Improving surgical tool performance via measurement and display of tissue tension

Patent metadata

Field	Value
Publication number	US-11033344-B2
Application number	US-201816219050-A
Country	US
Kind code	B2
Filing date	Dec 13, 2018
Priority date	Dec 13, 2018
Publication date	Jun 15, 2021
Grant date	Jun 15, 2021

Abstract

A method includes advancing an end effector of a surgical tool to a surgical site, the surgical tool being pivotably mounted to a robotic arm at a tool driver, engaging tissue at the surgical site with the end effector, calculating a force vector assumed on the end effector by engaging the tissue, optimizing the force vector to obtain an optimized force vector, and actuating the end effector after applying the optimized force vector on the end effector.

First claim

What is claimed is:

1. A method, comprising:
advancing an end effector of a surgical tool to a surgical site, the surgical tool being pivotably mounted to a robotic arm at a tool driver, and the robotic arm having a plurality of linkages pivotably coupled at corresponding joints;
engaging tissue at the surgical site with the end effector;
obtaining and aggregating loading data from sensors in one or both of the tool driver and the corresponding joints and thereby calculating a magnitude and a direction of loading on the end effector through engagement with the tissue;
calculating a force vector assumed on the end effector based on the magnitude and the direction of the loading data;
optimizing the force vector to obtain an optimized force vector; and
actuating the end effector after applying the optimized force vector on the end effector.

2. The method of claim 1 , further comprising:
capturing images of the end effector and the surgical site with an image capture device;
displaying the images on a visual display; and
augmenting the visual display with a computer-generated force indicator graphically coupled to the end effector at a reference point,
wherein the force vector forms part of the force indicator and extends from the reference point to graphically display magnitude and direction of loading assumed on the end effector.

3. The method of claim 2 , further comprising:
generating a three-dimensional (3D) model of the end effector and the surgical site displayed on the visual display with a computer system; and
manipulating an orientation of the 3D model on the visual display to obtain an alternate view of the end effector and the surgical site, and thereby obtaining an alternate view of the force indicator and the force vector.

4. The method of claim 1 , wherein optimizing the force vector comprises:
manipulating one or more user input devices in communication with a computer system;
programming the computer system in response to input signals provided by the one or more user input devices; and
operating at least one of the robotic arm and the surgical tool with the computer system to move the end effector and obtain the optimized force vector.

5. The method of claim 4 , wherein operating the at least one of the robotic arm and the surgical tool with the computer system occurs in real-time as the one or more user input devices are manipulated.

6. The method of claim 4 , further comprising scaling down movement of the end effector based on the input signals provided by the one or more user input devices.

7. The method of claim 1 , further comprising maintaining the optimized force vector on the end effector while the end effector is actuated.

8. The method of claim 1 , wherein optimizing the force vector comprises:
inputting a desired magnitude and direction for the optimized force vector into a computer system; and
operating at least one of the robotic arm and the surgical tool with the computer system to obtain the optimized force vector.

9. The method of claim 1 , wherein calculating the force vector further comprises:
aggregating the loading data with a computer system; and
determining with the computer system the magnitude and the direction of the force vector using inverse kinematics.

10. The method of claim 1 , wherein the robotic arm has a plurality of linkages pivotably coupled at corresponding joints, the method further comprising:
experiencing inadvertent movement of the robotic arm; and
actuating one or more actuators positioned in one or more of the tool driver and the corresponding joints and thereby neutralizing movement of the end effector.

11. The method of claim 1 , further comprising preventing actuation of the end effector until the optimized force vector is obtained.

12. The method of claim 1 , wherein engaging tissue at the surgical site with the end effector comprises grasping the tissue between opposing jaws of the end effector, and wherein the force vector corresponds to tension in the tissue.

13. The method of claim 12 , wherein optimizing the force vector comprises:
advancing one or more additional end effectors to the surgical site;
grasping the tissue with the one or more additional end effectors; and
maneuvering the one or more additional end effectors to alter the force vector and thereby obtain the optimized force vector.

14. The method of claim 1 , wherein the end effector comprises opposing jaws to engage tissue, and optimizing the force vector comprises:
advancing one or more additional end effectors to the surgical site;
grasping the tissue at the surgical site with the one or more additional end effectors;
maneuvering the one or more additional end effectors and thereby increasing a tension of the tissue;
maneuvering the end effector against the tissue such that a downward load is applied on the tissue with one of the opposing jaws; and
actuating the end effector to produce a surgical treatment to the grasped tissue.

15. A method, comprising:
advancing an end effector of a surgical tool to a surgical site;
capturing images of the end effector and the surgical site with an image capture device and displaying the images on a visual display;
grasping tissue between opposing jaws of the end effector;
calculating a force vector assumed on the end effector;
augmenting the visual display with a computer-generated force indicator graphically coupled to the end effector at a reference point, wherein the force vector forms part of the force indicator and graphically displays magnitude and direction of loading assumed on the end effector; and
moving the end effector and observing changes in real-time to the force vector displayed on the visual display based on movement of the end effector.

16. The method of claim 15 , further comprising:
optimizing the force vector to obtain an optimized force vector; and
actuating the end effector after applying the optimized force vector on the end effector.

17. The method of claim 16 , wherein the surgical tool is pivotably mounted to a robotic arm at a tool driver, and wherein optimizing the force vector comprises:
manipulating one or more user input devices in communication with a computer system;
programming the computer system in response to input signals provided by the one or more user input devices; and
operating at least one of the robotic arm and the surgical tool with the computer system to move the end effector and obtain the optimized force vector.

18. The method of claim 17 , comprising observing changes in real-time to the force vector displayed on the visual display as the one or more user input devices are manipulated.

19. The method of claim 15 , wherein optimizing the force vector comprises:
advancing one or more additional end effectors to the surgical site;
grasping the tissue with the one or more additional end effectors; and
maneuvering the one or more additional end effectors to alter the force vector and thereby obtain the optimized force vector.

20. The method of claim 15 , wherein the end effector comprises opposing jaws to engage tissue, and optimizing the force vector comprises:
advancing one or more additional end effectors to the surgical site;
grasping the tissue at the surgical site with the one or more additional end effectors;
maneuvering the one or more additional end effectors and thereby increasing a tension of the tissue;
maneuvering the end effector against the tissue such that a downward load is applied on the tissue with one of the o

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Overmyer Mark D
• Posada Sol A
• Young Joshua D
• Davison Mark A
• Denzinger Christopher A

Classifications

• A61B2217/007

  with irrigation system · CPC title

• A61B34/76

  Manipulators having means for providing feel, e.g. force or tactile feedback · CPC title

• A61B2090/378

  using ultrasound · CPC title

• A61B2017/2927

  the angular position of the head being adjustable with respect to the shaft · CPC title

• A61B90/37

  Surgical systems with images on a monitor during operation · CPC title