Medical system and method of controlling medical instruments

• US 9,895,143 B2
• Filed: 01/26/2016
• Issued: 02/20/2018
• Est. Priority Date: 07/26/2013
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Corporation
• Inventors: Inoue, Shintaro
• Primary Examiner(s): MANCHO, RONNIE M
• Application Number:
  US15/006,425
• Publication Number:
  US 20160213364A1
• Time in Patent Office: 756 Days
• Field of Search: 700258
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2947 Pivots
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery

Abstract

An object of the invention is to provide for automatic angular adjustment of an end effector thereby improving on the operability of a medical instrument. The medical system of the invention comprises a medical instrument including a driver for driving adjustment of the angle of the end effector relative to a shaft, a trocar having an insertion opening through which the medical instrument is inserted, a sensor that produces a sensor signal including at least an angle of a shaft in a reference coordinate system, and a driver for enabling follow-up control processing for driving the driver based on a sensor signal produced out of the sensor such that the angle of the end effector follows a follow-up criterion in a reference coordinate system.

Claims

1. A medical system comprising:

a medical instrument including a shaft coupled to a grip grasped by a user, an end effector located at a distal end of the shaft, a moving joint for adjusting an angle of the end effector relative to the shaft, and a driver for driving the moving joint;

a trocar having an insertion opening through which the medical instrument is inserted;

a sensor assembly for producing a sensor signal including at least an angle of the shaft in a reference coordinate system; and

a controller that enables follow-up processing for driving the driver such that based on the sensor signal produced out of the sensor, the angle of the end effector follows a follow-up criterion in the reference coordinate system.

2. A medical system as recited in claim 1, wherein:

the follow-up criterion is a reference surface set relative to the reference coordinate system; and

the follow-up processing drives the driver such that the end effector has a given configuration relation to the reference surface.

3. A medical system as recited in claim 1, wherein

the sensor assembly includes a tilt angle detection sensor located in the trocar or the medical instrument.

4. A medical system as recited in claim 1, wherein:

the sensor assembly produces a sensor signal capable of specifying a position of the end effector in the reference coordinate system;

the follow-up criterion is a reference point set relative to the reference coordinate system; and

the follow-up processing drives the driver such that the end effector has a given configuration relation to the reference point.

5. A medical system as recited in claim 4, wherein

the sensor assembly includes an amount-of-movement detection sensor for detecting an amount of rectilinear movement of the medical instrument relative to the trocar.

6. A medical system as recited in claim 4, wherein

the sensor assembly includes an amount-of-rotation detection sensor for detecting an amount of rotation of the medical instrument relative to the trocar.

7. A medical system as recited in claim 1, which comprises a direction input portion of producing an operational signal based on operation, wherein the controller enables operation processing that drives the driver based on an operational signal from the direction input portion to adjust an angle of the end effector.

8. A medical system as recited in claim 7, which comprises a mode input portion of producing an operational signal based on operation, wherein the controller enables changeover processing that implements a changeover between the follow-up processing and the operation processing based on a mode signal from the mode input portion.

9. A medical system as recited in claim 8, wherein the controller enables processing for setting the follow-up criterion upon a changeover from the operation processing to the follow-up processing in the changeover processing.

10. A medical system as recited in claim 7, wherein the controller enables automatic changeover processing for implementing a changeover between the follow-up processing and the operation processing based on a sensor signal produced out of the sensor assembly.

11. A medical system as recited in claim 1, which comprises a setting input portion for producing a setting signal based on operation, wherein:

the controller enables setting processing for setting the follow-up criterion based on a setting signal from the setting input portion.

12. A method of controlling a medical instrument

which includes a shaft coupled to a grip grasped by a user, an end effector located at a distal end of the shaft, a moving joint for adjusting an angle of the end effector relative to the shaft, and a driver for driving the moving joint, comprising:

driving the driver such that the angle of the end effector follows a follow-up criterion in a reference coordinate system based on a sensor signal including at least an angle of the shaft in the reference coordinate system, when the shaft inserted through an insertion opening in a trocar.