ES2249802T3 - Sistema de control quirurgico multifuncion e interfaz de conmutacion. - Google Patents

Sistema de control quirurgico multifuncion e interfaz de conmutacion.

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ES2249802T3
ES2249802T3 ES97931129T ES97931129T ES2249802T3 ES 2249802 T3 ES2249802 T3 ES 2249802T3 ES 97931129 T ES97931129 T ES 97931129T ES 97931129 T ES97931129 T ES 97931129T ES 2249802 T3 ES2249802 T3 ES 2249802T3
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interface
surgical
input
coupled
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Yulun Wang
Charles S. Jordan
Darrin R. Uecker
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Intuitive Surgical Inc
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Intuitive Surgical Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00203—Electrical control of surgical instruments with speech control or speech recognition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00225—Systems for controlling multiple different instruments, e.g. microsurgical systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00973—Surgical instruments, devices or methods pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • General Business, Economics & Management (AREA)
  • Otolaryngology (AREA)
  • Business, Economics & Management (AREA)
  • Robotics (AREA)
  • Urology & Nephrology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Laser Surgery Devices (AREA)
  • Manipulator (AREA)
  • Controls For Constant Speed Travelling (AREA)
  • Executing Machine-Instructions (AREA)
  • Hardware Redundancy (AREA)
  • Exchange Systems With Centralized Control (AREA)
  • Control Of Position, Course, Altitude, Or Attitude Of Moving Bodies (AREA)
  • Communication Control (AREA)
  • Selective Calling Equipment (AREA)

Abstract

LA PRESENTE INVENCION ES UN INTERFAZ QUE PERMITE QUE UN CIRUJANO UTILICE INSTRUMENTAL QUIRURGICO MULTIPLE (12, 14, 16, 18) A PARTIR DE UN UNICO DISPOSITIVO DE ENTRADA (20). EL DISPOSITIVO DE ENTRADA PUEDE SER UN PEDAL (20) QUE PROPORCIONA SEÑALES DE SALIDA (44) PARA ACCIONAR UNA SERIE DE INSTRUMENTAL QUIRURGICO DIFERENTE (12, 14, 16, 18). EL INSTRUMENTAL QUIRURGICO PUEDE INCLUIR UN BRAZO ROBOTICO (12), UN LASER (16), UN DISPOSITIVO PARA ELECTROCAUTERIZACION (14) O UNA MESA QUIRURGICA (18). EL INTERFAZ (40) TIENE UN CANAL DE ENTRADA (42) QUE VA ACOPLADO AL DISPOSITIVO DE ENTRADA (20), Y UNA SERIE DE CANALES DE SALIDA (46, 48, 50, 52) QUE VAN ACOPLADOS AL INSTRUMENTAL QUIRURGICO (12, 14, 16, 18). EL INTERFAZ (40) TIENE TAMBIEN UN CANAL DE ENTRADA DE SELECCION (68), QUE PUEDE RECIBIR ORDENES DE ENTRADA PARA CONMUTAR EL CANAL DE ENTRADA (42) A UNO DE LOS CANALES DE SALIDA (46, 48, 50, 52). EL CANAL SELECCIONADO (62) PUEDE IR ACOPLADO A UN INTERFAZ VOCAL (70) QUE PERMITE QUE EL CIRUJANO SELECCIONE UNO DE LOS DISPOSITIVOS QUIRURGICOS (12, 14, 16, 18) CON UNA ORDEN VOCAL. EL CIRUJANO PUEDE UTILIZAR CUALQUIER ELEMENTO DEL INSTRUMENTAL (12, 14, 16, 18) DANDO UNA ORDEN DE ENTRADA, QUE CONMUTA EL CANAL DE ENTRADA (42) AL CANAL DE SALIDA DESEADO (46, 48, 50, 52).

Description

Sistema de control quirúrgico multifunción e interfaz de conmutación.
