Cartridge Status and Presence Detection

{
  "publication_number": "US2021022738A1",
  "country": "US",
  "kind": "A1",
  "title": "Cartridge Status and Presence Detection",
  "abstract": "Surgical systems configured to determine whether a surgical cartridge is present and unfired. A surgical system includes a surgical instrument, a drive source, a sensor and a controller. The surgical instrument is configured to receive and support a surgical cartridge. The drive source is drivingly coupled with an actuation output. The sensor is configured to generate a sensor output indicative of movement of the actuation output. The controller controls the drive source to attempt to actuate the actuation output opposite to the firing direction by a predetermined amount. The controller determines that the surgical cartridge is present and unfired when the resulting actuation amount of the actuation output is less than a threshold actuation amount.",
  "claims": [
    "1. A robotic surgical system comprising: a master input device; a surgical instrument configured to receive and support a surgical cartridge, wherein the surgical instrument includes a drive member configured to be drivingly coupled with an actuation output, and wherein the actuation output is actuated in a firing direction to move the drive member to fire the surgical cartridge; a robotic arm configured to move the surgical instrument in response to user manipulation of the master input device; a drive source drivingly coupled with the actuation output; a sensor configured to generate a sensor output indicative of movement of the actuation output; and a controller communicatively coupled with the sensor and the drive source, wherein the controller comprises a processor and a tangible storage medium containing instructions that when executed cause the processor to: control the drive source to actuate the actuation output during an attempt to actuate the actuation output opposite to the firing direction by a predetermined amount; process the sensor output to determine a resulting actuation amount of the actuation output; compare the resulting actuation amount of the actuation output with a threshold actuation amount; and determine that the surgical cartridge is present and unfired when the resulting actuation amount of the actuation output is less than the threshold actuation amount. 2. The robotic surgical system of claim 1, wherein: the drive source comprises an electric motor used to actuate the actuation output; and an electric current supplied to the electric motor is limited to limit a force or torque transmitted by the actuation output during the attempt to actuate the actuation output opposite to the firing direction. 3. The robotic surgical system of claim 2, wherein the force or torque transmitted by the actuation output during the attempt to actuate the actuation output opposite to the firing direction is less than a normal operating limit of the surgical instrument. 4. The robotic surgical system of claim 3, wherein the force or torque transmitted by the actuation output during the attempt to actuate the actuation output opposite to the firing direction is less than 20% of the normal operating limit. 5. The robotic surgical system of claim 1, wherein the sensor comprises at least one of a position sensor, velocity sensor, or an acceleration sensor. 6. The robotic surgical system of claim 1, wherein: the sensor comprises a position sensor; and the position sensor comprises at least one of a Hall sensor or an encoder. 7. The robotic surgical system of claim 1, wherein: the sensor comprises a velocity sensor; and the velocity sensor comprises at least one of an inductive velocity sensor or a tachometer. 8. The robotic surgical system of claim 1, wherein: the sensor comprises an acceleration sensor; and the acceleration sensor comprises an accelerometer. 9. The robotic surgical system of claim 1, wherein the controller monitors the sensor output to determine if the resulting actuation amount of the actuation output is less than the threshold actuation amount. 10. The robotic surgical system of claim 1, wherein the instructions, when executed, cause the controller to: track movements of the actuation output; and process the tracked movements to monitor for stalling of the attempt to actuate the actuation output opposite to the firing direction by the predetermined amount. 11. The robotic surgical system of claim 10, wherein stalling is detected when the actuation output moves less than a minimum amount in a predetermined time period. 12. The robotic surgical system of claim 1, wherein: the surgical cartridge comprises an articulated knife; and the threshold actuation amount is less than an amount of actuation that would result in exposure of the articulated knife when applied to the surgical cartridge in a fired configuration. 13. The robotic surgical system of claim 1, wherein surgical the cartridge comprises: a plurality of staples that are deployed into a clamped tissue when the surgical cartridge is operated; and an articulated knife configured to cut the clamped tissue between rows of the deployed staples. 14. The robotic surgical system of claim 1, wherein the surgical cartridge is configured to seal a vessel and includes an articulated knife configured to cut the sealed vessel. 15. The robotic surgical system of claim 1, wherein the sensor is configured to track a position of an element of a drive train by which the drive source is drivingly coupled with the actuation output. 16. The robotic surgical system of claim 11, wherein, in response to detecting stalling, the controller controls the drive source so as to terminate actuation of the actuation output during the attempt to actuate the actuation output opposite to the firing direction by the predetermined amount. 17. The robotic surgical system of claim 1, wherein: the actuation output comprises a rotatable element; the threshold actuation amount corresponds to a threshold amount of rotation of the rotatable element; the controller is configured to detect a rotation amount of the rotatable element; and the controller is configured to determine that the surgical cartridge is present and unfired when the detected rotation amount of the rotatable element is less than the threshold amount of rotation of the rotatable element. 18. The robotic surgical system of claim 1, wherein the threshold actuation amount comprises an actuation velocity value."
  ],
  "description_excerpt": "Minimally invasive surgical techniques are aimed at reducing the amount of extraneous tissue that is damaged during diagnostic or surgical procedures, thereby reducing patient recovery time, discomfort, and deleterious side effects. As a consequence, the average length of a hospital stay for standard surgery may be shortened significantly using minimally invasive surgical techniques. Also, patient recovery times, patient discomfort, surgical side effects, and time away from work may also be reduced with minimally invasive surgery.\n\nA common form of minimally invasive surgery is endoscopy, and a common form of endoscopy is laparoscopy, which is minimally invasive inspection and surgery inside the abdominal cavity. In standard laparoscopic surgery, a patient's abdomen is insufflated with gas, and cannula sleeves are passed through small (approximately one-half inch or less) incisions to provide entry ports for laparoscopic instruments.\n\nLaparoscopic surgical instruments generally include an endoscope (e.g., laparoscope) for viewing the surgical field and tools for working at the surgical site. The working tools are typically similar to those used in conventional (open) surgery, except that the working end or end effector of each tool is separated from its handle by an extension tube (also known as, e.g., an instrument shaft or a main shaft). The end effector can include, for example, a clamp, grasper, scissor, stapler, cautery tool, linear cutter, or needle holder.",
  "cpc": [
    "A61B 17/07207",
    "A61B 2017/00039",
    "A61B 2017/00398",
    "A61B 2017/00477",
    "A61B 2017/07271",
    "A61B 2017/07285",
    "A61B 2090/064",
    "A61B 2090/0804",
    "A61B 2090/0808",
    "A61B 34/30",
    "A61B 34/37",
    "A61B 50/13",
    "A61B 90/08"
  ],
  "ipc": [
    "A61B 17/072",
    "A61B 34/30",
    "A61B 34/37",
    "A61B 50/13"
  ],
  "assignees": [
    "Intuitive Surgical Operations Inc"
  ],
  "inventors": [
    "David W. Weir",
    "Kevin Durant",
    "William Burbank",
    "Patrick Flanagan"
  ],
  "filing_date": "2020-10-08",
  "publication_date": "2021-01-28",
  "priority_date": "2011-10-26",
  "application_number": "US-202017066110-A",
  "family_id": "48168613",
  "cited_by_count": 216,
  "citations": [
    "US20040094597A1",
    "US7721936B2",
    "US20100301095A1",
    "US20120248167A1"
  ]
}