JP7483691B2 - 電圧検出を使用したモジュール位置認識感知を有するモジュール式外科用エネルギーシステム - Google Patents
電圧検出を使用したモジュール位置認識感知を有するモジュール式外科用エネルギーシステム Download PDFInfo
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Description
本出願は、その開示全体が参照により本明細書に組み込まれる、2019年9月5日に出願された「MODULAR SURGICAL ENERGY SYSTEM WITH MODULE POSITIONAL AWARENESS SENSING WITH VOLTAGE DETECTION」と題する米国非仮特許出願第16/562,212号の利益を主張する。
・「METHOD FOR CONSTRUCTING AND USING A MODULAR SURGICAL ENERGY SYSTEM WITH MULTIPLE DEVICES」と題する米国特許出願整理番号第END9067USNP1/180679-1M号、
・「METHOD FOR ENERGY DISTRIBUTION IN A SURGICAL MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9069USNP1/180681-1M号、
・「SURGICAL MODULAR ENERGY SYSTEM WITH A SEGMENTED BACKPLANE」と題する米国特許出願整理番号第END9069USNP2/180681-2号、
・「SURGICAL MODULAR ENERGY SYSTEM WITH FOOTER MODULE」と題する米国特許出願整理番号第END9069USNP3/180681-3号、
・「POWER AND COMMUNICATION MITIGATION ARRANGEMENT FOR MODULAR SURGICAL ENERGY SYSTEM」と題する米国特許出願整理番号END9069USNP4/180681-4号、
・「MODULAR SURGICAL ENERGY SYSTEM WITH MODULE POSITIONAL AWARENESS SENSING WITH VOLTAGE DETECTION」と題する米国特許出願整理番号第END9069USNP5/180681-5号、
・「MODULAR SURGICAL ENERGY SYSTEM WITH MODULE POSITIONAL AWARENESS SENSING WITH TIME COUNTER」と題する米国特許出願整理番号第END9069USNP6/180681-6号、
・「MODULAR SURGICAL ENERGY SYSTEM WITH MODULE POSITIONAL AWARENESS WITH DIGITAL LOGIC」と題する米国特許出願整理番号第END9069USNP7/180681-7号、
・「METHOD FOR CONTROLLING AN ENERGY MODULE OUTPUT」と題する米国特許出願整理番号第END9068USNP1/180680-1M号、
・「ENERGY MODULE FOR DRIVING MULTIPLE ENERGY MODALITIES」と題する米国特許出願整理番号第END9068USNP2/180680-2号、
・「GROUNDING ARRANGEMENT OF ENERGY MODULES」と題する米国特許出願整理番号第END9068USNP3/180680-3号、
・「BRIDGE CONNECTOR DESIGN TO CONNECT STACKED ENERGY MODULES」と題する米国特許出願整理番号第END9068USNP4/180680-4号、
・「ENERGY MODULE FOR DRIVING MULTIPLE ENERGY MODALITIES THROUGH A PORT」と題する米国特許出願整理番号第END9068USNP5/180680-5号、
・「SURGICAL INSTRUMENT UTILIZING DRIVE SIGNAL TO POWER SECONDARY FUNCTION」と題する米国特許出願整理番号第END9068USNP6/180680-6号、
・「METHOD FOR CONTROLLING A MODULAR ENERGY SYSTEM USER INTERFACE」と題する米国特許出願整理番号第END9038USNP1/180529-1M号、