Antecedentes de la invención 1.- Campo de la invención
La presente invención se refiere generalmente a sistemas de control. Más particularmente, la presente invención se refiere a una interfaz que permite controlar múltiples dispositivos quirúrgicos a partir de un dispositivo de entrada, tal como un pedal.
2.- Descripción de la técnica relacionada
Muchos procedimientos quirúrgicos se llevan a cabo con múltiples instrumentos. Por ejemplo, algunos procedimientos laparoscópicos se llevan a cabo usando un sistema de brazo robótico producido por Computer Motion, Inc. de Goleta, California, para sujetar y mover un endoscopio. El cirujano puede también usar un láser para cortar tejido y un dispositivo de electrocauterio para cauterizar el tejido. Cada instrumento tiene un panel de control o pedal único para manejar el dispositivo. El cirujano debe, por tanto, presionar un pedal para mover el brazo robótico y el endoscopio, presionar un pedal diferente para accionar el dispositivo de electrocauterio, y manipular aún otro dispositivo de entrada para activar el láser. El manejo de múltiples dispositivos de entrada puede distraer al cirujano, reduciendo así la eficiencia y seguridad de la realización del procedimiento. Por tanto, sería deseable proporcionar una interfaz que permitiera al cirujano seleccionar y controlar múltiples dispositivos quirúrgicos a partir de un único dispositivo de entrada. Adicionalmente, es también deseable proporcionar una interfaz que permitiera al cirujano seleccionar y controlar de manera mutuamente excluyente múltiples dispositivos quirúrgicos a partir de un dispositivo de entrada.
En la patente de los EE.UU. número US-A-5422.521 (Neer, et al.) se describe un ejemplo de un sistema de control para un dispositivo multifunción manejado con el pie de la técnica anterior que describe un dispositivo de entrada de pedal que se maneja con el pie de un operario para generar señales de selección y accionamiento para controlar un dispositivo multifunción.
Sumario de la invención
La presente invención proporciona una interfaz que acopla un dispositivo de entrada a un primer aparato quirúrgico y a un segundo aparato quirúrgico, sustancialmente de la manera descrita más adelante en el presente documento y expuesta en las reivindicaciones adjuntas.
La interfaz permite a un cirujano manejar múltiples dispositivos quirúrgicos a partir de un único dispositivo de entrada. El dispositivo de entrada puede ser un pedal que proporciona señales de salida para accionar varios dispositivos quirúrgicos diferentes. Los dispositivos quirúrgicos pueden incluir un sistema de brazo robótico, un láser, un dispositivo de electrocauterio, o una mesa de operaciones. La interfaz tiene un canal de entrada que está acoplado al dispositivo de entrada y una pluralidad de canales de salida que están acoplados a los dispositivos quirúrgicos. La interfaz tiene también un canal de selección que puede recibir órdenes de entrada y conmutar de manera correspondiente el canal de entrada entre uno de los canales de salida. El canal de selección puede acoplarse a una interfaz de voz que permita al cirujano seleccionar uno de los dispositivos quirúrgicos con una orden de voz. El cirujano puede entonces manejar un dispositivo específico tras proporcionar una orden de entrada o de conmutación que conmuta el canal de entrada al canal de salida deseado y conecta así el dispositivo de entrada con el dispositivo quirúrgico deseado.
Breve descripción de los dibujos
Los objetos y ventajas de la presente invención serán fácilmente evidentes para los expertos en la técnica tras la revisión de la siguiente descripción detallada y los dibujos adjuntos, en los que:
la figura 1 muestra una vista esquemática de un sistema de control y una interfaz según la presente invención.
Descripción detallada de la invención
Haciendo referencia a los dibujos, más específicamente mediante los números de referencia, la figura 1 muestra un sistema 10 quirúrgico según la presente invención. El sistema 10 permite a un cirujano manejar varios dispositivos 12, 14, 16 y 18 quirúrgicos diferentes, a partir de un único dispositivo 20 de entrada. El proporcionar un único dispositivo de entrada reduce la complejidad de manejar los diversos dispositivos y mejora la eficiencia de un procedimiento quirúrgico llevado a cabo por un cirujano.
