UNIVERSAL SURGICAL FUNCTION CONTROL SYSTEM

• US 20110125149A1
• Filed: 02/06/2008
• Published: 05/26/2011
• Est. Priority Date: 02/06/2007
• Status: Abandoned Application

• Current Assignee: Stryker Corporation
• Original Assignee: David Austin Alexander, Mary Hawn, Rizk El-Galley
• Inventors: Hawn, Mary, Alexander, David Austin, El-Galley, Rizk
• Application Number:
  US12/526,210
• Publication Number:
  US 20110125149A1
• Time in Patent Office: Days
• US Class Current: 606/34
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00225 Systems for controlling multiple different instruments, e.g. microsurgical systems
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2218/008 for smoke evacuation
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders

Abstract

A control system includes a selector by which a user can select any of a number of surgical devices or similar devices for use, and a processor system responsive to user actuation of a foot control or other central control by controlling the selected device. Each device has an associated intelligent adapter that communicates information relating to device with which the adapter is associated. The processor system uses the information communicated by the adapter to properly interface the associated device with the control system and its central control.

Claims

1. A control system for a plurality of independent electrosurgical devices, each controllable by an associated device user control, comprising:

a central user control operable by a user to control any of the electrosurgical devices;

a device selector operable by a user to select one of the electrosurgical devices;

a plurality of intelligent adapters, each associated with one of the electrosurgical devices and programmed or adapted to communicate information relating to the associated electrosurgical device; and

a processor system responsive to operation of the central user control, each intelligent adapter removably connectable to the processor system, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter such that the central user control can be used to control at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic,

wherein the at least one first device and the at least one second device is selected from a group consisting of an on/off controlled electrosurgical device and a linearly controlled electrosurgical device.

2. The control system claimed in claim 1, wherein the device selector is disposed separately and remotely from the processor system.

3. The control system claimed in claim 2, wherein the device selector is included in an electrosurgical device.

4. The control system claimed in claim 2, wherein the device selector is housed in an enclosure in communication with the processor system.

5. The control system claimed in claim 4, wherein the device selector includes a disposable anti-static sheath on the enclosure.

6. The control system claimed in claim 4, wherein the enclosure has membrane key user inputs.

7. The control system claimed in claim 1, wherein the central user control has plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control, and wherein the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

8. The control system claimed in claim 7, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the device selector is operable by a user to selectably associate the left foot pedal with one of the functions of a first electrosurgical device and associate the right foot pedal with one of the functions of a second electrosurgical device.

9. The control system claimed in claim 8, wherein the functions include a cut function and a coagulate function.

10. The control system claimed in claim 1, wherein:

the device user control associated with each electrosurgical device of the plurality of electrosurgical devices is a foot control; and

the central user control is a foot control.

11. The control system claimed in claim 10, wherein:

the device user control associated with each electrosurgical device of the plurality of electrosurgical devices has two foot pedals; and

the central user control associated with each electrosurgical device of the plurality of electrosurgical devices has two foot pedals.

12. The control system claimed in claim 1, wherein the communicated information characterizes operation of the device user control associated with the selected electrosurgical device.

13. The control system claimed in claim 1, wherein each intelligent interface includes a cable with a first connector removably connectable to the associated electrosurgical device and a second connector removably connectable to an enclosure housing the processor system.

14. The control system claimed in claim 13, wherein each intelligent interface includes a module integral with the cable and housing a processor and memory.

15. The control system claimed in claim 1, further comprising a display, wherein the processor system is programmed or adapted to display information communicated by the associated intelligent adapter.

16. The control system claimed in claim 15, wherein information communicated by the associated intelligent adapter is displayed superimposed upon laparoscopic video imagery.

17. The control system claimed in claim 15, wherein the display is housed separately and remotely from the processor.

18. The control system claimed in claim 15, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the device type of the selected electrosurgical device.

19. The control system claimed in claim 15, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the processor system is programmed or adapted to display indications of the manufacturer and model of the selected electrosurgical device.

20. The control system claimed in claim 15, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the function of the selected electrosurgical device.

21. The control system claimed in claim 20, wherein the indication of the function of the selected electrosurgical device is displayed at least in part as a graphical depiction of the device user control associated with the selected electrosurgical device.

22. The control system claimed in claim 21, wherein the device user control associated with the selected electrosurgical device is a foot control.

23. The control system claimed in claim 22, wherein the indication of the function of the selected electrosurgical device is displayed as a graphical depiction of two foot pedals with textual labels indicating a function of each foot pedal.

24. The control system claimed in claim 15, wherein the communicated information identifies a function of the selected electrosurgical device;

the display comprises at least one verification status indicator and at least one verification command button; and

wherein the processor system is programmed or adapted to display an indication of the device verification status of the selected electrosurgical device.