・「PASSIVE HEADER MODULE FOR A MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9038USNP2/180529-2号、
・「CONSOLIDATED USER INTERFACE FOR MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9038USNP3/180529-3号、
・「AUDIO TONE CONSTRUCTION FOR AN ENERGY MODULE OF A MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9038USNP4/180529-4号、
・「ADAPTABLY CONNECTABLE AND REASSIGNABLE SYSTEM ACCESSORIES FOR MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9038USNP5/180529-5号、
・「METHOD FOR COMMUNICATING BETWEEN MODULES AND DEVICES IN A MODULAR SURGICAL SYSTEM」と題する米国特許出願整理番号第END9070USNP1/180682-1M号、
・「FLEXIBLE HAND-SWITCH CIRCUIT」と題する米国特許出願整理番号第END9070USNP2/180682-2号、
・「FIRST AND SECOND COMMUNICATION PROTOCOL ARRANGEMENT FOR DRIVING PRIMARY AND SECONDARY DEVICES THROUGH A SINGLE PORT」と題する米国特許出願整理番号第END9070USNP3/180682-3号、
・「FLEXIBLE NEUTRAL ELECTRODE」と題する米国特許出願整理番号第END9070USNP4/180682-4号、
・「SMART RETURN PAD SENSING THROUGH MODULATION OF NEAR FIELD COMMUNICATION AND CONTACT QUALITY MONITORING SIGNALS」と題する米国特許出願整理番号第END9070USNP5/180682-5号、
・「AUTOMATIC ULTRASONIC ENERGY ACTIVATION CIRCUIT DESIGN FOR MODULAR SURGICAL SYSTEMS」と題する米国特許出願整理番号第END9070USNP6/180682-6号、
・「COORDINATED ENERGY OUTPUTS OF SEPARATE BUT CONNECTED MODULES」と題する米国特許出願整理番号第END9070USNP7/180682-7号、
・「MANAGING SIMULTANEOUS MONOPOLAR OUTPUTS USING DUTY CYCLE AND SYNCHRONIZATION」と題する米国特許出願整理番号第END9070USNP8/180682-8号、
・「PORT PRESENCE DETECTION SYSTEM FOR MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9070USNP9/180682-9号、
・「INSTRUMENT TRACKING ARRANGEMENT BASED ON REAL TIME CLOCK INFORMATION」と題する米国特許出願整理番号第END9070USNP10/180682-10号、
・「REGIONAL LOCATION TRACKING OF COMPONENTS OF A MODULAR ENERGY SYSTEM」と題する米国特許出願整理番号第END9070USNP11/180682-11号、
・「ENERGY MODULE」と題する米国特許出願整理番号第END9212USDP1/190370D号、
・「ENERGY MODULE MONOPOLAR PORT WITH FOURTH SOCKET AMONG THREE OTHER SOCKETS」と題する米国特許出願整理番号第END9213USDP1/190371D号、
・「BACKPLANE CONNECTOR FOR ENERGY MODULE」と題する米国特許出願整理番号第END9214USDP1/190372D号、及び
