System for a surveillance marker in robotic-assisted surgery

Patent metadata

Field	Value
Publication number	US-12376916-B2
Application number	US-202418609274-A
Country	US
Kind code	B2
Filing date	Mar 19, 2024
Priority date	Jun 21, 2012
Publication date	Aug 5, 2025
Grant date	Aug 5, 2025

Abstract

Devices, systems, and methods for providing a surveillance marker configured to detecting movement of a dynamic reference base attached to a patient a robot-assisted surgical procedure are provided. The surveillance marker and the dynamic reference base are connected to a bony structure independent of each other.

First claim

What is claimed is:

1. A system for monitoring registration of a patient to a surgical robot, said system comprising:
a dynamic reference base (DRB) including at least one array marker;
a dynamic reference base post connected to the DRB; and
a surveillance marker adapted to be disposed at a predetermined distance from the DRB and trackable by a tracking camera system, wherein the surveillance marker is configured to be secured to the patient independently from the DRB and is an optical marker, wherein the surveillance marker is mechanically not connected to the DRB.

2. The system of claim 1 , wherein the surgical robot is configured to determine that the DRB has moved based on a change in the predetermined distance.

3. The system of claim 1 , further comprising a processor configured to:
establish registration of an image of the patient captured from an imaging device in an imaging space to the patient in a camera space based on a pose of the imaging device at the time of the image capture and the DRB as seen by the tracking camera system, the DRB including a plurality of markers and adapted to be attached to the patient;
continuously update a last known location of markers attached to a robot as seen by the tracking camera system;
detect a loss of registration when a distance of the surveillance marker from the DRB has changed;
when the loss of registration is detected, re-establish the registration based on the last known location of the markers attached to the robot and a location of the surveillance marker as seen by the tracking camera system without re-scanning the patient with the imaging device.

4. The system of claim 3 , wherein the processor is configured to re-establish the registration by determining a transform of a pose of the image of the patient captured from the imaging device relative to a last known pose of the DRB (T LastKnownDRB-Image ) prior to the loss of registration.

5. The system of claim 3 , wherein the markers attached to the robot are attached to an end effector of the robot, and re-establishing the registration includes determining a transform between a pose of the end effector of the robot relative to the tracking camera system (T Camera-RobotEE ).

6. The system of claim 3 , wherein the processor is configured to re-establishes the registration by:
determining a transform between a pose of the tracking camera system relative to the DRB (T DRB-Camera ) after the loss of registration.

7. The method of claim 3 , wherein the markers attached to the robot are attached to an end effector of the robot, and the processor is configured to re-establishes the registration by:
determining a transform of a pose of the image of the patient captured from the imaging device relative to a last known pose of the DRB (T LastKnownDRB-Image ) prior to the loss of registration; and
determining a transform between a pose of the end effector of the robot relative to the tracking camera system (T Camera-RobotEE ).

8. The system of claim 7 , wherein the processor is configured to re-establishes the registration by:
determining a transform between a pose of the tracking camera system relative to the DRB (T DRB-Camera ) after the loss of registration.

9. The system of claim 3 , wherein:
the markers attached to the robot are attached to an end effector of the robot; and
the processor is configured to re-establish the registration by determining:
a transform between a pose of a base of the robot relative to the end effector; and
a transform between a pose of the last known DRB relative to the base of the robot.

10. The system of claim 9 , wherein the processor is configured to establish the registration based on the tracked locations of the markers attached to the end effector and an encoder position in a surgical robot arm.

11. A system for monitoring registration of a patient to a surgical robot, said system comprising:
a dynamic reference base (DRB) including at least one array marker;
a dynamic reference base post associated with the DRB;
a surveillance marker adapted to be disposed at a predetermined distance from the DRB and trackable by a tracking camera system associated with the surgical robot, wherein the surveillance marker is configured to be secured to the patient independently from the DRB and is an optical marker, wherein the surveillance marker is mechanically not connected to the DRB;
a surveillance marker post associated with the surveillance marker; and
wherein the surveillance marker post and the DRB are adapted to be attached to a bony structure at different entry points.

12. The system of claim 11 , wherein the surveillance marker is off-set from a longitudinal axis of the surveillance marker post.

13. The system of claim 11 , wherein the surveillance marker post and the dynamic reference base post are adapted to be inserted into a single incision.

14. The system of claim 11 , wherein the surveillance marker post is metal and contains a sharp tip configured to drive into the bony structure.

15. The system of claim 11 , wherein the dynamic reference base post includes one or more spikes to attach to the bony structure.

16. The system of claim 11 , wherein the DRB includes at least three DRB markers and the system further comprising a processor configured to detect a loss of tracking at least one of the DRB markers while maintaining tracking of at least two of the DRB markers and if so, maintain registration based on the tracking of the surveillance marker and the at least two of the DRB markers without re-registration.

17. The system of claim 16 , wherein the processor is configured to determine that the dynamic reference base has moved based on a change in the predetermined distance.

18. The system of claim 16 , wherein the surveillance marker and the at least three DRB markers are each an optical marker configured to be recognized by the tracking camera system.

19. The system of claim 11 , further comprising robot tracking markers disposed on an end effector and trackable by the tracking camera system.

20. The system of claim 19 , further comprising a processor configured to automatically establish the new registration based on the tracked locations of the robot tracking markers on the end effector and an encoder position in a surgical robot arm.

Assignees

• Globus Medical Inc

Inventors

• Forsyth Jeffrey
• Joshi Sanjay M
• Crawford Neil R

Classifications

• A61B2034/2072

  Reference field transducer attached to an instrument or patient · CPC title

• A61B2090/3937

  Visible markers · CPC title

• A61B2034/2057

  Details of tracking cameras · CPC title

• A61B2090/3991

  having specific anchoring means to fixate the marker to the tissue, e.g. hooks · CPC title

• A61B2090/3916

  Bone tissue · CPC title