Teleoperated surgical system with surgical instrument wear tracking

Patent metadata

Field	Value
Publication number	US-11311347-B2
Application number	US-201716349208-A
Country	US
Kind code	B2
Filing date	Nov 10, 2017
Priority date	Nov 11, 2016
Publication date	Apr 26, 2022
Grant date	Apr 26, 2022

Abstract

A surgical method is provided, comprising: providing an information structure in a computer readable storage device that associates an indication of surgeon skill level in at least one surgical activity performed using the surgical instrument with a surgical instrument actuator safety state of the surgical instrument for use during performance of the at least one surgical activity using the surgical instrument by a surgeon having the indicated skill level; tracking surgical instrument actuator state of a surgical instrument during performance of a surgical procedure by a surgeon; and transitioning the surgical instrument actuator state of the surgical instrument to the surgical instrument safety state during performance of the at least one surgical activity by the surgeon using the surgical instrument.

First claim

What is claimed is:

1. A method for tracking use in a system of a surgical instrument comprising a radio frequency identification device (RFID), wherein the RFID includes a computer readable storage device that comprises a surgical instrument identifier and remaining lifetime information for the identified surgical instrument, the method comprising:
attaching the surgical instrument to an instrument actuator on the system;
adjusting the remaining useful lifetime information of the identified surgical instrument within the computer readable storage device to indicate a reduced useful lifetime, wherein adjusting the remaining useful lifetime information comprises:
identifying a first surgical instrument actuator state for the surgical instrument during use of the system, and
reducing the remaining useful lifetime information of the surgical instrument by a first surgical instrument lifetime reduction amount based upon the first surgical instrument actuator state
identifying a second surgical instrument actuator state for the surgical instrument during the use of the system; and
reducing the remaining useful lifetime status of the surgical instrument by a second surgical instrument lifetime reduction amount based upon the second surgical instrument actuator state.

2. The method of claim 1 , further including:
sending an indication of remaining useful lifetime over a network to an inventory management system.

3. The method of claim 1 further including:
providing in an information structure in a computer readable storage device an association between a surgical instrument wear-down actuation state and a surgical instrument lifetime reduction amount.

4. The method of claim 3 ,
wherein providing in the information structure in the computer readable storage device an association includes, providing a first association between a first wear-down actuation state and a first lifetime reduction amount and providing a second association between a second wear-down first actuation state and a second lifetime reduction amount.

5. A surgical system that includes a surgical instrument and a surgical instrument actuator comprising:
a processor;
a memory device holding an instruction set executable on the processor to cause the processor to perform operations comprising:
providing an information structure in a memory device that provides a first association between a first surgical instrument wear-down actuation state and a first useful lifetime reduction amount and that provides a second association between a second surgical instrument wear-down actuation state and a second useful lifetime reduction amount;
tracking surgical instrument actuator state of the identified surgical instrument during performance of a surgical procedure;
determining whether during the performance the instrument actuator state matches a first surgical instrument wear-down actuator state;
in response to determining that the instrument actuator state matches the first surgical instrument wear-down actuator state during the performance, adjusting first associated remaining useful lifetime information of the identified surgical instrument based upon a first useful lifetime reduction amount;
determining whether during the performance the instrument actuator state matches a second surgical instrument wear-down actuator state; and
in response to determining that the instrument actuator state matches the second surgical instrument wear-down actuator state during the performance, adjusting second associated remaining useful lifetime information of the identified surgical instrument based upon the second useful lifetime reduction amount.

6. The system of claim 5 , the instruction set causing the processor to perform further operations including:
associating a tracking device with the identified surgical instrument; and
providing the information structure in a computer readable storage device in the tracking device.

7. The system of claim 5 , further including:
sending an indication of the remaining lifetime over a network to an inventory management system.

8. A method for use with a system that includes a surgical, comprising:
providing in an information structure in a memory device that provides a first association between a first surgical instrument wear-down actuation state and a first useful lifetime reduction amount and that provides a second association between a second surgical instrument wear-down actuation state and a second useful lifetime reduction amount;
attaching the surgical instrument to an instrument actuator on the system; and
adjusting a remaining useful lifetime information of the identified surgical instrument within the computer readable storage device to indicate a reduced useful lifetime, wherein adjusting the remaining useful lifetime information comprises:
determining whether during the use of the surgical instrument, a surgical instrument actuation state matches the first surgical instrument wear-down actuation state;
in response to determining that a surgical instrument actuation state matches the first surgical instrument wear-down actuation state during the use, reducing the remaining useful lifetime information of the surgical instrument by the first useful lifetime reduction amount;
determining whether during the use of the surgical instrument, a surgical instrument actuation state matches the second surgical instrument wear-down actuation state; and
in response to determining that a surgical instrument actuation state matches the second surgical instrument wear-down actuation state during the use, reducing the remaining useful lifetime information of the surgical instrument by the second useful lifetime reduction amount.

9. The method of claim 8 , further including:
sending an indication of the remaining lifetime information over a network to an inventory management system.

10. A surgical method for use with a teleoperated surgical system that includes a surgical instrument and a surgical instrument actuator, comprising:
associating a radio frequency identification device (RFID) with the surgical instrument;
providing in the RFID information structure in a computer readable storage device that provides a first association between a first surgical instrument wear-down actuation state and a first useful lifetime reduction amount and that provides a second association between a second surgical instrument wear-down actuation state and a second useful lifetime reduction amount
attaching the surgical instrument with the associated RFID to an instrument carriage that includes actuator outputs;
actuating the surgical instrument using the actuator outputs to change a surgical instrument actuator state during a surgical procedure;
tracking surgical instrument actuator state of the identified surgical instrument during performance of a surgical procedure;
actuating the surgical instrument using the actuator outputs to change a surgical instrument actuator state during a surgical procedure;
determining whether during the use of the surgical instrument, a surgical instrument actuation state matches the first surgical instrument wear-down actuation state;
in response to determining that a surgical instrument actuation state matches the first surgical instrument wear-down actuation state during the use, reducing the remaining useful lifetime information of the surgical instrument by the first useful lifetime reduction amount;
determining whether during the use of the surgical instrument, a surgical instrument actuation state matches the second surgical instrument wear-down actuation state; and
in response to determining that a surgical instrument actuation state matches the second surgical instrument wear

Assignees

• Intuitive Surgical Operations

Inventors

• Hingwe Pushkar
• Kerdok Amy E
• Nowlin William C
• Robinson David W

Classifications

• A61B34/35 Primary

  for telesurgery · CPC title

• A61B34/70

  Manipulators specially adapted for use in surgery · CPC title

• A61B34/20 Primary

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B2090/0803

  Counting the number of times an instrument is used · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title