Control of advancement rate and application force based on measured forces

• US 10,390,895 B2
• Filed: 08/16/2016
• Issued: 08/27/2019
• Est. Priority Date: 08/16/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Henderson, Cortney E., Shelton, IV, Frederick E., Harris, Jason L., Yates, David C., Widenhouse, Tamara S.
• Primary Examiner(s): Giuliani, Thomas A
• Application Number:
  US15/237,753
• Publication Number:
  US 20180049822A1
• Time in Patent Office: 1,106 Days
• Field of Search: 606 41, 606 42, 606 45, 606 48- 52, 606130, 700245, 31856811, 31856816, 901 6, 901 9, 901 30, 901 31, 901 34- 39
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• 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 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

A robotic surgical system including a control system that controls the movement of a robotic arm is described. The robotic arm can be coupled to a tool assembly that includes an end effector positioned at a distal end of a shaft. The control system can assist with controlling the movement of the end effector and any tooling (e.g., cutting tool, boring tool, jaws, etc.) associated with the end effector, such as for either cutting through tissue or controlling a tension in the tissue. The tool assembly can include one or more sensors that measure a variety of forces or velocities associated with either the robotic arm or end effector. The control system can collect and monitor such sensed forces and velocities to determine and control one or more appropriate movement parameters associated with the robotic arm thereby controlling the cutting of tissue and preventing unwanted cutting of tissue. Furthermore, movement parameters associated with more than one robotic arm can be controlled by the control system.

Claims

1. A robotic surgical system comprising:

a first robotic arm;

a first tool assembly coupled to the first robotic arm, the first tool assembly comprising

a first shaft extending distally from a first housing;

a first end effector coupled to a first distal end of the first shaft, the first end effector being configured to manipulate a tissue of a patient; and

a first sensor operatively coupled to the first end effector and configured to sense a first force applied to the first end effector by the tissue;

a second robotic arm;

a second tool assembly coupled to the second robotic arm, the second tool assembly comprising

a second shaft extending distally from a second housing;

a second end effector coupled to a second distal end of the second shaft, the second end effector being configured to treat the tissue; and

a control system configured to control, based on the sensed first force applied to the first end effector, a velocity of movement of the second end effector.

2. The robotic surgical system of claim 1, wherein the second end effector includes a cutting tool that is configured to cut the tissue.

3. The robotic surgical system of claim 2, wherein the second tool assembly further comprises a second sensor that is configured to sense a second force applied to the second end effector in contact with tissue.

4. The robotic surgical system of claim 3, wherein the second force applied to the second end effector by the tissue be tissue tension and the control system is further configured to control, based on at least one of the sensed tissue tension and the sensed second force applied to the second end effector, the velocity of movement of the second end effector relative to the tissue to thereby control the second force applied to the second end effector.

5. The robotic surgical system of claim 2, wherein the cutting tool includes a blade.

6. The robotic surgical system of claim 2, wherein the cutting tool is configured to deliver one or more of an ultrasonic energy and a radio frequency energy to the tissue for assisting with cutting the tissue.

7. The robotic surgical system of claim 1, wherein the control system is further configured to control, based on the sensed first force, a positioning of the first arm to thereby increase or decrease the first force, wherein the first force is tissue tension.

8. The robotic surgical system of claim 1, wherein the first end effector includes a pair of jaws that are configured to grasp the tissue.

9. The robotic surgical system of claim 1, wherein the robotic surgical system further comprises a positioning device that controls an orientation between the first shaft and the second shaft.

10. The robotic surgical system of claim 9, wherein the positioning device includes a first support that releasably secures the first shaft and a second support that releasably secures the second shaft.

11. The robotic surgical system of claim 10, wherein at least one of the first support and the second support are movable along a radial track of the positioning device.

12. The robotic surgical system of claim 1, wherein the first sensor and a second sensor include a strain gauge.

13. The robotic surgical system of claim 1, wherein the movement of the second end effector is affected by movement of at least one of the second robotic arm, the second tool assembly independent of the second robotic arm, and the second end effector independent of at least one of the second robotic arm and the second tool assembly.

14. A method comprising:

securing a part of a tissue of a patient to a first end effector of a first tool assembly coupled to a first robotic arm of a robotic surgical system;

sensing, with a first sensor operatively coupled to the first end effector, a tension in the tissue;

controlling, based on the sensed tension, a velocity of movement of a second tool assembly coupled to a second robotic arm of the robotic surgical system.

15. The method of claim 14, further comprising

sensing, with a second sensor operatively coupled to a second end effector of the second tool assembly coupled to the second robotic arm, a force applied to a cutting tool of the second end effector;

and

controlling, based on the sensed force, the velocity of movement of the second tool assembly to thereby cause the sensed force to be within a desired force range.

16. The method of claim 14, further comprising controlling, based on the sensed tension in the tissue, a positioning of the first robotic arm to thereby cause the tension in the tissue to be within a desired tension range.

17. The method of claim 14, wherein the velocity of movement includes a velocity at which a cutting tool cuts the tissue.

18. The method of claim 14, wherein the tissue creates an applied force against a cutting tool.

19. The method of claim 14, wherein the first sensor and a second sensor include a strain gauge.