JP-7855579-B2 - Field-programmable surgical visualization system

JP7855579B2JP 7855579 B2JP7855579 B2JP 7855579B2JP-7855579-B2

Inventors

シェルトン・ザ・フォース・フレデリック・イー
フィービッグ・ケビン・エム

Assignees

シラグ・ゲーエムベーハー・インターナショナル

Dates

Publication Date: 20260508
Application Date: 20210929
Priority Date: 20201002

Claims (20)

A surgical visualization system for analyzing at least a portion of the surgical field, wherein the system is A laser light illumination source configured to illuminate at least a portion of the surgical field with laser light, A light sensor configured to receive reflected laser light, A field-programmable gate array comprising configurable logic elements, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating moving particles in at least a portion of the surgical field, according to a first conversion implemented by a first configuration of the logic elements. A display configured to display an output representing the information indicating moving particles within at least a portion of the surgical field, A processor configured to receive an input and configure the logic elements in a second configuration based on that input, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light according to a second conversion implemented by the second configuration of the logic elements , A surgical visualization system in which the input is an indicator that the information showing moving particles in at least a portion of the surgical field according to the first transformation is correlated with bleeding events at the surgical site, and that the second transformation is available .
The surgical visualization system according to claim 1, wherein the processor includes a first processor, and the system further comprises a second processor configured to receive the information indicating moving particles in at least a portion of the surgical field, remotely from the field-programmable gate array, and to transmit the second configuration to the first processor, the first processor being operable to configure the logic elements with the second configuration of the logic elements.
The surgical visualization system according to claim 1 or 2, wherein the reflected laser light is multispectral, and the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating the aggregation of the depth assay provided by the multispectral reflected laser light, according to the second conversion implemented by the second configuration of the logic elements.
The surgical visualization system according to claim 1 or 2, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating the refractive index, according to the second conversion implemented by the second configuration of the logic elements.
The surgical visualization system according to claim 1 or 2, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating multiple depths of moving particles, according to the second conversion implemented by the second configuration of the logic elements.
The surgical visualization system according to claim 5, wherein the information indicating multiple depths of moving particles is information indicating multiple depths of blood flow.
The surgical visualization system according to claim 1 or 2, wherein the field-programmable gate array is configured to convert information representing the reflected laser light into information representing weighted representations of multiple depths, according to the second conversion implemented by the second configuration of the logic elements.
The surgical visualization system according to claim 1 or 2, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating refractive index and particle movement, according to the second conversion implemented by the second configuration of the logic elements.
The surgical visualization system according to claim 1 or 2, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating a comparison between the current refractive index and current particle movement and the previous refractive index and previous particle movement, according to the second conversion implemented by the second configuration of the logic elements.
A surgical visualization system for analyzing at least a portion of the surgical field, wherein the system is A laser light illumination source configured to illuminate at least a portion of the surgical field with laser light, A light sensor configured to receive reflected laser light, A field-programmable gate array comprising configurable logic elements, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating moving particles in at least a portion of the surgical field, according to a first conversion implemented by a first configuration of the logic elements. A display configured to display an output representing the information indicating moving particles within at least a portion of the surgical field, A processor configured to receive an input and configure the logic elements in a second configuration based on that input, wherein the field-programmable gate array is configured to convert information indicating the reflected laser light according to a second conversion implemented by the second configuration of the logic elements, The input is a control parameter indicating the purchase status of a functional hierarchy associated with either a hospital, operating room, physician , or surgical instrument in a surgical visualization system.
The surgical visualization system according to any one of claims 1 to 10, wherein the processor monitors the field-programmable gate array during idle time and configures the field-programmable gate array according to the second configuration during idle time.
A surgical visualization system for analyzing at least a portion of the surgical field, wherein the system is A memory that stores a first configuration associated with the first transformation, a second configuration associated with the second transformation, and an aggregation of Doppler information and related surgical results. A surgical visualization system comprising: a processor configured to receive information indicating moving particles in at least a portion of the surgical field, wherein the information is the result of a first transformation applied by a field-programmable gate array to information indicating reflected laser light in at least a portion of the surgical field, and the processor is further configured to select a second transformation based on the correlation between the information and the aggregation of Doppler information and associated surgical results, and to transmit the second configuration to the field-programmable gate array.
The surgical visualization system according to claim 12, wherein the reflected laser light is multispectral, and the second conversion converts information indicating the reflected laser light into information indicating the aggregation of depth assays provided by the multispectral reflected laser light.
The surgical visualization system according to claim 12 , wherein the second conversion converts information indicating the reflected laser light into information indicating the refractive index.
The surgical visualization system according to claim 12 , wherein the second conversion converts information indicating the reflected laser light into information indicating multiple depths of moving particles.
The surgical visualization system according to claim 15, wherein the information indicating multiple depths of moving particles is information indicating multiple depths of blood flow.
The surgical visualization system according to claim 12 , wherein the second conversion converts the information representing the reflected laser light into information representing weighted representations of multiple depths.
A surgical visualization system for analyzing at least a portion of the surgical field, wherein the system is A memory that stores a first configuration associated with the first transformation, a second configuration associated with the second transformation, and an aggregation of Doppler information and related surgical results. A processor configured to receive information indicating moving particles in at least a portion of the surgical field, wherein the information is the result of a first transformation applied by a field-programmable gate array to information indicating reflected laser light in at least a portion of the surgical field, and the processor is further configured to select a second transformation based on the correlation between the information and the aggregation of Doppler information and associated surgical results, and to transmit the second configuration to the field-programmable gate array, A surgical visualization system in which input to the processor indicating the purchase status of a functional hierarchy associated with a hospital, operating room, physician , or surgical instrument is a condition for selecting the second transformation.
A surgical visualization system for analyzing at least a portion of the surgical field, wherein the system is A laser light illumination source configured to illuminate at least a portion of the surgical field with laser light, A light sensor configured to receive reflected laser light, A field-programmable gate array comprising configurable logic elements, In the first operating mode, the field-programmable gate array is configured to convert information indicating the reflected laser light into information indicating moving particles in at least a portion of the surgical field , according to a first conversion implemented by a first configuration of logic elements. In the second operating mode, the field-programmable gate array is configured to convert information indicating the reflected laser light according to a second conversion implemented by the second configuration of the logic elements . A surgical visualization system configured to select a second operating mode based on a correlation between the information indicating the moving particles in at least a portion of the surgical field and bleeding events at the surgical site .
A surgical visualization system for analyzing at least a portion of the surgical field, wherein the system is A laser light illumination source configured to illuminate at least a portion of the surgical field with laser light, A light sensor configured to receive reflected laser light, A field-programmable gate array comprising configurable logic elements, In the first operating mode, the field-programmable gate array is configured to convert information indicating the reflected laser light according to a first conversion implemented by a first configuration of logic elements. In the second operating mode, the field-programmable gate array is configured to convert information indicating the reflected laser light according to a second conversion implemented by the second configuration of the logic elements. A surgical visualization system further comprising a processor, the processor configured to select either the first or second operating mode of the field-programmable gate array based on input to the processor indicating the purchase status of a functional hierarchy associated with a hospital, operating room, physician , or surgical instrument.

