Surgical network determination of priority order of communication, interaction, or processing based on system or device requirements
阅读说明：本技术 基于系统或装置需求对通信、交互或处理的优先级顺序的外科网络确定 (Surgical network determination of priority order of communication, interaction, or processing based on system or device requirements ) 是由 F·E·谢尔顿四世 J·L·哈里斯 于 2018-11-14 设计创作，主要内容包括：本发明提供了在外科集线器网络内的外科集线器,所述外科集线器可包括具有处理器的控制器,其中所述控制器可基于与集线器通信的系统或装置的要求来确定通信、交互或信息处理的优先级。所述控制器可对通信包(包括到网络外部的装置的包)的传输顺序按优先级排序。所述包可包括用于更新例程、进程或执行关键手术步骤的数据。所述控制器可对集线器网络内的通信流量流按优先级排序。外科集线器的网络可包括具有第一控制器的第一集线器和具有第二控制器的第二集线器。所述第一控制器可基于所述第一集线器的性能和所述网络内的模块的位置来控制所述第一集线器和所述第二集线器之间的交互。(A surgical hub within a surgical hub network may include a controller having a processor, wherein the controller may prioritize communications, interactions, or information processing based on requirements of a system or device in communication with the hub. The controller may prioritize the order of transmission of communication packets, including packets to devices external to the network. The package may include data for updating routines, procedures, or performing critical surgical steps. The controller may prioritize the flow of communication traffic within the hub network. The network of surgical hubs may include a first hub having a first controller and a second hub having a second controller. The first controller may control interaction between the first hub and the second hub based on performance of the first hub and a location of a module within the network.)
1. A surgical hub within a surgical hub network, comprising:
a controller comprising a processor, wherein the controller is configured to prioritize communication, interaction, or information processing based on requirements of a system or device in communication with the surgical hub.
2. The surgical hub according to claim 1, wherein the controller is configured to prioritize an order of transmission of one or more communication packets.
3. The surgical hub according to claim 2, wherein the one or more communication packets are directed to a device external to the surgical hub network.
4. The surgical hub according to claim 3, wherein the one or more communication packets include data for updating routines, procedures, or data required to perform critical surgical steps performed by the processor.
5. The surgical hub according to claim 1, wherein the controller is configured to prioritize communication traffic flow within the surgical hub network.
6. The surgical hub according to claim 5, wherein the controller is configured to adjust the communication traffic flow to enable critical data pieces to be prioritized to ensure success of critical device or hub processing or hub operation.
7. The surgical hub according to claim 5, wherein the controller is configured to delay or interrupt the communication traffic flow.
8. The surgical hub according to claim 7, wherein the controller is configured to interrupt the communication traffic flow, and the interruption of the communication traffic flow comprises a short-term reordering of communication packets.
9. The surgical hub according to claim 7, wherein the controller is configured to delay the communication traffic flow, and the delay of the communication traffic flow comprises a long term adjustment to data collection or to a transmission rate.
10. The surgical hub according to claim 6, wherein the adjustment lasts for a short period of time.
11. The surgical hub according to claim 6, wherein the adjustment is continued during surgery.
12. The surgical hub according to claim 6, wherein the adjustment continues until a priority order of the communication traffic flows changes.
13. A network of surgical hubs comprising:
a first surgical hub having a first controller; and
a second surgical hub having a second controller,
wherein the first controller is configured to control one or more interactions between the first surgical hub and the second surgical hub based on one or more capabilities of the first hub and a location of one or more modules within a network of the surgical hub.
14. The network of surgical hubs according to claim 13, wherein the control of the one or more interactions includes control of ownership of one or more tasks.
15. The network of surgical hubs according to claim 13, wherein the one or more capabilities of the first hub include one or more of: a computing capacity of the first hub, a type of data associated with the first hub, an interaction of data required for a particular surgical procedure performed by the first hub, or a computing requirement of the first hub.
16. The network of surgical hubs of claim 15 wherein computing capacity includes one or more of: available processing power, available processor memory for data storage, available amount of idle processing cycles, and available communication bandwidth.
17. The network of surgical hubs of claim 15 wherein said location of said one or more modules includes the location of said one or more modules most critical to the surgical procedure being performed.
18. The network of surgical hubs according to claim 15, wherein the first controller is further configured to allow the second controller to control the one or more interactions between the first and second surgical hubs based on an intended surgical task.
Background
The present disclosure relates to various surgical systems. Surgical procedures are often performed in surgical operating rooms or operating rooms (operating theaters or rooms) of medical facilities, such as, for example, hospitals. A sterile field is typically created around the patient. The sterile field may include the members of the team who are properly wearing the scrub, as well as all of the equipment and fixtures in the field. Various surgical devices and systems are utilized in performing surgical procedures.
Disclosure of Invention
Aspects of a surgical hub within a surgical hub network may include a controller having a processor, wherein the controller is configured to prioritize communications, interactions, or information processing based on requirements of a system or device in communication with the surgical hub.
In one aspect of the surgical hub, the controller is configured to prioritize an order of transmission of the one or more communication packets.
In one aspect of the surgical hub, the one or more communication packets are directed to a device external to the surgical hub network.
In one aspect of the surgical hub, the one or more communication packets may include data for updating routines, procedures, or data required to perform critical surgical steps performed by the processor.
In one aspect of the surgical hub, the controller is configured to prioritize communication traffic flow within the surgical hub network.
In one aspect of the surgical hub, the controller is configured to adjust the communication traffic flow to enable critical data pieces to be prioritized to ensure success of critical device or hub processing or hub operation.
In one aspect of the surgical hub, the controller is configured to delay or interrupt the communication flow stream.
In one aspect of the surgical hub, the controller is configured to interrupt the communication traffic flow, and the interruption of the communication traffic flow may include a short-term reordering of communication packets.
In one aspect of the surgical hub, the controller is configured to delay the communication traffic flow, and the delay of the communication traffic flow may include long term adjustments to data collection or to transmission rates.
In one aspect of the surgical hub, the adjustment may last for a short period of time.
In one aspect of the surgical hub, the adjusting is performed continuously during the surgery.
In one aspect of the surgical hub, the adjusting continues until a priority order of the communication traffic flows changes.
One aspect of a network of surgical hubs can include a first surgical hub having a first controller and a second surgical hub having a second controller, wherein the first controller is configured to control one or more interactions between the first surgical hub and the second surgical hub based on one or more capabilities of the first hub and a location of one or more modules within the network of surgical hubs.
In one aspect of the network of surgical hubs, control of the one or more interactions can include control of ownership of one or more tasks.
In one aspect of a network of surgical hubs, the one or more capabilities of the first hub may include one or more of: a computing capacity of the first hub, a type of data associated with the first hub, an interaction of data required for a particular surgical procedure performed by the first hub, or a computing requirement of the first hub.
In one aspect of the network of surgical hubs, the computing capacity may include one or more of: available processing power, available processor memory for data storage, available amount of idle processing cycles, and available communication bandwidth.
In one aspect of the network of surgical hubs, the location of the one or more modules may include the location of the one or more modules that is most critical to the surgical procedure being performed.
In one aspect of the network of surgical hubs, the first controller can be further configured to allow the second controller to control the one or more interactions between the first surgical hub and the second surgical hub based on an intended surgical task.
Drawings
The aspects described herein, however, both as to organization and method of operation, together with further objects and advantages thereof, may best be understood by reference to the following description, taken in connection with the accompanying drawings, which are set forth below.
Fig. 1 is a block diagram of a computer-implemented interactive surgical system in accordance with at least one aspect of the present disclosure.
Fig. 2 is a surgical system for performing a surgical procedure in an operating room according to at least one aspect of the present disclosure.
Fig. 3 is a surgical hub paired with a visualization system, a robotic system, and a smart instrument according to at least one aspect of the present disclosure.
Fig. 4 is a partial perspective view of a surgical hub housing and a composite generator module slidably received in a drawer of the surgical hub housing according to at least one aspect of the present disclosure.
Fig. 5 is a perspective view of a combined generator module having bipolar, ultrasonic and monopolar contacts and a smoke evacuation component according to at least one aspect of the present disclosure.
Fig. 6 illustrates a single power bus attachment for a plurality of lateral docking ports of a lateral modular housing configured to be capable of receiving a plurality of modules in accordance with at least one aspect of the present disclosure.
Fig. 7 illustrates a vertical modular housing configured to be capable of receiving a plurality of modules in accordance with at least one aspect of the present disclosure.
Fig. 8 illustrates a surgical data network including a modular communication hub configured to connect modular devices located in one or more operating rooms of a medical facility or any room in a medical facility dedicated to surgical operations to a cloud in accordance with at least one aspect of the present disclosure.
Fig. 9 illustrates a computer-implemented interactive surgical system in accordance with at least one aspect of the present disclosure.
Fig. 10 illustrates a surgical hub including a plurality of modules coupled to a modular control tower according to at least one aspect of the present disclosure.
Fig. 11 illustrates one aspect of a Universal Serial Bus (USB) hub device in accordance with at least one aspect of the present disclosure.