・「ALERT SCREEN FOR ENERGY MODULE」と題する米国特許出願整理番号第END9215USDP1/190373D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システム100は、1つ又は2つ以上の外科システム102と、クラウドベースのシステム(例えば、ストレージ装置105に連結されたリモートサーバ113を含むことができるクラウド104)と、を含む。各外科システム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1つ又は2つ以上の態様による、外科用器具又はツールの制御システム470の論理図を示す。システム470は、制御回路を備える。制御回路は、プロセッサ462及びメモリ468を備えるマイクロコントローラ461を含む。例えば、センサ472、474、476のうちの1つ又は2つ以上が、プロセッサ462にリアルタイムなフィードバックを提供する。モータ駆動器492によって駆動されるモータ482は、長手方向に移動可能な変位部材を動作可能に連結して、クランプアーム閉鎖部材を駆動する。追跡システム480は、長手方向に移動可能な変位部材の位置を判定するように構成されている。位置情報は、長手方向に移動可能な駆動部材の位置及び閉鎖部材の位置を判定するようにプログラム又は構成可能なプロセッサ462に提供される。閉鎖管の移動、シャフトの回転、関節運動、若しくはクランプアームの閉鎖、又は上記の組み合わせを制御するために、ツールドライバインターフェースに追加のモータが提供されてもよい。ディスプレイ473は、器具の様々な動作条件を表示し、データ入力のためのタッチスクリーン機能を含んでもよい。ディスプレイ473上に表示された情報は、内視鏡撮像モジュールを介して取得された画像とオーバーレイさせることができる。
様々な態様では、スマート超音波エネルギー装置は、超音波ブレードの動作を制御するための適応アルゴリズムを含んでもよい。一態様では、超音波ブレード適応制御アルゴリズムは、組織のタイプを識別し、装置パラメータを調整するように構成される。一態様では、超音波ブレード制御アルゴリズムは、組織のタイプをパラメータ化するように構成される。超音波ブレードの遠位先端の振幅を調整するために組織のコラーゲン/弾性比を検出するためのアルゴリズムが、本開示の以下の項で説明される。スマート超音波エネルギー装置の様々な態様が、例えば図12~図19に関連して本明細書で説明される。したがって、適応型超音波ブレード制御アルゴリズムの以下の説明は、図12~図19及びこれらに関連する説明と併せて読まれるべきである。
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、実施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には、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実施さ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よ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、そのため、外科用器具によってと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、外科用ステープル留め及び切断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その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、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、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可能性がある。
外科処置を実施するために必要な設備の量に起因して、ORは世界中で、コード、装置、及び人の絡まった網になっている。大部分の外科用資本設備が単一の専門的なタスクを実施するため、外科用資本設備は、この問題の主な原因となる傾向がある。それらの専門的な性質に起因して、外科医は、単一の外科処置の過程で複数の異なるタイプの装置を利用する必要があるため、ORはエネルギー発生器などの外科用資本設備の2つ又は更にはより多くの部品を備蓄することを余儀なくされる場合がある。これらの外科用資本設備の各々は、電源に個別にプラグ接続されていなければならず、ORの職員の間で渡されている1つ又は2つ以上の他の装置に接続されて、誘導されなければならないコードの角度を作成することができる。現代のORで直面する別の問題は、これらの専門的な外科用資本設備の各々がその自身のユーザインターフェースを有し、またOR内の他の設備から独立して制御されなければならないことである。