# US 11,998,292 B2 · Control of computer-assisted tele-operated systems > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,998,292 B2 - Document ID: US11998292B2 - Status: Granted - Kind: B2 - Application number: 17/474,419 - Filed: 2021-09-14 - Published: 2021-12-30 - Granted: 2024-06-04 - Earliest claimed: 2017-02-08 - Assignees: Intuitive Surgical Operations, Inc. - Applicants: Intuitive Surgical Operations, Inc. - Inventors: Ryan Charles Abbott; John Ryan Steger; Daniel H. Gomez; Ian E. McDowall; Amy Kerdok - Web page: https://patentgrep.com/patent/US11998292B2 ## CPC - A61B 34/30: Surgical robots - A61B 34/35: for telesurgery - A61B 34/76: {Manipulators having means for providing feel, e.g. force or tactile feedback} - A61B 2017/00464: {for use with different instruments} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2034/715: {Cable tensioning mechanisms for removing slack} - A61B 2090/065: {for measuring contact or contact pressure} - A61B 2090/066: {for measuring torque} - A61B 2090/0809: {Indication of cracks or breakages} - A61B 2090/571: {for clamping a support arm to a bed or other supports} - G16H 40/60: for the operation of medical equipment or devices - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA ## Abstract An instrument system includes an instrument, a drive system, and a controller operably connected to a first drive mechanism and a second drive mechanism of the drive system. The controller is configured to operate the first drive mechanism and the second drive mechanism drive a flexible tensioning member of the instrument to cause movement of an end effector of the instrument while maintaining a tension applied to the flexible tensioning member of the instrument in a tension range. ## Claims ### Claim 1 An instrument system comprising: a instrument comprising: a first engagement member disposed at a proximal portion of the instrument, a second engagement member disposed at the proximal portion, a third engagement member disposed at the proximal portion, an end effector disposed at a distal portion of the instrument, and a flexible tensioning member extending between the distal portion and the proximal portion; a drive system comprising: a first drive mechanism configured to engage with the first engagement member, a second drive mechanism configured to engage with the second engagement member, a third drive mechanism configured to engage with the third engagement member; a sensor configured to generate a signal indicative of a force applied by the drive system or by the end effector; and a controller operably coupled to the first drive mechanism, the second drive mechanism, the third drive mechanism, and the sensor, wherein the controller is configured to: operate the first, second, and third drive mechanisms to apply a desired tension to the flexible tensioning member, the signal being generated by the sensor while the first, second, and third drive mechanisms are operated to apply the desired tension, and determine whether a malfunction associated with the flexible tensioning member exists based on at least the signal. ### Claim 2 (depends on 1) The instrument system of claim 1, wherein the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the signal by: determining that the signal is indicative of a breakage of the flexible tensioning member. ### Claim 3 (depends on 1) The instrument system of claim 1, wherein the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the signal by: determining that the signal is indicative of a sudden change in the force applied by the drive system or by the end effector. ### Claim 4 (depends on 3) The instrument system of claim 3, wherein the sudden change is a sudden decrease. ### Claim 5 (depends on 1) The instrument system of claim 1, wherein the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the signal by: determining whether the signal indicates that the force exceeds a threshold. ### Claim 6 (depends on 1) The instrument system of claim 1, wherein: the force corresponds to a tension existing in the flexible tensioning member; and the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the signal by: determining that the signal is indicative of a decrease in the tension existing in the flexible tensioning member. ### Claim 7 (depends on 1) The instrument system of claim 1, wherein: the sensor is a first sensor, the signal is a first signal, and the force is a first force applied by the drive system; the instrument system further comprises: a second sensor configured to generate a second signal indicative of a second force applied by the drive system while the first, second, and third drive mechanisms are operated to apply the desired tension; and the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the first signal by: using at least the first signal and the second signal. ### Claim 8 (depends on 7) The instrument system of claim 7, wherein using at least the first signal and the second signal comprises: determining a difference in the first signal and the second signal. ### Claim 9 (depends on 7) The instrument system of claim 7, wherein: the flexible tensioning member comprises a first portion extending between the distal portion and the first engagement member, and a second portion extending between the end effector and the second engagement member; and the first force is a first tension applied by the drive system to the first portion, and the second force is a second tension applied by the drive system to the second portion. ### Claim 10 (depends on 7) The instrument system of claim 