Fig. 12 is a block diagram of a cloud computing system including a plurality of smart surgical instruments coupled to a surgical hub connectable to cloud components of the cloud computing system in accordance with at least one aspect of the present disclosure.
Fig. 13 is a functional module architecture of a cloud computing system according to at least one aspect of the present disclosure.
Fig. 14 illustrates a diagram of a situation-aware surgical system in accordance with at least one aspect of the present disclosure.
Fig. 15 is a timeline depicting situational awareness of a surgical hub, according to at least one aspect of the present disclosure.
Fig. 16 is a chart indicating a priority of hub communication according to a surgical step according to at least one aspect of the present disclosure.
Fig. 17 is a diagram of a network of surgical hubs executing a distributed processing system in accordance with at least one aspect of the present disclosure.
Detailed Description
The applicant of the present patent application owns the following U.S. patent applications filed on 6/11/2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. patent application 16/182,224 entitled "SURGICAL NETWORK, INSTRUMENT, AND CLOUDDESPONSES BASED ON VALIDATION OF RECEIVED DATASET AND AUTHENTICATION OF ITSSOURCE AND INTEGRITY";
U.S. patent application 16/182,230 entitled "(SURGICAL SYSTEM FOR PRESENTING INFORMATION INTERPRETED FROM EXTERNAL DATA";
U.S. patent application 16/182,233 entitled "MODIFICATION OF SURGICAL SYSTEMS CONTROL PROGRAMS BASED ON MACHINE LEARNING";
U.S. patent application 16/182,239 entitled "apparatus for controlling program BASED ON structured contact DATA IN ADDITION TO THE DATA";
U.S. patent application 16/182,243 entitled "SURGICAL HUB AND MODULAR DEVICES PONSE ADJUSTMENT BASED ON SITUATIONAL AWARENESS";
U.S. patent application 16/182,248 entitled "DETECTION AND evaluation office facilities RESPONSES OF SURGICAL INSTRUMENTS TO INCREASING SEVERITY THREATS";
U.S. patent application 16/182,251, entitled "INTERACTIVE SURGICAL SYSTEM";
U.S. patent application 16/182,260 entitled "AUTOMATED DATA SCALING, ALIGNMENT, AND ORGANIZING BASED ON PREDEFINED PARAMETERS WITHIN SURGICAL NETWORKS";
U.S. patent application No. 16/182,267 entitled "SENSING THE PATIENT POSITION and orientation and tuning THE same Mono-POLAR RETURN PAD ELECTRODE TO Process POSITION and orientation TO A SURGICAL NETWORK";
U.S. patent application 16/182,249 entitled "Power supply minor TOOL WITHPREDEFINED ADJUSTABLE CONTROL ALGORITHM FOR CONTROLLING END EFFECTORT PARAMETER";
U.S. patent application 16/182,246 entitled "ADJUSTMENTS BASED ON AIRBORNEPARATICLES PROPERTIES";
U.S. patent application 16/182,256 entitled "ADJUSTMENT OF A SURGICAL DEVICEFUNCTION BASED ON SITUATIONAL AWARENESS";
U.S. patent application 16/182,242 entitled "REAL-TIME ANALYSIS OF COMPREHENSIVEOST OF ALL INSTRUMENTATION USE IN SURGERY UTILIZING DATA FLUIDITY TO TRACKINSTRUMENTS THROUGH STOCKING AND IN-HOUSE PROCESSES";
U.S. patent application 16/182,255 entitled "USAGE AND TECHNIQUE ANALYSIS OFSURGION/STAFF PERFOMANCE AGAINST A BASELINE TO OPTIMIZATION DEVICE FOR BOTH CURRENT AND FUTURE PROCEDURES";
U.S. patent application 16/182,269 entitled "IMAGE CAPTURING OF THE AREASOUTSIDE THE ABDOMEN TO IMPROVE PLACEMENT AND CONTROL OF A SURGICAL DEVICE INCUSE";
U.S. patent application 16/182,278 entitled "COMMUNICATION OF DATA WHERE ASURGICAL NETWORKS USE CONTEXT OF THE DATA AND REQUIREMENTS OF A RECEIVINGSYSTEM/USER TO INFONCE INCLUSION OR LINKAGE OF DATA AND METADATA TOESTABILITY CONTENT";
U.S. patent application 16/182,290 entitled "SURGICAL NETWORK RECOMMENDIONSFROM REAL TIME ANALYSIS OF PROCEDURE VARIABLE AGAINST A BASELINEHHLIGHTING DIFFERENCES FROM THE OPTIMAL SOLUTION";
U.S. patent application 16/182,232 entitled "CONTROL OF A SURGICAL SYSTEMTHROUGH A SURGICAL BARRIER";
U.S. patent application No. 16/182,231 entitled "WIRELESS PAIRING OF A SURGICALDEVICE WITH ANOTHER DEVICE WITHIN A STERILE SURGICAL FILED BASED ON THE USAGE AND SITUATIONAL AWARENESS OF DEVICES";
U.S. patent application 16/182,229 entitled "ADJUSTMENT OF STAPLE HEIGHT OF ATLEAST ONE ROW OF STAPLES BASED ON THE SENSED TISSUE THICKNESS OR FOR POWER INCLOSING";
U.S. patent application 16/182,234 entitled "STAPLING DEVICE WITH BOTHCOMPULSOLY AND DISCRETION LOCKOUTS BASED SENSED PARAMETERS";
U.S. patent application 16/182,240 entitled "POWER STAPLING DEVICE CONFIRED ADJUST FORCE, ADVANCEMENT SPEED, AND OVERALL STROKE OF CUTTING MEMBER BASEDON SENSED PARAMETER OF FIRING OR CLAMPING";
U.S. patent application 16/182,235 entitled "VARIATION OF RADIO FREQUENCY ANDULTROASONIC POWER LEVEL IN COOPERATION WITH VARYING CLAMP ARM PRESSURE TOACHIEVE PREDEFINED HEAT FLUX OR POWER APPLIED TO TISSUE"; and
U.S. patent application 16/182,238 entitled "ULTRASONIC ENERGY DEVICE WHICHVARIES PRESSURE APPLIED BY CLAMP ARM TO PROVIDE THRESHOLD CONTROL ATA CUT PROGRESSION LOCATION".
The applicant of the present patent application owns the following U.S. patent applications filed on 2018, 9, 10, the disclosure of each of which is incorporated herein by reference in its entirety:
U.S. provisional patent application 62/729,183 entitled "A CONTROL FOR A SURGICALNETWORK OR SURGICALNETWORK CONNECTED DEVICE THAT ADJUTS ITS FUNCTION BASION A SENSED STATION OR USAGE";
U.S. provisional patent application 62/729,177 entitled "AUTOMATED DATA SCALING, ALIGNMENT, AND ORGANIZING BASED ON PREDEFINED PARAMETERS WITHIN A SURGICALNETWORK BEFORE TRANSMISSION";
U.S. provisional patent application 62/729,176 entitled "INDIRECT COMMAND AND CONTROL OFA FIRST OPERATING ROOM SYSTEM THROUGH THE USE OF A SECOND OPERATING ROOMSYSTEM WITHIN A STERILE FIELD WHERE THE SECOND OPERATING ROOM SYSTEM HASPRIMARY AND SECONDARY OPERATING MODES";
U.S. provisional patent application 62/729,185 entitled "POWER STAPLING DEVICE THAT ISCABLE OF ADJUSE FORCE, ADVANCEMENT SPEED, AND OVERALL STROKE OF CUTTING GMERER OF THE DEVICE BASED ON SENSED PARAMETER OF FIRING OR CLAMPING";
U.S. provisional patent application 62/729,184 entitled "POWER SURGICAL TOOL WITH APREDEFINED ADJUSTABLE CONTROL ALGORITHM FOR CONTROLLING AT LEAST ONE ENDEFECTOR PARAMETER AND A MEANS FOR LIMITING THE ADJUSTMENT";
U.S. provisional patent application No. 62/729,182 entitled "SENSING THE PATIENT POSITIONIONNAND control UTILIZING THE MONO POLAR RETURN PAD ELECTRODE TO PROVIDEO STATIONATIONAL AWARENESS TO THE HUB";
U.S. provisional patent application 62/729,191 entitled "SURGICAL NETWORK RECOMMENDITIONS FROM REAL TIME ANALYSIS OF PROCEDURE VARIABLES AGAINST ABASELINE HIGHLIGHTING DIFFERENCES FROM THE OPEN THE OPTIMAL SOLUTION";
U.S. provisional patent application 62/729,195 entitled "ULTRASONIC ENERGY DEVICE WHICHVARIES PRESSURE APPLIED BY CLAMP ARM TO PROVIDE THRESHOLD CONTROL ATA CUT PROGRESSION LOCATION"; and is
U.S. provisional patent application 62/729,186, entitled "WIRELESS PAIRING OF A SURGICALDEVICE WITH ANOTHER DEVICE WITHIN A STERILE SURGICAL FILED BASED ON THE USAGE AND SITUATIONAL AWARENESS OF DEVICES".
