Operating system with haptic interface for minimally invasive, hand-held surgical instrument

• US 10,013,082 B2
• Filed: 03/15/2013
• Issued: 07/03/2018
• Est. Priority Date: 06/05/2012
• Status: Active Grant

• Current Assignee: Stuart Schecter, LLC
• Original Assignee: Stuart Schecter, LLC
• Inventors: Schecter, Stuart O.
• Primary Examiner(s): Spar, Ilana
• Assistant Examiner(s): Truong, Nguyen H
• Application Number:
  US13/837,132
• Publication Number:
  US 20130321262A1
• Time in Patent Office: 1,936 Days
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2018/00297 Means for providing haptic feedback
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 5/7455 characterised by tactile indication, e.g. vibration or electrical stimulation
• CPC Class Codes: G06F 3/016 Input arrangements with force or tactile feedback as computer generated output to the user
• CPC Class Codes: G06F 3/041 Digitisers, e.g. for touch screens or touch pads, characterised by the transducing means
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A haptic system for a minimally invasive, hand-held surgical instrument and the system'"'"'s various parts including a graphical user haptic interface, one or more haptic interfaces associated with a hand-held handle used to control a sensorized end-effector of the surgical instrument or inserted catheters, associated hardware, and an operating system. The system enables users to acquire, read, modify, store, write, and download sensor-acquired data in real time. The system can provide: an open, universally compatible platform capable of sensing or acquiring physiological signals/data in any format; processing of the sensor acquired data within an operating system; and outputting the processed signals to hardware which generates tangible sensations via one or more haptic interfaces. These tangible sensations can be modified by the user in real time as the system ensures the temporal relationship of sensed fiducial events are not altered or shifted relative to the generated and displayed haptic signals.

Claims

1. An operating system providing user customization of a haptic apparatus, comprising:

a computer processor operatively coupled to a non-transitory data storage medium containing instructions that when executed cause the computer processor to;

receive a series of continuous real time sensor acquired data from a catheter or surgical instrument, the data having a temporal relationship with sensed physiological, and physical events related to moving biological organ, muscle, cardiac valve, vasculature tissue, or flowing blood;

process the sensor acquired data to create a plurality of processed signals;

output the plurality of processed signals to;

hardware, configured to recreate tangible palpable sensations representative of three dimensional motion via at least one haptic apparatus; and

a graphical user haptic interface configured in response to user customized programming; and

modify the processed signals in real time based on the user customized programming received from the graphical user haptic interface without altering the temporal relationship of the real time sensor acquired data and the sensed physiological and physical events while enabling adjustments to the tangible palpable sensations recreated by the haptic apparatus that replicates sensed physiological, and physical events.

2. The operating system of claim 1, wherein the user customized programming may alter the amplitude of tangible palpable sensations recreated on the haptic apparatus.

3. The operating system of claim 1, wherein the user customized programming may alter the quality of tangible palpable sensations recreated on the haptic apparatus.

4. The operating system of claim 1, wherein the user customized programming may modify the tangible palpable sensations recreated by the haptic apparatus by modifying the properties of the processed signals by applying one or more algorithms during specific time frames to the baseline signal.

5. The operating system of claim 1, wherein the user customized programming may modify the tangible palpable sensations recreated by the haptic apparatus by modifying properties of the processed signals by adjusting the position of one or more actuators or haptic elements of the haptic apparatus.

6. The operating system of claim 1, wherein the operating system is automatically programmable in real time based on type of sensor acquired data.

7. The operating system of claim 1 wherein the sensor acquired data provided includes temporal and spatial information regarding a real time location of a catheter or medical instrument.

8. The operating system of claim 1, wherein the sensor acquired data includes at least one of:

force, strain, strain rate, tissue displacement, velocity, acceleration, pressure, blood pressure, blood flow, blood flow velocity, blood flow acceleration, blood flow laminarity or turbulence, contact or non-contact sensor data, measurements of electrical or mechanical dysynchrony, torsion, and rotation.

9. The operating system of claim 1, wherein the sensor acquired data is obtained during at least one of the following cardiovascular procedures:

transeptal puncture, ablation procedures, left atrial appendage closure, delivery and extraction of pacing and defibrillation electrodes and leads, repair and replacement of cardiac valves and tissue, delivery of therapeutic cardiac devices, and delivery of vascular devices.

