Automated alignment of a surgical tool

Patent metadata

Field	Value
Publication number	US-11857200-B2
Application number	US-202217580889-A
Country	US
Kind code	B2
Filing date	Jan 21, 2022
Priority date	Dec 21, 2012
Publication date	Jan 2, 2024
Grant date	Jan 2, 2024

Abstract

A surgical system includes a robotic arm, an end effector held by the robotic arm, a tracking system configured to detect a patient position and an end effector position, and a processor and non-transitory memory storing instructions that, when executed by the processor, cause the processor to define a planned trajectory relative to the patient position, obtain the patient position and the end effector position from the tracking system during manual movement of the end effector by a user, determine whether the end effector position is within a threshold of the planned trajectory based on the patient position and the end effector position obtained during the manual movement of the end effector, and upon determination that the end effector position is within the threshold of the planned trajectory, take over and control the robotic arm to automatically align the end effector with the planned trajectory.

First claim

What is claimed is:

1. A surgical system comprising:
a robotic arm;
an end effector held by the robotic arm;
a tracking system configured to detect a patient position and an end effector position relative to the patient position;
a processor and non-transitory memory storing instructions that, when executed by the processor, cause the processor to:
define a virtual trajectory for the end effector to move along relative to the patient position;
define a virtual boundary spaced from the virtual trajectory;
obtain the patient position and the end effector position from the tracking system during manual movement of the end effector by a user;
determine whether the end effector position crossed from a first side of the virtual boundary to a second side of the virtual boundary based on the patient position and the end effector position obtained during the manual movement of the end effector, wherein the virtual trajectory is on the second side of the virtual boundary; and
upon determination that the end effector position crossed to the second side of the virtual boundary, switch into an automatic mode in which the processor controls the robotic arm to automatically align the end effector with the virtual trajectory.

2. The surgical system of claim 1 , wherein the virtual boundary is Pacman-shaped.

3. The surgical system of claim 1 , wherein the virtual boundary is defined by a distance from the virtual trajectory.

4. The surgical system of claim 1 , wherein the virtual boundary is defined by a radius from a target point associated with the virtual trajectory.

5. The surgical system of claim 1 , wherein the virtual trajectory is planar.

6. The surgical system of claim 1 , wherein the end effector position corresponds to a distal tip of a cutting tool.

7. The surgical system of claim 1 , wherein the instructions further cause the processor to control the robotic arm to maintain alignment of the end effector with the virtual trajectory following automatically aligning the end effector with the virtual trajectory.

8. The surgical system of claim 7 , wherein the instructions cause the processor to control the robotic arm to maintain the alignment of the end effector by controlling the robotic arm to provide force feedback that resists movement of the end effector away from the virtual trajectory.

9. The surgical system of claim 7 , wherein the instructions cause the processor to stop the control of the robotic arm to maintain the alignment in response to the end effector position crossing a virtual exit boundary.

10. The surgical system of claim 1 , wherein the instructions cause the processor to control the robotic arm to automatically align the end effector with the virtual trajectory by causing the robotic arm to rotate the end effector.

11. The surgical system of claim 1 , wherein the instructions cause the processor to control the robotic arm to automatically align the end effector with the virtual trajectory by causing the robotic arm to reposition the end effector.

12. The surgical system of claim 1 , further comprising an end effector marker coupled to the end effector and configured to be tracked by the tracking system.

13. The surgical system of claim 1 , wherein the virtual trajectory corresponds to a planned bone modification.

14. The surgical system of claim 1 , wherein the virtual trajectory is offset from the patient position based at least on a dimension of a surgical device.

15. A robotic surgical system for performing surgery, the system comprising:
a robotic arm comprising a force and/or torque control end effector configured to hold a first surgical tool;
an actuator for controlled movement of the robotic arm and/or positioning of the end-effector;
a tracking detector for real time detection of (i) surgical tool position and/or end effector position and (ii) patient position; and
a processor and non-transitory memory storing instructions that, when executed by the processor, cause the processor to:
access or generate a virtual representation of a patient situation;
provide a virtual trajectory for the end effector to move along and a virtual boundary spaced from the virtual trajectory;
obtain (i) the surgical tool position and/or the end effector position and (ii) the patient position from the tracking detector while a surgeon is manually moving the end effector;
determine whether the manually moving end effector causes the end effector to cross from a first side of the virtual boundary to a second side of the virtual boundary, wherein the virtual trajectory is on the second side of the virtual boundary;
upon determination that the end effector crossed to the second side of the virtual boundary, switch into an automatic mode in which the processor controls the robotic arm to automatically move the end effector into alignment with the virtual trajectory; and
maintain the end effector position along the virtual trajectory.

16. The robotic surgical system of claim 15 , wherein the end effector is configured to receive a second surgical tool for performing surgical procedures.

17. A method of operation of a robotically-assisted surgical device, comprising:
defining, by one or more processors, a virtual trajectory relative to a patient position;
defining, by the one or more processors, a virtual boundary based on spaced from the virtual trajectory;
tracking, by a tracking system, the patient position and an end effector position relative to the patient position in real time during manual movement of an end effector coupled to a robotic arm;
determining, by the one or more processors, whether the end effector position crossed from a first side of the virtual boundary to a second side of the virtual boundary based on the patient position and the end effector position obtained during the manual movement of the end effector, wherein the virtual trajectory is on the second side of the virtual boundary; and
upon determining that the end effector position crossed to the second side of the virtual boundary, controlling the robotic arm in an automatic mode so that the robotic arm moves to automatically align the end effector with the virtual trajectory.

18. The method of claim 17 , further comprising controlling, subsequent to automatically aligning the end effector with the virtual trajectory, the robotic arm to maintain alignment of the end effector with the virtual trajectory.

19. The method of claim 17 , wherein the virtual boundary is defined by a distance from the virtual trajectory.

20. The method of claim 17 , wherein tracking the end effector position comprises detecting a position of a marker coupled to the end effector.

Assignees

• Mako Surgical Corp

Inventors

• Otto Jason
• Iorgulescu Radu
• Lightcap Chris
• Schmitz Brian
• Wojcik Jason
• Granchi Carinne Cecile

Classifications

• A61B17/15 Primary

  Guides therefor · CPC title

• A61B17/142

  with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades · CPC title

• A61B17/1615

  Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material · CPC title

• A61B17/1703

  using imaging means, e.g. by X-rays · CPC title

• A61B34/20

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