The applicant of the present patent application owns the following U.S. patent applications filed on 28/8/2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. patent application 16/115,214 entitled "ESTIMATING STATE OF ULTRASONIC ENDEFECTOR AND CONTROL SYSTEM THEREFOR";
U.S. patent application 16/115,205 entitled "TEMPERATURE CONTROL OF ULTRASONIC EFFECTOR AND CONTROL SYSTEM THEREFOR";
U.S. patent application 16/115,233 entitled "RADIO FREQUENCY ENERGY DEVICE for RADIO interference COMBINED ELECTRICAL SIGNALS";
U.S. patent application No. 16/115,208 entitled "control AN ULTRASONIC SURGICAL ACCORDING TO TISSUE LOCATION";
U.S. patent application 16/115,220 entitled "control ACTIVATION OF atomic catalytic conversion TO THE PRESENCE OF TISSUE";
U.S. patent application 16/115,232, entitled "DETERMINING TISSUE COMPOSITION VIAAN ULTRASONIC SYSTEM";
U.S. patent application No. 16/115,239 entitled "DETERMINING THE STATE OF orthogonal electronic Circuit System ACCORDING TO FREQUENCY SHIFT";
U.S. patent application 16/115,247 entitled "DETERMINING THE STATE OF ANULTRASONIC END EFFECTOR";
U.S. patent application 16/115,211 entitled "STATATIONAL AWARENESS OFELECTRROSURGICAL SYSTEMS";
U.S. patent application 16/115,226, entitled "MECHANISMS FOR CONTROLLINGDIFFERENT ELECTROMECHANICAL SYSTEMS OF AN ELECTROSURGICAL INSTRUMENT";
U.S. patent application 16/115,240 entitled "DETECTION OF END effect IMMERSIONIN LIQUID";
U.S. patent application 16/115,249 entitled "INTERRUPTION OF ENGAGUTIVE DUE TOINADVERTENT CAPACITIVE COUPLING";
U.S. patent application 16/115,256 entitled "INCREASING RADIO FREQUENCY TOCREATE PAD-LESS MONOPOLAR LOOP";
U.S. patent application 16/115,223 entitled "BIPOLAR COMMUNICATION DEVICE THATOMATICALLY ADJUTS PRESSURE BASED ON ENERGY MODALITY"; and is
U.S. patent application 16/115,238 entitled "activity OF ENERGY DEVICES".
The applicant of the present patent application owns the following U.S. patent applications filed on 23.8.2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. provisional patent application 62/721,995 entitled "control AN ultra semiconductor minor insertion TO a terminal LOCATION";
U.S. provisional patent application 62/721,998 entitled "STATATIONAL AWARENESS OFELECTRROSURGICAL SYSTEMS";
U.S. provisional patent application 62/721,999 entitled "INTERRUPTION OF ENGAGUTIVE DUE TOINADVERTENT CAPACITIVE COUPLING";
U.S. provisional patent application 62/721,994 entitled "BIPOLAR COMMUNICATION DEVICE THATUATION MATICALLY ADJUTS PRESSURE BASED ON ENERGY MODALITY"; and is
U.S. provisional patent application 62/721,996 entitled RADIO FREQUENCY ENERGY development device delay COMBINED ELECTRICAL SIGNALS.
The applicant of the present patent application owns the following U.S. patent applications filed on 30.6.2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. provisional patent application 62/692,747 entitled "SMART ACTIVATION OF AN ENERGYDEVICE BY ANOTHER DEVICE";
U.S. provisional patent application 62/692,748, entitled "SMART ENERGY ARCHITURE"; and is
Us provisional patent application 62/692,768, entitled "SMART ENERGY DEVICES".
The applicant of the present patent application owns the following U.S. patent applications filed on 29.6.2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. patent application serial No. 16/024,090, entitled "CAPACITIVE COUPLED RETURNPATH PAD WITH SEPARABLE ARRAY ELEMENTS";
U.S. patent application Ser. No. 16/024,057 entitled "control A SURGICALINSTRUCTION ACCORDING TO SENSED CLOSURE PARAMETERS";
U.S. patent application Ser. No. 16/024,067 entitled "SYSTEM FOR ADJUSE ENDEFECTOR PARAMETERS BASED ON PERIORATIVE INFORMATION";
U.S. patent application Ser. No. 16/024,075 entitled "SAFETY SYSTEMS FOR SMARTPOWER SURGICAL STAPLING";
U.S. patent application Ser. No. 16/024,083 entitled "SAFETY SYSTEMS FOR SMARTPOWER SURGICAL STAPLING";
U.S. patent application Ser. No. 16/024,094 entitled "SURGICAL SYSTEMS FOR RDETTING END EFFECTOR TISSUE DISTRIBUTION IRREGULARITIES";
U.S. patent application Ser. No. 16/024,138 entitled "SYSTEM FOR DETECTING PROXIMITY OF SURGICAL END EFFECTOR TO CANCEROUS TISSUE";
U.S. patent application Ser. No. 16/024,150 entitled "SURGICAL INSTRUMENT CARTRIDGESENSOR ASSEMBLIES";
U.S. patent application Ser. No. 16/024,160 entitled "VARIABLE OUTPUT CARTRIDGESENSOR ASSEMBLY";
U.S. patent application Ser. No. 16/024,124 entitled "SURGICAL INSTRUMENT HAVING AFLEXIBLE ELECTRODE";
U.S. patent application Ser. No. 16/024,132 entitled "SURGICAL INSTRUMENT HAVARING AFLEXIBLE CICUIT";
U.S. patent application Ser. No. 16/024,141 entitled "SURGICAL INSTRUMENT WITH ATISSUE MARKING ASSEMBLY";
U.S. patent application Ser. No. 16/024,162 entitled "SURGICAL SYSTEMS WITHPRIORIZED DATA TRANSMISSION CAPABILITIES";
U.S. patent application Ser. No. 16/024,066 entitled "SURGICAL EVACUTION SENSING MOTOR CONTROL";
U.S. patent application Ser. No. 16/024,096 entitled "SURGICAL EVACUTION SENSORARRANGEMENTS";
U.S. patent application Ser. No. 16/024,116 entitled "SURGICAL EVACUTION FLOWPATHS";
U.S. patent application Ser. No. 16/024,149 entitled "SURGICAL EVACUTION SENSING GENERATOR CONTROL";
U.S. patent application Ser. No. 16/024,180, entitled "SURGICAL EVACUTION SENSINGAND DISPLAY";
U.S. patent application Ser. No. 16/024,245 entitled "COMMUNICATION OF SMOKEEVACUTION SYSTEM PARAMETERS TO HUB OR CLOUD IN SMOKE EVACUTION MODULE FOR RINTERACTIVE SURGICAL PLATFORM";
U.S. patent application Ser. No. 16/024,258 entitled "SMOKE EVACUATION SYSTEMINGLUTING A SEGMENTED CONTROL CIRCUIT FOR INTERACTIVE SURGICAL PLATFORM";
U.S. patent application Ser. No. 16/024,265 entitled "SURGICAL EVACUTION SYSTEMWITH A COMMUNICATION CIRCUIT FOR COMMUNICATION BETWEEN A FILTER AND A SMOKEEVACUTION DEVICE"; and is
U.S. patent application Ser. No. 16/024,273 entitled "DUALIN-SERIES LARGE ANDSMALL DROPLET FILTERS".
The applicant of the present patent application owns the following U.S. provisional patent applications filed on 2018, 6/28, the disclosure of each of which is incorporated herein by reference in its entirety:
U.S. provisional patent application Ser. No. 62/691,228 entitled "A METHOD OF USENGRINED FLEX CICUITS WITH MULTI SOLPLE SENSOR WITH ELECTRROSURGICAL DEVICES";
U.S. provisional patent application Ser. No. 62/691,227 entitled "control A SURGICALINcorner ACCORDING TO SENSED CLOSURE PARAMETERS";
U.S. provisional patent application Ser. No. 62/691,230 entitled "SURGICAL INSTRUMENTTHAVING A FLEXIBLE ELECTRODRODE";
U.S. provisional patent application Ser. No. 62/691,219 entitled "SURGICAL EVACUATIONSENSING AND MOTOR CONTROL";
U.S. provisional patent application Ser. No. 62/691,257 entitled "COMMUNICATION OF SMOKEEVACUTION SYSTEM PARAMETERS TO HUB OR CLOUD IN SMOKE EVACUTION MODULE FOR RINTERACTIVE SURGICAL PLATFORM";
U.S. provisional patent application Ser. No. 62/691,262 entitled "SURGICAL EVACUATION SYSTEM WITH A COMMUNICATION CIRCUIT FOR COMMUNICATION BETWEEN A FILTER AND ASMOKE EVACUATION DEVICE"; and
U.S. provisional patent application serial No. 62/691,251, entitled "DUAL IN-SERIES LARGE ANDSMALL DROPLET FILTERS".
The applicant of the present patent application owns the following U.S. provisional patent applications filed on 2018, 4, 19, the disclosures of which are incorporated herein by reference in their entirety:
U.S. provisional patent application serial No. 62/659,900, entitled "METHOD OF hubcmonication".
