Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution

Patent metadata

Field	Value
Publication number	US-12096985-B2
Application number	US-202117210865-A
Country	US
Kind code	B2
Filing date	Mar 24, 2021
Priority date	Dec 28, 2017
Publication date	Sep 24, 2024
Grant date	Sep 24, 2024

Abstract

Various systems and methods providing recommendations based on analysis of surgical procedure variables are disclosed. A computer system, such as a surgical hub, can be configured to be communicably coupled to a surgical device. The computer system can be programmed to determine contextual data related to the surgical procedure being performed based at least in part of perioperative data received from the surgical device paired with the computer system. Further, the computer system can determine a procedural variable associated with the determined surgical context and then compare the procedural variable to a baseline. Depending upon the outcome of the comparison, the computer system can provide intraoperative or postoperative recommendations to the surgical staff.

First claim

The invention claimed is:

1. A surgical system for use during a surgical procedure, the surgical system comprising:
a memory to store a data set collected across a surgical network, wherein the data set comprises previous instrument configurations used while performing previous surgical procedures; and
a control circuit configured to:
receive a signal from a surgical instrument comprising an end effector, wherein the signal comprises intraoperative data collected by the surgical instrument during the surgical procedure;
determine a current instrument configuration and a step of the surgical procedure being performed based on the intraoperative data;
determine a baseline instrument configuration for the step of the surgical procedure being performed based on the previous instrument configurations;
compare the current instrument configuration to the baseline instrument configuration;
generate a control program update for an improved surgical outcome based on the comparison of the current instrument configuration to the baseline instrument configuration, wherein the control program update comprises a modified instrument configuration for the surgical instrument comprising the end effector; and
cause the surgical instrument to implement the control program update during the surgical procedure.

2. The surgical system of claim 1 , wherein the control circuit is configured to determine a type of the surgical procedure being performed based on the intraoperative data.

3. The surgical system of claim 2 , wherein the data set comprises historical information associated with the type of the surgical procedure.

4. The surgical system of claim 3 , wherein the modified instrument configuration is based on the type of the surgical procedure.

5. The surgical system of claim 4 , wherein the control program update is based on a type of the surgical instrument.

6. The surgical system of claim 5 , wherein the control circuit is to determine a plurality of procedural outcomes associated with the type of the surgical instrument based on the historical information, and wherein the control program update is generated based on the determined plurality of procedural outcomes.

7. The surgical system of claim 5 , wherein the type of the surgical instrument is a curved-tip vascular stapler or a straight-tip vascular stapler.

8. A surgical system for use during a surgical procedure, the surgical system comprising:
a memory to store a data set collected across a surgical network, wherein the data set comprises aggregated data corresponding to a plurality of previous surgical procedures, wherein the aggregated data comprises previous instrument configurations used during the previous surgical procedures; and
a control circuit configured to:
receive a signal from a surgical instrument comprising an end effector, wherein the signal is associated with intraoperative data collected during a step of the surgical procedure;
determine a current instrument configuration associated with the step of the surgical procedure based on the intraoperative data;
determine a baseline instrument configuration for the step of the surgical procedure based on the aggregated data;
compare the current instrument configuration to the baseline instrument configuration;
generate a control program update based on the comparison of the current instrument configuration to the baseline instrument configuration, wherein the control program update comprises a modified instrument configuration for the surgical instrument comprising the end effector; and
cause the surgical instrument to implement the control program update during the surgical procedure.

9. The surgical system of claim 8 , wherein the control circuit is configured to determine a type of the surgical procedure.

10. The surgical system of claim 9 , wherein the aggregated data comprises historical information associated with the type of the surgical procedure.

11. The surgical system of claim 10 , wherein the control program update is based on a type of the surgical instrument.

12. The surgical system of claim 11 , wherein the control circuit is to determine a plurality of procedural outcomes associated with the type of the surgical instrument based on the historical information, and wherein the control program update is generated based on the determined plurality of procedural outcomes.

13. A method comprising:
receiving a signal from a surgical instrument comprising an end effector, wherein the signal is associated with intraoperative data collected by the surgical instrument during a surgical procedure;
determining a current instrument configuration and a step of the surgical procedure being performed based on the intraoperative data;
comparing the current instrument configuration to a baseline instrument configuration for the step of the surgical procedure being performed determined based on historical data associated with similar surgical procedures collected across a surgical network;
generating a control program update for an improved surgical outcome based on the comparison of the current instrument configuration to the baseline instrument configuration determined based on the historical data, wherein the control program update comprises a modified instrument configuration for the surgical instrument comprising the end effector; and
causing the surgical instrument to implement the control program update during the surgical procedure.

14. The method of claim 13 , further comprising determining a type of the surgical instrument based on the intraoperative data, wherein generating the control program update is based on the type of the surgical instrument.

15. The method of claim 14 , further comprising determining a plurality of procedural outcomes associated with the type of the surgical instrument based on the historical data, and wherein the control program update is generated based on the determined plurality of procedural outcomes.

16. The method of claim 15 , wherein the type of the surgical instrument is a curved-tip vascular stapler or a straight-tip vascular stapler.

17. The method of claim 13 , wherein causing the surgical instrument to implement the control program update during the surgical procedure comprises transmitting the control program update to the surgical instrument.

18. The method of claim 13 , wherein determining a procedural variable based on the signal comprises determining a type of the surgical procedure based on the received signal.

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Shelton Iv Frederick E
• Harris Jason L
• Aronhalt Taylor W

Classifications

• A61B2218/008

  for smoke evacuation · CPC title

• A61B2218/002

  Irrigation · CPC title

• A61B2018/0063

  Sealing · CPC title

• A61B18/14

  Probes or electrodes therefor · CPC title

• A61B17/320068

  using mechanical vibrations, e.g. ultrasonic (A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745) · CPC title