JP7330981B2 - 装置の使用及び状況認識に基づく外科用装置と滅菌手術野内の別の装置との無線ペアリング - Google Patents
装置の使用及び状況認識に基づく外科用装置と滅菌手術野内の別の装置との無線ペアリング Download PDFInfo
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/1253—Generators therefor characterised by the output polarity monopolar
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04W—WIRELESS COMMUNICATION NETWORKS
- H04W4/00—Services specially adapted for wireless communication networks; Facilities therefor
- H04W4/80—Services using short range communication, e.g. near-field communication [NFC], radio-frequency identification [RFID] or low energy communication
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Description
本出願は、その開示の全体が参照により本明細書に組み込まれる、「WIRELESS PAIRING OF A SURGICAL DEVICE WITH ANOTHER DEVICE WITHIN A STERILE SURGICAL FIELD BASED ON THE USAGE AND SITUATIONAL AWARENESS OF DEVICES」と題する2018年11月6日出願の米国特許非仮出願第16/182,231号に対する利益を主張する。
・「SURGICAL NETWORK,INSTRUMENT,AND CLOUD RESPONSES BASED ON VALIDATION OF RECEIVED DATASET AND AUTHENTICATION OF ITS SOURCE AND INTEGRITY」と題する米国特許出願第16/182,224号、
・「SURGICAL SYSTEM FOR PRESENTING INFORMATION INTERPRETED FROM EXTERNAL DATA」と題する米国特許出願第16/182,230号、
・「MODIFICATION OF SURGICAL SYSTEMS CONTROL PROGRAMS BASED ON MACHINE LEARNING」と題する米国特許出願第16/182,233号、
・「ADJUSTMENT OF DEVICE CONTROL PROGRAMS BASED ON STRATIFIED CONTEXTUAL DATA IN ADDITION TO THE DATA」と題する米国特許出願第16/182,239号、
・「SURGICAL HUB AND MODULAR DEVICE RESPONSE ADJUSTMENT BASED ON SITUATIONAL AWARENESS」と題する米国特許出願第16/182,243号、
・「DETECTION AND ESCALATION OF SECURITY RESPONSES OF SURGICAL INSTRUMENTS TO INCREASING SEVERITY THREATS」と題する米国特許出願第16/182,248号、
・「INTERACTIVE SURGICAL SYSTEM」と題する米国特許出願第16/182,251号、
・「AUTOMATED DATA SCALING,ALIGNMENT,AND ORGANIZING BASED ON PREDEFINED PARAMETERS WITHIN SURGICAL NETWORKS」と題する米国特許出願第16/182,260号、
・「SENSING THE PATIENT POSITION AND CONTACT UTILIZING THE MONO-POLAR RETURN PAD ELECTRODE TO PROVIDE SITUATIONAL AWARENESS TO A SURGICAL NETWORK」と題する米国特許出願第16/182,267号、
・「POWERED SURGICAL TOOL WITH PREDEFINED ADJUSTABLE CONTROL ALGORITHM FOR CONTROLLING END EFFECTOR PARAMETER」と題する米国特許出願第16/182,249号、
・「ADJUSTMENTS BASED ON AIRBORNE PARTICLE PROPERTIES」と題する米国特許出願第16/182,246号、
・「ADJUSTMENT OF A SURGICAL DEVICE FUNCTION BASED ON SITUATIONAL AWARENESS」と題する米国特許出願第16/182,256号、
・「REAL-TIME ANALYSIS OF COMPREHENSIVE COST OF ALL INSTRUMENTATION USED IN SURGERY UTILIZING DATA FLUIDITY TO TRACK INSTRUMENTS THROUGH STOCKING AND IN-HOUSE PROCESSES」と題する米国特許出願第16/182,242号、
・「USAGE AND TECHNIQUE ANALYSIS OF SURGEON/STAFF PERFORMANCE AGAINST A BASELINE TO OPTIMIZE DEVICE UTILIZATION AND PERFORMANCE FOR BOTH CURRENT AND FUTURE PROCEDURES」と題する米国特許出願第16/182,255号、
・「IMAGE CAPTURING OF THE AREAS OUTSIDE THE ABDOMEN TO IMPROVE PLACEMENT AND CONTROL OF A SURGICAL DEVICE IN USE」と題する米国特許出願第16/182,269号、
・「COMMUNICATION OF DATA WHERE A SURGICAL NETWORK IS USING CONTEXT OF THE DATA AND REQUIREMENTS OF A RECEIVING SYSTEM/USER TO INFLUENCE INCLUSION OR LINKAGE OF DATA AND METADATA TO ESTABLISH CONTINUITY」と題する米国特許出願第16/182,278号、