The applicant of the present patent application owns the following U.S. provisional patent applications filed on 30/3/2018, the disclosures of each of which are incorporated herein by reference in their entirety:
us provisional patent application 62/650,898, entitled "CAPACITIVICEOUS RETURN PATH PAD WITH SECARABLE ARRAY ELEMENTS", filed 3, 30.2018;
U.S. provisional patent application Ser. No. 62/650,887 entitled "SURGICAL SYSTEMS WITHOPTIMIZED SENSING CAPABILITIES";
U.S. patent application Ser. No. 62/650,882 entitled "SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM"; and
U.S. patent application Ser. No. 62/650,877, entitled "SURGICAL SMOKE EVACUATIONSENSING AND CONTROLS".
The applicant of the present patent application owns the following U.S. patent applications filed on 29/3/2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. patent application Ser. No. 15/940,641 entitled "INTERACTIVE SURGICAL SYSTEMSWITH ENCRYPTED COMMUNICATION CAPABILITIES";
U.S. patent application Ser. No. 15/940,648 entitled "INTERACTIVE SURGICAL SYSTEMSWITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES";
U.S. patent application Ser. No. 15/940,656 entitled "SURGICAL HUB COORDINATION OFCONTROL AND COMMUNICATION OF OPERATING ROOM DEVICES";
U.S. patent application Ser. No. 15/940,666 entitled "SPATIAL AWARENESS OF SURGICALUHUBS IN OPERATING ROOMS";
U.S. patent application Ser. No. 15/940,670 entitled "COOPERATIVE UTILIZATION OFDATA DERIVED FROM SECONDARY SOURCES BY INTELLIGENT SURGICAL HUBS";
U.S. patent application Ser. No. 15/940,677 entitled "SURGICAL HUB CONTROLARANGEMENTS";
U.S. patent application Ser. No. 15/940,632 entitled "DATA STRIPPING METHOD OF INTERROTATE PATIENT RECORD AND CREATE ANONYMIZED RECORD";
U.S. patent application Ser. No. 15/940,640 entitled "COMMUNICATION HUB AND STORAGE EVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHARED WITH CLOUD BASED ANALYTICS SYSTEMS";
U.S. patent application Ser. No. 15/940,645 entitled "SELF DESCRIBING DATA PACKETSGENERATED AT AN ISSUING INSTRUMENT";
U.S. patent application Ser. No. 15/940,649 entitled "DATA PAIRING TO INTERCONNECTA DEVICE MEASURED PARAMETER WITH AN OUTCOME";
U.S. patent application Ser. No. 15/940,654 entitled "SURGICAL HUB SITUATIONALAWARENESS";
U.S. patent application Ser. No. 15/940,663 entitled "SURGICAL SYSTEM DISTRIBUTEDPROCESSING";
U.S. patent application Ser. No. 15/940,668 entitled "AGGREGAGATION AND REPORTING OFSURGICAL HUB DATA";
U.S. patent application Ser. No. 15/940,671 entitled "SURGICAL HUB SPATIALAWARENESS TO DETERMINE DEVICES IN OPERATING THEEATER";
U.S. patent application Ser. No. 15/940,686 entitled "DISPLAY OF ALIGNMENT OFSTAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE";
U.S. patent application Ser. No. 15/940,700 entitled "STERILE FIELD INTERACTIVECONNTROL DISPLAYS";
U.S. patent application Ser. No. 15/940,629 entitled "COMPUTER IMPLEMENTEDINTERACTIVE SURGICAL SYSTEMS";
U.S. patent application Ser. No. 15/940,704 entitled "USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT";
U.S. patent application Ser. No. 15/940,722 entitled "CHARACTERIZATION OF TISSUEIRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY";
U.S. patent application serial No. 15/940,742, entitled "DUAL CMOS ARRAY IMAGING".
U.S. patent application Ser. No. 15/940,636 entitled "ADAPTIVE CONTROL programs FOR basic DEVICES";
U.S. patent application Ser. No. 15/940,653 entitled "ADAPTIVE CONTROL PROGRAMUPDATES FOR SURGICAL HUBS";
U.S. patent application Ser. No. 15/940,660 entitled "CLOOUD-BASED MEDICAL ANALYTICSFOR CUTOSTIMION AND RECOMMENDITION TO A USER";
U.S. patent application Ser. No. 15/940,679 entitled "CLOOUD-BASED MEDICAL ANALYTICSFOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OFLARGER DATA SET";
U.S. patent application Ser. No. 15/940,694 entitled "CLOOUD-BASED MEDICAL ANALYTICSFOR MEDICAL FACILITY SEGMENTED INDIDUALIZATION OF INSTRUMENTS FUNCTIONS";
U.S. patent application Ser. No. 15/940,634 entitled "CLOOUD-BASED MEDICAL ANALYTICSFOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES";
U.S. patent application Ser. No. 15/940,706 entitled "DATA HANDLING ANDPRIORITIZATION IN A CLOUD ANALYTICS NETWORK";
U.S. patent application Ser. No. 15/940,675 entitled "CLOOUD INTERFACE FOR COUPLEDSURGICAL DEVICES";
U.S. patent application Ser. No. 15/940,627 entitled "DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS";
U.S. patent application Ser. No. 15/940,637 entitled "COMMUNICATION ARRANGEMENTSFOR ROBOT-ASSISTED SURGICAL PLATFORMS";
U.S. patent application Ser. No. 15/940,642 entitled "CONTROL FOR ROBOT-ASSISTED DSURGICAL PLATFORMS";
U.S. patent application Ser. No. 15/940,676 entitled "AUTOMATIC TOOL ADJUSTMENTSFOR ROBOT-ASSISTED SURGICAL PLATFORMS";
U.S. patent application Ser. No. 15/940,680 entitled "CONTROL FOR ROBOT-ASSISTED SURGICAL PLATFORMS";
U.S. patent application Ser. No. 15/940,683 entitled "COOPERATIVE SURGICAL ACTIONFOR ROBOT-ASSISTED SURGICAL PLATFORMS";
U.S. patent application Ser. No. 15/940,690 entitled "DISPLAY ARRANGEMENTS ForOBOT-ASSISTED SURGICAL PLATFORMS"; and is
U.S. patent application Ser. No. 15/940,711, entitled "SENSING ARRANGEMENTS ForOBOT-ASSISTED SURGICAL PLATFORMS".
The applicant of the present patent application owns the following U.S. provisional patent applications filed on 2018, 3, 28, the disclosure of each of which is incorporated herein by reference in its entirety:
U.S. provisional patent application serial No. 62/649,302 entitled "INTERACTIVE SURGICALSYSTEMS WITH ENCRYPTED notification CAPABILITIES";
U.S. provisional patent application Ser. No. 62/649,294 entitled "DATA STRIPPING METHOD OF INTERROTATE PATIENT RECORD AND CREATE ANONYMIZED RECORD";
U.S. patent application Ser. No. 62/649,300 entitled "SURGICAL HUB SITUATIONALAWARENESS";
U.S. provisional patent application Ser. No. 62/649,309 entitled "SURGICAL HUB SPATIALAWARENESS TO DETERMINE DEVICES IN OPERATING THEEATER";
U.S. patent application Ser. No. 62/649,310 entitled "COMPUTER IMPLEMENTEDINTERACTIVE SURGICAL SYSTEMS";
U.S. provisional patent application Ser. No. 62/649,291 entitled "USE OF LASER LIGHT ANDRED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT";
U.S. patent application Ser. No. 62/649,296 entitled "ADAPTIVE CONTROL programs FOR basic DEVICES";
U.S. provisional patent application Ser. No. 62/649,333 entitled "CLOOUD-BASED MEDICANAL POLYTICS FOR CUTOSTOMIZATION AND RECOMMENDITIONS TO A USER";
U.S. provisional patent application Ser. No. 62/649,327 entitled "CLOOUD-BASED MEDICANAL POLYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES";
U.S. provisional patent application Ser. No. 62/649,315 entitled "DATA HANDLING ANDPRIORITIZATION IN A CLOUD ANALYTICS NETWORK";
U.S. patent application Ser. No. 62/649,313 entitled "CLOOUD INTERFACE FOR COUPLEDSURGICAL DEVICES";
U.S. patent application Ser. No. 62/649,320 entitled "DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS";
U.S. provisional patent application Ser. No. 62/649,307 entitled "AUTOMATIC TOOLADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS"; and is
U.S. provisional patent application serial No. 62/649,323, entitled "SENSING ARRANGEMENTS forced-associated minor planar platrms".
The applicant of the present patent application owns the following U.S. provisional patent applications filed on 8/3/2018, the disclosures of each of which are incorporated herein by reference in their entirety:
U.S. provisional patent application Ser. No. 62/640,417 entitled "TEMPERATURE CONTROL INDULTRASONIC DEVICE AND CONTROL SYSTEM THEREFOR"; and is
U.S. provisional patent application Ser. No. 62/640,415 entitled "ESTIMATING STATE OFULTRASONIC END EFFECTOR AND CONTROL SYSTEM THEREFOR";
the applicant of the present patent application owns the following U.S. provisional patent applications filed on 2017, 12, 28, the disclosure of each of which is incorporated herein by reference in its entirety:
U.S. provisional patent application serial No. 62/611,341, entitled "INTERACTIVE SURGICALPLATFORM";
U.S. provisional patent application Ser. No. 62/611,340 entitled "CLOOUD-BASED MEDICALANALYTICS"; and is
U.S. patent application Ser. No. 62/611,339, entitled "ROBOT ASSISTED SURGICALLLATFORM".
