Systems and methods for establishing virtual constraint boundaries
View Patent ↗Systems and methods for establishing and tracking virtual boundaries. The virtual boundaries can delineate zones in which an instrument is not permitted during a surgical procedure. The virtual boundaries can also delineate zones in which the surgical instrument is permitted during the surgical procedure. The virtual boundaries can also identify objects or structures to be treated by the instrument or to be avoided by the instrument during the surgical procedure.
1. A surgical system comprising:
an instrument;
an instrument tracking device configured to track movement of said instrument;
a first boundary tracking device configured to track movement of a first of a plurality of virtual boundaries wherein the first virtual boundary is associated with an anatomy of a patient to be treated by said instrument;
a second boundary tracking device configured to track movement of a second of the plurality of virtual boundaries wherein the second virtual boundary is associated with a periphery of an opening in the patient to be avoided by said instrument; and
a controller configured to receive information associated with said tracking devices including positions of said instrument relative to the first and second virtual boundaries, said controller configured to guide movement of said instrument relative to each of the first and second virtual boundaries as the first and second virtual boundaries move relative to one another.
2. A surgical system as set forth in claim 1 wherein said controller is further configured to guide movement of said instrument relative to the first virtual boundary by guiding cutting of the anatomy relative to the first virtual boundary.
3. A surgical system as set forth in claim 1 wherein said controller is further configured to guide movement of said instrument relative to the second virtual boundary so that said instrument avoids contact with the periphery of the opening associated with the second virtual boundary.
4. A surgical system as set forth in claim 1 further including a third boundary tracking device configured to track a third of the plurality of virtual boundaries associated with another object to be avoided by said instrument.
5. A surgical system as set forth in claim 4 wherein said controller is further configured to guide movement of said instrument relative to each of the first, second, and third virtual boundaries.
6. A surgical system as set forth in claim 4 wherein said controller is further configured to define the opening in the patient for receipt of said instrument based on positions of the second and third virtual boundaries.
7. A surgical system as set forth in claim 4 wherein said controller is further configured to monitor a position of the periphery of the opening based on positions of the second and third virtual boundaries.
8. A surgical system as set forth in claim 1 wherein at least one of said tracking devices includes one or more tracking elements.
9. A surgical system as set forth in claim 8 wherein said one or more tracking elements include light emitting diodes.
10. A surgical system as set forth in claim 8 wherein said one or more tracking elements include optical tracking elements and further including a plurality of sensing devices configured to receive optical signals from said optical tracking elements.
11. A surgical system as set forth in claim 1 further including a retractor configured to retract tissue and with said second boundary tracking device being coupled to said retractor.
12. A surgical system as set forth in claim 11 wherein said second boundary tracking device includes a tracker mountable to said retractor.
13. A surgical system as set forth in claim 11 wherein said second boundary tracking device includes at least one tracking element integrated into said retractor.
14. A surgical system as set forth in claim 1 wherein said second boundary tracking device includes a flexible shape sensing system positionable adjacent the periphery of the opening.
15. A surgical system as set forth in claim 1 wherein said second boundary tracking device includes a machine vision system and with said machine vision system in communication with said controller and including a vision camera configured to detect movement of the periphery of the opening.
16. A surgical system as set forth in claim 15 wherein said controller is configured to receive position information derived from images taken by said vision camera to adjust a position of the second virtual boundary after the second virtual boundary moves.
17. A surgical system as set forth in claim 1 wherein said second boundary tracking device includes a pointer configured to capture points associated with the periphery of the opening.
18. A surgical system as set forth in claim 17 wherein said controller is configured to create the second virtual boundary utilizing information relating to the points.
19. A surgical system as set forth in claim 1 including a surgical manipulator having a plurality of joints and a plurality of actuators and with said instrument being coupled to said surgical manipulator and wherein said surgical manipulator is configured to move said instrument.
20. A surgical system as set forth in claim 19 wherein said surgical manipulator is a robotic manipulator configured to be operated in manual and semi-autonomous modes.
21. A surgical system as set forth in claim 1 wherein said instrument is a hand-held surgical instrument configured to be supported and manually positioned by a user.
22. A surgical system as set forth in claim 21 wherein said hand-held surgical instrument includes a handheld housing and a cutting tool that is movable in three degrees of freedom relative to said handheld housing.