Medical manipulator system

• US 9,730,717 B2
• Filed: 02/03/2011
• Issued: 08/15/2017
• Est. Priority Date: 02/03/2011
• Status: Active Grant

• Current Assignee: Karl Storz Se & Co. Kg
• Original Assignee: Karl Storz Se & Co. Kg
• Inventors: Jinno, Makoto, Katsuki, Ryohei, Omori, Shigeru, Hitotsuyanagi, Masao, Marlotte, Jack, Hirzel, Deanna, Shimoyama, Pari, Nakamura, Rie
• Primary Examiner(s): Tyson, Melanie
• Assistant Examiner(s): COLELLO, ERIN L
• Application Number:
  US13/020,407
• Publication Number:
  US 20120203269A1
• Time in Patent Office: 2,385 Days
• Field of Search: 606205, 901 11, 700 79, 700 80, 700175, 700221, 700225, 700256
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00132 Setting operation time of a device A61B2017/00123 takes precedence
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0805 automatically, e.g. by means of magnetic, optical or photoelectric detectors
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 90/96 using barcodes
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders

Abstract

A medical manipulator system has an operating unit including a grip handle and a composite input unit, a working unit detachably mounted on the operating unit and including an end effector, and a controller for controlling the operating unit. The controller judges starting and ending of a surgical case and increments the usage count of the working unit based on a manner in which the working unit is mounted and dismounted, and the times at which the working unit is mounted and dismounted, and disables the working unit if the usage count of the working unit exceeds a preset count.

Claims

1. A medical manipulator system comprising:

a manipulator including

a working unit with an end effector mounted on a distal end thereof,

an operating unit having an operation input unit operable to enter an operation command, and

an actuator energizable depending on the operation command entered by the operation input unit for actuating the end effector, the working unit being detachably mounted on the operating unit;

a controller for controlling the actuator and incrementing a usage count of the working unit, the operating unit being connectable to the controller; and

a usage history holder for holding usage history data of the working unit,

wherein the working unit includes an ID holder for holding individual identifying information of the working unit,

wherein the operating unit includes an ID detector for detecting the individual identifying information held by the ID holder,

wherein the controller judges starting and ending of a surgical case based on a manner in which the working unit is mounted and dismounted and the times at which the working unit is mounted and dismounted, counts a single usage event of the working unit when the surgical case has started or ended, and disables the working unit if the usage count of the working unit exceeds a preset count,

wherein the controller increments the usage count of the working unit each time a surgical case has started and when the working unit satisfies a usage starting condition, and increments the usage count of the working unit each time a first preset time is exceeded if the working unit is used beyond the first preset time from a time when the controller recognizes that the working unit starts to be used, during a surgical case, and

wherein if the usage count of the working unit exceeds the preset count because the working unit has been used beyond the first preset time during the surgical case, the controller allows the working unit to operate until a special preset time is reached, at which time the working unit is disabled by the controller, the special preset time is longer than the first preset time and corresponding to an expected length of the surgical case.

2. The medical manipulator system according to claim 1, wherein the controller measures a parameter that increases as the working unit is used, and increments the usage count of the working unit when the parameter reaches a reference value, which is determined depending on the usage count of the working unit during a surgical case even before the first preset time has elapsed.

3. The medical manipulator system according to claim 1, wherein if the operating unit is disconnected from the controller and thereafter is reconnected to the controller while the controller remains energized, the controller:

judges that the surgical case has not been switched to another surgical case when the operating unit is reconnected to the controller within a second preset time, which is shorter than the first preset time, after the operating unit has been disconnected from the controller; and

judges that the surgical case has been switched to another surgical case when the operating unit is reconnected to the controller beyond the second preset time after the operating unit has been disconnected from the controller.

4. The medical manipulator system according to claim 3, wherein the controller has N connection ports for detachable connection to operating units, and the controller judges that the surgical case has been switched to another surgical case when the number of operating units connected to the controller during the surgical case reaches N+α

, where α

relates to the reliability of the manipulator system.

5. The medical manipulator system according to claim 4, wherein the α

is 2.

6. The medical manipulator system according to claim 4, wherein α

is 1, indicating that the possibility of the operating unit suffering from an error is low.

7. The medical manipulator system according to claim 1, wherein if the controller is restarted after the controller has not been supplied with electric power, or has been turned off to result in a power-off state, the controller:

judges that the surgical case has not been switched to another surgical case when restarting of the controller is completed within a third preset time, which is shorter than the first preset time, after start of the power-off state; and

judges that the surgical case has been switched to another surgical case when restarting of the controller is completed beyond the third preset time after start of the poweroff state.