Before explaining various aspects of the surgical device and generator in detail, it should be noted that the example illustrated application or use is not limited to the details of construction and arrangement of parts illustrated in the accompanying drawings and description. The illustrative examples may be implemented alone or in combination with other aspects, variations and modifications, and may be practiced or carried out in various ways. Furthermore, unless otherwise indicated, the terms and expressions employed herein have been chosen for the purpose of describing the illustrative embodiments for the convenience of the reader and are not for the purpose of limiting the invention. Moreover, it is to be understood that expressions of one or more of the following described aspects, and/or examples may be combined with any one or more of the other below described aspects, and/or examples.
Surgical hub
Referring to fig. 1, a computer-implemented interactive
In various aspects, the
Fig. 2 shows an example of a
Other types of robotic systems may be readily adapted for use with the
Various examples of CLOUD-BASED analysis performed by the
In various aspects, the imaging device 124 includes at least one image sensor and one or more optical components. Suitable image sensors include, but are not limited to, Charge Coupled Device (CCD) sensors and Complementary Metal Oxide Semiconductor (CMOS) sensors.
The optical components of the imaging device 124 may include one or more illumination sources and/or one or more lenses. One or more illumination sources may be directed to illuminate portions of the surgical field. The one or more image sensors may receive light reflected or refracted from the surgical field, including light reflected or refracted from tissue and/or surgical instruments.
The one or more illumination sources may be configured to radiate electromagnetic energy in the visible spectrum as well as in the invisible spectrum. The visible spectrum (sometimes referred to as the optical spectrum or the luminescence spectrum) is that portion of the electromagnetic spectrum that is visible to (i.e., detectable by) the human eye, and may be referred to as visible light or simple light. A typical human eye will respond to wavelengths in air from about 380nm to about 750 nm.
The invisible spectrum (i.e., the non-luminescent spectrum) is the portion of the electromagnetic spectrum that lies below and above the visible spectrum (i.e., wavelengths below about 380nm and above about 750 nm). The human eye cannot detect the invisible spectrum. Wavelengths greater than about 750nm are longer than the red visible spectrum and they become invisible Infrared (IR), microwave and radio electromagnetic radiation. Wavelengths less than about 380nm are shorter than the violet spectrum and they become invisible ultraviolet, x-ray and gamma-ray electromagnetic radiation.
In various aspects, the imaging device 124 is configured for use in minimally invasive surgery. Examples of imaging devices suitable for use in the present disclosure include, but are not limited to, arthroscopes, angioscopes, bronchoscopes, cholangioscopes, colonoscopes, cytoscopes, duodenoscopes, enteroscopes, esophago-duodenoscopes (gastroscopes), endoscopes, laryngoscopes, nasopharyngo-nephroscopes, sigmoidoscopes, thoracoscopes, and intrauterine scopes.
In one aspect, the imaging device employs multispectral monitoring to distinguish topography from underlying structures. A multispectral image is an image that captures image data across a particular range of wavelengths of the electromagnetic spectrum. The wavelengths may be separated by filters or by using instruments that are sensitive to specific wavelengths, including light from frequencies outside the visible range, such as IR and ultraviolet. Spectral imaging may allow extraction of additional information that the human eye fails to capture with its red, green, and blue receptors. The use of multispectral Imaging is described in more detail under the heading "Advanced Imaging Acquisition Module" of U.S. provisional patent application serial No. 62/611,341, entitled "INTERACTIVE SURGICAL PLATFORM," filed on 28.12.2017, the disclosure of which is incorporated herein by reference in its entirety. Multispectral monitoring may be a useful tool for repositioning the surgical site after completion of a surgical task to perform one or more of the previously described tests on the treated tissue.
It is self-evident that strict sterilization of the operating room and surgical equipment is required during any surgical procedure. The stringent hygiene and sterilization conditions required in a "surgical room" (i.e., an operating room or treatment room) require the highest possible sterility of all medical devices and equipment. Part of this sterilization process is any substance that needs to be sterilized, including the imaging device 124 and its attachments and components, to contact the patient or penetrate the sterile field. It should be understood that the sterile field may be considered a specific area that is considered free of microorganisms, such as within a tray or within a sterile towel, or the sterile field may be considered an area around a patient that is ready for surgery. The sterile field may include the members of the team who are properly wearing the scrub, as well as all of the equipment and fixtures in the field.
In various aspects, the
As shown in fig. 2, a main display 119 is positioned in the sterile field to be visible to the operator at the surgical table 114. Further, the visualization tower 111 is positioned outside the sterile field. Visualization tower 111 includes a first non-sterile display 107 and a second non-sterile display 109 facing away from each other. The
In one aspect,
Referring to fig. 2, a
Referring now to fig. 3,
During surgery, the application of energy to tissue for sealing and/or cutting is typically associated with smoke evacuation, aspiration of excess fluid, and/or irrigation of the tissue. Fluid lines, power lines and/or data lines from different sources are often tangled during surgery. Solving the problem during surgery may waste valuable time. Disconnecting the lines may require disconnecting the lines from their respective modules, which may require resetting the modules. The hub
Aspects of the present disclosure provide a surgical hub for use in a surgical procedure involving application of energy to tissue at a surgical site. The surgical hub includes a hub housing and a composite generator module slidably received in a docking station of the hub housing. The docking station includes data contacts and power contacts. The combined generator module includes two or more of an ultrasonic energy generator component, a bipolar RF energy generator component, and a monopolar RF energy generator component seated in a single cell. In one aspect, the combined generator module further comprises a smoke evacuation component for connecting the combined generator module to at least one energy delivery cable of the surgical instrument, at least one smoke evacuation component configured to evacuate smoke, fluids, and/or particles generated by application of the therapeutic energy to the tissue, and a fluid line extending from the remote surgical site to the smoke evacuation component.
In one aspect, the fluid line is a first fluid line and the second fluid line extends from the remote surgical site to a suction and irrigation module slidably received in the hub housing. In one aspect, the hub housing includes a fluid interface.
Certain surgical procedures may require more than one energy type to be applied to tissue. One energy type may be more advantageous for cutting tissue, while a different energy type may be more advantageous for sealing tissue. For example, a bipolar generator may be used to seal tissue, while an ultrasonic generator may be used to cut the sealed tissue. Aspects of the present disclosure provide a solution in which the hub
Aspects of the present disclosure provide a modular surgical housing for use in a surgical procedure involving the application of energy to tissue. The modular surgical housing includes a first energy generator module configured to generate first energy for application to tissue, and a first docking station including a first docking port including first data and power contacts, wherein the first energy generator module is slidably movable into electrical engagement with the power and data contacts, and wherein the first energy generator module is slidably movable out of electrical engagement with the first power and data contacts,
in addition to the above, the modular surgical housing further comprises a second energy generator module configured to generate a second energy different from the first energy for application to tissue, and a second docking station comprising a second docking port comprising a second data and power contact, wherein the second energy generator module is slidably movable into electrical engagement with the power and data contact, and wherein the second energy generator is slidably movable out of electrical contact with the second power and data contact.
In addition, the modular surgical housing further includes a communication bus between the first docking port and the second docking port configured to facilitate communication between the first energy generator module and the second energy generator module.
Referring to fig. 3-7, aspects of the present disclosure are presented as a hub
In one aspect, the hub
In one aspect, the hub
In various aspects, the
In various aspects, the suction/
In one aspect, a surgical tool includes a shaft having an end effector at a distal end thereof and at least one energy treatment associated with the end effector, a suction tube, and an irrigation tube. The draft tube may have an inlet at a distal end thereof, and the draft tube extends through the shaft. Similarly, a draft tube may extend through the shaft and may have an inlet adjacent the energy delivery tool. The energy delivery tool is configured to deliver ultrasonic and/or RF energy to the surgical site and is coupled to the
The irrigation tube may be in fluid communication with a fluid source, and the aspiration tube may be in fluid communication with a vacuum source. The fluid source and/or vacuum source may be seated in the suction/
In one aspect, the
In some aspects, the drawers 151 of the hub
In addition, the contacts of a particular module may be keyed to engage the contacts of a particular drawer to avoid inserting the module into a drawer having unmatched contacts.
As shown in fig. 4, the docking port 150 of one drawer 151 may be coupled to the docking port 150 of another drawer 151 by a communication link 157 to facilitate interactive communication between modules seated in the hub
Fig. 6 illustrates a single power bus attachment for multiple lateral docking ports of a lateral
Fig. 7 illustrates a vertical
In various aspects, the
During a surgical procedure, it may be inefficient to remove a surgical device from a surgical site and replace the surgical device with another surgical device that includes a different camera or a different light source. Temporary loss of vision at the surgical site can lead to undesirable consequences. The modular imaging apparatus of the present disclosure is configured to enable the replacement of a light source module or a camera module during a surgical procedure without having to remove the imaging apparatus from the surgical site.