25. The control system claimed in claim 1, wherein the device selector includes a display, and wherein the processor system is programmed or adapted to display information communicated by the associated intelligent adapter.

26. The control system claimed in claim 25, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the device type of the selected electrosurgical device.

27. The control system claimed in claim 25, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the processor system is programmed or adapted to display indications of the manufacturer and model of the selected electrosurgical device.

28. The control system claimed in claim 25, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the processor system is programmed or adapted to display an indication of the function of the selected electrosurgical device.

29. The control system claimed in claim 1, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the control unit engages a smoke evacuation system upon activation of the electrosurgical device when said function is a surgical function.

30. The control system claimed in claim 29, wherein:

the smoke evacuation system comprises;

a smoke evacuator, and

an insufflator.

31. The control system claimed in claim 29 wherein:

the smoke evacuation system remains activated for a predetermined amount of time.

32. The control system claimed in claim 1 wherein:

the processor system is programmed or adapted to record surgical activity, thereby creating recorded information.

33. The control system claimed in claim 32 wherein:

the processor system stores said recorded information.

34. The control system claimed in claim 1 wherein one or more of said intelligent adapters comprise a cable.

35. The control system claimed in claim 34 wherein one or more of said intelligent adapters further comprise an adapter module.

36. The control system claimed in claim 34 wherein said intelligent adapter connects to a computer communication port on said electrosurgical device.

37. A method for controlling a plurality of independent electrosurgical devices, comprising the steps of:

connecting each electrosurgical device to an associated intelligent adapter programmed or adapted to communicate information relating to the associated electrosurgical device;

connecting each electrosurgical device and connected intelligent adapter to a processor system instead of to an associated device user control to which the electrosurgical device is connectable;

operating a device selector in communication with the processor system to select one of the electrosurgical devices; and

operating a central user control to control the selected electrosurgical device, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter such that the central user control can be used to control at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic,

wherein the at least one first device and the at least one second device is selected from a group consisting of an on/off controlled electrosurgical device and a linearly controlled electrosurgical device.

38. The method claimed in claim 37, wherein the step of operating a device selector comprises operating a device selector housed in an enclosure disposed remotely from the processor system.

39. The method claimed in claim 38, further comprising the step of placing the enclosure in a disposable anti-static sheath.

40. The method claimed in claim 37, wherein:

the central user control has plurality of central user inputs operable by a user to control functions of the electrosurgical devices, and each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated electrosurgical device; and

the step of operating a device selector comprises selectably associating each central user input with one of the functions of a selected electrosurgical device.

41. The method claimed in claim 40, wherein:

the plurality of central user inputs comprises a left foot pedal and a right foot pedal;

the step of operating a device selector comprises selectably associating the left foot pedal with one of the functions of a first electrosurgical device and associating the right foot pedal with one of the functions of a second electrosurgical device.

42. The method claimed in claim 41, wherein the functions include a cut function and a coagulate function.

43. The method claimed in claim 37, wherein:

the device user control associated with each electrosurgical device of the plurality of electrosurgical devices is a foot control; and

the step of operating a central user control comprises operating a foot control.

44. The method claimed in claim 43, wherein the step of operating a central user control comprises operating two foot pedals.

45. The method claimed in claim 37, further comprising the step of displaying information communicated by the intelligent adapter associated with the selected electrosurgical device.

46. The method claimed in claim 45, wherein the step of displaying information communicated by the intelligent adapter comprises displaying information at a location in a surgical field of view.

47. The method claimed in claim 46, wherein the step of displaying information communicated by the intelligent adapter comprises displaying the information superimposed upon laparoscopic video imagery.

48. The method claimed in claim 45, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the device type of the selected electrosurgical device.

49. The method claimed in claim 45, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying indications of the manufacturer and model of the selected electrosurgical device.

50. The method claimed in claim 45, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the function of the selected electrosurgical device.

51. The method claimed in claim 50, wherein the indication of the function of the selected electrosurgical device is displayed at least in part as a graphical depiction of the device user control associated with the selected electrosurgical device.

52. The method claimed in claim 51, wherein the device user control associated with the selected electrosurgical device is a foot control.

53. The method claimed in claim 52, wherein the indication of the function of the selected electrosurgical device is displayed as a graphical depiction of two foot pedals with textual labels indicating a function of each foot pedal.

54. The method claimed in claim 38, wherein the device selector includes a display, and wherein information communicated by the associated intelligent adapter is displayed on the device selector.

55. The method claimed in claim 54, wherein:

the communicated information identifies a device type of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the device type of the selected electrosurgical device.

56. The method claimed in claim 54, wherein:

the communicated information identifies a manufacturer and model of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying indications of the manufacturer and model of the selected electrosurgical device.