・「SURGICAL NETWORK RECOMMENDATIONS FROM REAL TIME ANALYSIS OF PROCEDURE VARIABLES AGAINST A BASELINE HIGHLIGHTING DIFFERENCES FROM THE OPTIMAL SOLUTION」と題する米国特許出願第16/182,290号、
・「CONTROL OF A SURGICAL SYSTEM THROUGH A SURGICAL BARRIER」と題する米国特許出願第16/182,232号、
・「SURGICAL NETWORK DETERMINATION OF PRIORITIZATION OF COMMUNICATION,INTERACTION,OR PROCESSING BASED ON SYSTEM OR DEVICE NEEDS」と題する米国特許出願第16/182,227号、
・「ADJUSTMENT OF STAPLE HEIGHT OF AT LEAST ONE ROW OF STAPLES BASED ON THE SENSED TISSUE THICKNESS OR FORCE IN CLOSING」と題する米国特許出願第16/182,229号、
・「STAPLING DEVICE WITH BOTH COMPULSORY AND DISCRETIONARY LOCKOUTS BASED ON SENSED PARAMETERS」と題する米国特許出願第16/182,234号、
・「POWERED STAPLING DEVICE CONFIGURED TO ADJUST FORCE,ADVANCEMENT SPEED,AND OVERALL STROKE OF CUTTING MEMBER BASED ON SENSED PARAMETER OF FIRING OR CLAMPING」と題する米国特許出願第16/182,240号、
・「VARIATION OF RADIO FREQUENCY AND ULTRASONIC POWER LEVEL IN COOPERATION WITH VARYING CLAMP ARM PRESSURE TO ACHIEVE PREDEFINED HEAT FLUX OR POWER APPLIED TO TISSUE」と題する米国特許出願第16/182,235号、及び
・「ULTRASONIC ENERGY DEVICE WHICH VARIES PRESSURE APPLIED BY CLAMP ARM TO PROVIDE THRESHOLD CONTROL PRESSURE AT A CUT PROGRESSION LOCATION」と題する米国特許出願第16/182,238号。
・「A CONTROL FOR A SURGICAL NETWORK OR SURGICAL NETWORK CONNECTED DEVICE THAT ADJUSTS ITS FUNCTION BASED ON A SENSED SITUATION OR USAGE」と題する米国特許仮出願第62/729,183号、
・「AUTOMATED DATA SCALING,ALIGNMENT,AND ORGANIZING BASED ON PREDEFINED PARAMETERS WITHIN A SURGICAL NETWORK BEFORE TRANSMISSION」と題する米国特許仮出願第62/729,177号、
・「INDIRECT COMMAND AND CONTROL OF A FIRST OPERATING ROOM SYSTEM THROUGH THE USE OF A SECOND OPERATING ROOM SYSTEM WITHIN A STERILE FIELD WHERE THE SECOND OPERATING ROOM SYSTEM HAS PRIMARY AND SECONDARY OPERATING MODES」と題する米国特許仮出願第62/729,176号、
・「POWERED STAPLING DEVICE THAT IS CAPABLE OF ADJUSTING FORCE,ADVANCEMENT SPEED,AND OVERALL STROKE OF CUTTING MEMBER OF THE DEVICE BASED ON SENSED PARAMETER OF FIRING OR CLAMPING」と題する米国特許仮出願第62/729,185号、
・「POWERED SURGICAL TOOL WITH A PREDEFINED ADJUSTABLE CONTROL ALGORITHM FOR CONTROLLING AT LEAST ONE END EFFECTOR PARAMETER AND A MEANS FOR LIMITING THE ADJUSTMENT」と題する米国特許仮出願第62/729,184号、
・「SENSING THE PATIENT POSITION AND CONTACT UTILIZING THE MONO POLAR RETURN PAD ELECTRODE TO PROVIDE SITUATIONAL AWARENESS TO THE HUB」と題する米国特許仮出願第62/729,182号、
・「SURGICAL NETWORK RECOMMENDATIONS FROM REAL TIME ANALYSIS OF PROCEDURE VARIABLES AGAINST A BASELINE HIGHLIGHTING DIFFERENCES FROM THE OPTIMAL SOLUTION」と題する米国特許仮出願第62/729,191号、
・「ULTRASONIC ENERGY DEVICE WHICH VARIES PRESSURE APPLIED BY CLAMP ARM TO PROVIDE THRESHOLD CONTROL PRESSURE AT A CUT PROGRESSION LOCATION」と題する米国特許仮出願第62/729,195号、及び
・「WIRELESS PAIRING OF A SURGICAL DEVICE WITH ANOTHER DEVICE WITHIN A STERILE SURGICAL FIELD BASED ON THE USAGE AND SITUATIONAL AWARENESS OF DEVICES」と題する米国特許仮出願第62/729,186号。
・「ESTIMATING STATE OF ULTRASONIC END EFFECTOR AND CONTROL SYSTEM THEREFOR」と題する米国特許出願第16/115,214号、