El dispositivo 12 quirúrgico puede ser un brazo robótico que puede sujetar y mover un instrumento quirúrgico. El brazo 12 puede ser un dispositivo tal como el vendido por Computer Motion, Inc. de Goleta, California, bajo la marca registrada AESOP. El brazo 12 se utiliza habitualmente para sujetar y mover un endoscopio dentro de un paciente. El sistema de la presente invención permite al cirujano controlar el manejo del brazo 12 robótico a través del dispositivo 20 de entrada.
El dispositivo 14 quirúrgico puede ser un dispositivo de electrocauterio. Los dispositivos de electrocauterio tienen normalmente una punta bipolar que transporta una corriente que calienta y desnaturaliza el tejido. El dispositivo se acopla normalmente a un conmutador de encendido/apagado para accionar el dispositivo y calentar el tejido. El dispositivo de electrocauterio puede también recibir señales de control para variar su potencia de salida. El sistema 10 de la presente invención permite al cirujano controlar el manejo del dispositivo de electrocauterio a través del dispositivo 20 de entrada.
El dispositivo 16 quirúrgico puede ser un láser. El láser 16 puede accionarse a través de un conmutador de encendido/apagado. Adicionalmente, puede controlarse la potencia del láser 16 mediante señales de control. El sistema 10 de la presente invención permite al cirujano controlar el manejo del láser 16 a través del dispositivo 20 de entrada.
El dispositivo 18 puede ser una mesa de operaciones. La mesa 18 de operaciones puede contener motores y mecanismos que ajustan la posición de la mesa. La presente invención permite al cirujano controlar la posición de la mesa 18 a través del dispositivo 20 de entrada. Aunque se describen cuatro dispositivos 12, 14, 16 y 18 quirúrgicos, se entiende que puedan controlarse otras funciones en la sala de operaciones a través del dispositivo 20 de entrada. A modo de ejemplo, el sistema 10 puede permitir al cirujano controlar la iluminación y la temperatura de la sala de operaciones a través del dispositivo 20 de en-
trada.
El dispositivo 20 de entrada puede ser un pedal que tiene una pluralidad de botones 22, 24, 26, 28 y 30 que puede presionar el cirujano. Cada botón está asociado normalmente con una orden de control específico de un dispositivo quirúrgico. Por ejemplo, cuando el dispositivo 20 de entrada está controlando el brazo 12 robótico, presionar sobre el botón 22 puede mover el brazo en un sentido y presionar sobre el botón 26 puede mover el brazo en un sentido opuesto. Igualmente, cuando el dispositivo 14 de electrocauterio o láser 16 se acoplan al dispositivo 20 de entrada, presionar sobre el botón 30 puede activar los dispositivos, y así sucesivamente. Aunque se muestra y se describe un pedal, debe entenderse que el dispositivo 20 de entrada puede ser un controlador manual, una interfaz de voz que acepta órdenes de voz del cirujano, un pedal en voladizo u otros dispositivos de entrada que pueden conocerse bien en la técnica de control de dispositivos quirúrgicos.
El sistema 10 tiene una interfaz 40 de conmutación que acopla el dispositivo 20 de entrada a los dispositivos 12, 14, 16 y 18 quirúrgicos. La interfaz 40 tiene un canal 42 de entrada que está conectado con el dispositivo 20 de entrada mediante un bus 44. La interfaz 40 tiene también una pluralidad de canales 46, 48, 50 y 52 de salida que están acoplados a los dispositivos quirúrgicos mediante los buses 54, 56, 58, 60, 94, 96, 98 y que pueden tener adaptadores o controladores dispuestos en comunicación eléctrica con los mismos y entre sí. Tales adaptadores y controladores se tratarán en más detalle a continuación en el presente documento.