これにより、互いに接続して複数の異なる装置を適切に制御することが複雑になり、ユーザは異なるタイプのユーザインターフェースの訓練を受け、これらのユーザインターフェースを記憶しなければならなくなる(これらのユーザインターフェースは、資本設備の各々の間での変更に加え、実施されるタスク又は外科処置に基づいて更に変更されることがある)。この煩雑で複雑なプロセスは、更により多くの個人がOR内に存在する必要性を必要とする場合があり、複数の装置が互いに適切に制御されていない場合に危険を生じさせる可能性がある。したがって、OR内での外科用資本設備の設置面積を減少させるために、外科医のニーズに柔軟に対応できる単一のシステムに外科用資本設備技術を統合することは、ユーザ体験を単純化し、OR内の乱雑さを減少させ、複数の資本設備を同時に制御することに関連付けられた困難及び危険を防止することになる。更に、このようなシステムを拡張可能又はカスタマイズ可能にすることにより、新しい技術を既存の外科システムに便利に組み込むことが可能になり、外科システム全体を交換する必要性がなくなり、又はORの職員が各新技術で新しいユーザインターフェース若しくは設備制御を学習する必要がなくなる。
る。アドレスは、ヘッダモジュールに割り当てられない。
実施例1-モジュール式外科システムが開示される。モジュール式外科システムは、ヘッダモジュールと、第1の外科用モジュールと、第2の外科用モジュールと、モジュール識別回路と、を備える。第2の外科用モジュールは、ヘッダモジュール及び第1の外科用モジュールと共に積み重ね構成において配置可能である。モジュール識別回路は、積み重ね構成において第2の外科用モジュールを通じて第1の外科用モジュールに所定の電流を送信させることと、積み重ね構成における第1の外科用モジュールの第1の位置を示す第1の電圧を検出することと、積み重ね構成における第2の外科用モジュールの第2の位置を示す第2の電圧を検出することと、を行うように構成される。第2の電圧は、第1の電圧とは異なる。
実施例2-第2の電圧が第1の電圧よりも大きい、実施例1に記載のモジュール式外科システム。
実施例3-第2の外科用モジュールが、第1の外科用モジュールよりも積み重ね構成内でヘッダモジュールから遠く離れて位置している、実施例1及び2のいずれか1つモジュール式外科システム。
実施例4-ディスプレイを更に備え、第1の外科用モジュールの第1の位置及び第2の外科用モジュールの第2の位置が、ディスプレイ上に視覚的に表される、実施例1~3のいずれか1つに記載のモジュール式外科システム。
実施例5-モジュール識別回路が、第1の電圧差及び第2の電圧差を検出するための演算増幅器及びアナログ-デジタル変換器を含む、実施例1~5のいずれか1つに記載のモジュール式外科システム。
実施例6-モジュール式外科システムが開示される。モジュール式外科システムは、ヘッダモジュールと、ヘッダモジュールに対して第1の位置に位置する第1の外科用モジュールと、ヘッダモジュールに対して第2の位置に位置する第2の外科用モジュールと、を備える。モジュール式外科システムは、第1の外科用モジュール及び第2の外科用モジュールの存在を検出することと、第1の外科用モジュールの第1の位置を判定することと、第2の外科用モジュールの第2の位置を判定することと、を行うように構成されたモジュール識別回路を更に備える。
実施例7-モジュール識別回路が、第1の位置及び第2の位置を判定するように構成されており、判定が、第2の外科用モジュールを通じて、第1の外科用モジュールに所定の電流を送信させることと、電流源と第1の外科用モジュールの抵抗器との間の第1の電圧降下を検出することと、電流源と第2の外科用モジュールの抵抗器との間の第2の電圧降下を検出することであって、第2の電圧降下が、第1の電圧降下よりも小さい、検出することと、によって行われる、実施例6に記載のモジュール式外科システム。
実施例8-第2の外科用モジュールが、第1の外科用モジュールよりもヘッダモジュールから遠くに位置している、実施例6及び7のいずれか1つに記載のモジュール式外科システム。
実施例9-ヘッダモジュールに対して第3の位置に位置している第3の外科用モジュールを更に備え、モジュール識別回路が、第3の位置を判定するように構成されており、判定が、第3の外科用モジュールを通じて、第2の外科用モジュールに所定の電流を送信させることと、電流源と第3の外科用モジュールの抵抗器との間の第3の電圧降下を検出することと、によって行われる、実施例7及び8のいずれか1つに記載のモジュール式外科システム。第3の電圧降下は、第2の電圧降下よりも小さく、第3の外科用モジュールは、第2の外科用モジュールよりもヘッダモジュールから遠くに位置している。
