System and method for variable velocity surgical instrument

Patent metadata

Field	Value
Publication number	US-10973519-B2
Application number	US-201716072356-A
Country	US
Kind code	B2
Filing date	Jan 27, 2017
Priority date	Jan 29, 2016
Publication date	Apr 13, 2021
Grant date	Apr 13, 2021

Abstract

A system and method of variable velocity control of a surgical instrument in a computer-assisted medical device includes a surgical instrument having an end effector located at a distal end of the instrument, an actuator, and one or more drive mechanisms for coupling force or torque from the actuator to the end effector. To perform an operation with the instrument, the computer-assisted medical device is configured to set a velocity set point of the actuator to an initial velocity and monitor force or torque applied by the actuator. When the applied force or torque is above a first force or torque limit it is determined whether a continue condition for the operation is satisfied. When the continue condition is satisfied the operation is paused and when the continue condition is not satisfied it is determined whether forced firing of the actuator should take place.

First claim

What is claimed is:

1. An instrument for use with a computer-assisted device comprising one or more processors, the instrument comprising:
an end effector located at a distal end of the instrument;
an actuator; and
one or more drive mechanisms for coupling force or torque from the actuator to the end effector;
wherein to perform an operation with the instrument, the one or more processors are configured to:
set a velocity set point of the actuator to an initial velocity;
monitor force or torque applied by the actuator;
when the applied force or torque is above a first force or torque limit, determine whether a continue condition for the operation is satisfied;
when the continue condition is satisfied, pause the operation; and
when the continue condition is not satisfied, cause an operation of the actuator where the applied force or torque is allowed to exceed an upper limit on force or torque.

2. The instrument of claim 1 , wherein:
the pause of the operation is included in a set of pauses; and
the continue condition comprises a total duration of the set of pauses, occurring during the operation, remaining below a maximum pause duration.

3. The instrument of claim 1 , wherein:
the pause of the operation is included in a set of pauses; and
the continue condition comprises a combination of:
a count of pauses included in the set of pauses, occurring during the operation, remaining below a predetermined number of pauses, and
a total duration of the set of pauses, occurring during the operation, remaining below a maximum pause duration.

4. The instrument of claim 1 , wherein:
the pause of the operation is included in a set of pauses,
the continue condition comprises each of a plurality of counts of pauses included in the set of pauses remaining below a respective predetermined number of pauses, and
each of the plurality of counts being reset when a reciprocating element actuated by the actuator travels a respective distance.

5. The instrument of claim 1 , wherein:
the pause of the operation is included in a set of pauses,
the continue condition comprises a plurality of pause durations of the set of pauses remaining below a respective maximum pause duration, and
each of the plurality of pause durations being reset when a reciprocating element actuated by the actuator travels a respective distance.

6. The instrument of claim 1 , wherein the continue condition comprises a determination that movement of the actuator is possible without exceeding a maximum force or torque limit for the end effector.

7. The instrument of claim 1 , wherein to perform the pause of the operation, the computer-assisted device sets the velocity set point to zero.

8. The instrument of claim 1 , wherein the pause of the operation lasts until the applied force or torque falls below a second force or torque limit that is lower than the first force or torque limit.

9. The instrument of claim 1 , wherein the one or more processors are further configured to:
adjust a parameter of the operation; and
continue actuation of the actuator according to the adjusted parameter when causing the operation of the actuator to be performed.

10. The instrument of claim 9 , wherein:
the parameter is the first force or torque limit;
the first force or torque limit is increased; and
the first force or torque limit is prevented from exceeding a maximum force or torque limit for the end effector.

11. A method of operating an instrument for use with a computer-assisted device comprising one or more processors, the method comprising:
setting, by the one or more processors, a velocity set point of an actuator to an initial velocity;
measuring, by the one or more processors, a force or torque applied by the actuator;
when the applied force or torque is above a first force or torque limit, determining, by the one or more processors, whether a continue condition for a stapling operation is satisfied;
when the continue condition is satisfied, pausing, by the one or more processors, further movement of the actuator; and
when the continue condition is not satisfied, causing, by the one or more processors, an operation of the actuator to be performed where the applied force or torque is allowed to exceed an upper limit on force or torque.

12. The method of claim 11 , wherein:
the pause of the operation is included in a set of pauses; and
the continue condition comprises a total duration of all the set of pauses, occurring during the stapling operation remaining below a maximum pause duration.

13. The method of claim 11 , wherein:
the pause of the operation is included in a set of pauses; and
the continue condition comprises a combination of:
a count of pauses included in the set of pauses, occurring during the stapling operation, remaining below a predetermined number of pauses, and
a total duration of the set of pauses, occurring during the stapling operation, remaining below a maximum pause duration.

14. The method of claim 11 , wherein:
the pause of the operation is included in a set of pauses,
the continue condition comprises each of a plurality of counts of pauses included in the set of pauses remaining below a respective predetermined number of pauses, and
each of the plurality of counts being reset when a reciprocating element actuated by the actuator travels a respective distance.

15. The method of claim 11 , wherein:
the pause of the operation is included in a set of pauses,
the continue condition comprises a plurality of pause durations of the set of pauses remaining below a respective maximum pause duration, and
each of the plurality of pause durations being reset when a reciprocating element actuated by the actuator travels a respective distance.

16. The method of claim 11 , wherein the continue condition comprises a determination that movement of the actuator is possible without exceeding a maximum force or torque limit for an end effector of the computer-assisted device.

17. The method of claim 11 , wherein pausing further movement of the actuator comprises setting the velocity set point to zero.

18. The method of claim 11 , wherein pausing further movement of the actuator lasts until the applied force or torque falls below a second force or torque limit that is lower than the first force or torque limit.

19. The method of claim 11 , further comprising:
adjusting, by the one or more processors, a parameter of the stapling operation; and
continuing actuation of the actuator according to the adjusted parameter when causing the operation of the actuator to be performed.

20. The method of claim 19 , wherein:
the parameter is the first force or torque limit;
the first force or torque limit is increased; and
the first force or torque limit is prevented from exceeding a maximum force or torque limit for an end effector of the computer-assisted device.

Assignees

• Intuitive Surgical Operations

Inventors

• Weir David W
• Brisson Gabriel F
• Burbank William A
• Chaghajerdi Amir
• Flanagan Patrick
• Hingwe Pushkar
• Wilson Andrew
• Wilson Jr Donald F
• Wixey Matthew A

Classifications

• A61B2090/066

  for measuring torque · CPC title

• A61B2090/064

  for measuring force, pressure or mechanical tension · CPC title

• A61B2017/00017

  Electrical control of surgical instruments · CPC title

• A61B90/06

  Measuring instruments not otherwise provided for · CPC title

• A61B17/07207 Primary

  the staples being applied sequentially · CPC title