with reference now to fig1 , one embodiment of a surgical robot 102 operated remotely by a physician or user ( not shown ) is depicted . the robot 102 is illustrated with four arms 104 although other models may have greater or fewer arms . the arms may include attachment to instruments such as endoscopic cameras , surgical instruments ( not shown ) and , specifically in this disclosure , pelvic viscera manipulation instruments , devices , probes or positioning systems of any type or shape and / or any combination thereof . as further discussed below , in one embodiment the uterine manipulator 106 is configured to directly attach to the end of a robot arm 104 . in another embodiment , a pelvic viscera manipulation tip may be provided with an interface to be securely grasped by the robot arm 104 . for example , an interface is provided that will attach the cooper surgical rumi tip or eea sizer to a robot arm 104 . in another embodiment the end of a robot arm 104 is configured to directly attach to a pelvic viscera manipulator such as the uterine manipulator 106 . in another optional embodiment , the robot arm may be provided with an interface to be securely connected to a pelvic viscera manipulation device such as the uterine manipulator 106 . in one optional embodiment , the interface may be configured with a quick disconnect to permit quick release from the robot arm , for example in case the robot was undocked in the middle of the case without completing the medical procedure . for example , an interface may be magnetically connected to the robot arm 104 . in another optional embodiment , the interface may be configured with a quick disconnect to permit quick release from a pelvic visceral manipulator , for example , in case robotic manipulation is changed to manual manipulation . for example , an interface may be magnetically connected to pelvic visceral manipulator . with reference now to fig2 - 7 , an embodiment of a pelvic visceral manipulator interface 202 includes a first threaded side 204 to engage a robot arm and a shaped opposite second side 206 for connecting to a manipulator tip . a pelvic viscera manipulator may be attached to the interface on the shaped side 206 and a robot arm may engage the threaded side 204 . in an embodiment , the interface 202 may include a generally cylindrically - shaped member having opposed first 204 and second 206 ends . the first end 204 may have a cylindrical head 208 with the cylindrical head 208 having a cylindrical shank 210 with at least one external screw thread 212 extending along the shank 210 away from the cylindrical head 208 . the cylindrical shank 210 may also include angled interruption channels 214 to engage a surgical robotic arm ( not shown ). the second end 206 may extend from the cylindrical head 208 along a horizontal axis in an opposing direction from the first end 204 , the second end 206 may have a cylindrical shaft 224 connecting the first end &# 39 ; s 204 cylindrical head 208 to a notched cylindrical head 226 . rotationally engageable notches 228 may be disposed at 180 ° intervals in relation to each other along the cylindrical head 226 . the notched cylindrical head 226 may further extend to two truncated right triangular prisms 230 disposed at 90 ° intervals from an opening of notches 228 . the right angles 232 of the triangular prisms 230 may be located close to the center of the notched cylindrical head 226 and separated from each other by a center bore 234 extending the length of the pelvic visceral manipulator interface 202 through the first 204 and second 206 ends . the notches 228 and right triangular prisms 230 may be sized to accommodate and connectively engage a pelvic visceral manipulator surgical device such as a uterine manipulator ( not shown ). alternatively , the notches 228 and right triangular prisms 230 may be sized or re - configured to accommodate and connectively engage a pelvic visceral manipulator surgical instrument , probe or positioning system of any type or shape and / or any combination thereof . the interface will allow manipulators , probes and positioning systems such as those commercially available from cooper surgical , inc . to be attached to a robot arm and used in robot assisted medical procedures . commercially available systems include an eea ( end - to - end anastomosis ) sizer . the eea sizer is used for a range of medical procedures , including sacralcolpexy and colon surgery . the interface can be used in a range of vaginal procedures ( where the uterus is not present ) and colorectal surgeries ( on men and women ), in addition to vaginal procedures where the uterus is present . with reference now to fig8 , a robot arm 800 may be connected to an interface 810 for further connection to a medical instrument 820 such as a manipulator , probe or positioning system . in use , the instrument 820 can be disposed as needed to facilitate the medical procedure , where the robot arm 800 controls positioning of the instrument . in