・「TEMPERATURE CONTROL OF ULTRASONIC END EFFECTOR AND CONTROL SYSTEM THEREFOR」と題する米国特許出願第16/115,205号、
・「RADIO FREQUENCY ENERGY DEVICE FOR DELIVERING COMBINED ELECTRICAL SIGNALS」と題する米国特許出願第16/115,233号、
・「CONTROLLING AN ULTRASONIC SURGICAL INSTRUMENT ACCORDING TO TISSUE LOCATION」と題する米国特許出願第16/115,208号、
・「CONTROLLING ACTIVATION OF AN ULTRASONIC SURGICAL INSTRUMENT ACCORDING TO THE PRESENCE OF TISSUE」と題する米国特許出願第16/115,220号、
・「DETERMINING TISSUE COMPOSITION VIA AN ULTRASONIC SYSTEM」と題する米国特許出願第16/115,232号、
・「DETERMINING THE STATE OF AN ULTRASONIC ELECTROMECHANICAL SYSTEM ACCORDING TO FREQUENCY SHIFT」と題する米国特許出願第16/115,239号、
・「DETERMINING THE STATE OF AN ULTRASONIC END EFFECTOR」と題する米国特許出願第16/115,247号、
・「SITUATIONAL AWARENESS OF ELECTROSURGICAL SYSTEMS」と題する米国特許出願第16/115,211号、
・「MECHANISMS FOR CONTROLLING DIFFERENT ELECTROMECHANICAL SYSTEMS OF AN ELECTROSURGICAL INSTRUMENT」と題する米国特許出願第16/115,226号、
・「DETECTION OF END EFFECTOR IMMERSION IN LIQUID」と題する米国特許出願第16/115,240号、
・「INTERRUPTION OF ENERGY DUE TO INADVERTENT CAPACITIVE COUPLING」と題する米国特許出願第16/115,249号、
・「INCREASING RADIO FREQUENCY TO CREATE PAD-LESS MONOPOLAR LOOP」と題する米国特許出願第16/115,256号、
・「BIPOLAR COMBINATION DEVICE THAT AUTOMATICALLY ADJUSTS PRESSURE BASED ON ENERGY MODALITY」と題する米国特許出願第16/115,223号、及び
・「ACTIVATION OF ENERGY DEVICES」と題する米国特許出願第16/115,238号。
・「CONTROLLING AN ULTRASONIC SURGICAL INSTRUMENT ACCORDING TO TISSUE LOCATION」と題する米国特許仮出願第62/721,995号、
・「SITUATIONAL AWARENESS OF ELECTROSURGICAL SYSTEMS」と題する米国特許仮出願第62/721,998号、
・「INTERRUPTION OF ENERGY DUE TO INADVERTENT CAPACITIVE COUPLING」と題する米国特許仮出願第62/721,999号、
・「BIPOLAR COMBINATION DEVICE THAT AUTOMATICALLY ADJUSTS PRESSURE BASED ON ENERGY MODALITY」と題する米国特許仮出願第62/721,994号、及び
・「RADIO FREQUENCY ENERGY DEVICE FOR DELIVERING COMBINED ELECTRICAL SIGNALS」と題する米国特許仮出願第62/721,996号。
・「SMART ACTIVATION OF AN ENERGY DEVICE BY ANOTHER DEVICE」と題する米国特許仮出願第62/692,747号、
・「SMART ENERGY ARCHITECTURE」と題する米国特許仮出願第62/692,748号、及び
・「SMART ENERGY DEVICES」と題する米国特許仮出願第62/692,768号。
・「CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS」と題する米国特許出願第16/024,090号、
・「CONTROLLING A SURGICAL INSTRUMENT ACCORDING TO SENSED CLOSURE PARAMETERS」と題する米国特許出願第16/024,057号、
・「SYSTEMS FOR ADJUSTING END EFFECTOR PARAMETERS BASED ON PERIOPERATIVE INFORMATION」と題する米国特許出願第16/024,067号、
・「SAFETY SYSTEMS FOR SMART POWERED SURGICAL STAPLING」と題する米国特許出願第16/024,075号、
・「SAFETY SYSTEMS FOR SMART POWERED SURGICAL STAPLING」と題する米国特許出願第16/024,083号、
・「SURGICAL SYSTEMS FOR DETECTING END EFFECTOR TISSUE DISTRIBUTION IRREGULARITIES」と題する米国特許出願第16/024,094号、
・「SYSTEMS FOR DETECTING PROXIMITY OF SURGICAL END EFFECTOR TO CANCEROUS TISSUE」と題する米国特許出願第16/024,138号、
・「SURGICAL INSTRUMENT CARTRIDGE SENSOR ASSEMBLIES」と題する米国特許出願第16/024,150号、
・「VARIABLE OUTPUT CARTRIDGE SENSOR ASSEMBLY」と題する米国特許出願第16/024,160号、
・「SURGICAL INSTRUMENT HAVING A FLEXIBLE ELECTRODE」と題する米国特許出願第16/024,124号、
・「SURGICAL INSTRUMENT HAVING A FLEXIBLE CIRCUIT」と題する米国特許出願第16/024,132号、
・「SURGICAL INSTRUMENT WITH A TISSUE MARKING ASSEMBLY」と題する米国特許出願第16/024,141号、
