Statistical Analysis with Missing Data

Newness and distinctiveness is claimed in the features of ornamentation as shown inside the broken line circle in the accompanying representation.

Display screen or portion thereof with graphical user interface

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism

In various embodiments, a surgical end effector is disclosed. The surgical end effector comprises a staple cartridge comprising a proximal end and a distal end. The staple cartridge is configured to be used to staple tissue within an optimal tissue thickness range. An anvil is movably coupled relative to the staple cartridge. A tissue thickness sensing module is located adjacent to the distal end of the staple cartridge. The tissue thickness sensing module comprises a sensor and a controller. The sensor is configured to generate a tissue thickness signal indicative of a thickness of the tissue located between the anvil and the staple cartridge. The controller is in signal communication with the sensor. The controller comprises means for identifying a staple cartridge type. The staple cartridge type and the thickness measurement are used to determine if the thickness of the tissue is within the optimal tissue thickness range.

Staple cartridge tissue thickness sensor system

A surgical instrument, such as an endoscopic or laparoscopic instrument. The surgical instrument may comprise an end effector comprising at least one sensor. The surgical instrument may also comprise an electrically conductive shaft having a distal end connected to the end effector wherein the sensor is electrically insulated from the shaft. The surgical instrument may also comprise a handle connected to a proximate end of the shaft. The handle may comprise a control unit electrically coupled to the shaft such that the shaft radiates signals as an antenna from the control unit to the sensor and receives radiated signals from the sensor. Other components electrically coupled to the shaft may also radiate the signals.

Surgical instrument with wireless communication between control unit and remote sensor

Minimally invasive instrument for robotic surgery including a functional element, a force, torque and/or pressure transmission device for transmitting force, torque and/or pressure from a drive to the functional element, a coupling device for coupling the instrument to a medical robot such that the functional element can be actuated by the drive, wherein an operating element for manually operating the functional element in a state in which the instrument is uncoupled from the medical robot

Minimally invasive instrument for robotic surgery

Research on surgical robotics demands systems for evaluating scientific approaches. Such systems can be divided into dedicated and versatile systems. Dedicated systems are designed for a single surgical task or technique, whereas versatile systems are designed to be expandable and useful in multiple surgical applications. Versatile systems are often based on industrial robots, though, and because of this, are hardly suitable for close contact with humans. To achieve a high degree of versatility the Miro robotic surgery platform (MRSP) consists of versatile components, dedicated front–ends towards surgery and configurable interfaces for the surgeon. This paper presents MiroSurge, a configuration of the MRSP that allows for bimanual endoscopic telesurgery with force feedback. While the components of the MiroSurge system are shown to fulfil the rigid design requirements for robotic telesurgery with force feedback, the system remains versatile, which is supposed to be a key issue for the further development and optimisation.

https://elib.dlr.de/76868/1/IJCARS_2009_JournalPaper_Hagn_CameraReady.pdf

DLR MiroSurge: a versatile system for research in endoscopic telesurgery.

Purpose – Surgical robotics can be divided into two groups: specialized and versatile systems. Versatile systems can be used in different surgical applications, control architectures and operating room set‐ups, but often still based on the adaptation of industrial robots. Space consumption, safety and adequacy of industrial robots in the unstructured and crowded environment of an operating room and in close human robot interaction are at least questionable. The purpose of this paper is to describe the DLR MIRO, a new versatile lightweight robot for surgical applications.Design/methodology/approach – The design approach of the DLR MIRO robot focuses on compact, slim and lightweight design to assist the surgeon directly at the operating table without interference. Significantly reduced accelerated masses (total weight 10 kg) enhance the safety of the system during close interaction with patient and user. Additionally, MIRO integrates torque‐sensing capabilities to enable close interaction with human beings ...

/pdf/the-dlr-miro-a-versatile-lightweight-robot-for-surgical-4kq4b7ff1v.pdf

The DLR MIRO: a versatile lightweight robot for surgical applications

Medical ultrasound imaging is a well-known technique to gather live views of the interior of the human body. It is totally safe, it provides high spatial and temporal resolution, and it is nowadays available at any hospital. This suggests that it could be used as a human-computer interface. In this paper, we use ultrasound images of the human forearm to predict the finger positions, including thumb adduction and thumb rotation. Our experimental results show that there is a clear linear relationship between the features we extract from the images, and finger positions, expressed as angles at the metacarpo-phalangeal joints. The method is uniformly valid for all subjects considered. The unavoidable movements of the ultrasound probe with respect to the skin and of the skin with respect to the inner musculoskeletal structure are compensated for using the optical flow. Typical applications of this system range from teleoperated fine manipulation to finger stiffness estimation to ergonomy. If successfully applied to transradial amputees, it could be also used to reconstruct the imaginary limb, paving the way to, e.g., fine control of hand prostheses, treatment of neuropathic/phantom limb pain and visualization of the imaginary limb as a tool for the neuroscientist.

/pdf/using-ultrasound-images-of-the-forearm-to-predict-finger-2ttt1ie3of.pdf

Using Ultrasound Images of the Forearm to Predict Finger Positions

Robotic surgery systems are highly complex and expensive pieces of equipment. Demands for lower cost of care can be met if these systems are employable in a flexible manner for a large variety of procedures. To protect the initial investment the capabilities of a robotic system need to be expandable as new tasks arise.

/pdf/mica-a-new-generation-of-versatile-instruments-in-robotic-2pqxqbhit9.pdf

Georg Passig

Papers

Minimally invasive instrument for robotic surgery

DLR MiroSurge: a versatile system for research in endoscopic telesurgery.

The DLR MIRO: a versatile lightweight robot for surgical applications

Using Ultrasound Images of the Forearm to Predict Finger Positions

MICA - A new generation of versatile instruments in robotic surgery