Dado que cada dispositivo 12, 14, 16, 18 puede requerir señales de control configuradas específicamente para su correcto manejo, pueden colocarse adaptadores 90, 92 o un controlador 88 intermedios y en comunicación eléctrica con un canal de salida específico y un dispositivo quirúrgico específico. En el caso del sistema 12 de brazo robótico no es necesario ningún adaptador, y como tal, el sistema 13 de brazo robótico puede estar comunicado directamente con un canal de salida específico. La interfaz 40 acopla el canal 42 de entrada a uno de los canales 46, 48, 50 y 52 de salida.
La interfaz 40 tiene un canal 62 de selección que puede conmutar el canal 42 de entrada a un canal 46, 48, 50 o 52 de salida diferente de modo que el dispositivo 20 de entrada pueda controlar cualquiera de los dispositivos quirúrgicos. La interfaz 40 puede ser un circuito multiplexor construido como un circuito integrado y colocado sobre un CIAE. De manera alternativa, la interfaz 40 puede ser una pluralidad de relés accionados por solenoides acoplados al canal de selección mediante un circuito lógico. La interfaz 40 conmuta a un canal de salida específico en respuesta a una señal de entrada o una señal de conmutación en el canal 62 de selección.
Tal como se representa en la figura 1, puede haber varias entradas al canal 62 de selección. Tales entradas provienen del pedal 20, la interfaz 70 de voz y la CPU 72. La interfaz 40 puede tener una unidad de multiplexación tal que sólo pueda recibirse una única señal de conmutación en el canal 62 de selección en un momento cualquiera, asegurando así que no haya conflictos de hardware sustanciales. El establecimiento de un orden de prioridades en los dispositivos de entrada puede configurarse de modo que el pedal tenga la mayor prioridad, seguido de la interfaz de voz y la CPU. Esto se concibe a modo de ejemplo ya que el esquema del orden de prioridades puede utilizarse para garantizar el sistema más eficiente. Como tal pueden emplearse otros esquemas de orden de prioridades. El canal 62 de selección puede conectar de manera secuencial el canal de entrada a uno de los canales de salida cada vez que se proporcione una señal de conmutación al canal 62 de selección. Alternativamente, el canal 62 de selección puede ser direccionable de modo que la interfaz 40 conecte el canal de entrada a un canal de salida específico cuando se le proporciona una dirección al canal 62 de selección. Tal direccionamiento se conoce en la técnica de los conmutadores eléctricos.
El canal 62 de selección puede conectarse mediante una línea 64 a un botón 66 dedicado en el pedal 20. El cirujano puede conmutar dispositivos quirúrgicos presionando el botón 66. Alternativamente, el canal 62 de selección puede acoplarse mediante una línea 68 a una interfaz 70 de voz que permite al cirujano conmutar los dispositivos quirúrgicos con órdenes de voz.
El sistema 10 puede tener una unidad 72 central de proceso (CPU) que recibe señales de entrada del dispositivo 20 de entrada a través de la interfaz 40 y el bus 55. La CPU 72 recibe las señales de entrada, y puede garantizar que no se introduzcan órdenes erróneas en el controlador. Si sucede esto, la CPU 72 puede responder en consecuencia, o bien enviando una señal de conmutación diferente al canal 62 de selección o bien alertando al cirujano a través de un monitor de vídeo o un altavoz.