・「SURGICAL SYSTEMS WITH PRIORITIZED DATA TRANSMISSION CAPABILITIES」と題する米国特許出願第16/024,162号、
・「SURGICAL EVACUATION SENSING AND MOTOR CONTROL」と題する米国特許出願第16/024,066号、
・「SURGICAL EVACUATION SENSOR ARRANGEMENTS」と題する米国特許出願第16/024,096号、
・「SURGICAL EVACUATION FLOW PATHS」と題する米国特許出願第16/024,116号、
・「SURGICAL EVACUATION SENSING AND GENERATOR CONTROL」と題する米国特許出願第16/024,149号、
・「SURGICAL EVACUATION SENSING AND DISPLAY」と題する米国特許出願第16/024,180号、
・「COMMUNICATION OF SMOKE EVACUATION SYSTEM PARAMETERS TO HUB OR CLOUD IN SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM」と題する米国特許出願第16/024,245号、
・「SMOKE EVACUATION SYSTEM INCLUDING A SEGMENTED CONTROL CIRCUIT FOR INTERACTIVE SURGICAL PLATFORM」と題する米国特許出願第16/024,258号、
・「SURGICAL EVACUATION SYSTEM WITH A COMMUNICATION CIRCUIT FOR COMMUNICATION BETWEEN A FILTER AND A SMOKE EVACUATION DEVICE」と題する米国特許出願第16/024,265号、及び
・「DUAL IN-SERIES LARGE AND SMALL DROPLET FILTERS」と題する米国特許出願第16/024,273号。
・「A METHOD OF USING REINFORCED FLEX CIRCUITS WITH MULTIPLE SENSORS WITH ELECTROSURGICAL DEVICES」と題する米国特許仮出願第62/691,228号、
・「CONTROLLING A SURGICAL INSTRUMENT ACCORDING TO SENSED CLOSURE PARAMETERS」と題する米国特許仮出願第62/691,227号、
・「SURGICAL INSTRUMENT HAVING A FLEXIBLE ELECTRODE」と題する米国特許仮出願第62/691,230号、
・「SURGICAL EVACUATION SENSING AND MOTOR CONTROL」と題する米国特許仮出願第62/691,219号、
・「COMMUNICATION OF SMOKE EVACUATION SYSTEM PARAMETERS TO HUB OR CLOUD IN SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM」と題する米国特許仮出願第62/691,257号、
・「SURGICAL EVACUATION SYSTEM WITH A COMMUNICATION CIRCUIT FOR COMMUNICATION BETWEEN A FILTER AND A SMOKE EVACUATION DEVICE」と題する米国特許仮出願第62/691,262号、及び
・「DUAL IN-SERIES LARGE AND SMALL DROPLET FILTERS」と題する米国特許仮出願第62/691,251号。
・「METHOD OF HUB COMMUNICATION」と題する米国特許仮出願第62/659,900号。
・「CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS」と題する2018年3月30日出願の米国特許仮出願第62/650,898号、
・「SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES」と題する米国特許仮出願第62/650,887号、
・「SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM」と題する米国特許仮出願第62/650,882号、及び
・「SURGICAL SMOKE EVACUATION SENSING AND CONTROLS」と題する米国特許仮出願第62/650,877号。
・「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」と題する米国特許出願第15/940,641号、
・「INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES」と題する米国特許出願第15/940,648号、
・「SURGICAL HUB COORDINATION OF CONTROL AND COMMUNICATION OF OPERATING ROOM DEVICES」と題する米国特許出願第15/940,656号、
・「SPATIAL AWARENESS OF SURGICAL HUBS IN OPERATING ROOMS」と題する米国特許出願第15/940,666号、
・「COOPERATIVE UTILIZATION OF DATA DERIVED FROM SECONDARY SOURCES BY INTELLIGENT SURGICAL HUBS」と題する米国特許出願第15/940,670号、
・「SURGICAL HUB CONTROL ARRANGEMENTS」と題する米国特許出願第15/940,677号、
・「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」と題する米国特許出願第15/940,632号、
・「COMMUNICATION HUB AND STORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHARED WITH CLOUD BASED ANALYTICS SYSTEMS」と題する米国特許出願第15/940,640号、
・「SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT」と題する米国特許出願第15/940,645号、
・「DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME」と題する米国特許出願第15/940,649号、
