SYSTEM AND METHOD FOR ENHANCED-REALITY ELECTROSURGICAL SYSTEM

20230270484 · 2023-08-31

    Inventors

    Cpc classification

    International classification

    Abstract

    An electrosurgical system and method for control of an electrosurgical system with an enhanced reality display system wirelessly connected to the gas-enhanced electrosurgical system. The electrosurgical system comprises a gas-enhanced electrosurgical generator, a voice-recognition system connected to said gas-enhanced electrosurgical generator, a robotic system, and an enhanced reality display system wirelessly connected to said gas-enhanced electrosurgical system. The gas-enhanced electrosurgical generator may comprise a power module, a gas control module, and a control module, wherein said control module is configured to provide voice control of said power module and said gas module.

    Claims

    1. An electrosurgical system comprising: gas-enhanced electrosurgical generator; a voice-recognition system connected to said gas-enhanced electrosurgical generator; a robotic system system; and an enhanced reality display system wirelessly connected to said gas-enhanced electrosurgical system.

    2. An electrosurgical system according to claim 1, wherein said gas-enhanced electrosurgical generator comprises: a power module; a gas control module; and a control module, wherein said control module is configured to provide voice control of said power module and said gas module.

    3. A method for operating an electrosurgical system using an enhanced reality display.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0026] For a more complete understanding of the present invention and the advantages thereof, reference is now made to the following description and the accompanying drawings, in which:

    [0027] FIG. 1 is a flow chart illustrating a method for voice activation of electronic equipment in an operating room in accordance with a preferred embodiment of the present invention.

    [0028] FIG. 2 is a detailed flow diagram illustrating a method for voice activation of electronic equipment in an operating room in accordance with a preferred embodiment of the present invention.

    [0029] FIG. 3 is a diagram of a system for voice activation of electronic equipment in an operating room in accordance with a preferred embodiment of the present invention.

    [0030] FIG. 4A is a block diagram of a cold atmospheric plasma generator of a preferred embodiment of the present invention.

    [0031] FIG. 4B is a block diagram of a plasma generator of an alternate preferred embodiment of the present invention.

    [0032] FIG. 4C is a block diagram of a plasma generator of another alternate preferred embodiment of the present invention.

    [0033] FIG. 4D is a block diagram of an integrated gas-enhanced electrosurgical generator having a plurality of gas modules of another alternate preferred embodiment of the present invention.

    [0034] FIG. 5 is a perspective view of an integrated gas-enhanced electrosurgical generator of a preferred embodiment of the present invention.

    [0035] FIG. 6 is a block diagram illustrating an electrosurgical system having an enhanced- reality display in accordance with a preferred embodiment of the present invention.

    [0036] FIG. 7 is a flow chart illustrating a pre-op method in accordance with a preferred embodiment of the present invention.

    [0037] FIG. 8 is a flow chart illustrating an operation method in accordance with a preferred embodiment of the present invention.

    DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

    [0038] A method for voice activation of electronic equipment in an operating room in accordance with a preferred embodiment of the present invention is described with reference to FIG. 1. The method starts 102 with the voice-control system being activated or turned on. Once active or on the voice control system can be triggered 110 through physical or verbal cues or prompts. If a trigger event 110 is detected, the voice control system uses speech recognition software 112 to identify voice instructions. The grammar of the detected speech is then validated 114. If the speech is not validated as a command the system returns to the speech recognition step 112 and/or causes the system to notify the user visually or audibly that the command was not validated or returns to the detection of a new trigger 110. If a command is validated 120, the command is encrypted 122 and transmitted 124 to the electronic operating room equipment to which the command is directed.

    [0039] The transmitted encrypted commend is received at the electronic equipment, which decodes the comments 132 and determines whether the decoded command is valid 130. If the decoded command is valid, the electronic equipment performs a safety evaluation 150 to ensure that the command can be safely executed. If the decoded command is deemed to be safe, the command is executed by the electronic equipment and the user is notified verbally or visually that the command has been executed. If the command is not deemed to be safe, the user is notified 154 visually or verbally.

    [0040] A method for voice activation of electronic equipment in an operating room in accordance with a preferred embodiment of the present invention is further shown in the detailed flow diagram of FIG. 2.

    [0041] Further, a system for voice activation of electronic equipment in an operating room in accordance with a preferred embodiment of the present invention is shown in FIG. 3.

    [0042] The system and method of the present invention may be used with a variety of electronic equipment used in an operating room. One such system is a cold atmospheric plasma system. As shown in FIG. 4A, an exemplary cold atmospheric plasma (CAP) generator 400 has a power supply 402, a CPU (or processor or FPGA) 410 and a memory or storage 411. The system further has a display 520 (FIG. 5), which may be the display of a tablet computer. The CPU 410 controls the system and receives input from a user through a graphical user interface displayed on display 520. The CAP generator further has a gas control module 1000 connected to a source 410 of a CAP carrier gas such as helium. The CAP generator 400 further has a radio frequency (RF) power module 450 for generating radio frequency (RF) energy. The RF power module contains conventional electronics such as are known for providing RF power in electrosurgical generators. The RF Power module operates with a frequency between 10-200 kHz and output peak voltage from 3 kV to 6 kV and preferably at a frequency near (within 20%) of 40 Hz, 100 Hz or 200 Hz. The gas module 1000 and RF power module 450 are connected to connector 460 that allows for CAP joint mixer 200 (or a CAP applicator 1100 in FIGS. 11A and 11B) to be connected to the generator 400 via a connector having an electrical connector 196a and gas connector 196b.

