Robotic surgical system with tool lift control

• US 10,231,775 B2
• Filed: 08/16/2016
• Issued: 03/19/2019
• Est. Priority Date: 08/16/2016
• Status: Active Grant

• Current Assignee: Ethicon, LLC (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Harris, Jason L.
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US15/237,691
• Publication Number:
  US 20180049798A1
• Time in Patent Office: 945 Days
• CPC Class Codes: A61B 17/320068 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 Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence

Abstract

A robotic surgical system is provided that includes an electromechanical tool coupled to a surgical instrument such as an end effector adapted to apply ultrasound energy to tissue when the end effector holds the tissue. The electromechanical tool is mounted on an electromechanical arm and configured to move relative to the arm. A controller operatively coupled to the tool and the arm measures electrical impedance of tissue as ultrasound energy is applied to the tissue by the end effector. The controller determines, based on the tissue impedance measurements, that the tissue is fully cauterized. In response to the detection, the surgical system automatically lifts the end effector, either by lifting the arm to which it is coupled or independently from that arm, thereby the end effector cuts the cauterized tissue to complete the tissue cauterization/cutting. The controller also determines and controls a velocity with which the end effector is lifted.

Claims

1. A surgical system, comprising:

an electromechanical arm configured for movement in multiple axes;

an electromechanical tool having an instrument shaft and an end effector formed thereon, the electromechanical tool being configured to be mounted on the electromechanical arm, and the electromechanical tool being configured to move relative to the electromechanical arm and apply ultrasonic energy to tissue held by the end effector;

a controller operatively coupled to the electromechanical arm and the electromechanical tool, the controller configured to;

receive, during an application of ultrasonic energy to the tissue, a plurality of measurements of an electrical impedance of the tissue;

detect, based on the received plurality of measurements, an increase in electrical impedance of the tissue, following a period of decreasing electrical impedance of the tissue; and

in response to detecting the increase in electrical impedance of the tissue, cause a lift of the electromechanical tool.

2. The surgical system of claim 1, wherein the controller causes the lift of the electromechanical tool independently of the electromechanical arm.

3. The surgical system of claim 1, wherein the controller causes the lift of the electromechanical tool by causing a lift of the electromechanical arm.

4. The surgical system of claim 1, wherein the controller causes the lift of the electromechanical tool at a lift velocity determined at least in part based on the received plurality of measurements.

5. The surgical system of claim 1, wherein detecting the increase in electrical impedance of the tissue by the controller includes detecting that the electrical impedance of the tissue has reached a threshold value.

6. The surgical system of claim 5, wherein the controller is further configured to:

determine an amount of time required for the electrical impedance of the tissue to reach the threshold value;

determine, based at least in part on the amount of time, a lift velocity; and

cause the lift of the electromechanical tool at the determined lift velocity.

7. The surgical system of claim 6, wherein the amount of time required for the electrical impedance of the tissue to reach the threshold value corresponds to at least one characteristic of the tissue.

8. The surgical system of claim 7, wherein the at least one characteristic of the tissue comprises a type, size and/or thickness of the tissue.

9. The surgical system of claim 6, wherein the lift velocity has a first value when the tissue is small and/or thin, and wherein the lift velocity has a second value that is smaller than the first value when the tissue is large and/or thick.

10. The surgical system of claim 1, wherein the end effector includes sensor circuitry adapted to measure the electrical impedance of the tissue while the end effector is applying ultrasonic energy to the tissue.

11. A method of operating a surgical instrument, comprising:

applying ultrasonic energy to a tissue using a surgical instrument formed on an instrument shaft of an electromechanical tool, the electromechanical tool being configured to be mounted on the electromechanical arm;

receiving, during an application of ultrasonic energy to the tissue, a plurality of measurements of an electrical impedance of the tissue;

detecting, based on the received plurality of measurements, an increase in electrical impedance of the tissue, following a period of decreasing electrical impedance of the tissue; and

in response to detecting the increase in electrical impedance of the tissue, causing a lift of the electromechanical tool.

12. The method of claim 11, further comprising causing the lift of the electromechanical tool independently of the electromechanical arm.

13. The method of claim 11, further comprising causing the lift of the electromechanical tool by causing a lift of the electromechanical arm.

14. The method of claim 11, wherein the lift of the electromechanical tool causes the tissue to be cut by placing tension across the tissue.

15. The method of claim 11, wherein detecting the increase in electrical impedance of the tissue by the controller includes detecting that the electrical impedance of the tissue has reached a threshold value.

16. The method of claim 15, further comprising determining that the tissue is fully cauterized when it is detected the electrical impedance of the tissue has reached the threshold value.

17. The method of claim 15, further comprising:

determining an amount of time required for the electrical impedance of the tissue to reach the threshold value;

determining, based at least in part on the amount of time, a lift velocity; and

causing the lift of the electromechanical tool at the determined lift velocity.

18. The method of claim 15, wherein the amount of time required for the electrical impedance of the tissue to reach the threshold value corresponds to at least one characteristic of the tissue.

19. The method of claim 18, wherein the at least one characteristic of the tissue comprises a type, size and/or thickness of the tissue.

20. The method of claim 11, further comprising detecting, based at least in part on the plurality of electrical impedance measurements, following the period of decreasing electrical impedance of the tissue and prior to detecting the increase in electrical impedance of the tissue, that the electrical impedance of the tissue has plateaued and/or reached an inflection point.

21. A method of operating a surgical instrument, comprising:

applying ultrasonic energy to a tissue using a surgical instrument formed on an instrument shaft of an electromechanical tool, the electromechanical tool being configured to be mounted on the electromechanical arm;

receiving, during an application of ultrasonic energy to the tissue, a plurality of measurements of an electrical impedance of the tissue;

detecting, based on the received plurality of measurements, a target trajectory of the electrical impedance of the tissue; and

in response to detecting the target trajectory, causing a lift of the electromechanical tool.