・「SURGICAL HUB SITUATIONAL AWARENESS」と題する米国特許出願第15/940,654号、
・「SURGICAL SYSTEM DISTRIBUTED PROCESSING」と題する米国特許出願第15/940,663号、
・「AGGREGATION AND REPORTING OF SURGICAL HUB DATA」と題する米国特許出願第15/940,668号、
・「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」と題する米国特許出願第15/940,671号、
・「DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE」と題する米国特許出願第15/940,686号、
・「STERILE FIELD INTERACTIVE CONTROL DISPLAYS」と題する米国特許出願第15/940,700号、
・「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」と題する米国特許出願第15/940,629号、
・「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」と題する米国特許出願第15/940,704号、
・「CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY」と題する米国特許出願第15/940,722号、
・「DUAL CMOS ARRAY IMAGING」と題する米国特許出願第15/940,742号、
・「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」と題する米国特許出願第15/940,636号、
・「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS」と題する米国特許出願第15/940,653号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」と題する米国特許出願第15/940,660号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET」と題する米国特許出願第15/940,679号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION」と題する米国特許出願第15/940,694号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」と題する米国特許出願第15/940,634号、
・「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」と題する米国特許出願第15/940,706号、
・「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」と題する米国特許出願第15/940,675号、
・「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,627号、
・「COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,637号、
・「CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,642号、
・「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,676号、
・「CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,680号、
・「COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,683号、
・「DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,690号、及び
・「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第15/940,711号。
・「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」と題する米国特許仮出願第62/649,302号、
・「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」と題する米国特許仮出願第62/649,294号、
・「SURGICAL HUB SITUATIONAL AWARENESS」と題する米国特許仮出願第62/649,300号、
・「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」と題する米国特許仮出願第62/649,309号、
・「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」と題する米国特許仮出願第62/649,310号、
・「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」と題する米国特許仮出願第62/649,291号、
・「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」と題する米国特許仮出願第62/649,296号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」と題する米国特許仮出願第62/649,333号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」と題する米国特許仮出願第62/649,327号、
・「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」と題する米国特許仮出願第62/649,315号、
・「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」と題する米国特許仮出願第62/649,313号、
・「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許仮出願第62/649,320号、
・「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許仮出願第62/649,307号、及び
・「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許仮出願第62/649,323号。