実施例10-ヘッダモジュール、第1の外科用モジュール、及び第2の外科用モジュールが積み重ね構成において配置されている、実施例6~9のいずれか1つに記載のモジュール式外科システム。
実施例11-ディスプレイを更に備え、積み重ね構成が、ディスプレイ上に視覚的に表される、実施例10に記載のモジュール式外科システム。
実施例12-第1の位置が、積み重ね構成における第1の外科用モジュールの物理的位置を表し、第2の位置が、積み重ね構成における第2の外科用モジュールの物理的位置を表す、実施例10及び11のいずれか1つに記載のモジュール式外科システム。
実施例13-ディスプレイを更に備え、積み重ね構成内の第1の外科用モジュールの物理的位置及び第2の外科用モジュールの物理的位置が、ディスプレイ上に視覚的に表される、実施例12に記載のモジュール式外科システム。
実施例14-接続完全性回路を更に備え、接続完全性回路が、第1の外科用モジュールと第2の外科用モジュールとの間の接続の完全性を評価するように構成されている、実施例6~13のいずれか1つに記載のモジュール式外科システム。
実施例15-モジュール式外科システムが開示される。モジュール式外科システムは、ヘッダモジュールと、第1の外科用モジュールと、第2の外科用モジュールと、を備え、ヘッダモジュール、第1の外科用モジュール、及び第2の外科用モジュールは、積み重ね構成において配置される。モジュール式外科システムは、第1の外科用モジュール及び第2の外科用モジュールの存在を検出することと、積み重ね構成内の第1の外科用モジュールの第1の位置を判定することと、積み重ね構成内の第2の外科用モジュールの第2の位置を判定することであって、第2の位置が第1の位置とは異なる、判定することと、を行うように構成されたモジュール識別回路を更に備える。
実施例16-モジュール識別回路が、第1の位置及び第2の位置を判定するように構成されており、判定が、第2の外科用モジュールを通じて、所定の電流を第1の外科用モジュールに送信させることと、ヘッダモジュールの電流源と第2の外科用モジュールとの間の第2の電圧差を測定することと、電流源と第1の外科用モジュールとの間の第1の電圧差を測定することであって、第1の電圧差が第2の電圧差よりも大きい、測定することと、によって行われる、実施例15に記載のモジュール式外科システム。
実施例17-第1の外科用モジュールが、第2の外科用モジュールよりも積み重ね構成においてヘッダモジュールの近くに位置している、実施例15及び16のいずれか1つに記載のモジュール式外科システム。
実施例18-モジュール識別回路が、測定された第1の電圧差に基づいて、第1の外科用モジュールに第1のアドレスを割り当てるように構成されており、モジュール識別回路が、測定された第2の電圧差に基づいて、第2の外科用モジュールに第2のアドレスを割り当てるように構成されている、実施例16~17のいずれか1つに記載のモジュール式外科システム。
実施例19-ディスプレイを更に備え、積み重ね構成内の第1の外科用モジュール及び第2の外科用モジュールの判定された位置が、ディスプレイ上に視覚的に表される、実施例15~18のいずれか1つに記載のモジュール式外科システム。
実施例20-接続完全性回路を更に備え、接続完全性回路が、第1の外科用モジュールと第2の外科用モジュールとの間の接続を確認するように構成されている、実施例15~19のいずれか1つに記載のモジュール式外科システム。
(1) モジュール式外科システムであって、
ヘッダモジュールと、
第1の外科用モジュールと、
前記ヘッダモジュール及び前記第1の外科用モジュールと共に積み重ね構成において配置可能な第2の外科用モジュールと、
モジュール識別回路であって、
前記積み重ね構成における前記第2の外科用モジュールを通じて、所定の電流を前記第1の外科用モジュールに送信させることと、
前記積み重ね構成における前記第1の外科用モジュールの第1の位置を示す第1の電圧を検出することと、
前記積み重ね構成における前記第2の外科用モジュールの第2の位置を示す第2の電圧を検出することであって、前記第2の電圧が、前記第1の電圧とは異なる、検出することと、を行うように構成されている、モジュール識別回路と、を備える、モジュール式外科システム。
(2) 前記第2の電圧が、前記第1の電圧よりも大きい、実施態様1に記載のモジュール式外科システム。
(3) 前記第2の外科用モジュールが、前記第1の外科用モジュールよりも前記積み重ね構成内で前記ヘッダモジュールから遠く離れて位置している、実施態様2に記載のモジュール式外科システム。
(4) ディスプレイを更に備え、前記第1の外科用モジュールの前記第1の位置及び前記第2の外科用モジュールの前記第2の位置が、前記ディスプレイ上に視覚的に表される、実施態様1に記載のモジュール式外科システム。
