Systems and methods for establishing virtual constraint boundaries

• US 9,603,665 B2
• Filed: 03/12/2014
• Issued: 03/28/2017
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Corporation
• Inventors: Bowling, David Gene, Malackowski, Donald W., Moctezuma de la Barrera, Jos Luis, Roessler, Patrick, Culp, Jerry A., Stuart, John Michael, Beer, Joel N.
• Primary Examiner(s): Eastwood, David C
• Application Number:
  US14/205,702
• Publication Number:
  US 20140276943A1
• Time in Patent Office: 1,112 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/16 Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans arthroscopic bone cutters A61B17/320016; dental implant drills potentially for other surgical use A61C8/0089; bone grinders A61F2/4644, A22C17/06; A61B17/1662 takes precedence over all other subgroups except A61B17/17
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2061 using shape-sensors, e.g. fiber shape sensors with Bragg gratings
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2090/3937 Visible markers
• CPC Class Codes: A61B 2090/3945 Active visible markers, e.g. light emitting diodes
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• 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 34/30 Surgical robots
• CPC Class Codes: A61B 34/32 operating autonomously
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: Y10S 901/09 Closed loop, sensor feedback controls arm movement
• CPC Class Codes: Y10S 901/47 Optical

Abstract

Systems and methods for establishing and tracking virtual boundaries. The virtual boundaries can delineate zones in which an instrument is not permitted during a surgical procedure. The virtual boundaries can also delineate zones in which the surgical instrument is permitted during the surgical procedure. The virtual boundaries can also identify objects or structures to be treated by the instrument or to be avoided by the instrument during the surgical procedure.

Claims

1. A method of using a plurality of virtual boundaries to guide movement of a surgical instrument, said method comprising:

tracking movement of a first of the plurality of virtual boundaries wherein the first virtual boundary is associated with anatomy to be treated by the instrument;

tracking movement of the instrument; and

tracking movement of a second of the plurality of virtual boundaries relative to the first virtual boundary wherein the second virtual boundary is associated with a periphery of an opening in a patient to be avoided by the instrument;

guiding movement of the instrument relative to each of the first and second virtual boundaries as the first and second virtual boundaries move relative to one another.

2. A method as set forth in claim 1 wherein guiding movement of the instrument relative to the first and second virtual boundaries is further defined as guiding cutting of the anatomy relative to the first virtual boundary and guiding movement of the instrument so that the instrument avoids contact with the periphery of the opening associated with the second virtual boundary.

3. A method as set forth in claim 1 including tracking movement of a third of the plurality of virtual boundaries movable relative to the first and second virtual boundaries and guiding movement of the instrument relative to each of the first, second, and third virtual boundaries.

4. A method as set forth in claim 3 comprising defining the opening in the patient for receipt of the instrument based on positions of the second and third virtual boundaries.

5. A method as set forth in claim 3 comprising monitoring a position of the periphery of the opening based on positions of the second and third virtual boundaries.

6. A method as set forth in claim 1 comprising tracking movement of the second virtual boundary using a second boundary tracking device.

7. A method as set forth in claim 6 wherein the second boundary tracking device includes one or more tracking elements.

8. A method as set forth in claim 7 wherein the one or more tracking elements include light emitting diodes.

9. A method as set forth in claim 7 wherein the tracking elements include optical tracking elements and further comprising receiving optical signals from the optical tracking elements using a plurality of sensing devices.

10. A method as set forth in claim 6 wherein the second boundary tracking device includes a tracker mountable to a retractor for tracking movement of the second virtual boundary.

11. A method as set forth in claim 6 wherein the second boundary tracking device includes at least one tracking element integrated into a retractor for tracking movement of the second virtual boundary.

12. A method as set forth in claim 6 wherein the second boundary tracking device includes a flexible shape sensing system positionable adjacent the periphery of the opening for tracking movement of the second virtual boundary.

13. A method as set forth in claim 1 further comprising tracking movement of the second virtual boundary with a machine vision system.

14. A method as set forth in claim 1 further comprising detecting movement of the periphery of the opening with a machine vision system and adjusting a position of the second virtual boundary after the second virtual boundary moves using position information derived from images taken by the machine vision system.

15. A method as set forth in claim 1 further comprising capturing points associated with the periphery of the opening with a pointer and creating the second virtual boundary based on information relating to the points.

16. A method as set forth in claim 1 comprising tracking movement of the first virtual boundary using a first boundary tracking device, tracking movement of the second virtual boundary using a second boundary tracking device and tracking movement of the instrument using an instrument tracking device.

17. A method as set forth in claim 1 comprising controlling a position of the instrument with a surgical manipulator having a plurality of arms and a plurality of actuators.

18. A method as set forth in claim 17 further comprising operating the surgical manipulator in a manual mode and a semi-autonomous mode.