・「TEMPERATURE CONTROL IN ULTRASONIC DEVICE AND CONTROL SYSTEM THEREFOR」と題する米国特許仮出願第62/640,417号、及び
・「ESTIMATING STATE OF ULTRASONIC END EFFECTOR AND CONTROL SYSTEM THEREFOR」と題する米国特許仮出願第62/640,415号。
・「INTERACTIVE SURGICAL PLATFORM」と題する米国特許仮出願番号米国特許仮出願第62/611,341号、
・「CLOUD-BASED MEDICAL ANALYTICS」と題する米国特許仮出願第62/611,340号、及び
・「ROBOT ASSISTED SURGICAL PLATFORM」と題する米国特許仮出願第62/611,339号。
図1を参照すると、コンピュータ実装インタラクティブ外科用システム100は、1つ又は2つ以上の外科用システム102と、クラウドベースのシステム(例えば、記憶装置105に連結されたリモートサーバ113を含み得るクラウド104)と、を含む。各外科用システム102は、リモートサーバ113を含み得るクラウド104と通信する少なくとも1つの外科用ハブ106を含む。一実施例では、図1に示すように、外科用システム102は、互いに、及び/又はハブ106と通信するように構成された、可視化システム108と、ロボットシステム110と、ハンドヘルド式インテリジェント外科用器具112と、を含む。いくつかの態様では、外科用システム102は、M個のハブ106と、N個の可視化システム108と、O個のロボットシステム110と、P個のハンドヘルド式インテリジェント外科用器具112と、を含んでもよく、ここでM、N、O、及びPは1以上の整数である。
図12は、本開示の少なくとも1つの態様による、コンピュータ実装インタラクティブ外科用システムのブロック図である。一態様では、このコンピュータ実装インタラクティブ外科用システムは、外科用ハブ、外科用器具、ロボット装置、及び手術室又は医療施設を含む様々な外科用システムの動作に関するデータを監視及び分析するように構成される。コンピュータ実装インタラクティブ外科用システムは、クラウドベースの分析システムを含む。クラウドベースの分析システムは、外科用システムとして記載されているが、必ずしもそのように限定されるものではなく、一般的にクラウドベースの医療システムであってもよい。図12に示すように、クラウドベースの分析システムは、(器具112と同じ又は同様であってもよい)複数の外科用器具7012と、(ハブ106と同じ又は類似であってもよい)複数の外科用ハブ7006と、(クラウド204と同じ又は同様であってもよい)クラウド7004に外科用ハブ7006を結合するための(ネットワーク201と同じ又は同様のものであってもよい)外科用データネットワーク7001とを含む。複数の外科用ハブ7006のそれぞれは、1つ又は2つ以上の外科用器具7012に通信可能に連結される。ハブ7006はまた、ネットワーク7001を介してコンピュータ実装インタラクティブ外科用システムのクラウド7004に通信可能に連結される。クラウド7004は、様々な外科用システムの動作に基づいて生成されたデータを記憶、操作、及び通信するためのハードウェア及びソフトウェアのリモートの集中型源である。図12に示すように、クラウド7004へのアクセスは、インターネット又は何らかの他の好適なコンピュータネットワークであってもよいネットワーク7001を介して達成される。クラウド7004に結合される外科用ハブ7006は、クラウドコンピューティングシステムのクライアント側(すなわち、クラウドベースの分析システム)と見なすことができる。外科用器具7012は、本明細書に記載される様々な外科処置又は動作の制御及び実施のために、外科用ハブ7006とペアリングされている。
感知されたデータに応答する制御アルゴリズムを含む「インテリジェント」装置は、感知されたデータを考慮することなく動作する「データ処理能力のない(dumb)」装置に改善を加えたものであり得るが、いくつかの感知されたデータは、単独で考慮される場合、すなわち、実行される外科処置のタイプ又は手術されている組織のタイプのコンテキストなしでは、不完全又は決定的ではない可能性がある。処置コンテキストを知る(例えば、手術される組織のタイプ又は行われている処置のタイプを知る)ことがなければ、制御アルゴリズムは、特定のコンテキストを含まない感知データが与えられると、モジュール式装置を不正確に又は準最適に制御することがある。例えば、特定の感知されたパラメータに応答して外科用器具を制御するための制御アルゴリズムの最適な方法は、手術されている特定の組織のタイプに従って変化する可能性がある。これは、異なる組織のタイプが異なる特性(例えば、引き裂きに対する抵抗)を有し、これにより外科用器具によって取られた動作に対して異なって応答するという事実に起因する。したがって、特定のパラメータについて同じ測定値が感知された場合であっても、外科用器具が異なる動作をとることが望ましいことがある。1つの具体的な例として、器具がそのエンドエフェクタを閉鎖するために予想外に高い力を感知することに応答して外科用ステープル及び切断器具を制御する最適な方法は、組織のタイプが引き裂きの影響を受けやすいか、又はこれに耐性があるかによって異なる。肺組織などの引き裂きの影響を受けやすい組織の場合、器具の制御アルゴリズムは、組織の引き裂きを回避するために、閉鎖するための予想外に高い力に応答してモータを最適にランプダウンさせる。胃組織などの引き裂きに耐性がある組織の場合、器具の制御アルゴリズムは、エンドエフェクタが組織に適切にクランプされることを確実にするために、閉鎖するための予想外に高い力に応答してモータを最適にランプアップさせる。肺組織がクランプされているのか、胃組織がクランプされているのかを知らなければ、制御アルゴリズムは、準最適な決定を行うことがある。
装置間の相互通信
様々な態様において、装置同士のペアリングをするための様々な技術及び装置の相互作用を定義する規則が本明細書に記載される。したがって、外科用ハブ装置のための無線インタラクティブペアリングが、本明細書に記載される。