7, wherein: the first drive mechanism is configured to apply the first force; and the second drive mechanism is configured to apply the second force. ### Claim 11 (depends on 1) The instrument system of claim 1, wherein: the instrument further comprises: an elongate shaft extending from the proximal portion of the instrument to the distal portion of the instrument; the end effector is disposed on a distal portion of the elongate shaft; and the third engagement member is coupled to the shaft and configured to transmit forces from the third drive mechanism to the shaft. ### Claim 12 (depends on 11) The instrument system of claim 11, wherein: the flexible tensioning member is coupled to the first engagement member, or the second engagement member, or both the first engagement member and the second engagement member. ### Claim 13 (depends on 1) The instrument system of claim 1, further comprising: a user output device; wherein the controller is further configured to provide an alert using the user output device in response to determining that the malfunction associated with the flexible tensioning member exists. ### Claim 14 An instrument drive system comprising: a first drive actuator configured to engage with a first engagement member of an instrument, a second drive actuator configured to engage with a second engagement member of the instrument, a third drive actuator configured to engage with a third engagement member of the instrument; a sensor configured to generate a signal indicative of a force applied by the instrument drive system or an end effector of the instrument; and a controller operably coupled to the first drive actuator, the second drive actuator, the third drive actuator, and the sensor, wherein the controller is configured to: operate the first, second, and third drive actuators to apply a desired tension to a flexible tensioning member of the instrument, the signal being generated while the first, second, and third drive actuators are operated to apply the desired tension, and determine whether a malfunction associated with the flexible tensioning member exists based on at least the signal. ### Claim 15 (depends on 14) The instrument drive system of claim 14, wherein the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the signal by: determining that the signal is indicative of a sudden change in the force applied by the instrument drive system or by the end effector. ### Claim 16 (depends on 14) The instrument drive system of claim 14, wherein: the force corresponds to a tension existing in the flexible tensioning member; and the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the signal by: determining that the signal is indicative of a decrease in the tension existing in the flexible tensioning member. ### Claim 17 (depends on 14) The instrument drive system of claim 14, wherein: the sensor is a first sensor, the signal is a first signal, and the force is a first force applied by the instrument drive system; the instrument drive system further comprises: a second sensor configured to generate a second signal indicative of a second force applied by the instrument drive system while the first, second, and third drive actuators are operated to apply the desired tension; and the controller is configured to determine whether the malfunction associated with the flexible tensioning member exists based on at least the first signal by: determining a difference in the first signal and the second signal. ### Claim 18 (depends on 14) The instrument drive system of claim 14, wherein: the flexible tensioning member of the instrument is coupled to the first engagement member, the second engagement member, or both the first and second engagement members; and the third engagement member is coupled to an elongate shaft of the instrument. ### Claim 19 A method comprising: operating first, second, and third drive actuators of a drive system to apply a desired tension to a flexible tensioning member of a instrument, the first, second, and third drive actuators engaged with first, second, and third engagement members of the instrument disposed at a proximal portion of the instrument; while the first, second, and third drive actuators are operated to apply the desired tension, receiving a signal indicative of a force applied by an end effector of the instrument or the drive system; and determining whether a malfunction associated with the flexible tensioning member exists based on at least the signal. ### Claim 20 (depends on 19) The method of claim 19, wherein determining whether the malfunction associated with the flexible tensioning member exists based on at least the signal comprises: determining that the signal is indicative of a sudden change in the force applied by the drive system or by the end effector; or determining whether the signal indicates that the force exceeds a threshold; or determining that the signal is indicative of a decrease in the tension existing in the flexible tensioning member. ### Claim 21 (depends on 19) The method of claim 19, wherein: the signal is a first signal, and the force is a first force applied by the drive system; the method further comprises: while the first, second, and third drive actuators are operated to apply the desired tension, receiving a second signal indicative of a second force applied by the drive system; and determining whether the malfunction associated with the flexible tensioning member exists based on at least the first signal comprises: determining a difference between the first signal and the second signal.