10. The operating system of claim 1, wherein the sensor acquired data is displayed on the graphical user haptic interface in conjunction with a surround sound audio display that generates sound replicating sensed physiological and physical events emanating from moving biological tissue, as audible sensations occurring as a result of the elongate medical device'"'"'s sensorized distal end sensing actual real time compression and rarefaction events emanating from moving biological tissue and presenting this as an audible field to the operator in three dimensional space thereby providing a perception that the operator is hearing sound as if from near or within the moving biological tissue.

11. The operating system of claim 10, wherein the surround sound audio display:

generates sounds that correlate with frequency and amplitude information sensed;

maintains a three dimensional spatial and temporal relationship to the sensor acquired data in real time;

modifies the audio display of the sensor acquired data qualitatively and quantitatively and without alteration of the temporal relationship or three dimensional spatial relationship.

12. The operating system of claim 1, wherein the acquired data is based on measurements of at least one of:

electromagnetic, magnetic, thermal, electric, ultrasonic, piezoelectric, piezotronic, capacitive, impedance, complex impedance, admittance, resistive, strain, mechanical deformation, compliance, resistance, elasticity, tissue damage, positioning or navigational system based sensors, contact and non-contact sensors.

13. The operating system of claim 1, wherein the graphical user haptic interface provides a graphical format similar to a musical score which displays notations and symbols that describe and communicate one or more of:

haptic signals that replicate sensed physiological and physical events as if the haptic signals were occurring as a result of actual real time palpation of moving biological tissue, the action of the actuators, and sensor acquired data in the frequency and time domains.

14. The operating system of claim 1, wherein the data having a temporal relationship with sensed physiological and physical events is representative of different kinds of biological tissues.

15. The operating system of claim 14, wherein the plurality of processed signals that are created provide realistic feel haptic feedback indicative of the different kinds of biological tissues.

16. The operating system of claim 15, wherein the graphical user haptic interface enables manual or automatic control over the processed signals according to operator preference and procedure type.

17. The operating system of claim 1, wherein the series of continuous real time sensor acquired data is obtained during a transeptal puncture procedure.

18. A method for operating a system including a haptic apparatus that generates palpable sensations based on haptic signals that feel as if the sensations are occurring as a result of actual real time palpation of moving biological tissue, an elongate medical device with sensorized distal end, and a graphical user haptic interlace, comprising:

receiving a series of continuous sensor acquired data with the elongate medical device, the data having a temporal relationship with associated physiological and physical events related to moving biological organ, muscle, cardiac valve, vasculature tissue, or flowing blood;

processing the sensor acquired data to create a plurality of processed signals;

outputting the plurality of processed signals to;

hardware that communicates recreated realistic tangible palpable sensations representative of three dimensional motion to an operator via one or more haptic apparatus; and

a graphical user haptic interface; and

implementing customized programming changes received from the graphical user haptic interlace that do not alter the temporal relationship of sensor acquired data and associated physiological and physical events.

19. A method for operating a system including a haptic apparatus with a user customizable graphical user interface coupled to an elongate member, comprising:

obtaining a series of continuous sensor data from distally located sensors on the elongate member, the data having a temporal relationship with associated physiological and physical events related to moving biological organ, muscle, cardiac valve, vasculature tissue, or lowing blood;

utilizing the sensor data to provide a haptic recreation of sensed information with a haptic apparatus;

using a graphical user interface to customize palpable sensations representative of three dimensional motion generated by the haptic apparatus that replicate sensed physiological and physical events as if haptic signals were occurring as a result of actual realtime palpation of moving biological tissue by permitting adjustment to one or more of the;

amplitude of the tangible sensations;

quality of the tangible sensations; and

subjective haptic preferences of a user;

without altering the temporal relationship of the sensor data with associated physiological and physical events.

20. A user interface, comprising:

a haptic apparatus, that is configured to couple with an elongate member having distally located sensors which acquire a series of continuous data from moving biological organ, muscle, cardiac valve, vasculature tissue, or flowing blood, the data having a temporal relationship with associated physiological and physical events related to moving biological organ, muscle, cardiac valve, vasculature tissue, or flowing blood, the haptic apparatus including at least one component providing real time tangible sensations representative of three dimensional motion that supply haptic recreations of physical, physiological, and anatomical data that replicate sensed physiological and physical events as if haptic signals were occurring as a result of actual real time palpation of moving biological tissue; and

a graphical user haptic interface that permits user customization of the real time tangible sensations of the haptic apparatus without altering the temporal relationship of the sensor data with associated physiological and physical events.