個人所有の無線装置をペアリングするための様々な技術が、本明細書に記載される。一態様では、暗号化されたキーを使用して、所与のユーザに供給されたスマートフォン、ウェアラブル、又は他の個人的所有の装置を認証することができる。個人用装置の機能を定義することにより、ハブに所与の特定の入力要素の実行を要求することになる。一態様では、個人所有の装置を本システムにポーティングすることにより、その装置から外科用ハブへリンクを提供し、内部機能を実行する。例えば、装置はハブに接続されてもよく、この装置上のライブラリ又はプレイリストからの音楽をハブのスピーカにポーティング(すなわち、ストリーミング)することができる。別の例として、電話又は別のそのような装置をハブに接続することができ、その装置のためのオプションをハブを介してリンクし、ハブのモニタ及びスピーカを介してコールのポーティングを可能にすることができる。1つの応用例では、ユーザの装置がハブに接続されている場合に、例えば、着信コール又はテキストが、選択した番号のサブセットから(例えば、事例について相談するために電話をかけてくる可能性がある他の医師から)のものでない場合、その着信コール又はテキストに対して、ユーザの都合が悪いことを示す自動応答の音声又はテキストメッセージを送信することができる。別の応用例では、リンクされた電話からの連絡先リストを記憶することができるため、着信コールがその連絡先リスト上の番号からであるかどうかに従って、手術中の外科医の電話への着信コールに応答する又は無視することができる。
カートリッジが取り付けられている器具を通信媒体として利用しない、ハブとのスマートカートリッジ通信のための様々な技術が、本明細書に記載される。
環境を検出し、ジオフェンスを確立するための様々な技術が、本明細書に記載される。
一態様では、ハブ及び/又はハブ接続可能装置は、互いに無線でインタラクティブにペアリングするように構成することができる。したがって、複数のコントローラ及び制御された装置は、直接的なユーザ制御を必要とせずに、オンザフライ入力ペアリングを無線で行うように構成することができる。例えば、図20は、本開示の少なくとも1つの態様による、ハブ200006、ユーザ装着識別子200066、及び外科用器具200062の間のユーザと装置とのペアリング200060の図である。図示の態様では、識別子200066は、各ユーザの手に装着されるか、又は取り付けられることができる。識別子200066は、外科用装置200062に取り付けられているか、又は一体化されている受信機200064と相互作用することができる。一態様では、受信機200064は、外科用装置200062のハンドル内に一体化されてもよい。識別子200066及び受信機200064は、近距離通信(NFC)又は別のそのような通信プロトコルを介して通信するように構成することができる。
様々な態様では、外科用ハブとペアリングされた器具の制御は、別々の外科用ハブ間で互換的に切り替えることができる。
装置の位置及び向きを検出するための様々な技術が本明細書に記載される。
実施例1.外科用システムであって、制御回路を備える第1の外科用装置を備え、制御回路は、
データベース、患者監視装置、若しくはペアリングされた外科用装置から受信されたデータ、又はデータベース、患者監視装置、若しくはペアリングされた外科用装置の任意の組み合わせから受信されたデータに従って、第1の外科用装置の近傍内で発生した事象を状況認識するように、かつ
第1の外科用装置の使用及び第1の外科用装置が状況認識している事象に従って、第2の外科用装置と無線でペアリングするように構成されている、外科用システム。
第1の外科用装置の使用及び第1の外科用装置が状況認識している事象に従って、制御回路によって第2の外科用装置と無線でペアリングすることと、を含む、方法。
識別子によって、第1の外科用装置と外科用ハブとの間の通信を可能にすることと、を更に含む、実施例13に記載の方法。
(1) 外科用システムであって、
制御回路を備える第1の外科用装置を備え、
前記制御回路は、
データベース、患者監視装置、若しくはペアリングされた外科用装置から受信されたデータ、又は前記データベース、前記患者監視装置、若しくは前記ペアリングされた外科用装置の任意の組み合わせから受信されたデータに従って、前記第1の外科用装置の近傍内で発生した事象を状況認識するように、かつ
前記第1の外科用装置の使用及び前記第1の外科用装置が状況認識している前記事象に従って、第2の外科用装置と無線でペアリングするように構成されている、外科用システム。
(2) 前記第1の外科用装置が状況認識している事象は、第1のユーザが前記第1の外科用装置を使用していることと、第2のユーザが前記第2の外科用装置を使用していることと、を含む、実施態様1に記載の外科用システム。
(3) 前記第1のユーザが前記第1の外科用装置を使用していることを含む前記事象は、前記第1のユーザが前記第1の外科用装置のハンドルを把持していることを含む、実施態様2に記載の外科用システム。
(4) 前記第1のユーザが前記第1の外科用装置のハンドルを把持していることを含む前記事象は、前記第1のユーザが前記第1の外科用装置の前記ハンドルを把持していることによって、前記第1の外科用装置の前記ハンドル内の送受信機が前記第1のユーザによって装着された識別子と通信することを可能にし、前記識別子によって、前記第1の外科用装置と外科用ハブとの間の通信を可能にすることを含む、実施態様3に記載の外科用システム。
(5) 前記第1の外科用装置が状況認識している事象が、前記第1の外科用装置の位置及び前記第2の外科用装置の位置を含む、実施態様2に記載の外科用システム。
(7) 前記制御回路は、組織又は患者が感知されない場合に、所定の時間の間に前記第1の外科用装置及び前記第2の外科用装置をそれぞれ同時に起動するように更に構成されている、実施態様1に記載の外科用システム。
(8) 前記第1の外科用装置が前記第2の外科用装置と無線でペアリングされるときに、前記第1の外科用装置が滅菌野内に位置しており、前記第2の外科用装置が前記滅菌野の外に位置している、実施態様1に記載の外科用システム。
(9) 前記制御回路が、通信装置と無線でペアリングするように更に構成されている、実施態様1に記載の外科用システム。
(10) 前記第1の外科用装置が状況認識している事象が、前記第1の外科用装置と患者内の組織構造体との間の距離の判定を含む、実施態様1に記載の外科用システム。
前記第1の外科用装置の使用及び前記第1の外科用装置が状況認識している前記事象に従って、前記制御回路によって第2の外科用装置と無線でペアリングすることと、を含む、方法。
(12) 第1の外科用装置内の制御回路によって状況認識することは、第1のユーザが前記第1の外科用装置を使用していること及び第2のユーザが前記第2の外科用装置を使用していることを、第1の外科用装置内の制御回路によって状況認識することを含む、実施態様11に記載の方法。
(13) 第1のユーザが前記第1の外科用装置を使用していることを第1の外科用装置内の制御回路によって状況認識することは、第1のユーザが前記第1の外科用装置のハンドルを把持していることを、第1の外科用装置内の制御回路によって状況認識することを含む、実施態様12に記載の方法。
(14) 前記第1の外科用装置の前記ハンドル内の送受信機が前記第1のユーザによって装着された識別子と通信することを可能にすることと、