(5) 前記モジュール識別回路が、前記第1の電圧差及び前記第2の電圧差を検出するための演算増幅器及びアナログ-デジタル変換器を含む、実施態様1に記載のモジュール式外科システム。
ヘッダモジュールと、
前記ヘッダモジュールに対して第1の位置に位置している第1の外科用モジュールと、
前記ヘッダモジュールに対して第2の位置に位置している第2の外科用モジュールと、
モジュール識別回路であって、
前記第1の外科用モジュール及び前記第2の外科用モジュールの存在を検出することと、
前記第1の外科用モジュールの前記第1の位置を判定することと、
前記第2の外科用モジュールの前記第2の位置を判定することと、を行うように構成されている、モジュール識別回路と、を備える、モジュール式外科システム。
(7) 前記モジュール識別回路が、前記第1の位置及び前記第2の位置を判定するように構成されており、前記判定が、
前記第2の外科用モジュールを通じて、前記第1の外科用モジュールに所定の電流を送信させることと、
電流源と前記第1の外科用モジュールの抵抗器との間の第1の電圧降下を検出することと、
前記電流源と前記第2の外科用モジュールの抵抗器との間の第2の電圧降下を検出することであって、前記第2の電圧降下が、前記第1の電圧降下よりも小さい、検出することと、によって行われる、実施態様6に記載のモジュール式外科システム。
(8) 前記第2の外科用モジュールが、前記第1の外科用モジュールよりも前記ヘッダモジュールから遠くに位置している、実施態様7に記載のモジュール式外科システム。
(9) 前記ヘッダモジュールに対して第3の位置に位置している第3の外科用モジュールを更に備え、前記モジュール識別回路が、前記第3の位置を判定するように構成されており、前記判定が、
前記第3の外科用モジュールを通じて、前記第2の外科用モジュールに前記所定の電流を送信させることと、
前記電流源と前記第3の外科用モジュールの抵抗器との間の第3の電圧降下を検出することであって、前記第3の電圧降下が、前記第2の電圧降下よりも小さく、前記第3の外科用モジュールが、前記第2の外科用モジュールよりも前記ヘッダモジュールから遠くに位置している、検出することと、によって行われる、実施態様7に記載のモジュール式外科システム。
(10) 前記ヘッダモジュール、前記第1の外科用モジュール、及び前記第2の外科用モジュールが、積み重ね構成において配置されている、実施態様6に記載のモジュール式外科システム。
(12) 前記第1の位置が、前記積み重ね構成における前記第1の外科用モジュールの物理的位置を表し、前記第2の位置が、前記積み重ね構成における前記第2の外科用モジュールの物理的位置を表す、実施態様10に記載のモジュール式外科システム。
(13) ディスプレイを更に備え、前記積み重ね構成内の前記第1の外科用モジュールの前記物理的位置及び前記第2の外科用モジュールの前記物理的位置が、前記ディスプレイ上に視覚的に表される、実施態様12に記載のモジュール式外科システム。
(14) 接続完全性回路を更に備え、前記接続完全性回路が、前記第1の外科用モジュールと前記第2の外科用モジュールとの間の接続の完全性を評価するように構成されている、実施態様6に記載のモジュール式外科システム。
(15) モジュール式外科システムであって、
ヘッダモジュールと、
第1の外科用モジュールと、
第2の外科用モジュールであって、前記ヘッダモジュール、前記第1の外科用モジュール、及び前記第2の外科用モジュールが、積み重ね構成において配置されている、第2の外科用モジュールと、
モジュール識別回路であって、
前記第1の外科用モジュール及び前記第2の外科用モジュールの存在を検出することと、
前記積み重ね構成内の前記第1の外科用モジュールの第1の位置を判定することと、
前記積み重ね構成内の前記第2の外科用モジュールの第2の位置を判定することであって、前記第2の位置が前記第1の位置とは異なる、判定することと、を行うように構成されている、モジュール識別回路と、を備える、モジュール式外科システム。
前記第2の外科用モジュールを通じて、所定の電流を前記第1の外科用モジュールに送信させることと、
前記ヘッダモジュールの電流源と前記第2の外科用モジュールとの間の第2の電圧差を測定することと、
前記電流源と前記第1の外科用モジュールとの間の第1の電圧差を測定することであって、前記第1の電圧差が前記第2の電圧差よりも大きい、測定することと、によって行われる、実施態様15に記載のモジュール式外科システム。
