The invention is directed to manipulator assembly (2) for holding and
manipulating a surgical instrument (14) in a telerobotic system. The
assembly comprises a base (6) fixable by passive or power driven
positioning devices to a surface, such as an operating table, and an
instrument holder (4) movably mounted on the base. The instrument holder
comprises a chassis (6) and an instrument support (70) movably mounted on
the body and having an interface engageable with the surgical instrument
to releasably mount the instrument to the instrument holder. A drive
assembly (7) is operatively coupled to the instrument holder for
providing the instrument with at least two degrees of freedom. The
instrument holder is separable from the base and the drive assembly so
that the holder can be sterilized. The assembly further includes a force
sensing element (52) mounted distal to the holder and the drive assembly
for detecting forces exerted on the surgical instrument and providing
feedback to the surgeon. The assembly is attached to a remote center
positioner (300) for constraining the instrument to rotate a point
coincident with the entry incision and an inclinometer (350) for
preventing gravitational forces acting on the system's mechanisms from
being felt by the surgeon.