In one aspect, an imaging device includes a tubular housing including a plurality of channels. The first channel is configured to slidably receive a camera module that may be configured for snap-fit engagement with the first channel. The second channel is configured to slidably receive a light source module that may be configured for snap-fit engagement with the second channel. In another example, the camera module and/or the light source module may be rotated within their respective channels to a final position. Threaded engagement may be used instead of snap-fit engagement.
In various examples, multiple imaging devices are placed at different locations in a surgical field to provide multiple views. The
Various IMAGE PROCESSORs AND imaging devices suitable for use in the present disclosure are described in U.S. patent No. 7,995,045 entitled "COMBINED SBI AND associated IMAGE PROCESSOR" published on 9.8.2011, which is incorporated by reference herein in its entirety. Further, U.S. patent 7,982,776 entitled "MOTION artifact AND METHOD," published 7/19/2011, which is incorporated herein by reference in its entirety, describes various systems for removing MOTION artifacts from image data. Such a system may be integrated with the
Fig. 8 illustrates a
Modular devices 1a-1n located in an operating room may be coupled to a
It should be understood that
In one aspect, the
Applying cloud computer data processing techniques to the data collected by the devices 1a-1n/2a-2m, the surgical data network provides improved surgical results, reduced costs and improved patient satisfaction. At least some of the devices 1a-1n/2a-2m may be employed to observe tissue conditions to assess leakage or perfusion of sealed tissue after tissue sealing and cutting procedures. At least some of the devices 1a-1n/2a-2m may be employed to identify pathologies, such as the effects of disease, using cloud-based computing to examine data including images of body tissue samples for diagnostic purposes. This includes localization and edge confirmation of tissues and phenotypes. At least some of the devices 1a-1n/2a-2m may be employed to identify anatomical structures of the body using various sensors integrated with imaging devices and techniques, such as overlaying images captured by multiple imaging devices. The data (including image data) collected by the devices 1a-1n/2a-2m may be transmitted to the
In one implementation, the operating room devices 1a-1n may be connected to the
In another implementation, the operating room devices 2a-2m may be connected to the
In one example,
In other examples, the operating room devices 1a-1n/2a-2m may communicate with the
The
Fig. 9 illustrates a computer-implemented interactive
Fig. 10 shows the
The
Processor 244 may be any single-core or multi-core processor, such as those provided by Texas Instruments under the tradename ARM Cortex. In one aspect, the processor may be an LM4F230H5QR ARM Cortex-M4F processor core available from, for example, Texas Instruments, that includes on-chip memory of 256KB of single cycle flash or other non-volatile memory (up to 40MHz), a prefetch buffer for improving performance above 40MHz, 32KB of single cycle Sequential Random Access Memory (SRAM), loaded with a memory access unit (SRAM)Software internal Read Only Memory (ROM), 2KB Electrically Erasable Programmable Read Only Memory (EEPROM), and/or one or more Pulse Width Modulation (PWM) modules, one or more Quadrature Encoder Input (QEI) analog, one or more 12-bit analog-to-digital converters (ADCs) with 12 analog input channels, the details of which can be seen in the product data sheet.
In one aspect, processor 244 may comprise a safety controller comprising two series controller-based controllers (such as TMS570 and RM4x), known under the trade name Hercules ARMCortex R4, also manufactured by Texas Instruments. The security controller may be configured to be able to be dedicated to IEC 61508 and ISO 26262 security critical applications, among others, to provide advanced integrated security features while delivering scalable performance, connectivity, and memory options.
The system memory includes volatile memory and non-volatile memory. The basic input/output system (BIOS), containing the basic routines to transfer information between elements within the computer system, such as during start-up, is stored in nonvolatile memory. For example, nonvolatile memory can include ROM, Programmable ROM (PROM), Electrically Programmable ROM (EPROM), EEPROM, or flash memory. Volatile memory includes Random Access Memory (RAM), which acts as external cache memory. Further, RAM may be available in a variety of forms, such as SRAM, Dynamic RAM (DRAM), Synchronous DRAM (SDRAM), Double Data Rate SDRAM (DDRSDRAM), Enhanced SDRAM (ESDRAM), Synchronous Link DRAM (SLDRAM), and Direct Rambus RAM (DRRAM).
The
It is to be appreciated that the
A user enters commands or information into the
The
In various aspects, the
A communication connection refers to the hardware/software used to interface the network to the bus. While a communication connection is shown for exemplary clarity within the computer system, it can also be external to
In various aspects, the device/
Fig. 11 illustrates a functional block diagram of one aspect of a
The
The
In various aspects, the
Additional details regarding the structure and function OF the surgical HUB and/or surgical HUB network can be found in U.S. provisional patent application No. 62/659,900 entitled "METHOD OF HUB COMMUNICATION" filed on 19.4.2018, which is incorporated herein by reference in its entirety.
Cloud system hardware and functional module
Fig. 12 is a block diagram of a computer-implemented interactive surgical system in accordance with at least one aspect of the present disclosure. In one aspect, a computer-implemented interactive surgical system is configured to monitor and analyze data related to the operation of various surgical systems, including surgical hubs, surgical instruments, robotic devices, and operating rooms or medical facilities. A computer-implemented interactive surgical system includes a cloud-based analysis system. While the cloud-based analysis system is described as a surgical system, it is not necessarily so limited and may generally be a cloud-based medical system. As shown in fig. 12, the cloud-based analysis system includes a plurality of surgical instruments 7012 (which may be the same as or similar to instrument 112), a plurality of surgical hubs 7006 (which may be the same as or similar to hub 106), and a surgical data network 7001 (which may be the same as or similar to network 201) to couple the
In addition, the surgical instrument 7012 can include a transceiver for transmitting data to and from its corresponding surgical hub 7006 (which can also include a transceiver). The combination of the surgical instrument 7012 and the
Based on the connections to the various
The particular cloud computing system configurations described in this disclosure are specifically designed to address various issues arising in the context of medical procedures and procedures performed using medical devices (such as the surgical instruments 7012, 112). In particular, the surgical instrument 7012 can be a digital surgical device configured to interact with the cloud 7004 for implementing techniques that improve performance of a surgical procedure. Various surgical instruments 7012 and/or the
Fig. 13 is a block diagram illustrating a functional architecture of a computer-implemented interactive surgical system in accordance with at least one aspect of the present disclosure. The cloud-based analysis system includes a plurality of
For example, the data collection and
The patient
The control
The cloud-based analytics system may include security features implemented by the cloud 7004. These security features may be managed by the authorization and
Further, for security purposes, the cloud may maintain a database of
The surgical instrument 7012 may use the wireless transceiver to transmit a wireless signal, which may represent, for example, authorization credentials for accessing the corresponding
The cloud-based analysis system may allow monitoring of multiple medical facilities (e.g., medical facilities such as hospitals) to determine improved practices and suggest changes accordingly (e.g., via suggestion module 2030). Thus, the processor 7008 of the cloud 7004 may analyze data associated with each medical facility to identify the facility and aggregate the data with other data associated with other medical facilities in the group. For example, groups may be defined based on similar operational practices or geographic locations. In this way, the cloud 7004 can provide analysis and recommendations across a group of medical facilities. Cloud-based analytics systems may also be used to enhance situational awareness. For example, the processor 7008 may predictively model the impact of the recommendations on the cost and effectiveness of a particular facility (relative to the overall operation and/or various medical procedures). The cost and effectiveness associated with that particular facility may also be compared to corresponding local areas of other facilities or any other comparable facility.
Data sorting and
In various aspects, the surgical instrument 7012 described above with reference to fig. 12 and 13 can be implemented as one or more active or idle devices (see 200510), advanced energy devices, powered endoscopic graspers, powered staplers, or powered endoscopic clip appliers (see 200520), or powered staplers, powered endoscopic graspers, advanced energy devices, or powered endoscopic clip appliers (see 200530), as shown in fig. 16. Thus, the one or more active or idle devices (see 200510), advanced energy devices, powered endoscopic graspers, powered staplers, or powered endoscopic clip appliers (see 200520), or powered staplers, powered endoscopic graspers, advanced energy devices, or powered endoscopic clip appliers (see 200530) (as shown in fig. 16) may be configured to be able to interact with the
Additional details regarding the cloud analysis system can be found in U.S. provisional patent application 62/659,900 entitled "METHOD OF HUBCOMMUNICATION," filed on 19/4.2018, which is hereby incorporated by reference in its entirety.