(17) 前記第1の外科用モジュールが、前記第2の外科用モジュールよりも前記積み重ね構成において前記ヘッダモジュールの近くに位置している、実施態様16に記載のモジュール式外科システム。
(18) 前記モジュール識別回路が、測定された前記第1の電圧差に基づいて、前記第1の外科用モジュールに第1のアドレスを割り当てるように構成されており、前記モジュール識別回路が、測定された前記第2の電圧差に基づいて、前記第2の外科用モジュールに第2のアドレスを割り当てるように構成されている、実施態様16に記載のモジュール式外科システム。
(19) ディスプレイを更に備え、前記積み重ね構成内の前記第1の外科用モジュール及び前記第2の外科用モジュールの判定された前記位置が、前記ディスプレイ上に視覚的に表される、実施態様15に記載のモジュール式外科システム。
(20) 接続完全性回路を更に備え、前記接続完全性回路が、前記第1の外科用モジュールと前記第2の外科用モジュールとの間の接続を確認するように構成されている、実施態様15に記載のモジュール式外科システム。
Claims (16)
- モジュール式外科システムであって、
ヘッダモジュールと、
第1の外科用モジュールと、
前記ヘッダモジュール及び前記第1の外科用モジュールと共に積み重ね構成において配置可能な第2の外科用モジュールと、
モジュール識別回路であって、
前記積み重ね構成における前記第2の外科用モジュールを通じて、所定の電流を前記第1の外科用モジュールに送信させることと、
前記積み重ね構成における前記第1の外科用モジュールの第1の位置を示す第1の電圧を検出することと、
前記積み重ね構成における前記第2の外科用モジュールの第2の位置を示す第2の電圧を検出することであって、前記第2の電圧が、前記第1の電圧とは異なる、検出することと、を行うように構成されている、モジュール識別回路と、を備える、モジュール式外科システム。 - 前記第2の電圧が、前記第1の電圧よりも大きい、請求項1に記載のモジュール式外科システム。
- 前記第2の外科用モジュールが、前記第1の外科用モジュールよりも前記積み重ね構成内で前記ヘッダモジュールから遠く離れて位置している、請求項2に記載のモジュール式外科システム。
- ディスプレイを更に備え、前記第1の外科用モジュールの前記第1の位置及び前記第2の外科用モジュールの前記第2の位置が、前記ディスプレイ上に視覚的に表される、請求項1に記載のモジュール式外科システム。
- 前記モジュール識別回路が、前記第1の電圧及び前記第2の電圧を検出するための演算増幅器及びアナログ-デジタル変換器を含む、請求項1に記載のモジュール式外科システム。
- モジュール式外科システムであって、
ヘッダモジュールと、
前記ヘッダモジュールに対して第1の位置に位置している第1の外科用モジュールと、
前記ヘッダモジュールに対して第2の位置に位置している第2の外科用モジュールと、
モジュール識別回路であって、
前記第1の外科用モジュール及び前記第2の外科用モジュールの存在を検出することと、
前記第1の外科用モジュールの前記第1の位置を判定することと、
前記第2の外科用モジュールの前記第2の位置を判定することと、を行うように構成されている、モジュール識別回路と、を備えており、
前記モジュール識別回路が、前記第1の位置及び前記第2の位置を判定するように構成されており、前記判定が、
前記第2の外科用モジュールを通じて、前記第1の外科用モジュールに所定の電流を送信させることと、
電流源と前記第1の外科用モジュールの抵抗器との間の第1の電圧降下を検出することと、
前記電流源と前記第2の外科用モジュールの抵抗器との間の第2の電圧降下を検出することであって、前記第2の電圧降下が、前記第1の電圧降下よりも小さい、検出することと、によって行われる、モジュール式外科システム。 - 前記第2の外科用モジュールが、前記第1の外科用モジュールよりも前記ヘッダモジュールから遠くに位置している、請求項6に記載のモジュール式外科システム。
- 前記ヘッダモジュールに対して第3の位置に位置している第3の外科用モジュールを更に備え、前記モジュール識別回路が、前記第3の位置を判定するように構成されており、前記判定が、
前記第3の外科用モジュールを通じて、前記第2の外科用モジュールに前記所定の電流を送信させることと、
前記電流源と前記第3の外科用モジュールの抵抗器との間の第3の電圧降下を検出することであって、前記第3の電圧降下が、前記第2の電圧降下よりも小さく、前記第3の外科用モジュールが、前記第2の外科用モジュールよりも前記ヘッダモジュールから遠くに位置している、検出することと、によって行われる、請求項6に記載のモジュール式外科システム。 - 前記ヘッダモジュール、前記第1の外科用モジュール、及び前記第2の外科用モジュールが、積み重ね構成において配置されている、請求項6に記載のモジュール式外科システム。
