Systems and methods for surgical and interventional planning, support, post-operative follow-up, and, functional recovery tracking

Patent metadata

Field	Value
Publication number	US-11749396-B2
Application number	US-201615216825-A
Country	US
Kind code	B2
Filing date	Jul 22, 2016
Priority date	Sep 17, 2012
Publication date	Sep 5, 2023
Grant date	Sep 5, 2023

Abstract

Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.

First claim

What is claimed is:

1. A surgical system, comprising:
a processor configured to be operatively coupled to a retractor and configured to execute instructions to
determine at least one of a time length of the retractor retracting tissue during a performance of a surgical procedure on a patient, an amount of the tissue retraction, and an amount of pressure being placed on at least one of tissue and nerves as a result of the retraction,
determine if any one or more of the time length reaches a predetermined threshold amount of time, the amount of tissue retraction reaches a predetermined amount of tissue, and the amount of pressure reaches a predetermined amount of pressure, and
cause movement of the retractor relative to the patient if any one or more of the time length reaches the predetermined threshold amount of time, the amount of tissue retraction reaches the predetermined amount of tissue, and the amount of pressure reaches the predetermined amount of pressure;

wherein the processor is configured to determine at least the amount of pressure being placed the at least one of tissue and nerves as a result of the retraction, and the processor is configured to execute instructions to mechanically prevent the amount of pressure being placed on at least one of tissue and nerves from exceeding the predetermined amount of pressure.

2. The system of claim 1 , further comprising a sensor configured to sense a physical characteristic of the patient during the performance of the surgical procedure, wherein the processor is configured to use the sensed physical characteristic in determining if any one or more of the time length reaches the predetermined threshold amount of time, the amount of tissue retraction reaches the predetermined amount of tissue, and the amount of pressure reaches the predetermined amount of pressure.

3. The system of claim 1 , further comprising a memory;
wherein, in determining if any one or more of the time length reaches the predetermined threshold amount of time, the amount of tissue retraction reaches the predetermined amount of tissue, and the amount of pressure reaches the predetermined amount of pressure, the processor is configured to use at least one of clinical study data stored in the memory, data stored in the memory regarding lengths of retraction in previously performed surgical procedures, data stored in the memory regarding locations of retraction in previously performed surgical procedures, data stored in the memory regarding durations of retraction in previously performed surgical procedures, and data stored in the memory regarding pain levels of patients following previously performed surgeries.

4. The system of claim 1 , further comprising a memory that stores a library of nerve characteristics of patients having had surgery performed thereon and that stores post-operative pain levels of the patients;
wherein, in determining if any one or more of the time length reaches the predetermined threshold amount of time, the amount of tissue retraction reaches the predetermined amount of tissue, and the amount of pressure reaches the predetermined amount of pressure, the processor is configured to use the library.

5. The system of claim 1 , wherein the predetermined threshold amount of time correlates to pain experienced by patients following previously performed surgeries, the predetermined amount of tissue correlates to the pain experienced by patients following previously performed surgeries, and the predetermined amount of pressure correlates to pain experienced by patients following previously performed surgeries.

6. The system of claim 1 , wherein the movement of the retractor includes release of the retractor from the tissue or adjusting the retractor's retraction of the tissue.

7. The system of claim 1 , wherein the processor is also configured to determine the time length of the retractor retracting a tissue during a performance of a surgical procedure on a patient, and the predetermined threshold amount of time correlates to the pain experienced by patients following previously performed surgeries.

8. The system of claim 1 , wherein the processor is also configured to determine the amount of the tissue retraction, and the predetermined amount of tissue correlates to the pain experienced by patients following previously performed surgeries.

9. The system of claim 1 , further comprising the retractor.

10. The system of claim 1 , wherein the processor is configured to receive data indicative of an ultrasound of the tissue of the patient, and the ultrasound of the tissue of the patient is performed in real time with the retraction of the tissue during the performance of the surgical procedure on the patient.

11. A surgical system, comprising:
a processor configured to be operatively coupled to a retractor retracting tissue during a performance of a surgical procedure on a patient, the processor being configured to execute instructions to
determine an amount of the tissue retraction,
determine if the amount of tissue retraction reaches a predetermined amount of tissue, and
cause movement of the retractor relative to the patient if the amount of tissue retraction reaches the predetermined amount of tissue;

wherein the processor is configured to receive data indicative of an ultrasound image of the tissue of the patient that is taken in real time with the retraction of the tissue during the performance of the surgical procedure on the patient, the ultrasound image indicating segmentation of the tissue and thereby indicating location of the retractor in a desired tissue plane; and wherein the processor is configured to execute instructions to mechanically prevent the amount of tissue retraction from exceeding the predetermined amount of tissue retraction.

12. The system of claim 11 , wherein the processor is configured to maintain position of the retractor relative to the patient if the amount of tissue retraction does not reach the predetermined amount of tissue.

13. The system of claim 11 , wherein the predetermined amount of tissue correlates to pain experienced by patients following previously performed surgeries.

14. The system of claim 13 , wherein the processor is also configured to execute instructions to correlate the location of the retractor with pain level of the patient following the performance of the surgical procedure on the patient;
the processor is configured to execute instructions to adjust the predetermined threshold amount of time based on the pain level of the patient;
the processor is configured to be operatively coupled to a second retractor retracting second tissue during a performance of a second surgical procedure on a second patient; and
after the adjustment, the processor is configured to execute instructions to
determine an amount of the retraction of the second tissue,
determine if the amount of second tissue retraction reaches the adjusted predetermined amount of tissue, and
cause movement of the second retractor relative to the second patient if the amount of tissue retraction reaches the adjusted predetermined amount of tissue.

15. The system of claim 11 , further comprising the retractor.

16. A surgical system, comprising:
a processor configured to be operatively coupled to a retractor and configured to execute instructions to
determine an amount of pressure being placed on at least one of tissue and nerves as a result of a retractor retracting tissue during a performance of a surgical procedure on a patient,
determine if the amount of pressure reaches a predetermined amount of pressure, and
cause movement of the r

Assignees

• Depuy Synthes Products Inc

Inventors

• Nawana Namal
• Frasier William J
• Dipietro Jennifer
• Nordstrom Christopher
• Laware Michelle
• Griffin John Paul
• Selover Sean P
• Bellas Jonathan
• Parsons Matthew

Classifications

• G16H30/20 Primary

  for handling medical images, e.g. DICOM, HL7 or PACS · CPC title

• A61B5/0022

  Monitoring a patient using a global network, e.g. telephone networks, internet · CPC title

• A61B5/1118

  Determining activity level · CPC title

• A61B5/4509

  Bone density determination · CPC title

• A61B5/4566

  Evaluating the spine (A61B5/4561 takes precedence) · CPC title