the pressurized fluid to the internal channel in order to actuate the at least one appendage.",
    "7. The soft surgical tool of claim 6, wherein the processing circuitry is configured to control the at least one pump to actuate the at least one appendage based on a preoperative image of a patient.",
    "8. The soft surgical tool of claim 1, wherein the fluid is an inert gas.",
    "9. The soft surgical tool of claim 1, wherein the at least one reservoir is further configured to hold a second fluid having a different viscosity, and the at least one pump is configured to cycle the fluid and the second fluid.",
    "10. The soft surgical tool of claim 9, wherein the at least one appendage is configured to actuate with a varying force.",
    "11. The soft surgical tool of claim 9, wherein the at least one appendage is configured to actuate into a different articulation shape.",
    "12. The soft surgical tool of claim 1, wherein the internal channel of the at least one appendage includes a channel divider that extends, from a proximal end of the at least one appendage, along a longitudinal axis of the at least one appendage and forms a first partition of the internal channel and a second partition of the internal channel, the first partition and the second partition being in fluid communication at a distal end of the at least one appendage."
  ],
  "description_excerpt": "Mechanized surgical tools for open and minimally invasive robotic surgical procedures have been developed to aid a surgeon in performing a surgical procedure. However, as robotic tools replace tactile feedback historically relied upon by the surgeon, unconstrained movements with hard instruments may continue to perforate, tear and damage a patient's tissue during the procedure. There is a need for soft surgical tools that are dexterous for the surgeon and also safe for the patient.\n\nA method is provided for making an appendage of a soft surgical tool, including: receiving a set of mechanical constraints for a surgical procedure; calculating a set of articulation states based on the set of mechanical constraints; generating a plurality of print commands for printing an appendage configured to form the set of articulation states based on the calculation; and printing an appendage based on the plurality of print commands. Multiple printed appendages can be formed into an orienting assembly.\n\nA more complete appreciation of the disclosed embodiments and many of the attendant advantages thereof will be readily obtained as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings, wherein:\n\nFIG. 1 is a perspective drawing of a soft surgical tool including a set of appendages, a sheath, a set of pumps, and a reservoir according to an example;\n\nFIG.",
  "cpc": [
    "A61B 34/37",
    "A61B 1/313",
    "A61B 1/3132",
    "A61B 17/0218",
    "A61B 17/28",
    "A61B 17/29",
    "A61B 17/320016",
    "A61B 2017/00022",
    "A61B 2017/00477",
    "A61B 2017/00526",
    "A61B 2017/00557",
    "A61B 2017/0225",
    "A61B 2017/2937",
    "A61B 2090/065",
    "A61B 34/25",
    "A61B 34/76",
    "A61B 90/06",
    "A61B 90/361",
    "B25J 15/10",
    "B25J 15/12",
    "B25J 9/142"
  ],
  "ipc": [
    "A61B 1/313",
    "A61B 17/00",
    "A61B 17/02",
    "A61B 17/28",
    "A61B 17/29",
    "A61B 17/32",
    "A61B 34/00",
    "A61B 34/37",
    "A61B 90/00",
    "B25J 15/10",
    "B25J 15/12",
    "B25J 9/14"
  ],
  "assignees": [
    "Childrens National Medical Center Inc"
  ],
  "inventors": [
    "Peter C. Kim",
    "Justin D. OPFERMANN",
    "Axel Krieger"
  ],
  "filing_date": "2016-10-31",
  "publication_date": "2021-10-05",
  "grant_date": "2021-10-05",
  "priority_date": "2015-10-31",
  "application_number": "US-201615771689-A",
  "family_id": "58631908",
  "cited_by_count": 12,
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}