Systems and methods for establishing virtual constraint boundaries

Patent metadata

Field	Value
Publication number	US-12396802-B2
Application number	US-202418419622-A
Country	US
Kind code	B2
Filing date	Jan 23, 2024
Priority date	Mar 13, 2013
Publication date	Aug 26, 2025
Grant date	Aug 26, 2025

Abstract

Surgical systems and methods of operating the same involve controlling a robotic manipulator to move a cutting instrument to cut away material from a bone at a surgical site. A machine vision system uses a vision camera to detect an object at, or in proximity to, the surgical site. A control system associates a virtual boundary with the detected object and controls the robotic manipulator to move the cutting instrument based on the virtual boundary such that the cutting instrument avoids the detected object. In one example, the control system modifies a tool path of the cutting instrument based on the virtual boundary to avoid the detected object. Additionally, or alternatively, the control system can automatically adjust an orientation of the cutting instrument based on the virtual boundary to avoid the detected object.

First claim

What is claimed is:

1. A surgical system comprising:
a robotic manipulator configured to support and move a cutting instrument;
a navigation system including a localizer, a first tracker coupled to the robotic manipulator, and a second tracker coupled to a bone at a surgical site, wherein the navigation system is configured to detect the first tracker to monitor a pose of the cutting instrument and the second tracker to monitor a pose of the bone;
a machine vision system including a vision camera; and
a control system coupled to the robotic manipulator, the localizer, and the machine vision system, wherein the control system is configured to:
control the robotic manipulator to move the cutting instrument along a path to cut away material from the bone at the surgical site based on the monitored pose of the cutting instrument and the monitored pose of the bone;
detect, with the machine vision system, an object at, or in proximity to, the surgical site;
associate a virtual boundary with the object detected by the machine vision system;
adjust the path of the cutting instrument based on the virtual boundary; and
control the robotic manipulator to move the cutting instrument along the adjusted path to enable the cutting instrument to avoid the object.

2. The surgical system of claim 1 , wherein, to enable the cutting instrument to avoid the object, the control system is further configured to:
control the robotic manipulator to adjust an orientation of the cutting instrument based on the virtual boundary.

3. The surgical system of claim 1 , wherein the control system is further configured to track movement of the virtual boundary.

4. The surgical system of claim 3 , wherein the control system adjusts the path of the cutting instrument further in response to tracked movement of the virtual boundary.

5. The surgical system of claim 3 , wherein the control system is further configured to track movement of the virtual boundary with the vision camera of the machine vision system.

6. The surgical system of claim 5 , wherein the control system tracks movement of the virtual boundary with the vision camera by further being configured to:
receive images acquired by the vision camera;
identify groups of pixels in the images that are associated with the object; and
detect movement of the groups of pixels in the images.

7. The surgical system of claim 1 , wherein the object is a retractor configured to retract tissue adjacent to the bone.

8. The surgical system of claim 7 , wherein the control system associates the virtual boundary with the retractor by further being configured to:
identify the retractor with the machine vision system;
retrieve, from non-transitory memory, a geometric model of the retractor; and
utilize the geometric model to define the virtual boundary.

9. The surgical system of claim 7 , wherein the control system detects the retractor with the machine vision system by being configured to detect a tracker or tracking element coupled to the retractor.

10. The surgical system of claim 1 , wherein the object is a first object and the virtual boundary is a first virtual boundary associated with the first object, and wherein the control system is further configured to:
detect, with the machine vision system, a second object at, or in proximity to, the surgical site; and
associate a second virtual boundary with the second object.

11. The surgical system of claim 10 , wherein the control system is further configured to:
track movement of the first virtual boundary;
track movement of the second virtual boundary; and
track relative movement between the first virtual boundary and the second virtual boundary.

12. The surgical system of claim 10 , wherein:
the first object is a surgical instrument to be avoided by the cutting instrument or a soft tissue structure to be avoided by the cutting instrument; and
the second object is the bone.

13. The surgical system of claim 12 , wherein:
the second virtual boundary is a virtual constraint boundary delineating a first region of the bone to be treated by the cutting instrument from a second region of the bone to be avoided by the cutting instrument; and
the control system is further configured to control the robotic manipulator to avoid interaction of the cutting instrument with the virtual constraint boundary.

14. The surgical system of claim 12 , wherein the surgical instrument is a retractor configured to retract tissue adjacent to the bone.

15. The surgical system of claim 1 , wherein the navigation system is coupled to the control system and comprises a display device, and wherein the navigation system is further configured to:
receive a pose of the object from the machine vision system;
present, on the display device, graphical representations of: the cutting instrument, the bone, and the virtual boundary; and
update a relative spatial relationship of the graphical representations based on the poses of the cutting instrument, the bone, and the object.

16. The surgical system of claim 1 , wherein the control system controls the robotic manipulator to move the cutting instrument along the path by further being configured to operate the robotic manipulator in a semi-autonomous mode.

17. The surgical system of claim 1 , wherein the cutting instrument is a rotating cutting bur.

18. The surgical system of claim 1 , wherein the bone is a femur bone or a tibia bone, and wherein the control system controls the robotic manipulator to move the cutting instrument along the path to cut away material to prepare the femur bone or the tibia bone to receive a surgical implant for a joint arthroplasty procedure.

19. A method of operating a surgical system, the surgical system including a robotic manipulator configured to support and move a cutting instrument, a navigation system including a localizer, a first tracker coupled to the robotic manipulator, and a second tracker coupled to a bone at a surgical site, a machine vision system including a vision camera, and a control system coupled to the robotic manipulator, the localizer, and the machine vision system, the method comprising the control system:
monitoring a pose of the cutting instrument based on detection of the first tracker by the localizer and a pose of the bone based on detection of the second tracker by the localizer;
controlling the robotic manipulator for moving the cutting instrument along a path for cutting away material from the bone at the surgical site based on the monitored pose of the cutting instrument and the monitored pose of the bone;
detecting, with the machine vision system, an object at, or in proximity to, the surgical site;
associating a virtual boundary with the object detected by the machine vision system;
adjusting the path of the cutting instrument based on the virtual boundary; and
controlling the robotic manipulator for moving the cutting instrument along the adjusted path and for enabling the cutting instrument to avoid the object.

20. A surgical system comprising:
a robotic manipulator configured to support and move a cutting instrument;
a navigation system including a localizer, a first tracker coupled to the robotic manipulator, and a second tracker coupled to a bone at a surgical site, wherein the navigation system is configured to detect the first tracker to monitor a pose of the cutting instrument and the second tracker to monitor a pose of the bone;
a machine vision system including a vision camera; and
a control system coupled to the robotic

Assignees

• Stryker Corp

Inventors

• Bowling David G
• Malackowski Donald W
• Moctezuma De La Barrera José Luis
• Roessler Patrick
• Culp Jerry A
• Stuart John M
• Beer Joel N

Classifications

• A61B17/16

  Instruments for performing osteoclasis; Drills or chisels for bones; Trepans {(arthroscopic bone cutters A61B17/320016)} · CPC title

• A61B34/30

  Surgical robots · CPC title

• A61B2090/3937

  Visible markers · CPC title

• A61B2034/2061

  using shape-sensors, e.g. fiber shape sensors with Bragg gratings · CPC title

• A61B90/03

  Automatic limiting or abutting means, e.g. for safety · CPC title