前記識別子によって、前記第1の外科用装置と外科用ハブとの間の通信を可能にすることと、を更に含む、実施態様13に記載の方法。
(15) 第1のユーザが前記第1の外科用装置を使用していること及び第2のユーザが前記第2の外科用装置を使用していることを第1の外科用装置内の制御回路によって状況認識することが、前記第1の外科用装置の位置及び前記第2の外科用装置の位置を第1の外科用装置内の制御回路によって状況認識することを含む、実施態様12に記載の方法。
(17) 組織又は患者が感知されない場合に、所定の時間の間に前記第1の外科用装置及び前記第2の外科用装置をそれぞれ前記制御回路によって起動することを更に含む、実施態様11に記載の方法。
(18) 前記第1の外科用装置の使用に従って、前記制御回路によって第2の外科用装置と無線でペアリングすることは、前記第1の外科用装置が滅菌野内に位置するときに、前記制御回路によって前記滅菌野の外にある第2の外科用装置と無線でペアリングすることを含む、実施態様11に記載の方法。
(19) 前記制御回路を通信装置と無線でペアリングすることを更に含む、実施態様11に記載の方法。
(20) 前記制御回路によって前記第1の外科用装置と患者内の組織構造体との間の距離を判定することを更に含む、実施態様11に記載の方法。
Claims (18)
- 外科用システムであって、
制御回路を備える第1の外科用装置を備え、
前記制御回路は、
データベース、患者監視装置、若しくはペアリングされた外科用装置から受信されたデータ、又は前記データベース、前記患者監視装置、若しくは前記ペアリングされた外科用装置の任意の組み合わせから受信されたデータに従って、前記第1の外科用装置の近傍内で発生した事象を状況認識するように、かつ
前記第1の外科用装置の使用及び前記第1の外科用装置が状況認識している前記事象に従って、第2の外科用装置と無線でペアリングするように構成されており、
前記制御回路は、組織又は患者が感知されない場合に、所定の時間の間に前記第1の外科用装置及び前記第2の外科用装置をそれぞれ同時に起動するように更に構成されている、外科用システム。 - 前記第1の外科用装置が状況認識している事象は、第1のユーザが前記第1の外科用装置を使用していることと、第2のユーザが前記第2の外科用装置を使用していることと、を含む、請求項1に記載の外科用システム。
- 前記第1のユーザが前記第1の外科用装置を使用していることを含む前記事象は、前記第1のユーザが前記第1の外科用装置のハンドルを把持していることを含む、請求項2に記載の外科用システム。
- 前記第1のユーザが前記第1の外科用装置のハンドルを把持していることを含む前記事象は、前記第1のユーザが前記第1の外科用装置の前記ハンドルを把持していることによって、前記第1の外科用装置の前記ハンドル内の送受信機が前記第1のユーザによって装着された識別子と通信することを可能にし、前記識別子によって、前記第1の外科用装置と外科用ハブとの間の通信を可能にすることを含む、請求項3に記載の外科用システム。
- 前記第1の外科用装置が状況認識している事象が、前記第1の外科用装置の位置及び前記第2の外科用装置の位置を含む、請求項2に記載の外科用システム。
- 前記制御回路が、前記第2の外科用装置によって前記第1の外科用装置に送信された無線信号に基づいて、前記第2の外科用装置の前記位置を判定するように構成されている、請求項5に記載の外科用システム。
- 前記第1の外科用装置が前記第2の外科用装置と無線でペアリングされるときに、前記第1の外科用装置が滅菌野内に位置しており、前記第2の外科用装置が前記滅菌野の外に位置している、請求項1に記載の外科用システム。
- 前記制御回路が、通信装置と無線でペアリングするように更に構成されている、請求項1に記載の外科用システム。
- 前記第1の外科用装置が状況認識している事象が、前記第1の外科用装置と患者内の組織構造体との間の距離の判定を含む、請求項1に記載の外科用システム。
- データベース、患者監視装置、若しくはペアリングされた外科用装置から受信されたデータ、又は前記データベース、前記患者監視装置、若しくは前記ペアリングされた外科用装置の任意の組み合わせから受信されたデータに従って、第1の外科用装置の近傍内で発生した事象を、前記第1の外科用装置内の制御回路によって状況認識することと、
前記第1の外科用装置の使用及び前記第1の外科用装置が状況認識している前記事象に従って、前記制御回路によって第2の外科用装置と無線でペアリングすることと、
組織又は患者が感知されない場合に、所定の時間の間に前記第1の外科用装置及び前記第2の外科用装置をそれぞれ前記制御回路によって起動することを含む、方法。 - 前記第1の外科用装置内の制御回路によって状況認識することは、第1のユーザが前記第1の外科用装置を使用していること及び第2のユーザが前記第2の外科用装置を使用していることを、前記第1の外科用装置内の制御回路によって状況認識することを含む、請求項10に記載の方法。
- 第1のユーザが前記第1の外科用装置を使用していることを前記第1の外科用装置内の制御回路によって状況認識することは、第1のユーザが前記第1の外科用装置のハンドルを把持していることを、前記第1の外科用装置内の制御回路によって状況認識することを含む、請求項11に記載の方法。
- 前記第1の外科用装置の前記ハンドル内の送受信機が前記第1のユーザによって装着された識別子と通信することを可能にすることと、
前記識別子によって、前記第1の外科用装置と外科用ハブとの間の通信を可能にすることと、を更に含む、請求項12に記載の方法。 - 第1のユーザが前記第1の外科用装置を使用していること及び第2のユーザが前記第2の外科用装置を使用していることを前記第1の外科用装置内の制御回路によって状況認識することが、前記第1の外科用装置の位置及び前記第2の外科用装置の位置を前記第1の外科用装置内の制御回路によって状況認識することを含む、請求項11に記載の方法。
- 前記第2の外科用装置によって前記第1の外科用装置に送信された無線信号に基づいて、前記第2の外科用装置の前記位置を前記制御回路によって判定することを更に含む、請求項14に記載の方法。
- 前記第1の外科用装置の使用に従って、前記制御回路によって前記第2の外科用装置と無線でペアリングすることは、前記第1の外科用装置が滅菌野内に位置するときに、前記制御回路によって前記滅菌野の外にある前記第2の外科用装置と無線でペアリングすることを含む、請求項10に記載の方法。
- 前記制御回路を通信装置と無線でペアリングすることを更に含む、請求項10に記載の方法。
- 前記制御回路によって前記第1の外科用装置と患者内の組織構造体との間の距離を判定することを更に含む、請求項10に記載の方法。
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