8. The medical manipulator system according to claim 1, wherein in a parallel use of a plurality of working units, whether the first preset time is exceeded or not is judged per working unit.

9. The medical manipulator system according to claim 1, wherein the usage history data is stored on the controller.

10. A medical manipulator system comprising:

a manipulator including

a working unit with an end effector mounted on a distal end thereof,

an operating unit having an operation input unit operable to enter an operation command, and

an actuator energizable depending on the operation command entered by the operation input unit for actuating the end effector, the working unit being detachably mounted on the operating unit;

a controller for controlling the actuator and incrementing a usage count of the working unit, the operating unit being connectable to the controller; and

a usage history holder for holding usage history data of the working unit,

wherein the working unit includes an ID holder for holding individual identifying information of the working unit,

wherein the operating unit includes an ID detector for detecting the individual identifying information held by the ID holder,

wherein the controller judges starting and ending of a surgical case based on a manner in which the working unit is mounted and dismounted and the times at which the working unit is mounted and dismounted, counts a single usage event of the working unit when the surgical case has started or ended, and disables the working unit if the usage count of the working unit exceeds a preset count,

wherein the controller defines a surgical case based on at least one rule, determines whether the surgical case has been switched to another surgical case, sets a first preset time for a surgical case, and increments the usage count of the working unit for each surgical case, the at least one rule including a rule that the controller judges that the surgical case has been switched to another surgical case when the first preset time is exceeded from a time when the controller recognizes that the surgical case begins, and

wherein if the usage count of the working unit exceeds the preset count because the working unit has been used beyond the first preset time during the surgical case, the controller allows the working unit to operate until a special preset time is reached, at which time the working unit is disabled by the controller, the special preset time is longer than the first preset time and corresponding to an expected length of the surgical case.

11. The medical manipulator system according to claim 10, wherein if the operating unit is disconnected from the controller and thereafter is reconnected to the controller while the controller remains energized, the controller:

judges that the surgical case has not been switched to another surgical case when the operating unit is reconnected to the controller within a second preset time, which is shorter than the first preset time, after the operating unit has been disconnected from the controller; and

judges that the surgical case has been switched to another surgical case when the operating unit is reconnected to the controller beyond the second preset time after the operating unit has been disconnected from the controller.

12. The medical manipulator system according to claim 11, wherein the controller has N connection ports for detachable connection to operating units, and the controller judges that the surgical case has been switched to another surgical case when the number of operating units connected to the controller during the surgical case reaches N+α

, where α

relates to the reliability of the manipulator system.

13. The medical manipulator system according to claim 12, wherein the α

is 2.

14. The medical manipulator system according to claim 12, wherein α

is 1, indicating that the possibility of the operating unit suffering from an error is low.

15. The medical manipulator system according to claim 10, wherein if the controller is restarted after the controller has not been supplied with electric power, or has been turned off to result in a power-off state, the controller:

judges that the surgical case has not been switched to another surgical case when restarting of the controller is completed within a third preset time, which is shorter than the first preset time, after start of the power-off state; and

judges that the surgical case has been switched to another surgical case when restarting of the controller is completed beyond the third preset time after start of the poweroff state.

16. The medical manipulator system according to claim 10, wherein in a parallel use of a plurality of working units, whether the first preset time is exceeded or not is judged per working unit.

17. The medical manipulator system according to claim 10, wherein the usage history data is stored on the controller.

18. A medical manipulator system, comprising:

a manipulator including

a working unit with an end effector mounted on a distal end thereof,

an operating unit having an operation input unit operable to enter an operation command, and

an actuator energizable depending on the operation command entered by the operation input unit for actuating the end effector, the working unit being detachably mounted on the operating unit;

a controller for controlling the actuator and incrementing a usage count of the working unit, the operating unit being connectable to the controller; and

a usage history holder for holding usage history data of the working unit,

wherein the controller judges starting and ending of a surgical case based on a manner in which the working unit is mounted and dismounted and the times at which the working unit is mounted and dismounted, counts a single usage event of the working unit when the surgical case has started or ended, and disables the working unit if the usage count of the working unit exceeds a preset count,

wherein the controller increments the usage count of the working unit each time a surgical case has started and when the working unit satisfies a usage starting condition, and increments the usage count of the working unit each time a first preset time is exceeded if the working unit is used beyond the first preset time from a time when the controller recognizes that the working unit starts to be used, during surgical case, and

wherein the controller has N connection ports for detachable connection to operating units, and the controller judges that the surgical case has been switched to another surgical case when the number of operating units connected to the controller during the surgical case reaches N+α

, where α

relates to the reliability of the manipulator system.