    [0043] As shown in FIG. 4B, other arrangements for delivery of the carrier gas and the electrical energy may be used with the invention. In FIG. 4B, a source 110 of a carrier gas (helium in this example) is provided to a gas control system 470 of any type, which supply the gas at a controlled flow rate to CAP joint mixer 200. A conventional electrosurgical generator 450a supplies high frequency (HF) energy to a low frequency converter 450b, which outputs electrical energy having a frequency in the range of 10 kHz to 200 kHz and an output voltage in the range of 3 kV to 6 Kv.

    [0044] Another embodiment, shown in FIG. 4C, has a carrier gas source 110 connected to a conventional gas control system 470, which in turn is connected to the CAP joint mixer 200, and a conventional electrosurgical generator 451 also connected to the CAP joint mixer 200.

    [0045] A housing 500 for a CAP-enabled gas-enhanced electrosurgical generator 500 in accordance with a preferred embodiment of the present invention is shown in FIG. 5. The gas-enhanced generator 500 has a housing 510 made of a sturdy material such as plastic or metal similar to materials used for housings of conventional electrosurgical generators. The housing 510 has a removable cover 514. The housing 510 and cover 514 have means, such as screws, tongue and groove, or other structure for removably securing the cover to the housing. The cover 514 may comprise just the top of the housing or multiple sides, such as the top, right side, and left side, of the housing 510. The housing 510 may have a plurality of feet or legs attached to the bottom of the housing. The bottom of the housing 510 may have a plurality of vents for venting from the interior of the gas-enhanced generator.

    [0046] On the face of the housing 514 there is a touch-screen display 520 and a plurality of connectors 532, 534 for connecting various accessories to the generator, such as an argon plasma probe, a hybrid plasma probe, a cold atmospheric plasma probe, or any other electrosurgical attachment. The face of the housing 510 is at an angle other than 90 degrees with respect to the top and bottom of the housing 510 to provide for easier viewing and use of the touch screen display 520 by a user. One or more of the gas control modules may be mounted within a gas-enhanced electrosurgical generator 500.

    [0047] The CAP-enabled gas-assisted electrosurgical generator has a graphical user interface (GUI) for controlling the components of the system using the touch screen display 520. The graphical user interface for example, may control robotics, argon-monopolar cut/coag, hybrid plasma cut, cold atmospheric plasma, bipolar, plasma sealer, hemo dynamics or voice activation. The graphical user interface further may be used with fluorescence-guided surgery. The graphical user interface (GUI) further may be used with guided imaging such as CT, MRI, or ultrasound. The graphical user interface may communicate with RFID (such as may be found in various electrosurgical attachments) and may collect and store usage data in a storage medium. The graphical user interface communicates with the field-programmable gate array (“FPGA”), which may control an irrigation pump, insufflator, full bridge for adjusting the power output, fly back for regulating the power (DC to AC) and a foot pedal. The GUI further communicates with a database of data with associated predicted CAP settings or dosages via the CPU 410. The database storage may be internal memory or other internal storage 411 or external storage.

    [0048] FIG. 6 is a block diagram illustrating an electrosurgical system having an enhanced- reality display in accordance with a preferred embodiment of the present invention. The system may have various components 610 for visualization of the surgical procedure, such as graphical user interface (GUI), external displays and an augmented reality display. The system further may have various input means, such as voice recognition, GUI touchscreen, and gesture detection. Still further, the system has an electrosurgical generator 630, which has a master control 632 that may be a processor or group of processors. The master control 632 communicates with a robotic control system 634 and an electrosurgical function control 636 and receives system data from those systems and uses that data to control the system. The master control 632 also may receive data, such as real-time tumor cell data, radiology, camera(s), and a hemodynamic monitor data, from external sources.

    [0049] FIG. 7 is a flow chart illustrating a pre-op method in accordance with a preferred embodiment of the present invention. The system is turned on 710, one or more hololenses (augmented reality display) is activated, 720, the system detects the one or more hololenses 730, pre-op data 740 is loaded into the master controller, operating room (OR) data is selected from pre-op planning 750, the hololens(es) or other displays share 2d and/or 3 data 760, pre-op planning is performed 770, and system is updated with the pre-op planning 780, the system adds the pre-op planning to storage or returns 790 to the selection of different OR data for pre-op planning.

    [0050] FIG. 8 is a flow chart illustrating an operation method in accordance with a preferred embodiment of the present invention. The procedure states 802 with the system being turned on 804. The hololens/displays are activated 804. The graphical user interface is turned on 808. The system or user sets/activated various data sources 810, such as surgical robotics 820, electrosurgical system 812. And OR data 830. With respect to a robotics system, for example, a laparoscopic camera view may be displayed on the hololens 821, the robotics system may then wait for user input such as a voice commend 822, the system then validates the voice command 823, performs a safety check 824, and if that is passed, executes a robot motion associated with the voice command 825. With respect to the electrosurgical system (ES), the ES menu is displayed on the hololens or other display 813, parameters are selected 814, and user voice comments are awaited. 815. When a voice command for the ES is received, the system performs validation 816, a safety check 817, and if the safety check is passed, updates the parameters or mode in accordance with the voice instruction. 818. With respect to OR data 830, external data is set or activated 832, the selected data is displayed on the hololens 833, user voice input is awaited 834, and the OR data is updated when use input is received 835. The various processes end (826, 189, 836) once the data is updated.

    [0051] The foregoing description of the preferred embodiment of the invention has been presented for purposes of illustration and description. It is not intended to be exhaustive or to limit the invention to the precise form disclosed, and modifications and variations are possible in light of the above teachings or may be acquired from practice of the invention. The embodiment was chosen and described in order to explain the principles of the invention and its practical application to enable one skilled in the art to utilize the invention in various embodiments as are suited to the particular use contemplated. It is intended that the scope of the invention be defined by the claims appended hereto, and their equivalents. The entirety of each of the aforementioned documents is incorporated by reference herein.