Description

(Cross-reference of related applications) This application relates to the following, the contents of which are incorporated herein by reference: U.S. Patent Application No. 15/940,663, filed on March 29, 2018, entitled "Surgical System Distributed Processing," U.S. Patent Application No. 15/940,704, filed on March 29, 2018, entitled "Use of Laser Light and Red-Green-Blue Coloration To Determinate Properties of Back Scattered Light," A U.S. patent application filed together with this application, titled "Method for Operating Tiered Operation Modes in a Surgical System" (Agent reference number END9287USNP1), U.S. patent applications filed together with this application, entitled "Tiered-Access Surgical Visualization System" (Agent reference number END9287USNP2) and entitled "Surgical Visualization and Particle Trend Analysis System" (Agent reference number END9287USNP3). Surgical systems often incorporate imaging systems that allow clinicians(s) to view the surgical site and/or one or more parts thereof on one or more displays, such as monitors. These displays may be localized in the surgical theater and/or remote. The imaging system may include a scope equipped with a camera that views the surgical site and transmits the view to a display accessible to the clinician. Examples of scopes include, but are not limited to, arthroscopes, angioscopes, bronchoscopes, cholangioscopies, colonoscopes, cystoscopes, esophagogastroduodenoscopes, enteroscopes, esophagoduodenoscopes (gastroscopy), endoscopes, laryngoscopes, nasopharyngoscopes-nephroscopes, sigmoidoscopy, thoracoscopy, ureteroscopes, and exoscopy. The imaging system may be limited by the information that can be recognized by and/or transmitted to the clinician(s). For example, certain hidden structures, physical contours, and/or dimensions in three-dimensional space may not be recognizable during surgery by certain imaging systems. Additionally, certain imaging systems may be unable to communicate and/or transmit specific information to the clinician(s) during surgery. This is a block diagram of an exemplary computer-implemented interactive surgical system.This is a diagram illustrating an exemplary surgical system used for performing surgical procedures in an operating room.This is a diagram of an exemplary surgical hub paired with a visualization system, a robotic system, and intelligent instruments.This figure illustrates an exemplary surgical data network comprising a modular communication hub configured to connect modular devices located in one or more operating rooms or any room within a medical facility equipped with specialized equipment for surgical procedures to the cloud.This figure shows an exemplary computer-implemented interactive surgical system.This figure shows an exemplary surgical hub, comprising multiple modules connected to a modular control tower.This is a logic diagram illustrating an exemplary control system for a surgical instrument or tool.This figure shows a surgical instrument or tool equipped with multiple motors that can be activated to perform various functions.This is a diagram illustrating an exemplary situational awareness surgical system.This figure shows an exemplary surgical procedure and reasoning timeline that a surgical hub can create from data detected at each step of the surgical procedure.This is a block diagram of an exemplary computer-implemented interactive surgical system.This is a block diagram illustrating the functional architecture of an exemplary computer-implemented interactive surgical system.This is a block diagram of an exemplary computer-implemented interactive surgical system configured to adaptively generate updates to control programs for modular devices.This figure shows an exemplary surgical system including a handle having a controller and a motor, an adapter releasably connected to the handle, and a loading unit releasably connected to the adapter.This is an illustrative flowchart for determining the operating mode.This is an illustrative functional block diagram for changing the operating mode.This is a diagram illustrating an exemplary visualization system.This is a diagram illustrating an exemplary visualization system.This is a diagram illustrating an exemplary visualization system.This is a diagram illustrating an exemplary visualization system.This is a diagram of multiple laser emitters that could be incorporated into an exemplary visualization system.This is a diagram illustrating the illumination of an image sensor with a Bayer pattern of a color filter.This is a graphical representation of the behavior of a pixel array across multiple frames.This is a schematic diagram showing an example of the operation sequence for chromaticity and luminance frames.This is a diagram showing an example of a sensor and emitter pattern.This is a graphical representation of the operation of a pixel array.This figure shows exemplary equipment for NIR spectroscopy.This figure shows exemplary equipment for