Situation awareness
While a "smart" device that includes a control algorithm responsive to sensed data may be an improvement over a "dumb" device that operates without regard to sensed data, some sensed data may be incomplete or uncertain when considered in isolation, i.e., in the context of no type of surgical procedure being performed or type of tissue being operated upon. Without knowing the surgical context (e.g., knowing the type of tissue being operated on or the type of procedure being performed), the control algorithm may control the modular device incorrectly or sub-optimally given the particular no-context sensing data. For example, the optimal manner in which a control algorithm for controlling a surgical instrument in response to a particular sensed parameter may vary depending on the particular tissue type being operated on. This is due to the fact that: different tissue types have different characteristics (e.g., tear resistance) and thus respond differently to actions taken by a surgical instrument. Thus, it may be desirable for a surgical instrument to take different actions even when the same measurement for a particular parameter is sensed. As one particular example, the optimal manner in which a surgical stapling and severing instrument is controlled in response to the instrument sensing an unexpectedly high force for closing its end effector will vary depending on whether the tissue type is prone to tearing or tear-resistant. For tissue that is prone to tearing (such as lung tissue), the instrument's control algorithm will optimally ramp down the motor speed in response to an unexpectedly high force for closure, thereby avoiding tearing tissue. For tissue that is resistant to tearing (such as stomach tissue), the instrument's control algorithm will optimally ramp the motor speed up in response to an unexpectedly high force for closure, thereby ensuring that the end effector is properly clamped on the tissue. The control algorithm may make a suboptimal decision without knowing whether lung tissue or stomach tissue has been clamped.
One solution utilizes a surgical hub that includes a system configured to derive information about the surgical procedure being performed based on data received from various data sources, and then control the paired modular devices accordingly. In other words, the surgical hub is configured to infer information about the surgical procedure from the received data and then control the modular devices paired with the surgical hub based on the inferred context of the surgical procedure. Fig. 14 illustrates a diagram of a situation-aware surgical system 5100 in accordance with at least one aspect of the present disclosure. In some examples, the data source 5126 includes, for example, a modular device 5102 (which may include sensors configured to be able to detect parameters associated with the patient and/or the modular device itself), a database 5122 (e.g., an EMR database containing patient records), and a patient monitoring device 5124 (e.g., a Blood Pressure (BP) monitor and an Electrocardiogram (EKG) monitor).
The surgical hub 5104, which may be similar in many respects to the
The situational awareness system of the surgical hub 5104 may be configured to derive contextual information from data received from the data source 5126 in a number of different ways. In one example, the situational awareness system includes a pattern recognition system or machine learning system (e.g., an artificial neural network) that has been trained on training data to associate various inputs (e.g., data from the database 5122, the patient monitoring device 5124, and/or the modular device 5102) with corresponding contextual information about the surgical procedure. In other words, the machine learning system may be trained to accurately derive contextual information about the surgical procedure from the provided inputs. In another example, the situational awareness system may include a look-up table that stores pre-characterized contextual information about the surgical procedure in association with one or more inputs (or input ranges) corresponding to the contextual information. In response to a query with one or more inputs, the lookup table may return corresponding context information that the situational awareness system uses to control the modular device 5102. In one example, the contextual information received by the situational awareness system of the surgical hub 5104 is associated with a particular control adjustment or set of control adjustments for one or more modular devices 5102. In another example, the situational awareness system includes additional machine learning systems, look-up tables, or other such systems that generate or retrieve one or more control adjustments for one or more of the modular devices 5102 when providing contextual information as input.
The surgical hub 5104 incorporating the situational awareness system provides a number of benefits to the surgical system 5100. One benefit includes improved interpretation of sensed and collected data, which in turn will improve processing accuracy and/or use of the data during the surgical procedure. Returning to the previous example, the situational awareness surgical hub 5104 may determine the type of tissue being operated on; thus, when an unexpectedly high force is detected for closing the end effector of the surgical instrument, the situation aware surgical hub 5104 can properly ramp up or ramp down the motor speed for the tissue-type surgical instrument.
As another example, the type of tissue being operated on may affect the adjustment of the compressibility and loading thresholds of the surgical stapling and severing instrument for a particular tissue gap measurement. The situational aware surgical hub 5104 can infer whether the surgical procedure being performed is a chest procedure or an abdominal procedure, allowing the surgical hub 5104 to determine whether the tissue held by the end effector of the surgical stapling and severing instrument is lung tissue (for chest procedures) or stomach tissue (for abdominal procedures). The surgical hub 5104 can then appropriately adjust the compression rate and load thresholds of the surgical stapling and severing instrument for the type of tissue.
As yet another example, the type of body cavity that is manipulated during an insufflation procedure may affect the function of the smoke extractor. The situational awareness surgical hub 5104 may determine whether the surgical site is under pressure (by determining that the surgical procedure is utilizing insufflation) and determine the type of procedure. Since one type of procedure is typically performed within a particular body cavity, the surgical hub 5104 can then appropriately control the motor speed of the smoke extractor for the body cavity in which it is operating. Thus, the situational awareness surgical hub 5104 may provide consistent smoke output for both chest and abdominal surgery.
As yet another example, the type of procedure being performed may affect the optimal energy level at which an ultrasonic surgical instrument or a Radio Frequency (RF) electrosurgical instrument operates. For example, arthroscopic surgery requires higher energy levels because the end effector of an ultrasonic surgical instrument or RF electrosurgical instrument is immersed in fluid. The situation aware surgical hub 5104 can determine whether the surgical procedure is an arthroscopic procedure. The surgical hub 5104 may then adjust the RF power level or ultrasound amplitude (i.e., the "energy level") of the generator to compensate for the fluid-filled environment. Relatedly, the type of tissue being operated on may affect the optimal energy level at which the ultrasonic surgical instrument or RF electrosurgical instrument operates. The situational awareness surgical hub 5104 can determine the type of surgical procedure being performed and then customize the energy level of the ultrasonic surgical instrument or RF electrosurgical instrument, respectively, according to the expected tissue profile of the surgical procedure. Further, the situation-aware surgical hub 5104 may be configured to enable adjustment of the energy level of the ultrasonic surgical instrument or RF electrosurgical instrument throughout the surgical procedure, rather than only on a procedure-by-procedure basis. The situation aware surgical hub 5104 can determine the steps of the surgical procedure being performed or to be performed subsequently and then update the control algorithm for the generator and/or ultrasonic surgical instrument or RF electrosurgical instrument to set the energy level at a value appropriate for the desired tissue type according to the surgical procedure.
As yet another example, data may be extracted from additional data sources 5126 to improve the conclusion that the surgical hub 5104 extracts from one data source 5126. The situation aware surgical hub 5104 can augment the data it receives from the modular device 5102 with contextual information about the surgical procedure that has been built from other data sources 5126. For example, the situational awareness surgical hub 5104 may be configured to determine whether hemostasis has occurred (i.e., whether bleeding at the surgical site has stopped) based on video or image data received from the medical imaging device. However, in some cases, the video or image data may be uncertain. Thus, in one example, the surgical hub 5104 may also be configured to compare physiological measurements (e.g., blood pressure sensed by a BP monitor communicatively connected to the surgical hub 5104) with hemostatic visual or image data (e.g., from the medical imaging device 124 (fig. 2) communicatively coupled to the surgical hub 5104) to determine the integrity of the suture or tissue weld. In other words, the situational awareness system of the surgical hub 5104 may take into account the physiological measurement data to provide additional context when analyzing the visualization data. Additional context may be useful when the visualization data itself may be ambiguous or incomplete.
Another benefit includes actively and automatically controlling the paired modular devices 5102 according to the particular step of the surgical procedure being performed to reduce the number of times medical personnel need to interact with or control the surgical system 5100 during the surgical procedure. For example, if the situation-aware surgical hub 5104 determines that a subsequent step of the procedure requires the use of an RF electrosurgical instrument, it may actively activate a generator connected to the instrument. Actively activating the energy source allows the instrument to be ready for use as soon as the previous step of the procedure is completed.
As another example, the situation aware surgical hub 5104 may determine whether a different view or degree of magnification on the display is required for the current or subsequent step of the surgical procedure based on features that the surgeon expects to need to view at the surgical site. The surgical hub 5104 may then actively change the displayed view accordingly (e.g., provided by the medical imaging device for the visualization system 108), such that the display is automatically adjusted throughout the surgical procedure.
As yet another example, the situation aware surgical hub 5104 can determine which step of the surgical procedure is being performed or is to be performed subsequently and whether a comparison between particular data or data is required for that step of the surgical procedure. The surgical hub 5104 may be configured to automatically invoke a data screen based on the steps of the surgical procedure being performed without waiting for the surgeon to request this particular information.
Another benefit includes checking for errors during setup of the surgical procedure or during the course of the surgical procedure. For example, the situational awareness surgical hub 5104 may determine whether the operating room is properly or optimally set for the surgical procedure to be performed. The surgical hub 5104 may be configured to determine the type of surgical procedure being performed, retrieve (e.g., from memory) a corresponding manifest, product location, or setup requirements, and then compare the current operating room layout to the standard layout determined by the surgical hub 5104 for the type of surgical procedure being performed. In one example, the surgical hub 5104 may be configured to be able to compare, for example, a list of items for procedures scanned by a suitable scanner, and/or a list of devices paired with the surgical hub 5104, with a recommended or expected list of items and/or devices for a given surgical procedure. The surgical hub 5104 may be configured to provide an alert indicating the absence of a particular modular device 5102, patient monitoring device 5124, and/or other surgical item if any discontinuity exists between the lists. In one example, the surgical hub 5104 may be configured to be able to determine the relative distance or location of the modular device 5102 and the patient monitoring device 5124, e.g., via proximity sensors. The surgical hub 5104 can compare the relative position of the devices to a recommended or expected layout for a particular surgical procedure. The surgical hub 5104 may be configured to provide an alert indicating that the current layout for the surgical procedure deviates from the recommended layout if there are any discontinuities between layouts.