some embodiments , and counterintuitively for a robotic assisted medical procedure , the end of the robot arm managing the manipulator may remain external to a patient . in one embodiment , an interface 810 may be integrated into a robot arm 800 so that the robot arm 800 may be configured to directly connect to a medical instrument 820 such as a manipulator , probe or positioning system . alternatively , an interface 810 may be integrated into a medical instrument 820 such as a manipulator , probe or positioning system so that a medical instrument 820 may be configured to directly connect to a robot arm 800 . with reference now to fig9 , a robot arm 900 includes opposed graspers 940 forming an acute angle . the graspers 940 connect with a first side of an interface 902 such that graspers 940 lie in angled interruption channels and do not interfere with threaded external screw 912 extending along the shank . at a second side of the interface 902 , cylindrical head 908 engages an instrument or instrument assembly 920 such as the commercially available rumi tip with koh cup illustrated . details of the second side of interface 902 are not shown as internal to assembly 920 . with reference now to fig1 , an interface 1010 may include angled interruption channels 1014 ( one shown ) to accommodate graspers or other connection mechanisms on a robot side . interface 1010 may include an opposed side for making connection to a medical instrument ( not shown ). with reference now to fig1 , a sleeve 1110 portion of an interface such as the internally threaded portion 1120 may be provided to assist in affixing the interface 1010 to a robot arm ( not shown ). it can now be appreciated that while the invention may be practiced with a separate interface as illustrated , alternatively an end of a surgical robot arm may be configured to directly connect to a medical instrument . on the other hand , the medical instrument may be configured to be held directly by a conventional robot arm . while the systems , methods , and so on have been illustrated by describing examples , and while the examples have been described in considerable detail , it is not the intention of the applicants to restrict or in any way limit the scope of the appended claims to such detail . it is , of course , not possible to describe every conceivable combination of components or methodologies for purposes of describing the systems , methods , and so on provided herein . additional advantages and modifications will readily appear to those skilled in the art . therefore , the invention , in its broader aspects , is not limited to the specific details , the representative apparatus , and illustrative examples shown and described . accordingly , departures may be made from such details without departing from the spirit or scope of the applicants &# 39 ; general inventive concept . thus , this application is intended to embrace alterations , modifications , and variations that fall within the scope of the appended claims . furthermore , the preceding description is not meant to limit the scope of the invention . rather , the scope of the invention is to be determined by the appended claims and their equivalents . as used herein , “ connection ” or “ connected ” means both directly , that is , without other intervening elements or components , and indirectly , that is , with another component or components arranged between the items identified or described as being connected . to the extent that the term “ includes ” or “ including ” is employed in the detailed description or the claims , it is intended to be inclusive in a manner similar to the term “ comprising ” as that term is interpreted when employed as a transitional word in a claim . furthermore , to the extent that the term “ or ” is employed in the claims ( e . g ., a or b ) it is intended to mean “ a or b or both .” when the applicants intend to indicate “ only a or b but not both ” then the term “ only a or b but not both ” will be employed . similarly , when the applicants intend to indicate “ one and only one ” of a , b or c , the applicants will employ the phrase “ one and only one .” thus , use of the term “ or ” herein is the inclusive , and not the exclusive use . see , bryan a . garner , a dictionary of modern legal usage 624 ( 2d . ed . 1995 ).
in one embodiment , a pelvic visceral manipulator interface for use by the graspable tip of a robotic surgical system is disclosed . this interface can be used with any robotic pelvic medical procedure that utilizes manipulation of the uterus , vagina and / or colon . in one embodiment an interface aligns a robotic grasper arm with a visceral manipulator for robotic laparoscopic pelvic surgery or pelvic medical procedure . in another embodiment , a manipulator includes an integrated tip for direct connection with the graspable tip of a robotic surgical system . in another embodiment , a robotic surgical arm includes an integrated tip for direct connection with a manipulator .