- ディスプレイを更に備え、前記積み重ね構成が、前記ディスプレイ上に視覚的に表される、請求項9に記載のモジュール式外科システム。
- 前記第1の位置が、前記積み重ね構成における前記第1の外科用モジュールの物理的位置を表し、前記第2の位置が、前記積み重ね構成における前記第2の外科用モジュールの物理的位置を表す、請求項9に記載のモジュール式外科システム。
- ディスプレイを更に備え、前記積み重ね構成内の前記第1の外科用モジュールの前記物理的位置及び前記第2の外科用モジュールの前記物理的位置が、前記ディスプレイ上に視覚的に表される、請求項11に記載のモジュール式外科システム。
- モジュール式外科システムであって、
ヘッダモジュールと、
第1の外科用モジュールと、
第2の外科用モジュールであって、前記ヘッダモジュール、前記第1の外科用モジュール、及び前記第2の外科用モジュールが、積み重ね構成において配置されている、第2の外科用モジュールと、
モジュール識別回路であって、
前記第1の外科用モジュール及び前記第2の外科用モジュールの存在を検出することと、
前記積み重ね構成内の前記第1の外科用モジュールの第1の位置を判定することと、
前記積み重ね構成内の前記第2の外科用モジュールの第2の位置を判定することであって、前記第2の位置が前記第1の位置とは異なる、判定することと、を行うように構成されている、モジュール識別回路と、を備えており、
前記モジュール識別回路が、前記第1の位置及び前記第2の位置を判定するように構成されており、前記判定が、
前記第2の外科用モジュールを通じて、所定の電流を前記第1の外科用モジュールに送信させることと、
前記ヘッダモジュールの電流源と前記第2の外科用モジュールとの間の第2の電圧差を測定することと、
前記電流源と前記第1の外科用モジュールとの間の第1の電圧差を測定することであって、前記第1の電圧差が前記第2の電圧差よりも大きい、測定することと、によって行われる、モジュール式外科システム。 - 前記第1の外科用モジュールが、前記第2の外科用モジュールよりも前記積み重ね構成において前記ヘッダモジュールの近くに位置している、請求項13に記載のモジュール式外科システム。
- 前記モジュール識別回路が、測定された前記第1の電圧差に基づいて、前記第1の外科用モジュールに第1のアドレスを割り当てるように構成されており、前記モジュール識別回路が、測定された前記第2の電圧差に基づいて、前記第2の外科用モジュールに第2のアドレスを割り当てるように構成されている、請求項13に記載のモジュール式外科システム。
- ディスプレイを更に備え、前記積み重ね構成内の前記第1の外科用モジュール及び前記第2の外科用モジュールの判定された前記位置が、前記ディスプレイ上に視覚的に表される、請求項13に記載のモジュール式外科システム。
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JP2021512721A Active JP7447091B2 (ja) | 2018-09-07 | 2019-09-06 | モジュール式エネルギーシステム用の適合可能に接続可能かつ再割り当て可能なシステムアクセサリ |
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JP2021512732A Pending JP2021536316A (ja) | 2018-09-07 | 2019-09-06 | 駆動信号を利用して二次機能に電力供給する外科用器具 |
JP2021512741A Pending JP2022500110A (ja) | 2018-09-07 | 2019-09-06 | デューティサイクル及び同期を使用した同時単極出力の管理 |
JP2021512735A Active JP7430708B2 (ja) | 2018-09-07 | 2019-09-06 | フッタモジュールを有する外科用モジュール式エネルギーシステム |
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JP2021512728A Active JP7443342B2 (ja) | 2018-09-07 | 2019-09-06 | モジュール式外科用エネルギーシステムのための電力及び通信緩和配置 |
JP2021512763A Active JP7483692B2 (ja) | 2018-09-07 | 2019-09-06 | 可撓性中性電極 |
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