La CPU 72 puede también proporcionar órdenes de salida para el canal 62 de selección en un bus 76 y recibir órdenes de entrada procedentes de la interfaz 70 de voz en el mismo bus 76 bidireccional. La CPU 72 puede acoplarse a un monitor 80 y/o altavoz 82 mediante buses 84 y 86, respectivamente. El monitor 80 puede proporcionar una indicación visual de qué dispositivo quirúrgico se encuentra acoplado al dispositivo 20 de entrada. El monitor puede proporcionar también un menú de órdenes que puede seleccionar el cirujano o bien a través de la interfaz 70 de voz o bien del botón 66. Alternativamente, el cirujano podría conmutar a un dispositivo quirúrgico seleccionando una orden a través de una interfaz gráfica de usuario. El monitor 80 puede proporcionar también información sobre señales de control no adecuadas enviadas a un dispositivo 12, 14, 16, 18 quirúrgico específico y reconocidas por la CPU 72. Cada dispositivo 12, 14, 16, 18 tiene un intervalo de funcionamiento adecuado específico que lo conoce bien el experto en la técnica. Como tal, puede programarse la CPU 72 para reconocer cuándo el funcionamiento requerido del dispositivo 20 de entrada es inapropiado y entonces alertará al cirujano o bien visualmente mediante el monitor 80 o bien acústicamente mediante el altavoz 82. El altavoz 82 puede también proporcionar una indicación acústica de qué dispositivo quirúrgico está acoplado al dispositivo 20 de
entrada.
El sistema 10 puede incluir un controlador 88 que recibe las señales de entrada procedentes del dispositivo 20 de entrada y proporcionar señales de salida correspondientes para controlar la mesa 18 de operaciones. Igualmente, el sistema puede tener adaptadores 90 y 92 que proporcionan una interfaz entre el dispositivo 20 de entrada y los instrumentos quirúrgicos específicos conectados al sistema.
Durante su manejo, la interfaz 40 inicialmente acopla el dispositivo 20 de entrada a uno de los dispositivos quirúrgicos. El cirujano puede controlar un dispositivo quirúrgico diferente generando una orden de entrada que se proporciona al canal 62 de selección. La orden de entrada conmuta la interfaz 40 de modo que el dispositivo 20 de entrada se acopla a un canal de salida diferente y su dispositivo quirúrgico o adaptador correspondiente. Lo que se proporciona de este modo es una interfaz 40 que permite al cirujano seleccionar, manejar y controlar una pluralidad de dispositivos quirúrgicos diferentes a través de un dispositivo 20 de entrada común.
Aunque se han descrito ciertas realizaciones a modo de ejemplo y se han mostrado en los dibujos adjuntos, debe entenderse que tales realizaciones son meramente ilustrativas y no restrictivas sobre la invención general, y que esta invención no se limita a las construcciones y disposiciones específicas mostradas y descritas, ya que pueden ocurrírseles otras modificaciones diversas a los expertos en la técnica.

Claims (16)

1. Interfaz que acopla un dispositivo de entrada a un primer aparato quirúrgico y un segundo aparato quirúrgico, que comprende:
una interfaz (40) que tiene un primer canal (42) de entrada acoplado al dispositivo (20) de entrada, un primer canal (46) de salida acoplado al primer aparato (12) quirúrgico, y un segundo canal (48) de salida acoplado al segundo aparato (18) quirúrgico.
caracterizado porque:
dicha interfaz (40) que tiene un canal (62) de selección para recibir una señal de conmutación en respuesta a una orden de voz de un cirujano, conmutando la interfaz dicho primer canal (42) de entrada entre dicho primer canal (46) de salida y dicho segundo canal (48) de salida en respuesta a dicha señal de conmutación.
2. Interfaz según la reivindicación 1, en la que dicha interfaz incluye un multiplexor.
3. Interfaz según la reivindicación 1, en la que el dispositivo (20) de entrada comprende una interfaz de voz que recibe órdenes de voz de un cirujano y proporciona señales de orden a dicho canal (42) de entrada, de tal manera que la interfaz (40) dirige las señales de orden hacia el primer aparato (12) quirúrgico o el segundo aparato (18) quirúrgico en respuesta a dicha señal de conmutación.
4. Interfaz según la reivindicación 1, que comprende además una interfaz de voz que recibe órdenes de voz de un cirujano y proporciona una señal de dirección de canal a dicho canal de selección para seleccionar un aparato quirúrgico especificado.
