A61B2090/066

METHODS, SYSTEMS, AND DEVICES FOR CONTROLLING ELECTROSURGICAL TOOLS

Various exemplary methods, systems, and devices for controlling electrosurgical tools are provided.

ELECTRICALLY-POWERED SURGICAL SYSTEMS FOR CUTTING AND WELDING SOLID ORGANS

Surgical systems and methods are provided for controlling actuation and movement of various surgical devices.

Circular Stapler

Systems and methods for stapling tissue, a vessel, duct, etc., during a surgical procedure are provided. The surgical stapling systems generally include a circular stapling tool with a shaft extending therefrom that has an end effector at a distal end thereof. The end effector can have a staple deck and an anvil. The circular stapling tool can be configured to drive at least two circular rows of staples through tissue engaged between the staple deck and the anvil to thereby staple the tissue, and the tool can be configured to drive a knife through tissue engaged between the staple deck and the anvil to thereby cut the tissue. The surgical stapling system can also include a control system that is configured to communicate with the circular stapling tool.

POSITIONING ARM FOR A SURGICAL NAVIGATION SYSTEM

A motion-assisted positioning arm for a medical procedure. The positioning arm includes a base, an arm coupled to the base, and an end effector coupled to the arm. The arm includes a plurality of arm segments. The arm includes a plurality of joints for connecting the arm segments. The end effector may be manipulable with six degrees of freedom in a task-coordinate space based on motion by at least one joint in the plurality of joints. The positioning arm includes a processor to: detect manipulation of and determine forces or torques acting on the end effector; determine a surgical mode for constraining movement of the end effector in the task-coordinate space; determine an end effector velocity based on the determined forces or torques and the surgical mode for moving end effector; and apply at least one joint space movement based on the end effector velocity.

FORCE ESTIMATION USING ROBOTIC MANIPULATOR FORCE TORQUE SENSORS
20190060019 · 2019-02-28 · ·

A minimally invasive medical system comprises a manipulator having a plurality of joints, each of the plurality of joints including a torque and/or force sensor. The manipulator includes an effector configured to receive a surgical instrument. The system comprises a programmable computing device programmed for moving the surgical instrument while estimating surgical forces applied to the patient by the surgical instrument using torque and/or force measurements from the plurality of torque and/or force sensors located at the joints.

ELECTRICALLY-POWERED SURGICAL BOX STAPLERS

Systems and methods for stapling tissue during surgery are provided. In one exemplary embodiment, a surgical stapling system is provided that includes a staple shaft assembly having a staple advancing and forming assembly and a shaft with a plurality of staples, a drive system operably coupled to the staple shaft assembly and operably coupled to at least one motor, and a control system. The drive system can have a plurality of stages of operation that drive the staple advancing and forming assembly to form a staple around tissue. The control system can be configured to actuate the at least one motor to drive the drive system and thereby control movement of the staple advancing and forming assembly and to modify a force applied to the drive system by the at least one motor during at least one stage of operation based on at least one predetermined threshold.

CONTROL OF SURGICAL FIELD IRRIGATION
20190059980 · 2019-02-28 ·

A surgical system includes an electrosurgical tool configured to be releasably coupled to a surgical robotic system having a control system. The tool has a shaft having an end effector with treatment electrodes configured to apply electrosurgical power to a tissue, and aspiration and irrigation tubes having ports in the vicinity of the electrodes. The control system can control a flow rate of an irrigation fluid based on deviation of power delivered by the electrodes to the tissue from a power set point, or based on an aspiration rate that is controlled based on tissue impedance. The tool can have first and second ports and a conduit configured to selectively provide or aspirate fluids through at least one of the ports. At least one of a flow rate and an aspiration rate are controlled by the control system based on a rotational angle of the shaft relative to a ground.

Circular Stapler

Systems and methods for stapling tissue, a vessel, duct, etc., during a surgical procedure are provided. The surgical stapling systems generally include a circular stapling tool with a shaft extending therefrom that has an end effector at a distal end thereof. The end effector can have a staple deck and an anvil. The circular stapling tool can be configured to drive at least two circular rows of staples through tissue engaged between the staple deck and the anvil to thereby staple the tissue, and the tool can be configured to drive a knife through tissue engaged between the staple deck and the anvil to thereby cut the tissue. The surgical stapling system can also include a control system that is configured to communicate with the circular stapling tool.

ELECTRICALLY-POWERED SURGICAL SYSTEMS
20190059974 · 2019-02-28 ·

Surgical systems and methods are provided for controlling actuation and movement of various surgical devices.

Endocutter Control System

Surgical stapling systems and methods for stapling tissue during a surgical procedure are provided. In an exemplary embodiment, a control system is provided for controlling at least one motor coupled to a drive system on a surgical stapling device for driving one or more drive assemblies. The control system can be configured to communicate with the drive system of the stapling tool and to control and modify movement of one or more drive assemblies based on certain feedback.