57. The method claimed in claim 54, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of displaying information communicated by the intelligent adapter comprises displaying an indication of the function of the selected electrosurgical device.

58. The method claimed in claim 37, wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of engaging the smoke evacuation system upon activation of the electrosurgical device when said function is a surgical function.

59. The method claimed in claim 37 wherein:

the communicated information identifies a function of the selected electrosurgical device; and

the step of verifying the status of at least one electrosurgical device.

60. The method claimed in claim 37, comprising the step of recording surgical activity.

61. The method claimed in claim 60, comprising the step of storing said recorded surgical activity.

62. The method claimed in claim 37, wherein:

the communicated information identifies a function of the selected electrosurgical devices; and

the step of selecting a power level for said electrosurgical device.

63. A control system for a plurality of independent electrosurgical devices, each controllable by an associated device user control, comprising:

a central user control operable by a user to control any of the electrosurgical devices;

a device selector operable by a user to select one of the electrosurgical devices, wherein the device selector is disposed separately and remotely from the processor system in an enclosure in communication with the processor system, and wherein the device selector includes a disposable anti-static sheath on the enclosure;

a plurality of intelligent adapters, each associated with one of the electrosurgical devices and programmed or adapted to communicate information relating to the associated electrosurgical device; and

a processor system responsive to operation of the central user control, each intelligent adapter removably connectable to the processor system, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter,

wherein the selected electrosurgical device is selected from a group consisting of an on/off controlled electrosurgical device and a linearly controlled electrosurgical device.

64. A method for controlling a plurality of independent electrosurgical devices, comprising the steps of:

connecting each electrosurgical device to an associated intelligent adapter programmed or adapted to communicate information relating to the associated electrosurgical device;

connecting each electrosurgical device and connected intelligent adapter to a processor system instead of to an associated device user control to which the electrosurgical device is connectable;

operating a device selector in communication with the processor system to select one of the electrosurgical devices wherein the device selector is housed in an enclosure disposed remotely from the processor system and the enclosure is placed in a disposable anti-static sheath; and

operating a central user control to control the selected electrosurgical device, the processor system programmed or adapted to respond to operation of the central user control by controlling the selected electrosurgical device in accordance with information communicated by the associated intelligent adapter

wherein the selected electrosurgical device is selected from a group consisting of an on/off controlled electrosurgical device and a linearly controlled electrosurgical device.

65. A control system for a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic, the control system comprising:

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a plurality of adaptors, wherein at least one adaptor is configured to couple with the electrosurgical device having the first output function or operating characteristic and wherein at least one adaptor is configured to couple with the electrosurgical device having the second output function or operating characteristic, wherein each adaptor is configured to communicate information regarding the associated electrosurgical device to a processor system that is responsive to operation of the central user control, wherein the processor system is programmed or configured to respond to operation of the central user control by activating the selected electrosurgical device in accordance with information communicated by the associated adapter, and wherein the selected electrosurgical device is selected from a group consisting of an on/off controlled electrosurgical device and a linearly controlled electrosurgical device.

66. The control system of claim 65, wherein at least one adaptor is removably connectable to the processor system.

67. The control system of claim 66, wherein the adaptor further comprises a cable and a connector for removeable connection to the processor system.

68. The control system of claim 65, wherein the central user control is configured to send a control signal initiating the operation a smoke evacuation system upon selection or activation of an given electrosurgical device.

69. The control system of claim 65, wherein:

the central user control has a plurality of central user inputs operable by a user to control functions of the electrosurgical devices, wherein each function of an electrosurgical device is associated with one of a plurality of device user inputs of the associated device user control; and

the device selector is operable by a user to selectably associate each central user input with one of the functions of a selected electrosurgical device.

70. A system, comprising:

a plurality of independent electrosurgical devices, wherein the plurality of devices comprises at least one device having a first output function or operating characteristic and least a second device having a second output function or operating characteristic that differs from the first output function or operating characteristic, and wherein the independent electrosurgical devices is selected from a group consisting of an on/off controlled electrosurgical device and a linearly controlled electrosurgical device;

a device selector operable by a user to select one of the electrosurgical devices;

a central user control operable by a user to activate the selected device; and

a plurality of adaptors, wherein at least one adaptor is configured to couple with the electrosurgical device having the first output function or operating characteristic and wherein at least a second adaptor is configured to couple with the electrosurgical device having the second output function or operating characteristic, wherein each adaptor is configured to communicate information regarding the associated electrosurgical device to a processor system that is responsive to operation of the central user control, and wherein the processor system is programmed or configured to respond to operation of the central user control by activating the selected electrosurgical device in accordance with information communicated by the associated adapter.

71. The system of claim 70, wherein at least one adaptor is removably connectable to the processor system.