5. Sistema quirúrgico, que comprende una interfaz según la reivindicación 1, y que incluye:
dicho primer aparato (12) quirúrgico;
dicho segundo aparato (18) quirúrgico;
dicho dispositivo (20) de entrada que comprende una interfaz de voz para recibir órdenes de voz de un cirujano, el dispositivo de entrada que proporciona una señal de control a dicho primer aparato (12) qui-
rúrgico o a dicho segundo aparato (18) quirúrgico; y
en el que dicho canal (62) de selección conmuta dicho primer canal (42) de entrada entre dicho primer canal (46) de salida y dicho segundo canal (48) de salida.
6. Sistema quirúrgico según la reivindicación 5, en el que dicho dispositivo (20) de entrada incluye un pedal.
7. Sistema quirúrgico según la reivindicación 6, en el que dicho pedal está acoplado a dicho canal (62) de selección de dicha interfaz.
8. Sistema quirúrgico según la reivindicación 5, en el que dicho canal (62) de selección de dicha interfaz (40) recibe una señal de dirección de canal en respuesta a una orden de voz de canal de selección.
9. Sistema quirúrgico según las reivindicaciones 1-8, en el que dicho primer aparato quirúrgico es un dispositivo de electrocauterio.
10. Sistema quirúrgico según las reivindicaciones 1-8, en el que dicho primer aparato (12) quirúrgico es un brazo robótico.
11. Sistema quirúrgico según las reivindicaciones 1-8, en el que dicho primer aparato (12) quirúrgico es un láser.
12. Sistema quirúrgico según las reivindicaciones 1-11, en el que dicho segundo aparato (18) quirúrgico es una mesa de operaciones.
13. Sistema quirúrgico según las reivindicaciones 1-11, que comprende además una mesa (18) de operaciones acoplada a un tercer canal de salida de dicha interfaz.
14. Sistema quirúrgico según las reivindicaciones 1-11, que comprende además un tercer canal de salida y un cuarto canal de salida de dicha interfaz, en el que dichas señales de control se dirigen a un canal seleccionado de dichos canales de salida en respuesta a dicho canal de conmutación.
15. Sistema quirúrgico según las reivindicaciones 1-12, que comprende además un monitor (80) de vídeo, proporcionando el monitor (80) de vídeo una indicación visual de qué dispositivo quirúrgico está acoplado al dispositivo (20) de entrada y proporcionando un menú de órdenes que pueden seleccio-
narse.
16. Método para manejar un primer aparato (12) quirúrgico y un segundo aparato (18) quirúrgico a partir de un dispositivo (20) de entrada, que comprende las etapas de:
a)
proporcionar una interfaz (40) que tiene un primer canal (42) de entrada acoplado al dispositivo (20) de entrada, un primer canal (46) de salida acoplado al primer aparato (12) quirúrgico y un segundo canal (48) de salida acoplado al segundo aparato (18) quirúrgico;
caracterizado por:
b)
conmutar dicha interfaz (40) en respuesta a una primera señal de orden de dirección de canal de una interfaz (70) de voz, de modo que dicho primer canal (42) de entrada esté acoplado a dicho primer canal (46) de salida; y
c)
conmutar dicha interfaz (40) en respuesta a una segunda señal de orden de dirección de canal de la interfaz (70) de voz, de modo que dicho primer canal (42) de entrada esté acoplado a dicho segundo canal (48) de salida.
ES97931129T 1996-06-24 1997-06-09 Sistema de control quirurgico multifuncion e interfaz de conmutacion. Expired - Lifetime ES2249802T3 (es)

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RU2182468C2 (ru) 2002-05-20
ATE497734T1 (de) 2011-02-15
US7543588B2 (en) 2009-06-09
US6646541B1 (en) 2003-11-11
US7097640B2 (en) 2006-08-29
EP2277454A3 (en) 2013-09-18
DE69740120D1 (de) 2011-03-24
ATE304321T1 (de) 2005-09-15
IL127657A0 (en) 1999-10-28
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EP1600114A1 (en) 2005-11-30
AU3484197A (en) 1998-01-14
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