As another example, the situational awareness surgical hub 5104 can determine whether the surgeon (or other medical personnel) is making mistakes or otherwise deviating from the expected course of action during the surgical procedure. For example, the surgical hub 5104 may be configured to determine the type of surgical procedure being performed, retrieve (e.g., from memory) a corresponding list of steps or order of device usage, and then compare the steps being performed or the devices being used during the surgical procedure to the expected steps or devices determined by the surgical hub 5104 for the type of surgical procedure being performed. In one example, the surgical hub 5104 may be configured to provide an alert indicating that an unexpected action is being performed or an unexpected device is being used at a particular step in the surgical procedure.
In general, the situational awareness system for the surgical hub 5104 improves surgical results by adjusting the surgical instruments (and other modular devices 5102) for the particular context of each surgical procedure, such as for different tissue types, and verifying actions during the surgical procedure. The situational awareness system also improves the surgeon's efficiency in performing the surgical procedure by automatically suggesting next steps, providing data, and adjusting the display and other modular devices 5102 in the operating room, depending on the particular context of the procedure.
In one aspect, as described below with reference to fig. 24-40, the modular device 5102 is implemented as one or more active or idle devices (see 200510), advanced energy devices, powered endoscopic graspers, powered staplers, or powered endoscopic clip appliers (see 200520), or powered staplers, powered endoscopic graspers, advanced energy devices, or powered endoscopic clip appliers (see 200530), as shown in fig. 16. Thus, a modular device 5102 implemented as one or more active or idle devices (see 200510), advanced energy devices, powered endoscopic graspers, powered staplers, or powered endoscopic clip appliers (see 200520), or powered staplers, powered endoscopic graspers, advanced energy devices, or powered endoscopic clip appliers (see 200530) (as shown in fig. 16) may be configured to be operable as a data source 5126 and to interact with a database 5122 and patient monitoring devices 5124. The modular device 5102, implemented as one or more active or idle devices (see 200510), advanced energy devices, powered endoscopic graspers, powered staplers or powered endoscopic clip appliers (see 200520), or powered staplers, powered endoscopic graspers, advanced energy devices or powered endoscopic clip appliers (see 200530) (as shown in fig. 16), may also be configured to interact with the surgical hub 5104 to provide information (e.g., data and control) to and receive information (e.g., data and control) from the surgical hub 5104.
Referring now to fig. 15, a timeline 5200 depicting situational awareness of a hub, such as the
The situation aware
As a first step 5202 in this exemplary procedure, the hospital staff retrieves the patient's EMR from the hospital's EMR database. Based on the selected patient data in the EMR, the
In a second step 5204, the staff scans the incoming medical supplies for the procedure. The
In a third step 5206, medical personnel scan the patient belt via a scanner communicatively connected to the
Fourth, the medical staff opens the ancillary equipment 5208. The ancillary equipment utilized may vary depending on the type of surgery and the technique to be used by the surgeon, but in this exemplary case they include smoke ejectors, insufflators, and medical imaging devices. When activated, the auxiliary device, which is a modular device, may be automatically paired with a
In a fifth step 5210, the practitioner attaches EKG electrodes and other patient monitoring devices to the patient. EKG electrodes and other patient monitoring devices can be paired with the
Sixth step 5212, the medical personnel induce anesthesia in the patient. The
In a seventh step 5214, the patient's lungs being operated on are collapsed (while ventilation is switched to the contralateral lungs). For example, the
In an eighth step 5216, a medical imaging device (e.g., an endoscope) is inserted and video from the medical imaging device is initiated. The
Ninth step 5218, the surgical team begins the dissection step of the procedure. The
In a tenth step 5220, the surgical team continues with the surgical ligation step. The
Eleventh step 5222, a segmental resection portion of the procedure is performed. The
In a twelfth step 5224, a node dissection step is performed. The
A thirteenth step 5226, reverse anesthetizing the patient. For example, the
Finally, a fourteenth step 5228 is for the medical personnel to remove various patient monitoring devices from the patient. Thus, when the hub loses EKG, BP, and other data from the patient monitoring device, the
In various aspects, the one or more active or idle devices (see 200510), advanced energy devices, powered endoscopic graspers, powered staplers, or powered endoscopic clip appliers (see 200520), or powered staplers, powered endoscopic graspers, advanced energy devices, or powered endoscopic clip appliers (see 200530) (shown in fig. 16) may be configured to be operable in a hub environment, such as a
Wireless hub interaction
Prioritization of routines, systems or communications
In various aspects, a hub may be configured to prioritize communications, interactions, or processing based on system or device requirements. In one aspect, the prioritizing may be a reordering of communication packet transmission priority. In another aspect, the prioritization may be a prioritization of communication packets within a communication traffic flow. The package prioritization may be to look outside the hub network for the required update routines, processes or data to perform the critical surgical steps. In another aspect, the prioritization may be to delay or interrupt traffic within the network to enable critical pieces of data to be prioritized to ensure success of critical device or hub processing or operations. In another aspect, the interruption may be a short-term reordering of communications or a long-term adjustment to the data collection or transmission rate. These adjustments may be acute, or maintained during surgery, or adjusted directly until later for different reasons.
In various aspects, control and task ownership of a hub to hub interaction may be based on the performance of the hub and the location of modules within the hub's network. In one aspect, these capabilities may include individual hub capacity, hub type, type of data, interaction of data needed to perform the indicated surgical work, or hub requirements. In another aspect, capacity may include available processing, storage, free or unused communication bandwidth. In one aspect, the location of the most critical module for the current surgical task or the next appropriate task may be used to determine which hub is in control of function.
Establishment and change of communication priority
Various techniques for establishing a hub wireless communication priority order are described herein.
Fig. 16 depicts a
Further, the communication priority may be based on the status of the hub itself. For example, if an internal process or program in the hub fails, it may be necessary to verify the authenticity or integrity of the program before reinitializing the program. As another example, it may be necessary to communicate with an external secure stub or license server to bring the program back online. In one aspect, the hub may need to communicate with some cloud services in order to verify whether any changes or updates are needed for the hub-based program to run after an unexpected shutdown. For example, such cloud service communications may be required to re-establish a predefined link between the hub and any relay device or range expansion device used to reacquire the link to the attached/paired device. In some aspects, the communication priority may be based on an importance level of the problem being experienced by the attached device. Further, the communication priority may be based on detection by the hub of a device capable of communicating with the hub and whether the device lacks an established identification.
The
Detecting necessary interaction of two systems within a network
In various aspects, the hub may be configured to be able to reprioritize linked processes or products to ensure that the required information has been transmitted to and/or received from the device.
In one aspect, if the device in use requires input from the associated system, but has not yet been provided with the required data, communications with the associated system may be prioritized. For example, if the intelligent advanced energy combining device is in use, but no information about tissue type, thickness or collagen level has been received from the advanced visualization module, and the hub has identified that both systems are present within the network, the hub can be configured to be able to subsequently prioritize the image processing routines and provide the parameters required by the energy device as the highest priority for the processes and communications through the systems.
Hub to hub communication, process control and interaction
Various technologies are described herein for non-interactive, and process-sharing hubs to communicate with the hub.
In one aspect of non-interactive communication, the hubs may be configured to enable inter-hub sharing of information including, for example, location, geofence, and status. In this regard, the hub may be configured to be able to communicate with neighboring OR hubs and identify/locate different systems. Communication of data, status, or other collected information to the network of hubs may be selectively used by one or more hubs.
In one aspect of interactive control communications, interaction between hubs to distribute data and processing may be accomplished over a network. Multiple hubs connected via a network may use distributed processing to process/determine/compute performance or usage parameters. For example, fig. 17 is a diagram of a network of
As shown in fig. 17,
Distributed processing systems allow hubs within the system to distribute processing resources among themselves as needed. For example, if a hub within a network reaches its processing or capacity limit such that it will be required to begin budgeting processing capacity, and another hub within the network is idle, the first hub may offload high processing demands to that idle hub, allowing the idle hub to share maximum processing performance and capacity demands. An example of such inter-hub communication is shown in fig. 17. Thus, hub 1(200610) may form
In one aspect of process sharing among hubs based on unused capacity of the interconnected system, processing or communication resources may be distributed or centralized based on anticipated system impact. For example, interconnected surgical devices/systems may be configured to be able to compare which devices have the modules and systems necessary to accomplish a particular surgical task. If the task is process-intensive or communication-intensive, the system may distribute the required capacity among multiple devices or incorporate them into a particular portion of the system in order to complete the task based on its importance or its impact on the overall system (and thus its impact on other tasks performed by the system). The priority order for sharing may be determined by several factors, such as capacity (i.e., how much the system matches its current functionality), activity level (e.g., unused hubs because the OR is empty OR set to be prioritized for sharing), model number (e.g., models with enhanced performance may be better for sharing than older models), and so on.
- 上一篇：一种医用注射器针头装配设备
- 下一篇：具有变化的参数的临界功率自适应训练