Systems and methods for establishing virtual constraint boundaries

Patent metadata

Field	Value
Publication number	US-11464579-B2
Application number	US-201916685442-A
Country	US
Kind code	B2
Filing date	Nov 15, 2019
Priority date	Mar 13, 2013
Publication date	Oct 11, 2022
Grant date	Oct 11, 2022

Abstract

Systems and methods are disclosed involving an instrument, an instrument tracking device for tracking movement of the instrument, a first boundary tracking device for tracking movement of a first virtual boundary associated with an anatomy of a patient to be treated by the instrument, and a second boundary tracking device for tracking movement of a second virtual boundary associated with a periphery of an opening in the patient to be avoided by the instrument. One or more controllers receive information associated with the tracking devices including positions of the instrument relative to the first and second virtual boundaries, detect movement of the first and second virtual boundaries relative to one another, and generate a response upon detecting movement of the first and second virtual boundaries relative to one another.

First claim

The invention claimed is:

1. A surgical system comprising:
an instrument;
an instrument tracking device configured to track movement of the instrument;
a first boundary tracking device configured to track movement of a first virtual boundary associated with an anatomy of a patient to be treated by the instrument;
a second boundary tracking device configured to track movement of a second virtual boundary associated with a periphery of an opening in the patient to be avoided by the instrument; and
one or more controllers configured to:
receive information associated with the tracking devices including positions of the instrument relative to the first and second virtual boundaries;
detect movement of the first and second virtual boundaries relative to one another; and
generate a response upon detecting movement of the first and second virtual boundaries relative to one another.

2. The surgical system of claim 1 , wherein the one or more controllers generate the response by further being configured to control the instrument upon detecting movement of the first and second virtual boundaries relative to one another.

3. The surgical system of claim 2 , wherein the one or more controllers control the instrument by further being configured to adjust movement of the instrument relative to one or more of the first and second virtual boundaries.

4. The surgical system of claim 3 , wherein the one or more controllers adjust movement of the instrument relative to one or more of the first and second virtual boundaries by further being configured to adjust cutting of the anatomy with the instrument relative to the first virtual boundary.

5. The surgical system of claim 3 , wherein the one or more controllers adjust movement of the instrument relative to one or more of the first and second virtual boundaries by further being configured to adjust movement of the instrument to avoid contact with the periphery of the opening associated with the second virtual boundary.

6. The surgical system of claim 2 , wherein the one or more controllers control the instrument by further being configured to control one or more actuators associated with operation of the instrument.

7. The surgical system of claim 6 , wherein the one or more controllers further control the one or more actuators associated with operation of the instrument to change a feed rate of the instrument.

8. The surgical system of claim 6 , wherein the one or more controllers further control the one or more actuators associated with operation of the instrument to change a cutting speed of the instrument.

9. The surgical system of claim 6 , further including a surgical manipulator having a plurality of joints and a plurality of actuators and with the instrument being coupled to the surgical manipulator and wherein the surgical manipulator is configured to move the instrument and wherein the one more controllers further control the one or more actuators associated with operation of the instrument by being configured to control one or more of the plurality of actuators of the surgical manipulator to stop advancement or brake the surgical manipulator.

10. The surgical system of claim 1 , wherein the one or more controllers generate, the response by further being configured to generate a feedback upon detecting movement of the first and second virtual boundaries relative to one another.

11. The surgical system of claim 10 , wherein the one or more controllers further generate the feedback upon determining a potential collision between an object and one or more of the first and second virtual boundaries.

12. The surgical system of claim 10 , wherein the feedback is further defined as one or more of the following: audible feedback; visual feedback; or haptic feedback.

13. The surgical system of claim 1 , further including a retractor configured to retract tissue and wherein the second boundary tracking device is coupled to the retractor.

14. The surgical system of claim 1 , wherein the second boundary tracking device includes a flexible shape sensing system positionable adjacent the periphery of the opening.

15. The surgical system of claim 1 , wherein the second boundary tracking device includes a machine vision system being in communication with the one or more controllers and including a vision camera configured to detect movement of the periphery of the opening, wherein the one or more controllers are configured to receive position information derived from images taken by the vision camera to adjust a position of the second virtual boundary upon movement of the second virtual boundary.

16. The surgical system of claim 1 , wherein the second boundary tracking device includes a pointer configured to capture points associated with the periphery of the opening and wherein the one or more controllers are configured to create the second virtual boundary utilizing information relating to the points.

17. The surgical system of claim 1 , wherein the instrument is a hand-held surgical instrument configured to be supported and manually positioned by a user, and wherein the hand-held surgical instrument includes a hand-held housing and a cutting tool that is movable in three degrees of freedom relative to the hand-held housing.

18. A method of operating a surgical system comprising an instrument, an instrument tracking device for tracking movement of the instrument, a first boundary tracking device for tracking movement of a first virtual boundary associated with an anatomy of a patient to be treated by the instrument, a second boundary tracking device for tracking movement of a second virtual boundary associated with a periphery of an opening in the patient to be avoided by the instrument, and one or more controllers, the method comprising:
receiving, with the one or more controllers, information associated with the tracking devices including positions of the instrument relative to the first and second virtual boundaries;
detecting, with the one or more controllers, movement of the first and second virtual boundaries relative to one another; and
generating, with the one or more controllers, a response upon detecting movement of the first and second virtual boundaries relative to one another.

19. The method of claim 18 , wherein generating the response is further defined by the one or more controllers controlling the instrument upon detecting movement of the first and second virtual boundaries relative to one another.

20. The method of claim 19 , wherein controlling the instrument is further defined by the one or more controllers adjusting movement of the instrument relative to one or more of the first and second virtual boundaries.

21. The method of claim 20 , wherein adjusting movement of the instrument relative to one or more of the first and second virtual boundaries is further defined by the one or more controllers adjusting cutting of the anatomy with the instrument relative to the first virtual boundary.

22. The method of claim 20 , wherein adjusting movement of the instrument relative to one or more of the first and second virtual boundaries is further defined by the one or more controllers adjusting movement of the instrument to avoid contact with the periphery of the opening associated with the second virtual boundary.

23. The method of claim 19 , wherein controlling the instrument is further defined by the one or more controllers controlling one or more actuators associated with operation of the instrument.

Assignees

• Stryker Corp

Inventors

• Bowling David Gene
• Malackowski Donald W
• Moctezuma De La Barrera Jose Luis
• Roessler Patrick
• Culp Jerry A
• Stuart John Michael
• Beer Joel N

Classifications

• A61B2090/3983

  Reference marker arrangements for use with image guided surgery · CPC title

• A61B2090/3937

  Visible markers · CPC title

• A61B34/20 Primary

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

• Y10S901/09

  Closed loop, sensor feedback controls arm movement · CPC title

• A61B34/32

  operating autonomously · CPC title